Journal article
Nutrition Therapy During Initiation of Refeeding in Underweight Children and Adolescent Inpatients with Anorexia Nervosa: A Systematic Review of the Evidence
Journal of the Academy of Nutrition and Dietetics, Vol.114(6), pp.897-907
2014
Abstract
Restoration of weight and nutritional rehabilitation are recognized as fundamental steps in the therapeutic treatment of children and adolescent inpatients with anorexia nervosa (AN). However, current recommendations on initial energy requirements for this population are inconsistent, with a clear lack of empirical evidence. Thus, the aim of our study was to systematically review, assess, and summarize the available evidence on the effect of differing nutrition therapies prescribed during refeeding on weight restoration in hospitalized children and adolescents (aged 19 years and younger) with diagnosed AN. Searches were conducted in Scopus, Web of Science, Global Health (CABI), PubMed, and the Cochrane database for articles published in English up to May 2012, and complemented by a search of the reference lists of key publications. Seven observational studies investigating a total of 403 inpatients satisfied the inclusion criteria. The range of prescribed energy intakes varied from 1,000 kcal to >1,900 kcal/day with a progressive increase during the course of hospitalization. It appeared that additional tube feeding increased the maximum energy intake and led to greater interim or discharge weight; however, this was also associated with a higher incidence of adverse effects. Overall, the level of available evidence was poor, and therefore consensus on the most effective and safe treatment for weight restoration in inpatient children and adolescents with AN is not currently feasible. Further research on refeeding methods is crucial to establish the best practice approach to treatment of this population.
Details
- Title
- Nutrition Therapy During Initiation of Refeeding in Underweight Children and Adolescent Inpatients with Anorexia Nervosa: A Systematic Review of the Evidence
- Authors
- Tetyana Rocks (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringFiona Pelly (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringP Wilkinson (Author) - Dietitians Association of Australia
- Publication details
- Journal of the Academy of Nutrition and Dietetics, Vol.114(6), pp.897-907
- Publisher
- Elsevier Inc.
- Date published
- 2014
- DOI
- 10.1016/j.jand.2013.11.022
- ISSN
- 2212-2672
- Copyright note
- Copyright © 2014 Academy of Nutrition and Dietetics
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health - Nutrition & Dietetics; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99449085102621
- Output Type
- Journal article
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