Clinical Characteristics of Inpatients with Childhood vs. Adolescent Anorexia Nervosa.

Autor: Jaite C; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany. charlotte.jaite@charite.de., Bühren K; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital, RWTH Aachen, 52074 Aachen, Germany. kbuehren@ukaachen.de., Dahmen B; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital, RWTH Aachen, 52074 Aachen, Germany. bdahmen@ukaachen.de., Dempfle A; Institute of Medical Informatics and Statistics, Kiel University, 24105 Kiel, Germany. dempfle@medinfo.uni-kiel.de., Becker K; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Philipps-University Marburg and University Hospital Marburg, 35039 Marburg, Germany. katja.becker@med.uni-marburg.de.; Center for Mind, Brain and Behavior (CMBB), Philipps-University Marburg, 35032 Marburg, Germany. katja.becker@med.uni-marburg.de., Correll CU; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany. christoph.correll@charite.de.; The Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY 11004, USA. christoph.correll@charite.de.; Hofstra Northwell School of Medicine, Department of Psychiatry and Molecular Medicine, Hempstead, NY 11549, USA. christoph.correll@charite.de., Egberts KM; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Wuerzburg, 97080 Wuerzburg, Germany. Egberts_k@ukw.de., Ehrlich S; Department of Child and Adolescent Psychiatry & Division of Psychological & Social Medicine and Developmental Neurosciences, Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany. stefan.ehrlich@tu-dresden.de., Fleischhaker C; Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Freiburg, 79104 Freiburg, Germany. Christian.Fleischhaker@uniklinik-freiburg.de., von Gontard A; Department of Child and Adolescent Psychiatry, Saarland University Hospital, 66421 Homburg, Germany. alexander.von.gontard@uks.eu., Hahn F; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, LVR-Hospital Viersen, 41749 Viersen, Germany. freia.hahn@lvr.de., Kolar D; Department of Child and Adolescent Psychiatry, University Medicine of the Johannes Gutenberg-University, 55131 Mainz, Germany. david.kolar@unimedizin-mainz.de., Kaess M; Clinic of Child and Adolescent Psychiatry, Center for Psychosocial Medicine, University Hospital Heidelberg, 69115 Heidelberg, Germany. Michael.Kaess@med.uni-heidelberg.de.; University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, 3000 Bern, Switzerland. Michael.Kaess@med.uni-heidelberg.de., Legenbauer T; LWL University Hospital Hamm for Child and Adolescent Psychiatry, Ruhr University Bochum, 59071 Hamm, Germany. tanja.legenbauer@rub.de., Renner TJ; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Tuebingen, 72076 Tuebingen, Germany. tobias.renner@med.uni-tuebingen.de., Schulze U; Department of Child and Adolescent Psychiatry/Psychotherapy, University Hospital, University of Ulm, 89075 Ulm, Germany. ulrike.schulze@uniklinik-ulm.de., Sinzig J; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, LVR-Klinik Bonn, 53111 Bonn, Germany. Judith.sinzig@lvr.de., Thomae E; Department of Child and Adolescent Psychiatry, Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany. Ellen.Thomae@uniklinikum-dresden.de., Weber L; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Philipps-University Marburg and University Hospital Marburg, 35039 Marburg, Germany. linda.weber@med.uni-marburg.de., Wessing I; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Muenster, 48149 Muenster, Germany. ida.wessing@ukmuenster.de., Antony G; Central Information Office KKNMS, Philipps-University Marburg, 35112 Bellnhausen, Germany. ohrenber@med.uni-marburg.de., Hebebrand J; Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Hospital Essen, University of Duisburg-Essen, 45147 Essen, Germany. johannes.hebebrand@uni-due.de., Föcker M; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Muenster, 48149 Muenster, Germany. foeckerm@uni-muenster.de.; Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Hospital Essen, University of Duisburg-Essen, 45147 Essen, Germany. foeckerm@uni-muenster.de., Herpertz-Dahlmann B; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital, RWTH Aachen, 52074 Aachen, Germany. bherpertz@ukaachen.de.
Jazyk: angličtina
Zdroj: Nutrients [Nutrients] 2019 Oct 28; Vol. 11 (11). Date of Electronic Publication: 2019 Oct 28.
DOI: 10.3390/nu11112593
Abstrakt: We aimed to compare the clinical data at first presentation to inpatient treatment of children (<14 years) vs. adolescents (≥14 years) with anorexia nervosa (AN), focusing on duration of illness before hospital admission and body mass index (BMI) at admission and discharge, proven predictors of the outcomes of adolescent AN. Clinical data at first admission and at discharge in 289 inpatients with AN (children: n = 72; adolescents: n = 217) from a German multicenter, web-based registry for consecutively enrolled patients with childhood and adolescent AN were analyzed. Inclusion criteria were a maximum age of 18 years, first inpatient treatment due to AN, and a BMI <10th BMI percentile at admission. Compared to adolescents, children with AN had a shorter duration of illness before admission (median: 6.0 months vs. 8.0 months, p = 0.004) and higher BMI percentiles at admission (median: 0.7 vs. 0.2, p = 0.004) as well as at discharge (median: 19.3 vs. 15.1, p = 0.011). Thus, in our study, children with AN exhibited clinical characteristics that have been associated with better outcomes, including higher admission and discharge BMI percentile. Future studies should examine whether these factors are actually associated with positive long-term outcomes in children.
Databáze: MEDLINE