Clinical Characteristics of Inpatients with Childhood vs. Adolescent Anorexia Nervosa

Jaite, Charlotte; Bühren, Katharina; Dahmen, Brigitte; Dempfle, Astrid; Becker, Katja; Correll, Christoph U.; Egberts, Karin M.; Ehrlich, Stefan; Fleischhaker, Christian; von Gontard, Alexander; Hahn, Freia; Kolar, David; Kaess, Michael; Legenbauer, Tanja; Renner, Tobias J.; Schulze, Ulrike; Sinzig, Judith; Thomae, Ellen; Weber, Linda; Wessing, Ida; ... (2019). Clinical Characteristics of Inpatients with Childhood vs. Adolescent Anorexia Nervosa. Nutrients, 11(11) Molecular Diversity Preservation International MDPI 10.3390/nu11112593

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy > Research Division

UniBE Contributor:

Kaess, Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2072-6643

Publisher:

Molecular Diversity Preservation International MDPI

Language:

English

Submitter:

Chantal Michel

Date Deposited:

12 Dec 2019 13:51

Last Modified:

13 Dec 2019 12:35

Publisher DOI:

10.3390/nu11112593

PubMed ID:

31661861

BORIS DOI:

10.7892/boris.136232

URI:

https://boris.unibe.ch/id/eprint/136232

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