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Characterization of refeeding protocols for under 18 years old hospitalized patients with anorexia nervosa: A

Helen Cristina Bittencourt Lopes1, Bruna Caruso Mazzolani2, Priscila Koritar3

  • 1Nutrition and Dietetics Service and Interdisciplinary Project for Care, Teaching, and Research on Eating Disorders in Childhood and Adolescence (PROTAD), Institute of Psychiatry, University of São Paulo, São Paulo, Brazil.

General Hospital Psychiatry
|October 1, 2023
PubMed

Insights

This review found significant variability in refeeding protocols for hospitalized anorexia nervosa (AN) patients under 18. More research is needed to establish effective guidelines for treating adolescent AN.

Area of Science:

  • Pediatric Endocrinology
  • Eating Disorders Research
  • Clinical Nutrition

Background:

  • Anorexia nervosa (AN) is a serious eating disorder affecting adolescents.
  • Refeeding is a critical but complex component of AN treatment.
  • Standardized protocols for pediatric AN refeeding are lacking.

Purpose of the Study:

  • To characterize and compare existing refeeding protocols for hospitalized patients under 18 with AN.
  • To identify commonalities and variations in current refeeding practices.
  • To highlight the need for evidence-based guidelines.

Main Methods:

  • Systematic review of multiple databases (PubMed, Cochrane, etc.).
  • Inclusion criteria based on PICOS framework.
  • Analysis of 20 eligible studies out of 412 initially found.

Main Results:

  • Significant heterogeneity in sample sizes, refeeding protocols, and treatment durations observed.
  • Most studies were observational or retrospective, with 80% published recently.
  • Methodological limitations were present across included studies.

Conclusions:

  • Current refeeding protocols for adolescent AN exhibit considerable variability.
  • Methodological limitations and study design heterogeneity hinder definitive conclusions.
  • Prospective trials are essential to compare standard protocols and establish optimal care for this population.
Abstract

Keywords:
AdolescentsAnorexia nervosaLength of staySystematic review

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