TY - JOUR
T1 - Inpatient weight curve trajectory as a prognostic factor among adolescents with anorexia nervosa
T2 - a preliminary report
AU - Avnon, Adar
AU - Orkaby, Naomi
AU - Hadas, Arik
AU - Berger, Uri
AU - Brunstein Klomek, Anat
AU - Fennig, Silvana
N1 - Publisher Copyright:
© 2017, Springer International Publishing AG.
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Objective: To investigate the predictive value of weight restoration trajectories for relapse within the first year after discharge from inpatient treatment among adolescents with AN. Methods: Forty four inpatient adolescents (5 boys, 39 girls) aged 11–18 (M 14.85, SD 1.87) diagnosed with anorexia were assessed at admission and discharge from a general hospital inpatient ward. Re-hospitalizations within 1 year of discharge were recorded. Factors assessed included 1/BMI at admission, 2/BMI at discharge, 3/percent from target weight (PFTW) at discharge, 4/length of hospitalization, and 5/a weight restoration trajectory measuring weight drops during inpatient weight restoration (rates of negative cubic variation in body weight (NCV). Results: Logistic regression indicated that negative cubic variation rates (NCV) predicted re-hospitalization. PFTW was found only marginally significant. Conclusion: Variations in weight restoration during inpatient treatment may be used to identify patients at risk for relapse. NCV can alert clinicians to initiate early relapse prevention interventions before discharge. Level of Evidence Level III, cohort study.
AB - Objective: To investigate the predictive value of weight restoration trajectories for relapse within the first year after discharge from inpatient treatment among adolescents with AN. Methods: Forty four inpatient adolescents (5 boys, 39 girls) aged 11–18 (M 14.85, SD 1.87) diagnosed with anorexia were assessed at admission and discharge from a general hospital inpatient ward. Re-hospitalizations within 1 year of discharge were recorded. Factors assessed included 1/BMI at admission, 2/BMI at discharge, 3/percent from target weight (PFTW) at discharge, 4/length of hospitalization, and 5/a weight restoration trajectory measuring weight drops during inpatient weight restoration (rates of negative cubic variation in body weight (NCV). Results: Logistic regression indicated that negative cubic variation rates (NCV) predicted re-hospitalization. PFTW was found only marginally significant. Conclusion: Variations in weight restoration during inpatient treatment may be used to identify patients at risk for relapse. NCV can alert clinicians to initiate early relapse prevention interventions before discharge. Level of Evidence Level III, cohort study.
KW - Adolescents
KW - Eating disorders
KW - Inpatient treatment
KW - Weight curve
KW - Weight restoration
UR - http://www.scopus.com/inward/record.url?scp=85034647802&partnerID=8YFLogxK
U2 - 10.1007/s40519-017-0415-8
DO - 10.1007/s40519-017-0415-8
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C2 - 28710742
AN - SCOPUS:85034647802
SN - 1124-4909
VL - 23
SP - 645
EP - 651
JO - Eating and Weight Disorders
JF - Eating and Weight Disorders
IS - 5
ER -
