Incontinence and constipation in adolescent patients with anorexia nervosa—Results of a multicenter study from a German web-based registry for children and adolescents with anorexia nervosa

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Hannah K. Mattheus - , Universität des Saarlandes (Autor:in)
  • Catharina Wagner - , Universität des Saarlandes (Autor:in)
  • Katja Becker - , Philipps-Universität Marburg (Autor:in)
  • Katharina Bühren - , Rheinisch-Westfälische Technische Hochschule Aachen (Autor:in)
  • Christoph U. Correll - , Charité – Universitätsmedizin Berlin, Hofstra University, Zucker Hillside Hospital (Autor:in)
  • Karin M. Egberts - , Julius-Maximilians-Universität Würzburg (Autor:in)
  • Stefan Ehrlich - , Psychosoziale Medizin und Entwicklungsneurowissenschaften, Technische Universität Dresden (Autor:in)
  • Christian Fleischhaker - , Universitätsklinikum Freiburg (Autor:in)
  • Manuel Föcker - , Universität Duisburg-Essen (Autor:in)
  • Freia Hahn - , LVR-Klinik Viersen (Autor:in)
  • Johannes Hebebrand - , Universität Duisburg-Essen (Autor:in)
  • Beate Herpertz-Dahlmann - , Rheinisch-Westfälische Technische Hochschule Aachen (Autor:in)
  • Charlotte Jaite - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Ekkehart Jenetzky - , Johannes Gutenberg-Universität Mainz, Universität Witten/Herdecke (Autor:in)
  • Michael Kaess - , Universität Heidelberg, Universität Bern (Autor:in)
  • Tanja Legenbauer PhD - , Ruhr-Universität Bochum (Autor:in)
  • Jens P. Pfeiffer PhD - , Philipps-Universität Marburg (Autor:in)
  • Tobias J. Renner MD - , Eberhard Karls Universität Tübingen (Autor:in)
  • Veit Roessner - , Psychosoziale Medizin und Entwicklungsneurowissenschaften, Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Technische Universität Dresden (Autor:in)
  • Ulrike Schulze - , Universität Ulm (Autor:in)
  • Judith Sinzig - , LVR-Klinik Bonn (Autor:in)
  • Ida Wessing - , Westfälische Wilhelms-Universität Münster (Autor:in)
  • Alexander von Gontard - , Universität des Saarlandes (Autor:in)

Abstract

Objective: Nocturnal enuresis (NE), daytime urinary incontinence (DUI), and fecal incontinence (FI) are common disorders in childhood and are frequently accompanied by comorbid psychiatric disorders. Despite a high association between urinary and fecal incontinence with psychiatric and neurodevelopmental disorders, research on comorbidity between incontinence and anorexia nervosa (AN) remains scarce. Yet, it is well known that somatic consequences of AN include metabolic and gastrointestinal disorders. The study sought to assess the prevalence of incontinence and constipation in children and adolescents with AN and to examine associations of these two symptoms with body weight at admission and with BMI changes during inpatient treatment. Methods: Data collected between 2015 and 2017 by a multicenter German web-based registry for AN were analyzed. Three hundred and forty-eight patients with AN (96.3% female, mean age = 15.1 ± 1.8 years) were assessed regarding AN subtype, psychiatric comorbidity, body weight, incontinence, and constipation. Results: Overall, 27.6% of patients had constipation, 1.8% had NE and 1.8% DUI. Prevalence of constipation did not significantly differ between AN subtypes. Constipation did not lead to any significant differences in weight/BMI changes during inpatient treatment. Discussion: This is the largest study of incontinence and constipation in patients with AN, so far. Our results indicate that constipation is highly prevalent in adolescent patients with AN and reflects a clinically relevant condition. Despite, patients with AN do not have an increased prevalence of incontinence compared with the general population. Future studies should include medical examinations like ultrasound and physical examination of the lower abdomen to evaluate the severity of constipation.

Details

OriginalspracheEnglisch
Seiten (von - bis)219-228
Seitenumfang10
FachzeitschriftInternational Journal of Eating Disorders
Jahrgang53
Ausgabenummer2
PublikationsstatusVeröffentlicht - 1 Feb. 2020
Peer-Review-StatusJa

Externe IDs

PubMed 31617610
ORCID /0000-0003-2132-4445/work/150882369

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • anorexia nervosa, body weight, constipation, daytime urinary incontinence, nocturnal enuresis