Clinical characteristics of inpatients with childhood vs. Adolescent anorexia nervosa

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Charlotte Jaite - , Charité – Universitätsmedizin Berlin (Author)
  • Katharina Bühren - , RWTH Aachen University (Author)
  • Brigitte Dahmen - , RWTH Aachen University (Author)
  • Astrid Dempfle - , Kiel University (Author)
  • Katja Becker - , University of Marburg (Author)
  • Christoph U. Correll - , Charité – Universitätsmedizin Berlin, Zucker Hillside Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell (Author)
  • Karin M. Egberts - , University of Würzburg (Author)
  • Stefan Ehrlich - , Division of Psychological and Social Medicine and Developmental Neurosciences, Department of Child and Adolescent Psychiatry and Psychotherapy (Author)
  • Christian Fleischhaker - , University Medical Center Freiburg (Author)
  • Alexander von Gontard - , Saarland University (Author)
  • Freia Hahn - , LVR Hospital Viersen (Author)
  • David Kolar - , University Medical Center Mainz (Author)
  • Michael Kaess - , Heidelberg University , University of Bern (Author)
  • Tanja Legenbauer - , Ruhr University Bochum (Author)
  • Tobias J. Renner - , University Hospital Tübingen (Author)
  • Ulrike Schulze - , Ulm University (Author)
  • Judith Sinzig - , LVR-Clinic Bonn (Author)
  • Ellen Thomae - , TUD Dresden University of Technology (Author)
  • Linda Weber - , University of Marburg (Author)
  • Ida Wessing - , University of Münster (Author)
  • Gisela Antony - , University of Marburg (Author)
  • Johannes Hebebrand - , University of Duisburg-Essen (Author)
  • Manuel Föcker - , University of Münster, University of Duisburg-Essen (Author)
  • Beate Herpertz-Dahlmann - , RWTH Aachen University (Author)

Abstract

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.

Details

Original languageEnglish
Article number2593
JournalNutrients
Volume11
Issue number11
Publication statusPublished - 2019
Peer-reviewedYes

External IDs

PubMed 31661861
ORCID /0000-0003-2132-4445/work/160950886

Keywords

ASJC Scopus subject areas

Keywords

  • Adolescents, Anorexia nervosa, BMI, Children, Clinical characteristics, Outcome