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Anorexia nervosa in adolescents: Evolution of weight history and impact of excess premorbid weight

European Journal of Pediatrics Nov 09, 2018

Meierer K, et al. - In this single-center, retrospective cohort study, researchers evaluated if the percentage of patients diagnosed with anorexia nervosa (AN) that have a history of excess weight has increased over a 10-year period, as well as how different premorbid weight groups vary in terms of clinical characteristics. Study participants were all new patients presenting with AN, restrictive and binge/purge subtypes, in 2004 and 2014 at the Adolescent Medicine Clinic of Sainte-Justine University Health Centre (n = 172). According to the findings, historically overweight patients who present with AN show increased speed of weight loss, greater drop in body mass index (BMI), and lower heart rate at presentation. The average BMI at discharge was within normal limits for patients with a history of excess weight considered as having recovered from AN. Since overweight and obese patients present with significant weight suppression values, this investigation emphasized the significance of screening for AN in all patients instead of in only the noticeably underweight.

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