Your browser doesn't support javascript.
loading
History of Overweight/Obesity as Predictor of Care Received at 1-year Follow-Up in Adolescents With Anorexia Nervosa or Atypical Anorexia Nervosa.
Kennedy, Grace A; Forman, Sara F; Woods, Elizabeth R; Hergenroeder, Albert C; Mammel, Kathleen A; Fisher, Martin M; Ornstein, Rollyn M; Callahan, S Todd; Golden, Neville H; Kapphahn, Cynthia J; Garber, Andrea K; Rome, Ellen S; Richmond, Tracy K.
Afiliación
  • Kennedy GA; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Psychology, Florida State University, Tallahassee, Florida. Electronic address: kennedy@psy.fsu.edu.
  • Forman SF; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
  • Woods ER; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
  • Hergenroeder AC; Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas.
  • Mammel KA; Division of Adolescent Medicine, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan; Formerly at the Division of Adolescent Pediatrics, Beaumont Children's Hospital, Royal Oak, Michigan.
  • Fisher MM; Division of Adolescent Medicine, Steven and Alexandra Cohen Children's Medical Center, North Shore-Long island Jewish Health System, New Hyde Park, New York; Department of Pediatrics, Hofstra Northwell School of Medicine, Hempstead, New York.
  • Ornstein RM; Division of Adolescent Medicine and Eating Disorders, Penn State Children's Hospital, Hershey, Pennsylvania.
  • Callahan ST; Division of Adolescent and Young Adult Health, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
  • Golden NH; Division of Adolescent Medicine, Stanford University School of Medicine, Stanford, California.
  • Kapphahn CJ; Division of Adolescent Medicine, Stanford University School of Medicine, Stanford, California.
  • Garber AK; Division of Adolescent Medicine, University of California San Francisco, San Francisco, California.
  • Rome ES; Center for Adolescent Medicine, Department of General Pediatrics, Cleveland Clinic Children's Hospital, Cleveland, Ohio.
  • Richmond TK; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
J Adolesc Health ; 60(6): 674-679, 2017 Jun.
Article en En | MEDLINE | ID: mdl-28284563
PURPOSE: Previous research has indicated that patients with anorexia nervosa (AN) or atypical AN with premorbid history of overweight/obesity have greater weight loss and longer illness duration than patients with no such history. However, little is known about the association of premorbid overweight/obesity and receiving inpatient medical care during treatment for an eating disorder. METHODS: Using logistic regression, we sought to determine if history of overweight/obesity was associated with receiving inpatient medical care in a sample of 522 patients (mean age 15.5 years, 88% female) with AN/atypical AN. RESULTS: Binary results demonstrated greater percent weight loss (27.4% vs. 16.2%) and higher percent median body mass index (%mBMI, 99.8% vs. 85.2%) at presentation in those with a history of overweight/obesity (p < .001) but no difference in duration of illness (p = .09). In models adjusted for demographics and percent weight loss, history of overweight/obesity was associated with lower odds of receiving inpatient medical care (odds ratio .60 [95% confidence interval: .45-.80]) at 1-year follow-up. However, these associations were no longer significant after adjusting for %mBMI. Mediation results suggest that %mBMI fully mediates the relationship between history of overweight/obesity and inpatient medical care, in that those with a history of overweight/obesity are less likely to receive care due to presenting at a higher weight. CONCLUSIONS: Our findings suggest that, despite greater degree of weight loss and no difference in duration of illness, participants with a history of overweight/obesity are less likely to receive inpatient medical care.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anorexia Nerviosa / Índice de Masa Corporal / Obesidad Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Male Idioma: En Revista: J Adolesc Health Asunto de la revista: PEDIATRIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anorexia Nerviosa / Índice de Masa Corporal / Obesidad Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Male Idioma: En Revista: J Adolesc Health Asunto de la revista: PEDIATRIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos