Nutritional Rehabilitation: Practical Guidelines for Refeeding the Anorectic Patient
Weight restoration is crucial for successful treatment of anorexia nervosa. Without it, patients may face serious or even fatal medical complications of severe starvation. However, the process of nutritional rehabilitation can also be risky to the patient. The refeeding syndrome, a problem of electr...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Journal of Nutrition and Metabolism |
| Online Access: | http://dx.doi.org/10.1155/2010/625782 |
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| _version_ | 1850224426948231168 |
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| author | Philip S. Mehler Amy B. Winkelman Debbie M. Andersen Jennifer L. Gaudiani |
| author_facet | Philip S. Mehler Amy B. Winkelman Debbie M. Andersen Jennifer L. Gaudiani |
| author_sort | Philip S. Mehler |
| collection | DOAJ |
| description | Weight restoration is crucial for successful treatment of anorexia nervosa. Without it, patients may face serious or even fatal medical complications of severe starvation. However, the process of nutritional rehabilitation can also be risky to the patient. The refeeding syndrome, a problem of electrolyte and fluid shifts, can cause permanent disability or even death. It is essential to identify at-risk patients, to monitor them carefully, and to initiate a nutritional rehabilitation program that aims to avoid the refeeding syndrome. A judicious, slow initiation of caloric intake, requires daily management to respond to entities such as liver inflammation and hypoglycemia that can complicate the body's conversion from a catabolic to an anabolic state. In addition, nutritional rehabilitation should take into account clinical characteristics unique to these patients, such as gastroparesis and slowed colonic transit, so that measures can be taken to ameliorate the physical discomforts of weight restoration. Adjunct methods of refeeding such as the use of enteral or parenteral nutrition may play a small but important role in a select patient group who cannot tolerate oral nutritional rehabilitation alone. |
| format | Article |
| id | doaj-art-4f53dceea7ce4c4385beeb034d0f06d2 |
| institution | OA Journals |
| issn | 2090-0724 2090-0732 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Nutrition and Metabolism |
| spelling | doaj-art-4f53dceea7ce4c4385beeb034d0f06d22025-08-20T02:05:38ZengWileyJournal of Nutrition and Metabolism2090-07242090-07322010-01-01201010.1155/2010/625782625782Nutritional Rehabilitation: Practical Guidelines for Refeeding the Anorectic PatientPhilip S. Mehler0Amy B. Winkelman1Debbie M. Andersen2Jennifer L. Gaudiani3Department of Internal Medicine, Denver Health Medical Center, Denver, CO 80204, USAFood and Nutrition Services Department, Denver Health Medical Center, Denver, CO 80204, USAFood and Nutrition Services Department, Denver Health Medical Center, Denver, CO 80204, USADepartment of Internal Medicine, Denver Health Medical Center, Denver, CO 80204, USAWeight restoration is crucial for successful treatment of anorexia nervosa. Without it, patients may face serious or even fatal medical complications of severe starvation. However, the process of nutritional rehabilitation can also be risky to the patient. The refeeding syndrome, a problem of electrolyte and fluid shifts, can cause permanent disability or even death. It is essential to identify at-risk patients, to monitor them carefully, and to initiate a nutritional rehabilitation program that aims to avoid the refeeding syndrome. A judicious, slow initiation of caloric intake, requires daily management to respond to entities such as liver inflammation and hypoglycemia that can complicate the body's conversion from a catabolic to an anabolic state. In addition, nutritional rehabilitation should take into account clinical characteristics unique to these patients, such as gastroparesis and slowed colonic transit, so that measures can be taken to ameliorate the physical discomforts of weight restoration. Adjunct methods of refeeding such as the use of enteral or parenteral nutrition may play a small but important role in a select patient group who cannot tolerate oral nutritional rehabilitation alone.http://dx.doi.org/10.1155/2010/625782 |
| spellingShingle | Philip S. Mehler Amy B. Winkelman Debbie M. Andersen Jennifer L. Gaudiani Nutritional Rehabilitation: Practical Guidelines for Refeeding the Anorectic Patient Journal of Nutrition and Metabolism |
| title | Nutritional Rehabilitation: Practical Guidelines for Refeeding the Anorectic Patient |
| title_full | Nutritional Rehabilitation: Practical Guidelines for Refeeding the Anorectic Patient |
| title_fullStr | Nutritional Rehabilitation: Practical Guidelines for Refeeding the Anorectic Patient |
| title_full_unstemmed | Nutritional Rehabilitation: Practical Guidelines for Refeeding the Anorectic Patient |
| title_short | Nutritional Rehabilitation: Practical Guidelines for Refeeding the Anorectic Patient |
| title_sort | nutritional rehabilitation practical guidelines for refeeding the anorectic patient |
| url | http://dx.doi.org/10.1155/2010/625782 |
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