Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating Disorders
Introduction. This study examines weight gain and assesses complications associated with refeeding hospitalised adolescents with restrictive eating disorders (EDs) prescribed initial calories above current recommendations. Methods. Patients admitted to an adolescent ED structured “rapid refeeding” p...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Nutrition and Metabolism |
| Online Access: | http://dx.doi.org/10.1155/2016/5168978 |
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| author | Elizabeth K. Parker Sahrish S. Faruquie Gail Anderson Linette Gomes Andrew Kennedy Christine M. Wearne Michael R. Kohn Simon D. Clarke |
| author_facet | Elizabeth K. Parker Sahrish S. Faruquie Gail Anderson Linette Gomes Andrew Kennedy Christine M. Wearne Michael R. Kohn Simon D. Clarke |
| author_sort | Elizabeth K. Parker |
| collection | DOAJ |
| description | Introduction. This study examines weight gain and assesses complications associated with refeeding hospitalised adolescents with restrictive eating disorders (EDs) prescribed initial calories above current recommendations. Methods. Patients admitted to an adolescent ED structured “rapid refeeding” program for >48 hours and receiving ≥2400 kcal/day were included in a 3-year retrospective chart review. Results. The mean (SD) age of the 162 adolescents was 16.7 years (0.9), admission % median BMI was 80.1% (10.2), and discharge % median BMI was 93.1% (7.0). The mean (SD) starting caloric intake was 2611.7 kcal/day (261.5) equating to 58.4 kcal/kg (10.2). Most patients (92.6%) were treated with nasogastric tube feeding. The mean (SD) length of stay was 3.6 weeks (1.9), and average weekly weight gain was 2.1 kg (0.8). No patients developed cardiac signs of RFS or delirium; complications included 4% peripheral oedema, 1% hypophosphatemia (<0.75 mmol/L), 7% hypomagnesaemia (<0.70 mmol/L), and 2% hypokalaemia (<3.2 mmol/L). Caloric prescription on admission was associated with developing oedema (95% CI 1.001 to 1.047; p=0.039). No statistical significance was found between electrolytes and calories provided during refeeding. Conclusion. A rapid refeeding protocol with the inclusion of phosphate supplementation can safely achieve rapid weight restoration without increased complications associated with refeeding syndrome. |
| format | Article |
| id | doaj-art-70ad4ebc2b024fd580e0e6c24b787a08 |
| institution | Kabale University |
| issn | 2090-0724 2090-0732 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Nutrition and Metabolism |
| spelling | doaj-art-70ad4ebc2b024fd580e0e6c24b787a082025-08-20T03:34:01ZengWileyJournal of Nutrition and Metabolism2090-07242090-07322016-01-01201610.1155/2016/51689785168978Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating DisordersElizabeth K. Parker0Sahrish S. Faruquie1Gail Anderson2Linette Gomes3Andrew Kennedy4Christine M. Wearne5Michael R. Kohn6Simon D. Clarke7Department of Dietetics and Nutrition, Westmead Hospital, Sydney, NSW 2145, AustraliaDepartment of Adolescent Medicine, Westmead Hospital, Sydney, NSW 2145, AustraliaDepartment of Adolescent Medicine, Westmead Hospital, Sydney, NSW 2145, AustraliaDepartment of Adolescent Medicine, Westmead Hospital, Sydney, NSW 2145, AustraliaDepartment of Adolescent Medicine, Westmead Hospital, Sydney, NSW 2145, AustraliaDepartment of Medical Psychology, Westmead Hospital, Sydney, NSW 2145, AustraliaCentre for Research for Adolescent’s Health (CRASH), Westmead, NSW 2145, AustraliaDepartment of Adolescent Medicine, Westmead Hospital, Sydney, NSW 2145, AustraliaIntroduction. This study examines weight gain and assesses complications associated with refeeding hospitalised adolescents with restrictive eating disorders (EDs) prescribed initial calories above current recommendations. Methods. Patients admitted to an adolescent ED structured “rapid refeeding” program for >48 hours and receiving ≥2400 kcal/day were included in a 3-year retrospective chart review. Results. The mean (SD) age of the 162 adolescents was 16.7 years (0.9), admission % median BMI was 80.1% (10.2), and discharge % median BMI was 93.1% (7.0). The mean (SD) starting caloric intake was 2611.7 kcal/day (261.5) equating to 58.4 kcal/kg (10.2). Most patients (92.6%) were treated with nasogastric tube feeding. The mean (SD) length of stay was 3.6 weeks (1.9), and average weekly weight gain was 2.1 kg (0.8). No patients developed cardiac signs of RFS or delirium; complications included 4% peripheral oedema, 1% hypophosphatemia (<0.75 mmol/L), 7% hypomagnesaemia (<0.70 mmol/L), and 2% hypokalaemia (<3.2 mmol/L). Caloric prescription on admission was associated with developing oedema (95% CI 1.001 to 1.047; p=0.039). No statistical significance was found between electrolytes and calories provided during refeeding. Conclusion. A rapid refeeding protocol with the inclusion of phosphate supplementation can safely achieve rapid weight restoration without increased complications associated with refeeding syndrome.http://dx.doi.org/10.1155/2016/5168978 |
| spellingShingle | Elizabeth K. Parker Sahrish S. Faruquie Gail Anderson Linette Gomes Andrew Kennedy Christine M. Wearne Michael R. Kohn Simon D. Clarke Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating Disorders Journal of Nutrition and Metabolism |
| title | Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating Disorders |
| title_full | Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating Disorders |
| title_fullStr | Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating Disorders |
| title_full_unstemmed | Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating Disorders |
| title_short | Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating Disorders |
| title_sort | higher caloric refeeding is safe in hospitalised adolescent patients with restrictive eating disorders |
| url | http://dx.doi.org/10.1155/2016/5168978 |
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