Use of percentiles for the body mass index in anorexia nervosa: Diagnostic, epidemiological, and therapeutic considerations
Objective Percentiles for the body mass index (BMI) offer a possibility to epidemiologically assess the linear weight criterion of 85% average body weight commonly used for the diagnosis of anorexia nervosa. Method: BMI values corresponding to 85% average body weight were calculated and assessed wit...
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Veröffentlicht in: | The International journal of eating disorders 1996-05, Vol.19 (4), p.359-369 |
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container_title | The International journal of eating disorders |
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creator | Hebebrand, Johannes Himmelmann, Günther W. Heseker, Helmut Schäfer, Helmut Remschmidt, Helmut |
description | Objective
Percentiles for the body mass index (BMI) offer a possibility to epidemiologically assess the linear weight criterion of 85% average body weight commonly used for the diagnosis of anorexia nervosa. Method: BMI values corresponding to 85% average body weight were calculated and assessed with percentiles derived from epidemiological studies in both the United States and Germany. The underweight range was characterized epidemiologically. Results: The weight criterion used for the diagnosis of anorexia nervosa corresponds to BMI values between the 5th and 10th centiles in both populations. In epidemiological terms the lowest BMI values in individuals aged 10 years and older occur during adolescence. In the general population BMI values |
doi_str_mv | 10.1002/(SICI)1098-108X(199605)19:4<359::AID-EAT4>3.0.CO;2-K |
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Percentiles for the body mass index (BMI) offer a possibility to epidemiologically assess the linear weight criterion of 85% average body weight commonly used for the diagnosis of anorexia nervosa. Method: BMI values corresponding to 85% average body weight were calculated and assessed with percentiles derived from epidemiological studies in both the United States and Germany. The underweight range was characterized epidemiologically. Results: The weight criterion used for the diagnosis of anorexia nervosa corresponds to BMI values between the 5th and 10th centiles in both populations. In epidemiological terms the lowest BMI values in individuals aged 10 years and older occur during adolescence. In the general population BMI values <16 kg/m2 are rarely observed. Upon the use of higher BMI cutoffs in the underweight range females clearly predominate. The BMI increase associated with the 5th or 10th centile in the age range between 18 and 30 years is quite low suggesting that many underweight females in the general population gain only minimal weight during this age span. Discussion: The diagnostic, epidemiological, and therapeutic implications for anorexia nervosa are discussed. © 1996 by John Wiley & Sons, Inc.</description><identifier>ISSN: 0276-3478</identifier><identifier>EISSN: 1098-108X</identifier><identifier>DOI: 10.1002/(SICI)1098-108X(199605)19:4<359::AID-EAT4>3.0.CO;2-K</identifier><identifier>PMID: 9156689</identifier><identifier>CODEN: INDIDJ</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Anatomy & physiology ; Anorexia ; Anorexia nervosa ; Anorexia Nervosa - diagnosis ; Anorexia Nervosa - epidemiology ; Anorexia Nervosa - therapy ; Biological and medical sciences ; Body Mass Index ; Body Weight ; Child ; Child, Preschool ; Cross cultural studies ; Eating behavior disorders ; Eating disorders ; Female ; Follow-Up Studies ; Humans ; Infant ; Male ; Measurement ; Medical sciences ; Middle Aged ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Reference Standards ; Weight</subject><ispartof>The International journal of eating disorders, 1996-05, Vol.19 (4), p.359-369</ispartof><rights>Copyright © 1996 John Wiley & Sons, Inc.</rights><rights>1996 INIST-CNRS</rights><rights>Copyright Wiley Periodicals Inc. May 1996</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F%28SICI%291098-108X%28199605%2919%3A4%3C359%3A%3AAID-EAT4%3E3.0.CO%3B2-K$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F%28SICI%291098-108X%28199605%2919%3A4%3C359%3A%3AAID-EAT4%3E3.0.CO%3B2-K$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3073709$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9156689$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hebebrand, Johannes</creatorcontrib><creatorcontrib>Himmelmann, Günther W.</creatorcontrib><creatorcontrib>Heseker, Helmut</creatorcontrib><creatorcontrib>Schäfer, Helmut</creatorcontrib><creatorcontrib>Remschmidt, Helmut</creatorcontrib><title>Use of percentiles for the body mass index in anorexia nervosa: Diagnostic, epidemiological, and therapeutic considerations</title><title>The International journal of eating disorders</title><addtitle>Int. J. Eat. Disord</addtitle><description>Objective
Percentiles for the body mass index (BMI) offer a possibility to epidemiologically assess the linear weight criterion of 85% average body weight commonly used for the diagnosis of anorexia nervosa. Method: BMI values corresponding to 85% average body weight were calculated and assessed with percentiles derived from epidemiological studies in both the United States and Germany. The underweight range was characterized epidemiologically. Results: The weight criterion used for the diagnosis of anorexia nervosa corresponds to BMI values between the 5th and 10th centiles in both populations. In epidemiological terms the lowest BMI values in individuals aged 10 years and older occur during adolescence. In the general population BMI values <16 kg/m2 are rarely observed. Upon the use of higher BMI cutoffs in the underweight range females clearly predominate. The BMI increase associated with the 5th or 10th centile in the age range between 18 and 30 years is quite low suggesting that many underweight females in the general population gain only minimal weight during this age span. Discussion: The diagnostic, epidemiological, and therapeutic implications for anorexia nervosa are discussed. © 1996 by John Wiley & Sons, Inc.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Anatomy & physiology</subject><subject>Anorexia</subject><subject>Anorexia nervosa</subject><subject>Anorexia Nervosa - diagnosis</subject><subject>Anorexia Nervosa - epidemiology</subject><subject>Anorexia Nervosa - therapy</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross cultural studies</subject><subject>Eating behavior disorders</subject><subject>Eating disorders</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Measurement</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Reference Standards</subject><subject>Weight</subject><issn>0276-3478</issn><issn>1098-108X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkeGL0zAYxoso5zz9E4QgIndwnUmTtM08hNmdc9zhBHfot5c0Te9yds1MOt3wnzd1Y4IKfsmb8D553of3F0XnBA8JxsnLk4-zYnZKsMhjgvPPJ0SIFPNTIkbsnHIxGo1nk_hivGCv6RAPi_mrJL68Fw0OH-5HA5xkaUxZlj-MHnl_hzFOKeZH0ZEgPE1zMYh-XHuNbI1W2inddqbRHtXWoe5Wo9JWW7SU3iPTVnoTTiRb6_TGSNRq9816OUITI29a6zujzpBemUovjW3sjVGyOQvyqndycqXXQYGUbX2QONmZcHscPahl4_WTfT2Ort9eLIp38dV8OivGV7FinLFYZ5lMecnqjJYyoWmpcFJpwohMU1oqkXFWMZXVXAumZMrykpBclXWtcqGFrOlx9GLnu3L261r7DpbGK900stV27SHLWcIp5UH47A_hnV27NmSDhJCwWMKTIFrsRMpZ752uYeXMUrotEAw9OIAeHPQcoOcAO3ChAIMADiCAgx4cUMBQzCGBy2D7dD97XS51dTDdkwr95_u-9GG3tZOtMv4gozijGRa_030PKLd_RftPsn8E-_UOtvHO1vhObw620n2BNAzm8On9FN7gYoI_FAKm9CcCLtCb</recordid><startdate>199605</startdate><enddate>199605</enddate><creator>Hebebrand, Johannes</creator><creator>Himmelmann, Günther W.</creator><creator>Heseker, Helmut</creator><creator>Schäfer, Helmut</creator><creator>Remschmidt, Helmut</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>199605</creationdate><title>Use of percentiles for the body mass index in anorexia nervosa: Diagnostic, epidemiological, and therapeutic considerations</title><author>Hebebrand, Johannes ; Himmelmann, Günther W. ; Heseker, Helmut ; Schäfer, Helmut ; Remschmidt, Helmut</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4544-e77a65b4f73ba236bc02de141a663bc9754d4c7f5e94ca648b118cbffc89e9af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Anatomy & physiology</topic><topic>Anorexia</topic><topic>Anorexia nervosa</topic><topic>Anorexia Nervosa - diagnosis</topic><topic>Anorexia Nervosa - epidemiology</topic><topic>Anorexia Nervosa - therapy</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross cultural studies</topic><topic>Eating behavior disorders</topic><topic>Eating disorders</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Measurement</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Reference Standards</topic><topic>Weight</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hebebrand, Johannes</creatorcontrib><creatorcontrib>Himmelmann, Günther W.</creatorcontrib><creatorcontrib>Heseker, Helmut</creatorcontrib><creatorcontrib>Schäfer, Helmut</creatorcontrib><creatorcontrib>Remschmidt, Helmut</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The International journal of eating disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hebebrand, Johannes</au><au>Himmelmann, Günther W.</au><au>Heseker, Helmut</au><au>Schäfer, Helmut</au><au>Remschmidt, Helmut</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of percentiles for the body mass index in anorexia nervosa: Diagnostic, epidemiological, and therapeutic considerations</atitle><jtitle>The International journal of eating disorders</jtitle><addtitle>Int. J. Eat. Disord</addtitle><date>1996-05</date><risdate>1996</risdate><volume>19</volume><issue>4</issue><spage>359</spage><epage>369</epage><pages>359-369</pages><issn>0276-3478</issn><eissn>1098-108X</eissn><coden>INDIDJ</coden><abstract>Objective
Percentiles for the body mass index (BMI) offer a possibility to epidemiologically assess the linear weight criterion of 85% average body weight commonly used for the diagnosis of anorexia nervosa. Method: BMI values corresponding to 85% average body weight were calculated and assessed with percentiles derived from epidemiological studies in both the United States and Germany. The underweight range was characterized epidemiologically. Results: The weight criterion used for the diagnosis of anorexia nervosa corresponds to BMI values between the 5th and 10th centiles in both populations. In epidemiological terms the lowest BMI values in individuals aged 10 years and older occur during adolescence. In the general population BMI values <16 kg/m2 are rarely observed. Upon the use of higher BMI cutoffs in the underweight range females clearly predominate. The BMI increase associated with the 5th or 10th centile in the age range between 18 and 30 years is quite low suggesting that many underweight females in the general population gain only minimal weight during this age span. Discussion: The diagnostic, epidemiological, and therapeutic implications for anorexia nervosa are discussed. © 1996 by John Wiley & Sons, Inc.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>9156689</pmid><doi>10.1002/(SICI)1098-108X(199605)19:4<359::AID-EAT4>3.0.CO;2-K</doi><tpages>11</tpages></addata></record> |
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subjects | Adolescent Adult Adult and adolescent clinical studies Aged Anatomy & physiology Anorexia Anorexia nervosa Anorexia Nervosa - diagnosis Anorexia Nervosa - epidemiology Anorexia Nervosa - therapy Biological and medical sciences Body Mass Index Body Weight Child Child, Preschool Cross cultural studies Eating behavior disorders Eating disorders Female Follow-Up Studies Humans Infant Male Measurement Medical sciences Middle Aged Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Reference Standards Weight |
title | Use of percentiles for the body mass index in anorexia nervosa: Diagnostic, epidemiological, and therapeutic considerations |
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