Prediction of low body weight at long-term follow-up in acute anorexia nervosa by low body weight at referral
OBJECTIVE: The authors investigated the hypothesis that in acute anorexia nervosa a low body weight predicts a poor weight prognosis for the future. METHOD: The body mass indexes at referral of 272 female patients were examined in relation to the body mass indexes of these patients after a mean foll...
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Veröffentlicht in: | The American journal of psychiatry 1997-04, Vol.154 (4), p.566-569 |
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creator | HEBEBRAND, J HIMMELMANN, G. W HERZOG, W HERPERTZ-DAHLMANN, B. M STEINHAUSEN, H.-C AMSTEIN, M SEIDEL, R DETER, H.-C REMSCHMIDT, H SCHÄFER, H |
description | OBJECTIVE: The authors investigated the hypothesis that in acute
anorexia nervosa a low body weight predicts a poor weight prognosis for the
future. METHOD: The body mass indexes at referral of 272 female patients
were examined in relation to the body mass indexes of these patients after
a mean follow-up of 9.5 years. RESULTS: The overall correlation between
body mass indexes at referral and at follow-up was r = 0.33. Despite this
low correlation, the 100 patients with body mass indexes less than 13 kg/m2
at referral had low weights at long-term follow-up. Eleven of the 12
deceased patients were among these 100 patients, as were 24 of the 46
surviving patients whose body mass indexes were 17.5 kg/m2 or less at
follow-up. CONCLUSIONS: For patients with anorexia nervosa, a body mass
index less than 13 kg/m2 at referral indicates a substantial risk for
chronic anorexia nervosa and death related to emaciation. |
doi_str_mv | 10.1176/ajp.154.4.566 |
format | Article |
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anorexia nervosa a low body weight predicts a poor weight prognosis for the
future. METHOD: The body mass indexes at referral of 272 female patients
were examined in relation to the body mass indexes of these patients after
a mean follow-up of 9.5 years. RESULTS: The overall correlation between
body mass indexes at referral and at follow-up was r = 0.33. Despite this
low correlation, the 100 patients with body mass indexes less than 13 kg/m2
at referral had low weights at long-term follow-up. Eleven of the 12
deceased patients were among these 100 patients, as were 24 of the 46
surviving patients whose body mass indexes were 17.5 kg/m2 or less at
follow-up. CONCLUSIONS: For patients with anorexia nervosa, a body mass
index less than 13 kg/m2 at referral indicates a substantial risk for
chronic anorexia nervosa and death related to emaciation.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/ajp.154.4.566</identifier><identifier>PMID: 9090350</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Acute Disease ; Adolescent ; Adolescent girls ; Adult ; Adult and adolescent clinical studies ; Age Factors ; Age of Onset ; Anorexia ; Anorexia nervosa ; Anorexia Nervosa - diagnosis ; Anorexia Nervosa - mortality ; Biological and medical sciences ; Body Mass Index ; Body Weight ; Eating behavior disorders ; Eating disorders ; Emaciation - mortality ; Female ; Follow-Up Studies ; Followup studies ; Hospitalization ; Humans ; Male ; Medical sciences ; Middle Aged ; Outcomes ; Predictors ; Probability ; Prognosis ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Referral and Consultation ; Regression Analysis ; Risk Factors ; Weight</subject><ispartof>The American journal of psychiatry, 1997-04, Vol.154 (4), p.566-569</ispartof><rights>1997 INIST-CNRS</rights><rights>Copyright American Psychiatric Association Apr 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a492t-7e1760790b6c37ad616ae00e860f811afe178a24e7d935d2d98e25045b5d27bb3</citedby><cites>FETCH-LOGICAL-a492t-7e1760790b6c37ad616ae00e860f811afe178a24e7d935d2d98e25045b5d27bb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ajp.154.4.566$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ajp.154.4.566$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,776,780,2841,21606,21607,21608,27848,27903,27904,30979,77541,77546</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2650413$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9090350$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HEBEBRAND, J</creatorcontrib><creatorcontrib>HIMMELMANN, G. W</creatorcontrib><creatorcontrib>HERZOG, W</creatorcontrib><creatorcontrib>HERPERTZ-DAHLMANN, B. M</creatorcontrib><creatorcontrib>STEINHAUSEN, H.-C</creatorcontrib><creatorcontrib>AMSTEIN, M</creatorcontrib><creatorcontrib>SEIDEL, R</creatorcontrib><creatorcontrib>DETER, H.-C</creatorcontrib><creatorcontrib>REMSCHMIDT, H</creatorcontrib><creatorcontrib>SCHÄFER, H</creatorcontrib><title>Prediction of low body weight at long-term follow-up in acute anorexia nervosa by low body weight at referral</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>OBJECTIVE: The authors investigated the hypothesis that in acute
anorexia nervosa a low body weight predicts a poor weight prognosis for the
future. METHOD: The body mass indexes at referral of 272 female patients
were examined in relation to the body mass indexes of these patients after
a mean follow-up of 9.5 years. RESULTS: The overall correlation between
body mass indexes at referral and at follow-up was r = 0.33. Despite this
low correlation, the 100 patients with body mass indexes less than 13 kg/m2
at referral had low weights at long-term follow-up. Eleven of the 12
deceased patients were among these 100 patients, as were 24 of the 46
surviving patients whose body mass indexes were 17.5 kg/m2 or less at
follow-up. CONCLUSIONS: For patients with anorexia nervosa, a body mass
index less than 13 kg/m2 at referral indicates a substantial risk for
chronic anorexia nervosa and death related to emaciation.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adolescent girls</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Age Factors</subject><subject>Age of Onset</subject><subject>Anorexia</subject><subject>Anorexia nervosa</subject><subject>Anorexia Nervosa - diagnosis</subject><subject>Anorexia Nervosa - mortality</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>Eating behavior disorders</subject><subject>Eating disorders</subject><subject>Emaciation - mortality</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Followup studies</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Outcomes</subject><subject>Predictors</subject><subject>Probability</subject><subject>Prognosis</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Referral and Consultation</subject><subject>Regression Analysis</subject><subject>Risk Factors</subject><subject>Weight</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc2L1EAQxRtR1nH16FFoVDwIGau_k6Ms6goL60HBW6gklbWHJB27E9f5722ZYZFlZU9N9fv1q656jD0XsBXC2Xe4m7fC6K3eGmsfsI0wyhROyvIh2wCALCqjvj9mT1La5RKUkyfspIIKlIENG79E6ny7-DDx0PMhXPMmdHt-Tf7qx8JxyVfTVbFQHHkfhqwX68z9xLFdF-I4hUi_PfKJ4q-QkDf7uzwi9RQjDk_Zox6HRM-O5yn79vHD17Pz4uLy0-ez9xcF6kouhaM8GLgKGtsqh50VFgmASgt9KQT2WS9RanJdpUwnu6okaUCbJheuadQpe3PwnWP4uVJa6tGnloYBJwprql1ZgYRS3gsaZ4QCYTP48ha4C2uc8hC1lKCdtsZk6NX_IGFEqSRY5TJVHKg2hpTyauo5-hHjvhZQ_420zpHmB7rWdY408y-OrmszUndDHzPM-uujjqnFoY84tT7dYNLmzQiVsbcHDOfZ__OxO3v-AQI_tUw</recordid><startdate>19970401</startdate><enddate>19970401</enddate><creator>HEBEBRAND, J</creator><creator>HIMMELMANN, G. W</creator><creator>HERZOG, W</creator><creator>HERPERTZ-DAHLMANN, B. M</creator><creator>STEINHAUSEN, H.-C</creator><creator>AMSTEIN, M</creator><creator>SEIDEL, R</creator><creator>DETER, H.-C</creator><creator>REMSCHMIDT, H</creator><creator>SCHÄFER, H</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><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>HAWNG</scope><scope>HBMBR</scope><scope>IBDFT</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>19970401</creationdate><title>Prediction of low body weight at long-term follow-up in acute anorexia nervosa by low body weight at referral</title><author>HEBEBRAND, J ; HIMMELMANN, G. W ; HERZOG, W ; HERPERTZ-DAHLMANN, B. M ; STEINHAUSEN, H.-C ; AMSTEIN, M ; SEIDEL, R ; DETER, H.-C ; REMSCHMIDT, H ; SCHÄFER, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a492t-7e1760790b6c37ad616ae00e860f811afe178a24e7d935d2d98e25045b5d27bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adolescent girls</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Age Factors</topic><topic>Age of Onset</topic><topic>Anorexia</topic><topic>Anorexia nervosa</topic><topic>Anorexia Nervosa - diagnosis</topic><topic>Anorexia Nervosa - mortality</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>Eating behavior disorders</topic><topic>Eating disorders</topic><topic>Emaciation - mortality</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Followup studies</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Outcomes</topic><topic>Predictors</topic><topic>Probability</topic><topic>Prognosis</topic><topic>Psychology. 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M</creatorcontrib><creatorcontrib>STEINHAUSEN, H.-C</creatorcontrib><creatorcontrib>AMSTEIN, M</creatorcontrib><creatorcontrib>SEIDEL, R</creatorcontrib><creatorcontrib>DETER, H.-C</creatorcontrib><creatorcontrib>REMSCHMIDT, H</creatorcontrib><creatorcontrib>SCHÄFER, H</creatorcontrib><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>Periodicals Index Online Segment 13</collection><collection>Periodicals Index Online Segment 14</collection><collection>Periodicals Index Online Segment 27</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - West</collection><collection>Primary Sources Access (Plan D) - International</collection><collection>Primary Sources Access & Build (Plan A) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Midwest</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Northeast</collection><collection>Primary Sources Access (Plan D) - Southeast</collection><collection>Primary Sources Access (Plan D) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Southeast</collection><collection>Primary Sources Access (Plan D) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - UK / I</collection><collection>Primary Sources Access (Plan D) - Canada</collection><collection>Primary Sources Access (Plan D) - EMEALA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - International</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - International</collection><collection>Primary Sources Access (Plan D) - West</collection><collection>Periodicals Index Online Segments 1-50</collection><collection>Primary Sources Access (Plan D) - APAC</collection><collection>Primary Sources Access (Plan D) - Midwest</collection><collection>Primary Sources Access (Plan D) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Canada</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - EMEALA</collection><collection>Primary Sources Access & Build (Plan A) - APAC</collection><collection>Primary Sources Access & Build (Plan A) - Canada</collection><collection>Primary Sources Access & Build (Plan A) - West</collection><collection>Primary Sources Access & Build (Plan A) - EMEALA</collection><collection>Primary Sources Access (Plan D) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - Midwest</collection><collection>Primary Sources Access & Build (Plan A) - North Central</collection><collection>Primary Sources Access & Build (Plan A) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - Southeast</collection><collection>Primary Sources Access (Plan D) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - APAC</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - MEA</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HEBEBRAND, J</au><au>HIMMELMANN, G. W</au><au>HERZOG, W</au><au>HERPERTZ-DAHLMANN, B. M</au><au>STEINHAUSEN, H.-C</au><au>AMSTEIN, M</au><au>SEIDEL, R</au><au>DETER, H.-C</au><au>REMSCHMIDT, H</au><au>SCHÄFER, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prediction of low body weight at long-term follow-up in acute anorexia nervosa by low body weight at referral</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>1997-04-01</date><risdate>1997</risdate><volume>154</volume><issue>4</issue><spage>566</spage><epage>569</epage><pages>566-569</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>OBJECTIVE: The authors investigated the hypothesis that in acute
anorexia nervosa a low body weight predicts a poor weight prognosis for the
future. METHOD: The body mass indexes at referral of 272 female patients
were examined in relation to the body mass indexes of these patients after
a mean follow-up of 9.5 years. RESULTS: The overall correlation between
body mass indexes at referral and at follow-up was r = 0.33. Despite this
low correlation, the 100 patients with body mass indexes less than 13 kg/m2
at referral had low weights at long-term follow-up. Eleven of the 12
deceased patients were among these 100 patients, as were 24 of the 46
surviving patients whose body mass indexes were 17.5 kg/m2 or less at
follow-up. CONCLUSIONS: For patients with anorexia nervosa, a body mass
index less than 13 kg/m2 at referral indicates a substantial risk for
chronic anorexia nervosa and death related to emaciation.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>9090350</pmid><doi>10.1176/ajp.154.4.566</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Periodicals Index Online; Applied Social Sciences Index & Abstracts (ASSIA) |
subjects | Acute Disease Adolescent Adolescent girls Adult Adult and adolescent clinical studies Age Factors Age of Onset Anorexia Anorexia nervosa Anorexia Nervosa - diagnosis Anorexia Nervosa - mortality Biological and medical sciences Body Mass Index Body Weight Eating behavior disorders Eating disorders Emaciation - mortality Female Follow-Up Studies Followup studies Hospitalization Humans Male Medical sciences Middle Aged Outcomes Predictors Probability Prognosis Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Referral and Consultation Regression Analysis Risk Factors Weight |
title | Prediction of low body weight at long-term follow-up in acute anorexia nervosa by low body weight at referral |
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