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
Hauptverfasser: 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
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container_issue 4
container_start_page 566
container_title The American journal of psychiatry
container_volume 154
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
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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. 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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. 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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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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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