Yunior Dueñas Disotuar1, Mercedes Murray Hurtado2, Belén Rubio Morell3, Hima S Murjani Bharwani4, Alejandro Jiménez Sosa5. 1. Servicio de Pediatría. Complejo Hospitalario Universitario de Canarias.. yuniord2@yahoo.com. 2. Servicio de Pediatría. Complejo Hospitalario Universitario de Canarias.. mercemurray@gmail.com. 3. Servicio de Psiquiatría. Complejo Hospitalario Universitario de Canarias.. rubiobelen@gmail.com. 4. Hospital Universitario Nuestra Señora de Candelaria.. hmurjanib@gmail.com. 5. Unidad de Investigación CHUC. Complejo Hospitalario Universitario de Canarias, España.. ajimenezsosa@gmail.com.
Abstract
AIMS: to determine the characteristics of pediatric patients suffering from eating disorders that were hospitalized at Hospital Universitario de Canarias. MATERIALS AND METHODS: a retrospective study in a cohort of pediatric patients diagnosed with eating disorders and admitted in our area was developed during the last seven years. RESULTS: out of 35 patients in our study, 85.7 % were women, onset average age 13.5. 77.1% of the cases were diagnosed as anorexia nervosa- restrictive type. The most frequent analytical alterations, detected when patients were in hospital, consisted in a drop in plasma levels in retinol binding protein (RBP)- in 57.6% of the cases- and D hypovitaminosis- in 46.9 % of them: the use of high - calories supplements was required in 71.4% of patients during hospitalization. The average weight gain was higher when the body mass index (BMI) was smaller at patient's admission to hospital (p = 0,006). Conclussions: eating disorders are increasing in pediatric age: puberty is a special vulnerable period for its development, as well as medical complications secondary to malnutrition. Admission to hospital is an essential tool for handling many cases; taking the necessary monitoring leading to a weight increase, preventing complications in nutritional support and tackling the underlying psychopathology. Diagnosis and a precocious treatment are crucial to avoid an excessive weight loss and more complications. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
AIMS: to determine the characteristics of pediatric patients suffering from eating disorders that were hospitalized at Hospital Universitario de Canarias. MATERIALS AND METHODS: a retrospective study in a cohort of pediatric patients diagnosed with eating disorders and admitted in our area was developed during the last seven years. RESULTS: out of 35 patients in our study, 85.7 % were women, onset average age 13.5. 77.1% of the cases were diagnosed as anorexia nervosa- restrictive type. The most frequent analytical alterations, detected when patients were in hospital, consisted in a drop in plasma levels in retinol binding protein (RBP)- in 57.6% of the cases- and D hypovitaminosis- in 46.9 % of them: the use of high - calories supplements was required in 71.4% of patients during hospitalization. The average weight gain was higher when the body mass index (BMI) was smaller at patient's admission to hospital (p = 0,006). Conclussions: eating disorders are increasing in pediatric age: puberty is a special vulnerable period for its development, as well as medical complications secondary to malnutrition. Admission to hospital is an essential tool for handling many cases; taking the necessary monitoring leading to a weight increase, preventing complications in nutritional support and tackling the underlying psychopathology. Diagnosis and a precocious treatment are crucial to avoid an excessive weight loss and more complications. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
Authors: Roberta Stofeles Cecon; Sylvia do Carmo Castro Franceschini; Maria do Carmo Gouveia Peluzio; Helen Hermana Miranda Hermsdorff; Silvia Eloiza Priore Journal: ScientificWorldJournal Date: 2017-08-10