Meredith Kells1, Susan Kelly-Weeder2. 1. Meredith Kells, MSN, RN, CPNP, Boston College, Chestnut Hill, MA, USA; Boston Children's Hospital, Boston MA, USA demaina@bc.edu. 2. Susan Kelly-Weeder, PhD, FNP-BC, FAANP, Boston College, Chestnut Hill, MA, USA.
Abstract
BACKGROUND: The use of nasogastric (NG) feeding in individuals with anorexia nervosa (AN) is endorsed by national professional organizations; however, no guidelines currently exist. OBJECTIVES: The objectives of this review were to identify and evaluate outcomes of NG feedings for individuals with AN and to develop recommendations for future research, policy, and practice. DESIGN: An integrative review of the research literature was conducted. RESULTS: Of the 19 studies reviewed, all indicated short-term weight gain following NG feeding. Four studies examined adherence; nearly 30% of subjects were nonadherent as evidenced by tube manipulation. Seven studies reported psychiatric outcomes, suggesting NG feeding reduces eating disorder behaviors but not overall symptomology. CONCLUSIONS: NG feeding promotes short-term weight gain; however, long-term outcomes are poorly understood. Future research, using rigorous methods, is still needed to inform practice.
BACKGROUND: The use of nasogastric (NG) feeding in individuals with anorexia nervosa (AN) is endorsed by national professional organizations; however, no guidelines currently exist. OBJECTIVES: The objectives of this review were to identify and evaluate outcomes of NG feedings for individuals with AN and to develop recommendations for future research, policy, and practice. DESIGN: An integrative review of the research literature was conducted. RESULTS: Of the 19 studies reviewed, all indicated short-term weight gain following NG feeding. Four studies examined adherence; nearly 30% of subjects were nonadherent as evidenced by tube manipulation. Seven studies reported psychiatric outcomes, suggesting NG feeding reduces eating disorder behaviors but not overall symptomology. CONCLUSIONS: NG feeding promotes short-term weight gain; however, long-term outcomes are poorly understood. Future research, using rigorous methods, is still needed to inform practice.
Authors: Meredith Kells; Matt Gregas; Barbara E Wolfe; Andrea K Garber; Susan Kelly-Weeder Journal: Nutr Clin Pract Date: 2021-09-08 Impact factor: 3.204
Authors: Meredith Kells; Matt Gregas; Barbara E Wolfe; Andrea K Garber; Susan Kelly-Weeder Journal: Nutr Clin Pract Date: 2022-02-06 Impact factor: 3.204