Philip S Mehler1,2,3, Dan V Blalock4,5, Keegan Walden1, Simrat Kaur1, Jennifer McBride1, Kristine Walsh1, Jennifer Watts1. 1. Eating Recovery Center, Denver, Denver, Colorado. 2. ACUTE, at Denver Health, Denver, Colorado. 3. Department of Medicine, University of Colorado, Denver, Colorado. 4. Health Services Research and Development, Veterans Affairs Medical Center, Durham, North Carolina. 5. Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
Abstract
OBJECTIVE: Eating disorders are associated with multiple medical complications. We report contemporary medical data, for newly admitted adult inpatient and residential level of care patients. METHOD: Medical records of a transdiagnostic sample of 1,026 patients, with eating disorders, were retrospectively reviewed for the presence of a broad array of medical complications at time of admission. The prevalence of physiologically relevant medical complications was assessed across major eating disorder categories. RESULTS: Of the patients, 93.6% were female, and they had an average age of 28.1 (SD = 10.1, range 17-69). The average admission body mass index was 16.1 (SD = 2.3). The prevalence of abnormal laboratory values varied by eating disorder subtype. In patients with anorexia nervosa-restricting subtype, 51.4% had low prealbumin, 36.1% were leukopenic, 34.3% had osteoporosis, 30.0% vitamin D deficiency, 16.8% metabolic alkalosis, 16.0% had hyponatremia, 14.2% hypokalemia, and 7.1% hypoglycemia. These patients had normal average QTc intervals. In patients with anorexia nervosa-binge purging subtype, 42.4% had hypokalemia, 33.3% metabolic alkalosis, osteoporosis in 21.1%, and they had longer QTc intervals (433.9 ms, p < .001). Only 6.0% of patients with anorexia nervosa had hypophosphatemia. Patients with bulimia nervosa demonstrated hypokalemia in 26.2%, and metabolic alkalosis in 23.4%; the QTc interval was longer than in AN-R patients (437.9 ms, p < .001), but still in the normal range. DISCUSSION: Numerous medical complications are associated with severe eating disorders. As the severity increases, the number of complications increase and are related to the presence or absence of purging behaviors.
OBJECTIVE:Eating disorders are associated with multiple medical complications. We report contemporary medical data, for newly admitted adult inpatient and residential level of care patients. METHOD: Medical records of a transdiagnostic sample of 1,026 patients, with eating disorders, were retrospectively reviewed for the presence of a broad array of medical complications at time of admission. The prevalence of physiologically relevant medical complications was assessed across major eating disorder categories. RESULTS: Of the patients, 93.6% were female, and they had an average age of 28.1 (SD = 10.1, range 17-69). The average admission body mass index was 16.1 (SD = 2.3). The prevalence of abnormal laboratory values varied by eating disorder subtype. In patients with anorexia nervosa-restricting subtype, 51.4% had low prealbumin, 36.1% were leukopenic, 34.3% had osteoporosis, 30.0% vitamin D deficiency, 16.8% metabolic alkalosis, 16.0% had hyponatremia, 14.2% hypokalemia, and 7.1% hypoglycemia. These patients had normal average QTc intervals. In patients with anorexia nervosa-binge purging subtype, 42.4% had hypokalemia, 33.3% metabolic alkalosis, osteoporosis in 21.1%, and they had longer QTc intervals (433.9 ms, p < .001). Only 6.0% of patients with anorexia nervosa had hypophosphatemia. Patients with bulimia nervosa demonstrated hypokalemia in 26.2%, and metabolic alkalosis in 23.4%; the QTc interval was longer than in AN-R patients (437.9 ms, p < .001), but still in the normal range. DISCUSSION: Numerous medical complications are associated with severe eating disorders. As the severity increases, the number of complications increase and are related to the presence or absence of purging behaviors.
Authors: Melanie Schorr; Anne Drabkin; Micol S Rothman; Erinne Meenaghan; Gillian T Lashen; Margherita Mascolo; Ashlie Watters; Tara M Holmes; Kate Santoso; Elaine W Yu; Madhusmita Misra; Kamryn T Eddy; Anne Klibanski; Philip Mehler; Karen K Miller Journal: Clin Endocrinol (Oxf) Date: 2019-04-01 Impact factor: 3.478
Authors: Paolo Meneguzzo; Patrizia Todisco; Sofia Calonaci; Cecilia Mancini; David Dal Brun; Enrico Collantoni; Lorenzo Maria Donini; Elena Tenconi; Angela Favaro Journal: Eat Weight Disord Date: 2020-12-14 Impact factor: 4.652