A randomized trial on the efficacy of a 2-month tube feeding regimen in anorexia nervosa: A 1-year follow-up study

Rigaud, Daniel; Brondel, Laurent; Poupard, Anne Thérèse; Talonneau, Isabelle; Brun, J

doi:10.1016/j.clnu.2007.03.012

Cited by 68 publications

(121 citation statements)

References 28 publications

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“…To the best of our knowledge there is only one randomised controlled trial in which the efficacy of an "involuntary-type" treatment modality was examined (the study was not included in the review as the treatment was not reported as involuntary). Rigaud et al [28] randomly assigned inpatients to either combined tube-feeding and normal meals or normal meals only. The combined tube feeding and normal meals group were found to gain more weight, display fewer bingeing episodes and have longer relapse-free periods compared to the normal meals only group [28].…”

Section: Effect Of Involuntary Treatmentmentioning

confidence: 99%

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A systematic review of the frequency, duration, type and effect of involuntary treatment for people with anorexia nervosa, and an analysis of patient characteristics

Clausen

Jones

2014

J Eat Disord

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Objective: Involuntary treatment of anorexia nervosa is controversial and costly. A better understanding of the conditions that determine involuntary treatment, as well as the effect of such treatment is needed in order to adequately assess the legitimacy of this model of care. The aim of the present study was to investigate the frequency and duration of involuntary treatment, the characteristics of this group of patients, the kind of involuntary actions that are applied and the effect of such actions. Review: Relevant databases were systematically searched for studies investigating the involuntary treatment of individuals diagnosed with anorexia nervosa. Results: The studies included in the review contained people treated in an inpatient setting for severe or severe and enduring anorexia nervosa. People that were treated involuntarily were characterised by a more severe psychiatric load. The levels of eating disorder pathology between involuntary and voluntary groups were similar and the outcome of involuntary treatment was comparable in terms of symptom reduction to that of voluntary treatment. Conclusion:Despite inconsistent findings, the comparable levels of eating disorder pathology observed between involuntary and voluntary patient-groups together with findings of higher co-morbidity, more preadmissions, longer duration of illness and more incidences of self-harm for involuntary patients suggest that involuntary treatment is not a reaction to the severity of eating disorder symptoms alone, but is most likely a response to the complexity of the patient's situation as a whole.

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Section: Effect Of Involuntary Treatmentmentioning

confidence: 99%

“…Rigaud et al [28] randomly assigned inpatients to either combined tube-feeding and normal meals or normal meals only. The combined tube feeding and normal meals group were found to gain more weight, display fewer bingeing episodes and have longer relapse-free periods compared to the normal meals only group [28].…”

Section: Effect Of Involuntary Treatmentmentioning

confidence: 99%

A systematic review of the frequency, duration, type and effect of involuntary treatment for people with anorexia nervosa, and an analysis of patient characteristics

Clausen

Jones

2014

J Eat Disord

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“…Un reciente estudio, de un año de seguimiento tras nutrición enteral cíclica durante dos meses 75 , concluye que la nutrición enteral es útil para la recuperación ponderal, no interfiere con la terapia de conducta alimentaria y no provoca recaídas más precoces. La aceptación de esta modalidad de tratamiento, reduce la estancia hospitalaria y no afecta a la relación terapeuta-paciente ni al grado de satisfacción de los pacientes 76 .…”

Section: Nutrición Artificialunclassified

Revisión del tratamiento dietético-nutricional de la anorexia nerviosa

Jáuregui‐Lobera

Bolaños-Ríos

2012

Rev. méd. Chile

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Review of nutritional and dietary management of anorexia nervosaFax: +34954278167 E-mail: ijl@tcasevilla.com L a anorexia nerviosa es un trastorno habitualmente de curso prolongado, con manifestaciones psicofísicas diversas 1 . Un porcentaje de pacientes puede morir, por suicidio o complicaciones físicas, siendo frecuente la muerte súbita por cardioarritmias 1-3 , que no guarda relación con la duración de la enfermedad o la edad, pero sí con un índice de masa corporal (IMC) < 12 y niveles muy bajos de albúmina sérica 4 , aunque el riesgo de dicho desenlace es poco predecible, dada la variable respuesta individual a la desnutrición y la influencia de otros factores 5,6 . En las complicaciones influyen el bajo peso, atracones, conductas purgativas, ejercicio extenuante y autolesiones 4 , siendo reversibles con una adecuada recuperación ponderal 7 . La prevalencia del trastorno es 0,2-0,5% 8 , afectando más a las mujeres 9 , pero con iguales efectos en los varones 10 . Aún sin demostrar que la ratio mujeres-hombres esté cambiando, lo que sí ha aumentado es el rango de edad de aparición, considerando que el rango tradicional de afectación era de 15 a 24 años para la mayoría de los casos 1 .La morbi-mortalidad asociada y la compleja naturaleza del trastorno, implican un tratamiento interdisciplinar 11 , muchas veces intensivo 12 , siendo los dietistas-nutricionistas los mejor cualificados para manejar aspectos dietético-nutricionales 13 , como el restablecimiento ponderal, el logro de una ingesta que cubra los requerimientos y una adecuada educación nutricional 4 .El objetivo del trabajo fue revisar los aspectos dietético-nutricionales del tratamiento de la anorexia nerviosa, enfatizando las tareas y estándares necesarios a proporcionar por parte de los dietistas-nutricionistas en el contexto de un equipo interdisciplinar y en diferentes ámbitos: ambulatorio, hospitalario y de hospitalización parcial (unidades de día). Material y MétodosSe hizo una revisión selectiva de las publicaciones indizadas en PubMed, sin carácter de revisión sistemática ni metaanálisis. Se incluyeron trabajos relacionados con el tratamiento dietético-

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“…Among the physical therapies for EDs, nutrition therapy is the most important. As it is very difficult for ED patients to obtain proper nutrition orally during the early phase of therapy, some ED patients receive enteral nutrition (EN) [5] or intravenous hyperalimentation (IVH) [6,7]. With EN, nasogastric tube feeding is a common choice: it is easy to manage and is considered to have few side effects because ED patients usually have an intact swallowing reflex.…”

Section: Introductionmentioning

confidence: 99%

Comparison between enteral nutrition and intravenous hyperalimentation in patients with eating disorders: results from the Japanese diagnosis procedure combination database

et al. 2014

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A randomized trial on the efficacy of a 2-month tube feeding regimen in anorexia nervosa: A 1-year follow-up study

Cited by 68 publications

References 28 publications

A systematic review of the frequency, duration, type and effect of involuntary treatment for people with anorexia nervosa, and an analysis of patient characteristics

A systematic review of the frequency, duration, type and effect of involuntary treatment for people with anorexia nervosa, and an analysis of patient characteristics

Revisión del tratamiento dietético-nutricional de la anorexia nerviosa

Comparison between enteral nutrition and intravenous hyperalimentation in patients with eating disorders: results from the Japanese diagnosis procedure combination database

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