Severe anorexia nervosa in men: Comparison with severe AN in women and analysis of mortality

Abstract

Male inpatients should receive close follow-up after their discharge, especially if they have a restrictive form of AN, present low BMI, or are older at admission.

Eating disorders in men aged midlife and beyond

“…Collectively, these reports converge with prior research suggesting premorbid obesity is more common among males than females [42]. One prior study, for example, found that 39% of male versus 13% of females admitted for inpatient treatment of AN between 1988 and 2004 were found to a history of overweight (BMI > 25) [35]. A Finnish twin study of lifetime AN found that higher BMI predated AN for the five probands, suggesting that "early overweight in otherwise vulnerable males seemed to have had a crucial role in triggering the dieting, which in turn (may) have led to AN" [57].…”

“…An investigation of 1009 AN patients including 23 males hospitalized between 1988 and 2004 reported a SMR of 8.08 (1.62-23.62) for male patients and 10.6 (7.6-14.4) for female patients [35]. Long-term survival did not differ between genders; however, 3-year survival data suggested male patients died one year earlier than females (p = 0.017) following discharge from hospitalization.…”

Severe Complication and Shoplifting Behavior in a Young Man with Atypical Anorexia Nervosa: A Case Report

“…In the general population, some recent epidemiological data suggest that as much as 25% of people with AN are male [8]. As the recent retrospective cohort study suggests, there may in fact be a higher short term (less than 3 year) post treatment mortality in males compared to females [10]. So it is a very important question that we should pay more attention to the male AN.…”

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

“…To our knowledge, no previous article in English has demonstrated higher shortterm mortality in male EN patients. One study found that 3-year survival was significantly lower in male EN patients [20]. Those authors hypothesized that males received less social support after discharge.…”