The refeeding syndrome and glucose load

O’Connor, Graeme; Goldin, Jonathon

doi:10.1002/eat.20791

Cited by 49 publications

(41 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is currently no comprehensive literature on nutrient composition of refeeding regimens in AN, apart from one case study of the refeeding syndrome in which the authors suggested a higher fat versus a carbohydrate regimen may be helpful 39. Therefore, an investigation of the macronutrient composition of refeeding regimens on glucose metabolism and stability of blood glucose values using more rigorous scientific methods is overdue.…”

Section: Discussionmentioning

confidence: 99%

Hypoglycaemia following a mixed meal in eating disorder patients

Hart

Abraham

Franklin

et al. 2011

Postgraduate Medical Journal

View full text Add to dashboard Cite

OBJECTIVE To describe the incidence of hypoglycaemia, and variables associated with hypoglycaemia, in eating disorder patients following a mixed meal stimulus. METHODS Postprandial blood glucose values of patients admitted to a specialist eating disorder hospital for treatment of an eating disorder between 2000 and 2006 were reviewed and compared to body mass index (BMI), electrolytes, and weight losing behaviours. Analysis of variance (ANOVA) and stepwise logistic regression were undertaken. RESULTS 22% of patients had postprandial glucose values ≤3.5 mmol/l (63 mg/dl). Only low BMI significantly predicted postprandial hypoglycaemia. CONCLUSION Clinicians should be aware that postprandial hypoglycaemia is a common finding in eating disorders patients receiving inpatient treatment. As hypoglycaemia is predicted by low BMI, weight restoration is a priority for treatment in patients experiencing hypoglycaemia. Future research should investigate the nutrient composition of refeeding regimens and whether altering the macronutrient composition attenuates the presence of hypoglycaemia. Investigation is warranted in a community sample of eating disorder patients to see if this finding is replicated in non-hospitalised patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Hypoglycaemia following a mixed meal in eating disorder patients

Hart

Abraham

Franklin

et al. 2011

Postgraduate Medical Journal

View full text Add to dashboard Cite

show abstract

“…3 Additionally, there are suggestions that the actual composition of nutrition in refeeding may be more important than the energy content alone. For example, there have been observations that RFS is more likely to occur when carbohydrate is the main source of energy, 10 while feeds that are low in amino acids are less likely to develop hypophosphatemia. 11 Therefore, the recommendations include:…”

Section: Nutritional Supportmentioning

confidence: 99%

A Case of Possible Acute Refeeding Syndrome: A Review of a Rare, But Potentially Life-Threatening Diagnosis

Harada¹,

Greenberg²,

Rose³

2016

Emerg Med Open J

View full text Add to dashboard Cite

An 18-year-old Hispanic male presented to the Pediatric Emergency Department with acute onset of bilateral lower extremity edema. He had no history of similar symptoms. He had recently lost 70 pounds in the past six-months by restricting himself to an extreme diet and exercise regimen. Two days prior to presentation, he resumed a normal diet. In this illustrative case, we describe a case report of possible refeeding syndrome and discuss the presentation, risk factors, management and potential complications of this diagnosis.

show abstract

“…the amount of energy provided by feed per day) is safest. Although slower rates of feeding intuitively seem safest, many cases of re‐feeding syndrome reported in the literature occur at lower rates than those often commonly used and considered to be conservative in routine clinical practice 35 . A recent retrospective study of re‐feeding syndrome in adolescent AN showed low rates of occurrence at quicker rates of feeding, and where they did occur, they were mild in severity 36 .…”

Section: What Is Underweight In Children and Adolescents?mentioning

confidence: 99%

What paediatricians should know about eating disorders in children and young people

Hudson

Court

2012

J Paediatrics Child Health

View full text Add to dashboard Cite

Any health professional working with children and young people may become involved in the care of a child or young person with an eating disorder. Morbidity and mortality can be high, and paediatricians have an important role to play. There are broadly two aspects of underweight that the paediatrician may face - acute medical instability and a more chronic underweight which can impact greatly upon growth and development. Ultimate weight restoration means an adequate nutritional status to allow appropriate growth and development. Key to success is a team approach with paediatric and mental health and dietetic expertise combined. This paper provides an overview of eating disorders and explores current best practice, written in collaboration by a paediatrician and child and adolescent psychiatrist.

show abstract

The refeeding syndrome and glucose load

Abstract: Comprises of a literature review, highlighting this case as the youngest reported case of refeeding syndrome in anorexia nervosa. Discussion focuses on the possible deleterious affects that carbohydrates may have in exacerbating the refeeding syndrome.

Cited by 49 publications

References 36 publications

Hypoglycaemia following a mixed meal in eating disorder patients

Hypoglycaemia following a mixed meal in eating disorder patients

A Case of Possible Acute Refeeding Syndrome: A Review of a Rare, But Potentially Life-Threatening Diagnosis

What paediatricians should know about eating disorders in children and young people

Contact Info

Product

Resources

About