The use of enteral nutrition in the treatment of eating disorders: a systematic review

Hale, Melinda D.; Logomarsino, John V.

doi:10.1007/s40519-018-0572-4

Cited by 27 publications

(29 citation statements)

References 61 publications

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“…Lastly, in the most recent systematic review by Hale et al, 19 out of 22 studies reported that significant short-term weight gain was achieved when TF was used for refeeding malnourished AN patients; however, results varied in the long-term weight gain, maintenance and recovery [66].…”

Section: Resultsmentioning

confidence: 99%

Nutritional Management and Outcomes in Malnourished Medical Inpatients: Anorexia Nervosa

Cuerda

Vasiloglou

Arhip

2019

JCM

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Background: Anorexia Nervosa (AN) is a psychiatric disorder characterised by a physical and psychosocial deterioration due to an altered pattern on the intake and weight control. The severity of the disease is based on the degree of malnutrition. The objective of this article is to review the scientific evidence of the refeeding process of malnourished inpatients with AN; focusing on the clinical outcome. Methods: We conducted an extensive search in Medline and Cochrane; on April 22; 2019; using different search terms. After screening all abstracts; we identified 19 papers that corresponded to our inclusion criteria. Results: The article focuses on evidence on the characteristics of malnutrition and changes in body composition; energy and protein requirements; nutritional treatment; physical activity programmes; models of organisation of the nutritional treatment and nutritional support related outcomes in AN patients. Conclusion: Evidence-based standards for clinical practice with clear outcomes are needed to improve the management of these patients and standardise the healthcare process.

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Section: Resultsmentioning

confidence: 99%

Nutritional Management and Outcomes in Malnourished Medical Inpatients: Anorexia Nervosa

Cuerda

Vasiloglou

Arhip

2019

JCM

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“…Our literature review found various narrative reviews concerning somatic aspects of AN, but only a few recent systematic reviews concerning multi-organic somatic medications. In fact, most systematic reviews are concerned with the effects of weight gain or pharmacological treatments (hormone replacement, biphosphonates, teriparatide, and vitamin K) on bone mineral density and secondary osteoporosis [39,44,49,50] or they concerned nutritional therapeutic modalities and their impact on weight changes [42,46], or the efficacy of nasogastric enteral nutrition and adverse effects [47,52,53]. Most of the studies involved small samples, with heterogeneity within and among studies concerning evaluations, biomarkers and age range, with heterogeneous adolescent and adult populations, and various durations, often with an insufficient follow-up.…”

Section: Resultsmentioning

confidence: 99%

“…One systematic review [52], investigating the efficacy of enteral nutrition (EN) in the treatment of eating disorders included 22 studies and 1397 AN patients, 97.4 % of whom were females. One study concerned only hospitalized adolescent boys [110].…”

Section: Resultsmentioning

confidence: 99%

“…The reason for this situation is linked to both AN patient refusal to participate in RCTs and to the clinical context, and also to the relatively low frequency of AN. Otherwise, it is also linked to ethical reasons, particularly on the refeeding topic [52] or growth hormone replacement [151]. In addition, the existing RCTs are poor quality, as they were conducted with various methodological procedures, on heterogeneous, small samples, and over different durations of follow-up.…”

Section: Discussionmentioning

confidence: 99%

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Medication in AN: A Multidisciplinary Overview of Meta-Analyses and Systematic Reviews

Blanchet

Guillaume

Bat-Pitault

et al. 2019

JCM

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Drugs are widely prescribed for anorexia nervosa in the nutritional, somatic, and psychiatric fields. There is no systematic overview in the literature, which simultaneously covers all these types of medication. The main aims of this paper are (1) to offer clinicians an overview of the evidence-based data in the literature concerning the medication (psychotropic drugs and medication for somatic and nutritional complications) in the field of anorexia nervosa since the 1960s, (2) to draw practical conclusions for everyday practise and future research. Searches were performed on three online databases, namely MEDLINE, Epistemonikos and Web of Science. Papers published between September 2011 and January 2019 were considered. Evidence-based data were identified from meta-analyses, if there were none, from systematic reviews, and otherwise from trials (randomized or if not open-label studies). Evidence-based results are scarce. No psychotropic medication has proved efficacious in terms of weight gain, and there is only weak data suggesting it can alleviate certain psychiatric symptoms. Concerning nutritional and somatic conditions, while there is no specific, approved medication, it seems essential not to neglect the interest of innovative therapeutic strategies to treat multi-organic comorbidities. In the final section we discuss how to use these medications in the overall approach to the treatment of anorexia nervosa.

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“…EN is considered safe and well tolerated [50], and effectively enhanced caloric intake and rate of weight gain in patients with AN [51]. Although only few studies focused on the long-term effect of EN, outcomes appeared favorable [52].…”

Section: Renutrition: Modalities and Goalsmentioning

confidence: 99%

Somatic complications and nutritional management of anorexia nervosa

Gosseaume

Dicembre

Bemer

et al. 2019

Clinical Nutrition Experimental

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Anorexia nervosa (AN) in its two major types (restricting type and binge-eating/purging type) is one of the most frequent and serious eating disorder. Severe undernutrition due to intake restriction and pathological associated behaviors such as potomania and vomiting can cause serious somatic complications such as cardiac and/or hepatic disturbances. Nutritional rehabilitation of undernourished AN patients should be very causes to avoid refeeding syndrome. Managing AN need a multidisciplinary approach including psychiatric and nutritional care.

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The use of enteral nutrition in the treatment of eating disorders: a systematic review

Abstract: I, systematic review.

Cited by 27 publications

References 61 publications

Nutritional Management and Outcomes in Malnourished Medical Inpatients: Anorexia Nervosa

Nutritional Management and Outcomes in Malnourished Medical Inpatients: Anorexia Nervosa

Medication in AN: A Multidisciplinary Overview of Meta-Analyses and Systematic Reviews

Somatic complications and nutritional management of anorexia nervosa

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