Naslov
Acute metabolic complication and nutritional assesment in children and adolescents with anorexia nervosa.

Autori
Crnković, Matea ; Žaja, Orjena ; Strelec, Sandra

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
ESPGHAN 49th ANNUAL MEETING of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition. U: Journal of Pediatric Gastroenterology and Nutrition - JPGN 2016 ; 62(Suppl.1) / - , 2016, 763-764

Skup
Annual meeting of The European Society of Paediatric Gastroenterology, Hepatolology and Nutrition- ESPGHAN

Mjesto i datum
Atena, Grčka, 25.05.2016. - 28.05.2016

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
anorexia nervosa ; children ; metabolic complications

Sažetak
Objectives and study: Anorexia nervosa (AN) in children and adolescents is still a serious cause of morbidity and mortality which may result in premature death or life-long medical and psychosocial morbidity. Although many of the medical complications improve with nutritional rehabilitation and recovery from the disorder, some are potentially irreversible. Over the last decade the prevalence of AN is not only increasing but also starting to affect younger children. The aim of this study was to investigate the value of anthropometric parameters with possible electrolytic deviations, and to examine the duration and number of hospitalizations depending on the presence and the frequency of nutritional support, caloric value and duration of it. Methods: Anthropometric measures and electrolyte concentrations were evaluated in 165 AN patients from 7 to 23 years old hospitalized in the Department of Pediatrics, Sestre milosrdnice, Clinical Hospital Centre Zagreb from 2005 to 2014. Results: Some of the parameters such as body weight, percentage of ideal body weight and body mass index were significantly lower than expected regarding age, and as for the level of electrolytes-results were in accordance to previous studies. As expected 7, 27 % of patients initially presented themselves with hypokalemia which can be due to both vomiting or misuse of laxatives. 14, 55 % of admitted patients were hypoglycemic and 9, 09% initially had hypophosphatemia. Hypercholesterolemia occured in 33, 94 % of the patients, 75% of whom had LDL level above 3 mmol/L (Table 1.). Girls who have received an average of 1096 ± 432.35 kcal nutritional support per day were hospitalized for a longer period of time, but fewer times. Conclusion: Our results confirm the high prevalence of acute metabolic complications in children and adolescents with AN. With timely and appropriate diagnostic approach, AN can be detected at an earlier stage, when prompt intervention, multidisciplinary approach (pediatrician, psychiatrist, psychologist, clinical nutritionist) and nutritional rehabilitation can prevent irreversible metabolic complications.

Izvorni jezik
Engleski

POVEZANOST RADA