Refeeding Hypophosphatemia in Hospitalized Adolescents With Anorexia Nervosa.
Journal
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
ISSN: 1879-1972
Titre abrégé: J Adolesc Health
Pays: United States
ID NLM: 9102136
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
received:
29
06
2022
accepted:
29
06
2022
entrez:
19
9
2022
pubmed:
20
9
2022
medline:
23
9
2022
Statut:
ppublish
Résumé
Refeeding hypophosphatemia in hospitalized adolescents with anorexia nervosa is correlated with degree of malnutrition, with a high index of suspicion for severely malnourished patients (<70% median body mass index). Weight history (greater magnitude or rate of weight loss prior to admission) regardless of presentation weight has also been associated with lower serum phosphate. Higher energy meal-based refeeding starting at 2,000 kcal has not been shown to be associated with higher rates of refeeding hypophosphatemia than the traditional standard of care, lower energy refeeding. Further research is needed to identify risk factors for refeeding hypophosphatemia and develop optimal delivery methods (oral vs. enteral), macronutrient content, and electrolyte replacement strategies to optimize weight gain without increasing the risk for refeeding hypophosphatemia.
Identifiants
pubmed: 36123000
pii: S1054-139X(22)00521-3
doi: 10.1016/j.jadohealth.2022.06.025
pii:
doi:
Substances chimiques
Electrolytes
0
Phosphates
0
Types de publication
Practice Guideline
Langues
eng
Sous-ensembles de citation
IM
Pagination
517-520Informations de copyright
Copyright © 2022. Published by Elsevier Inc.