Clinical Outcomes Among Adolescents Diagnosed With Anorexia Nervosa During the COVID-19 Pandemic

IF 4.7 2区医学 Q1 NUTRITION & DIETETICS

International Journal of Eating Disorders Pub Date : 2025-02-03 DOI:10.1002/eat.24387

Alon Coret, Brett Burstein, Holly Agostino

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引用次数: 0

Abstract

Objective

The COVID-19 pandemic was associated with a significant rise in the incidence of anorexia nervosa (AN) and atypical anorexia nervosa (AAN), longer wait times and reduced opportunities for in-person medical services. How these changes affected clinical outcomes among adolescents newly diagnosed with AN/AAN remains largely unknown.

Methods

We performed a retrospective analysis of standardized intake and follow-up data from a pediatric eating disorder program to compare clinical outcomes among adolescents newly diagnosed with AN/AAN during pre-pandemic (July/2017–December/2018) and pandemic (July/2020–December/2021) periods. Clinical data were collected at the time of diagnosis and at 1-, 3-, 6-, and 12-month intervals. The primary outcomes were unscheduled AN/AAN-related emergency department visits and need for medical hospitalization.

Results

Overall, 253 patients were included (pre-pandemic = 77; pandemic = 176). By 12-months following diagnosis, 18.8% (95% CI 13.3%–25.3%) of patients diagnosed during the pandemic had unscheduled AN/AAN-related emergency department visits, compared to 7.8% (95% CI 2.9%–16.2%, p = 0.03) of those diagnosed pre-pandemic. Medical hospitalization was required more frequently in the pandemic group (35.8%; 95% CI 28.7%–43.4%) compared to pre-pandemic (15.6%; 95% CI 8.3%–25.6%, p = 0.001). Mean weight gain at 12-months did not differ between groups (8.1 kg pre-pandemic vs. 8.8 kg pandemic; p = 0.35) however the mean time to target weight was longer in the pandemic group (2.7 vs. 4.4 months; p = 0.002).

Conclusion

Patients newly diagnosed with AN/AAN during the pandemic had significantly more AN/AAN-related emergency department visits and hospitalizations and took longer to achieve target weight than those diagnosed pre-pandemic. These findings suggest a more complicated treatment course among adolescents diagnosed with AN/AAN during the pandemic.

查看原文本刊更多论文

COVID-19大流行期间被诊断为神经性厌食症的青少年的临床结果

目的：新冠肺炎大流行与神经性厌食症（AN）和非典型神经性厌食症（AAN）发病率显著上升、等待时间延长和就诊机会减少有关。这些变化如何影响新诊断为AN/AAN的青少年的临床结果仍然很大程度上未知。方法：我们对儿童饮食失调项目的标准化摄入和随访数据进行了回顾性分析，以比较大流行前（2017年7月- 2018年12月）和大流行期间（2020年7月- 2021年12月）新诊断为AN/AAN的青少年的临床结果。在诊断时以及每隔1个月、3个月、6个月和12个月收集临床资料。主要结局是未安排的AN/ aan相关急诊科就诊和医疗住院需求。结果：总共纳入253例患者(大流行前= 77例；pandemic = 176)。在诊断后12个月，大流行期间诊断的患者中有18.8% （95% CI 13.3%-25.3%）有未安排的AN/ aan相关急诊科就诊，而大流行前诊断的患者为7.8% （95% CI 2.9%-16.2%, p = 0.03）。大流行组需要住院治疗的频率更高(35.8%；95%可信区间28.7%-43.4%)，与大流行前(15.6%；95% CI 8.3% ~ 25.6%, p = 0.001)。12个月时各组平均体重增加无差异(大流行前8.1 kg vs大流行8.8 kg；P = 0.35)，但大流行组达到目标体重的平均时间更长(2.7个月对4.4个月；p = 0.002)。结论：大流行期间新诊断为AN/AAN的患者与大流行前诊断为AN/AAN的患者相比，急诊科就诊和住院次数明显增加，达到目标体重所需时间更长。这些发现表明，在大流行期间被诊断为AN/AAN的青少年的治疗过程更为复杂。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Eating Disorders 医学-精神病学

CiteScore

10.00

自引率

12.70%

发文量

204

审稿时长

4-8 weeks

期刊介绍： Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.