Characteristics and outcomes of avoidant/restrictive food intake disorder in Japanese elementary-school students on total parenteral nutrition.

IF 1.9 4区医学 Q2 PEDIATRICS

Pediatric Investigation Pub Date : 2021-12-13 eCollection Date: 2021-12-01 DOI:10.1002/ped4.12293

Akira Tamura, Koichi Minami, Yuko Tsuda, Hiroshi Tsujimoto, Takayuki Ichikawa, Kazuhiro Mizumoto, Hiroyuki Suzuki

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Abstract

The clinical outcomes of adolescents with avoidant/restrictive food intake disorder (ARFID) remain unclear. Furthermore, no report has compared the characteristics of ARFID and restricting-type anorexia nervosa (R-AN) in elementary-school students on total parenteral nutrition (TPN). This study retrospectively reviewed inpatients diagnosed with ARFID or R-AN between 2005 and 2019. Patients with ARFID (two boys and seven girls) and R-AN (13 girls) were hospitalized because of rapid physical deterioration, and nutrition therapy was continued without withdrawal. The ARFID group exhibited significantly lower body weights at admission than the R-AN group and gained an average of 6.5 kg during hospitalization; furthermore, the monthly weight gain during hospitalization was significantly higher, and no relapse was observed. Early physical improvement in ARFID resulted in good recovery. In conclusion, TPN can be easily introduced to patients with ARFID, in whom aversive eating is a concern, and is a suitable treatment for ARFID.

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接受全肠外营养的日本小学生回避型/限制型食物摄入障碍的特征和结果。

患有回避型/限制型食物摄入障碍（ARFID）的青少年的临床结果仍不明确。此外，还没有报告比较过接受全肠外营养（TPN）的小学生中ARFID和限制型神经性厌食症（R-AN）的特征。本研究回顾性研究了2005年至2019年期间被诊断为ARFID或R-AN的住院患者。ARFID患者（2名男生和7名女生）和R-AN患者（13名女生）因身体状况急剧恶化而住院，营养治疗在没有停药的情况下继续进行。ARFID 组患者入院时体重明显低于 R-AN 组，住院期间平均体重增加了 6.5 千克；此外，住院期间每月体重增加明显高于 R-AN 组，且未观察到复发。ARFID 早期体质改善后恢复良好。总之，TPN 可以很容易地应用于 ARFID 患者，并且是一种适合 ARFID 的治疗方法。

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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