Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity最新文献

{"title":"The impact of weight and race on perceptions of anorexia nervosa: a replication and extension of Varnado-Sullivan et al. (2020).","authors":"Nathalie Gullo, Olivia Brand, Erin Harrop, D Catherine Walker","doi":"10.1007/s40519-025-01748-x","DOIUrl":"https://doi.org/10.1007/s40519-025-01748-x","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined how weight and race impact mental health stigma, weight stigma, perceived need for treatment, and perceived severity of anorexia nervosa We experimentally manipulated weight and race, replicating and extending Varnado-Sullivan et al. (Eat Weight Disord 25:601-608, 2020).</p><p><strong>Methods: </strong>336 participants were recruited from Prolific. Participants self-reported pre-existing exposure to and attitudes regarding mental illness. Participants were randomly assigned to read an anorexia nervosa vignette that manipulated race (White or Black) and weight (\"underweight\" or \"obese\"). Participants self-reported attitudes about the woman in the vignette (mental health stigma), weight stigma, and perceived need for treatment and severity of the condition (mental health literacy). We hypothesized that greater mental health stigma, weight stigma, and lower mental health literacy would be present for Black and higher-weight vignettes, controlling for covariates.</p><p><strong>Results: </strong>Analyses found that only vignette weight significantly predicted mental health stigma, mental health literacy, and weight stigma; vignette race did not significantly predict mental health stigma, mental health literacy, or weight stigma. A significant Race x Weight interaction predicted weight stigma and two mental health stigma items.</p><p><strong>Conclusion: </strong>Replicating and extending Varnado-Sullivan et al. (Varnado-Sullivan et al. in Eat Weight Disord 25:601-608, 2020), we found weight-based bias for those with eating disorders, with some interactions between weight and race on weight stigma.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"39"},"PeriodicalIF":2.9,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond healthy eating: introducing ONI-Hu, the Hungarian version of the Orthorexia Nervosa Inventory.","authors":"Alexandra Fodor, Balázs András Varga, Adrien Rigó","doi":"10.1007/s40519-025-01745-0","DOIUrl":"https://doi.org/10.1007/s40519-025-01745-0","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to adapt the Orthorexia Nervosa Inventory for use in Hungarian (ONI-Hu), and explore its associations with disordered eating, intuitive eating and mental health measures.</p><p><strong>Methods: </strong>944 participants completed a test battery, including ONI-Hu, the Three Factor Eating Questionnaire, the Intuitive Eating Scale-2 and the Mental Health Continuum Short-Form. Confirmatory Factor Analysis (CFA) was used to assess the validity of ONI-Hu. Correlation and regression analyses were conducted to evaluate the convergent and discriminant validity.</p><p><strong>Results: </strong>CFA confirmed the original three-factor structure of ONI-Hu. Positive associations were found between ONI scores and restrictive eating behaviors, and negative associations with intuitive eating measures. Furthermore, the ONI composite factor score displayed no significant relationship with mental health indicators.</p><p><strong>Conclusions: </strong>ONI-Hu exhibits strong reliability and validity, and provides a deeper understanding of ON. Results suggest that orthorexic behaviors may serve as a coping mechanism, offering an illusion of control and emotional security. Inconsistent findings about the relationship between ON tendencies and mental health indicators propose that the sense of control might provide a false sense of well-being to the individual, distorting their perceptions of their overall health. Level of evidence Level V, descriptive cross-sectional study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"38"},"PeriodicalIF":2.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of eating disorders in South Asian countries: a systematic analysis of Global Burden of Disease (1990-2021).","authors":"Prakasini Satapathy, Vijay Kumar, Mahalaqua Nazli Khatib, Lalji Baldaniya, Suhas Ballal, V Kavitha, Laxmidhar Maharana, Renu Arya, Ganesh Bushi, Muhammed Shabil, Rukshar Syed, Manika Gupta, Sunil Kumar, Sabah Ansar, Sanjit Sah, Diptismita Jena, Edward Mawejje","doi":"10.1007/s40519-025-01746-z","DOIUrl":"https://doi.org/10.1007/s40519-025-01746-z","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) have traditionally been viewed as a Western phenomenon, but their prevalence in South Asia has risen due to urbanization, globalization, and Westernized beauty ideals. This systematic analysis examines trends and prevalence of Anorexia nervosa (AN) and Bulimia nervosa (BN) using the Global Burden of Disease (GBD) data from 1990 to 2021.</p><p><strong>Methods: </strong>This analysis used data from the GBD study on age-standardized prevalence rates (ASPRs) for AN and BN, as well as their total percentage changes (TPCs) from 1990 to 2021. Trends were analyzed using Joinpoint regression to identify changes over time and calculate annual percent changes (APCs) and average annual percent changes (AAPCs). Geospatial patterns and temporal changes were visualized using QGIS software. The correlation between the Sociodemographic Index (SDI) and the DALY rate was assessed using R software.</p><p><strong>Results: </strong>The ASPR of EDs increased significantly from 1990 to 2021, with BN peaking in the 20-24 age group and AN in the 15-19 and 20-24 age groups. Females exhibited the highest rates of increase, while notable rises were also observed in males. Bhutan recorded the highest ASPR for both AN and BN, with varying temporal percentage changes across countries. A significant positive correlation was found between the SDI and DALY rates across 21 global regions, with anorexia nervosa showing the strongest correlation (r = 0.75, p < 0.001).</p><p><strong>Conclusions: </strong>The rising burden of EDs in South Asia underscores an urgent need for culturally sensitive prevention strategies and public health policies. Targeted interventions addressing sociocultural drivers are essential to mitigate the growing impact of EDs in this region.</p><p><strong>Level of evidence: </strong>Level V, Descriptive study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"37"},"PeriodicalIF":2.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family functioning and eating psychopathology in developmental restrictive eating disorders after Covid-19 lockdown.","authors":"C Marchetto, M Criscuolo, I Croci, M E Bucci, A Caramadre, M C Castiglioni, S Vicari, V Zanna","doi":"10.1007/s40519-025-01749-w","DOIUrl":"https://doi.org/10.1007/s40519-025-01749-w","url":null,"abstract":"<p><strong>Purpose: </strong>While the impact of Covid-19 lockdowns on family dynamics and eating behaviors has been widely studied, there is limited and conflicting evidence regarding families of children and adolescents with restrictive eating disorders (EDs). This study examines differences in eating psychopathology and perceptions of family functioning in pediatric patients with anorexia nervosa (AN; restrictive and atypical) and avoidant/restrictive food intake disorder (ARFID) before and after the pandemic.</p><p><strong>Methods: </strong>A total of 640 children and adolescents with restrictive EDs and their parents, assessed from January 2018 to December 2022, were grouped into pre-Covid-19, Covid-19, and post-Covid-19 periods. Measures included the Family Assessment Device, the Eating Disorders Inventory-III, and the Eating Disorders Questionnaire in Childhood. Data were analyzed using ANOVA (p < .05).</p><p><strong>Results: </strong>Children and adolescents with AN showed greater difficulties compared to children and adolescents with ARFID both in family functioning and eating psychopathology. In particular, children with AN in the COVID-19 group exhibited higher scores in Affective and Mood Disorders, Obsessive-Compulsive Disorder, Pica, and Selective Eating compared to the pre-Covid-19 group. Adolescents with AN reported worse eating psychopathology in Post-COVID-19 group compared to others.</p><p><strong>Conclusions: </strong>Patients with restrictive EDs show more dysfunctional family functioning and greater eating psychopathology after the pandemic compared to preceding periods but results varied by age and diagnosis. These findings highlight the need for diagnosis-specific, tailored interventions to address the evolving clinical and family dynamics in pediatric ED populations.</p><p><strong>Level of evidence: </strong>Level V Evidence obtained from a cross-sectional descriptive study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"36"},"PeriodicalIF":2.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Eating behavior patterns, metabolic parameters and circulating oxytocin levels in patients with obesity: an exploratory study.","authors":"Elena Colonnello, Flavia Libotte, Davide Masi, Mariaignazia Curreli, Chandra Massetti, Orietta Gandini, Elena Gangitano, Mikiko Watanabe, Stefania Mariani, Lucio Gnessi, Carla Lubrano","doi":"10.1007/s40519-025-01744-1","DOIUrl":"10.1007/s40519-025-01744-1","url":null,"abstract":"","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"35"},"PeriodicalIF":2.9,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11972223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adults.","authors":"Jason M Nagata, Christopher D Otmar, Christopher M Lee, Emilio J Compte, Jason M Lavender, Tiffany A Brown, Kelsie T Forbush, Annesa Flentje, Micah E Lubensky, Juno Obedin-Maliver, Mitchell R Lunn","doi":"10.1007/s40519-025-01742-3","DOIUrl":"10.1007/s40519-025-01742-3","url":null,"abstract":"<p><strong>Purpose: </strong>Cisgender sexual minority adults are at elevated risk for eating disorders; however, community norms for certain eating disorder measures are lacking for this population. This study aimed to establish community norms for the Eating Pathology Symptom Inventory (EPSI) among cisgender gay, lesbian, bisexual + (individuals who identify as bisexual or pansexual; bi +) adults.</p><p><strong>Methods: </strong>Cross-sectional data were analyzed from 2062 cisgender participants-including 925 gay men, 573 lesbian women, 116 bi + men, and 448 bi + women-enrolled in The PRIDE Study, a national longitudinal cohort of sexual and gender minority adults in the United States. Participants completed the EPSI, and descriptive statistics were calculated for the eight EPSI scales.</p><p><strong>Results: </strong>We report mean scores, standard deviations, medians, interquartile ranges, and percentile ranks for the eight EPSI scales within cisgender sexual minority populations. Distinct patterns of eating-pathology symptoms were evidenced among the cisgender sexual minority groups. Cisgender bi + women exhibited the highest scores for Body Dissatisfaction, Binge Eating, and Restricting compared to other groups, whereas cisgender bi + men reported the highest scores for Excessive Exercise. Cisgender gay men had significantly higher scores for Muscle Building and Negative Attitudes Toward Obesity compared to other groups.</p><p><strong>Conclusion: </strong>These findings offer valuable benchmarks for interpreting EPSI scores in the assessment and treatment of eating disorders among cisgender sexual minority individuals.</p><p><strong>Level of evidence: </strong>Level V: based on descriptive results.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"34"},"PeriodicalIF":2.9,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing the relationships between obesity and genetically predicted serum micronutrient levels: a multivariable Mendelian randomization analysis.","authors":"Rui Zhou, Yanxiang Zhang, Jiazhi Wang, Huacong Huang, Tianyou Liao, Weisheng Lai, Yongle Ju, Manzhao Ouyang","doi":"10.1007/s40519-025-01730-7","DOIUrl":"10.1007/s40519-025-01730-7","url":null,"abstract":"<p><strong>Background: </strong>Previous observational studies have indicated that circulating micronutrients may influence obesity risk. This study aimed to explore the causal relationship between micronutrient levels and obesity through multivariable Mendelian randomization (MR) analysis.</p><p><strong>Methods: </strong>Single nucleotide polymorphisms (SNPs) significantly associated with 15 micronutrients (selenium, zinc, copper, calcium, beta-carotene, folate, iron, magnesium, potassium, and vitamins A, B6, B12, C, D, and E) from published genome-wide association studies (GWAS) were used as instrumental variables (IVs). Three obesity-related datasets were obtained from the GWAS. Inverse variance weighted (IVW) is the main method used for MR analysis. Leave-one-out analysis, MR-Pleiotropy Residual Sum and Outlier method (MR-PRESSO), weighted median, and MR-Egger method were used to assess pleiotropy and heterogeneity.</p><p><strong>Results: </strong>Genetically predicted levels of circulating selenium and calcium are causally related to the risk of obesity (calcium odds ratio [OR]: 1.478, 95% confidence interval [CI] 1.128-1.935, p = 0.005; selenium OR: 1.478, 95% CI 1.128-1.935, p = 0.005). Multivariate MR analysis suggested a causal relationship between circulating selenium and calcium levels and obesity risk (calcium OR: 1.625, 95% CI 1.260-2.097; selenium OR: 1.080, 95% CI 1.003-1.163, p = 0.041). The p-value obtained in the Cochrane Q test, MR-Egger intercept test, and MR-PRESSO were > 0.05, suggesting no significant evidence of pleiotropy or heterogeneity.</p><p><strong>Conclusion: </strong>Our study revealed, for the first time, a positive correlation between elevated circulating calcium and selenium levels and an increased obesity risk. These findings provide valuable insights into obesity's underlying mechanisms. Nevertheless, further large-scale clinical studies are required to confirm our results.</p><p><strong>Level of evidence: </strong>Level III, Mendelian randomization.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"33"},"PeriodicalIF":2.9,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic immersion: a single-subject study on virtual reality multisensory experiences for mitigating body disturbance in anorexia nervosa.","authors":"Giulia Brizzi, Margherita Boltri, Rebecca Guglielmini, Gianluca Castelnuovo, Leonardo Mendolicchio, Giuseppe Riva","doi":"10.1007/s40519-025-01740-5","DOIUrl":"10.1007/s40519-025-01740-5","url":null,"abstract":"<p><p>Anorexia Nervosa (AN) is a mental health condition marked by reduced food consumption, intense fear of weight gain, and distorted body experience. Virtual Reality (VR)-based techniques-i.e., Body-Swapping and Mirror Exposure techniques-offer promising avenues for addressing body disturbance in AN, allowing patients to embody virtual bodies varying in size and shape. We used a single-subject experimental design to explore the potential of virtual reality multisensory experiences for mitigating body disturbance in AN. We examine the case of a 24-year-old female hospitalized with restrictive Anorexia Nervosa who underwent a novel body-focused VR intervention alongside the hospital's standard care. The intervention included six bi-weekly sessions, wherein the patient was immersed in a VR environment that allowed her to embody a virtual body that matched a healthy weight range. Through interactions with a virtual mirror, the patient was encouraged to concentrate on the body's positive aspects and functional abilities, thinking about its significance in her past, current, and anticipated future activities (Functional Mirror Exposure). The patient reported reduced body dissatisfaction, negative beliefs, and body misperception. These changes endorse using immersive, multisensory, and embodied experiences to alter body consciousness and body-self relationship. Results preliminary support the transformative potential of VR in improving traditional approaches to assess and alter body disturbance.Level of evidence Level IV.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"32"},"PeriodicalIF":2.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11946939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-compassion, body appreciation, and eating disorder symptoms among young adults with weight loss goals: a diary study.","authors":"Rachel Batchelor, Bree O'Leary, Sarah J Egan, Cecilie Thøgersen-Ntoumani","doi":"10.1007/s40519-025-01735-2","DOIUrl":"10.1007/s40519-025-01735-2","url":null,"abstract":"<p><strong>Purpose: </strong>Research has shown that self-compassion and body appreciation are associated with less disordered eating. However, previous literature has mostly examined between-person associations, which do not account for fluctuations in these constructs within individuals over time. Understanding such fluctuations could inform future tailored interventions to better address individuals' needs by targeting times when they are most vulnerable. The aim of this study was to examine dynamic within-person associations between self-compassion, body appreciation, and disordered eating in young adults who self-reported trying to lose weight.</p><p><strong>Methods: </strong>Fifty-seven 18-30-year-old adults aiming to lose weight reported their levels of self-compassion, using items from the Short Form Self-Compassion Scale (SCS-SF), body appreciation, using items from the Body Appreciation Scale-2 (BAS-2) and disordered eating, using items derived from previous diary research, twice daily over a 1-week period. Generalised Linear Mixed Modelling (GLMM) was used with three levels: observations (level 1), nested within days (level 2), nested within individuals (level 3). Each GLMM included three nominal random effects (participant, day, time of day) and controlled for age, gender, and Body Mass Index (BMI). Effect sizes, represented by squared semi-partial correlation coefficients (sr2), were calculated for each GLMM via multiple linear regression analyses to represent the unique amount of variance explained by each predictor variable.</p><p><strong>Results: </strong>The findings showed that after controlling for age, BMI, and gender, negative associations between self-compassion and disordered eating, and body appreciation and disordered eating were found, while a positive association was found between self-compassion and body appreciation.</p><p><strong>Conclusions: </strong>The findings suggest that further research should examine whether fostering self-compassion and body appreciation may be putative targets to reduce disordered eating in young adults who aim to lose weight.</p><p><strong>Level of evidence: </strong>Level III: Evidence obtained from well-designed cohort or case control analytic studies.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"31"},"PeriodicalIF":2.9,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Target weight at discharge for children receiving their first inpatient treatment for an eating disorder.","authors":"Kazumi Kurata, Yuta Inagawa, Tatsuhiko Yagihashi, Takahiro Nakamura, Seiji Obi, Shiro Suda","doi":"10.1007/s40519-025-01736-1","DOIUrl":"10.1007/s40519-025-01736-1","url":null,"abstract":"<p><strong>Purpose: </strong>There is no consensus regarding the optimal target weight for discharge during the hospitalization of children with eating disorders (EDs). We attempted to identify the ideal discharge weight for children receiving their first inpatient treatment for anorexia nervosa (AN) or avoidant/restrictive food intake disorder (ARFID).</p><p><strong>Patients and methods: </strong>Sixty children (mean age: 12.8 years) diagnosed with either AN (49 children) or ARFID (11 children) were followed for 1 year after discharge from a psychiatric ward. We analyzed the percent of ideal body weight (%IBW) at discharge, along with physical and social factors, to predict weight outcomes and rehospitalization risk during the first year after discharge. Longitudinal weight trends were assessed, and Cox proportional hazards modeling was used to analyze the time to rehospitalization.</p><p><strong>Results: </strong>Single and multiple regression analyses identified the %IBW at discharge as the sole significant predictor of %IBW at 1 year. A receiver operating characteristic curve determined that 86.4%IBW at discharge was the optimal predictor of achieving 90%IBW by 1-year post-discharge. Patients who had achieved ≥ 86.4%IBW at discharge showed better weight trajectories compared with those discharged at < 86.4%IBW. A higher discharge %IBW was associated with prolonged time to rehospitalization, indicating a reduced risk of readmission.</p><p><strong>Conclusions: </strong>Discharging pediatric patients at a higher weight is associated with improved weight recovery and a reduced risk of rehospitalization. A target discharge weight of 86.4%IBW may serve as an effective criterion for children with EDs.</p><p><strong>Level of evidence: </strong>III, case-control analytic studies.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"29"},"PeriodicalIF":2.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}