Anna Potyrcha, Aminata Ali, Benjamin Carrot, France Hirot, Nathalie Godart
{"title":"青少年严重神经性厌食症住院治疗期间体重指数变化轨迹:预测因素和住院结果","authors":"Anna Potyrcha, Aminata Ali, Benjamin Carrot, France Hirot, Nathalie Godart","doi":"10.1186/s40337-025-01339-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Weight restoration is one of the main goals of treatment for AN. Weight trajectories derive from various elements including baseline personal characteristics and factors linked to the course of treatment. The aim of our research was to identify different BMI trajectories during inpatient treatment, to examine whether patient characteristics were predictive of the nature of these trajectories, and to examine how they affect hospitalization outcomes.</p><p><strong>Methods: </strong>The study population consisted of 310 female AN inpatients. To analyse the data, we examined trajectories of change in BMI, using a clustering algorithm: k-means for longitudinal data.</p><p><strong>Results: </strong>We chose a four-trajectory model. The most common was the A trajectory, which we labelled \"severe and compliant\" (38.71%, N = 120). The second most frequent (28.71%, N = 89) was B trajectory, labelled \"the least severe with weight fluctuations before discharge\", it is situated above the others over the whole period. Trajectory C, which we labelled \"severe, with high dissatisfaction scores and long lengths of stay\" included 25.16% (N = 78) of patients. The D trajectory, which we labelled \"resistant and non-compliant\", was the smallest with only 23 subjects (7.42%), situated below the others. Significant differences were found across trajectories concerning: lifetime, admission and target BMI, satisfaction with target BMI, menarcheal status and the duration of amenorrhea, previous inpatient treatments and parental psychiatric disorders. Factors that differed in the course of treatment were: length of stay, dropout, discharge BMI, changes in target weight, tube feeding and transfers to intensive care unit.</p><p><strong>Conclusion: </strong>This study is one of the few to examine BMI trajectories during treatment for AN. It shows that different trajectories lead to different outcomes. A better understanding of the underlying clinical profiles associated with trajectories could enable more personalized care and an improved outcome.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"160"},"PeriodicalIF":4.5000,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309186/pdf/","citationCount":"0","resultStr":"{\"title\":\"Trajectories of change in body mass index during inpatient treatment for severe anorexia nervosa during adolescence: predictive factors and hospitalization outcomes.\",\"authors\":\"Anna Potyrcha, Aminata Ali, Benjamin Carrot, France Hirot, Nathalie Godart\",\"doi\":\"10.1186/s40337-025-01339-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Weight restoration is one of the main goals of treatment for AN. Weight trajectories derive from various elements including baseline personal characteristics and factors linked to the course of treatment. The aim of our research was to identify different BMI trajectories during inpatient treatment, to examine whether patient characteristics were predictive of the nature of these trajectories, and to examine how they affect hospitalization outcomes.</p><p><strong>Methods: </strong>The study population consisted of 310 female AN inpatients. To analyse the data, we examined trajectories of change in BMI, using a clustering algorithm: k-means for longitudinal data.</p><p><strong>Results: </strong>We chose a four-trajectory model. The most common was the A trajectory, which we labelled \\\"severe and compliant\\\" (38.71%, N = 120). The second most frequent (28.71%, N = 89) was B trajectory, labelled \\\"the least severe with weight fluctuations before discharge\\\", it is situated above the others over the whole period. Trajectory C, which we labelled \\\"severe, with high dissatisfaction scores and long lengths of stay\\\" included 25.16% (N = 78) of patients. The D trajectory, which we labelled \\\"resistant and non-compliant\\\", was the smallest with only 23 subjects (7.42%), situated below the others. Significant differences were found across trajectories concerning: lifetime, admission and target BMI, satisfaction with target BMI, menarcheal status and the duration of amenorrhea, previous inpatient treatments and parental psychiatric disorders. Factors that differed in the course of treatment were: length of stay, dropout, discharge BMI, changes in target weight, tube feeding and transfers to intensive care unit.</p><p><strong>Conclusion: </strong>This study is one of the few to examine BMI trajectories during treatment for AN. It shows that different trajectories lead to different outcomes. A better understanding of the underlying clinical profiles associated with trajectories could enable more personalized care and an improved outcome.</p>\",\"PeriodicalId\":48605,\"journal\":{\"name\":\"Journal of Eating Disorders\",\"volume\":\"13 1\",\"pages\":\"160\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-07-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309186/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Eating Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s40337-025-01339-2\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40337-025-01339-2","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Trajectories of change in body mass index during inpatient treatment for severe anorexia nervosa during adolescence: predictive factors and hospitalization outcomes.
Background: Weight restoration is one of the main goals of treatment for AN. Weight trajectories derive from various elements including baseline personal characteristics and factors linked to the course of treatment. The aim of our research was to identify different BMI trajectories during inpatient treatment, to examine whether patient characteristics were predictive of the nature of these trajectories, and to examine how they affect hospitalization outcomes.
Methods: The study population consisted of 310 female AN inpatients. To analyse the data, we examined trajectories of change in BMI, using a clustering algorithm: k-means for longitudinal data.
Results: We chose a four-trajectory model. The most common was the A trajectory, which we labelled "severe and compliant" (38.71%, N = 120). The second most frequent (28.71%, N = 89) was B trajectory, labelled "the least severe with weight fluctuations before discharge", it is situated above the others over the whole period. Trajectory C, which we labelled "severe, with high dissatisfaction scores and long lengths of stay" included 25.16% (N = 78) of patients. The D trajectory, which we labelled "resistant and non-compliant", was the smallest with only 23 subjects (7.42%), situated below the others. Significant differences were found across trajectories concerning: lifetime, admission and target BMI, satisfaction with target BMI, menarcheal status and the duration of amenorrhea, previous inpatient treatments and parental psychiatric disorders. Factors that differed in the course of treatment were: length of stay, dropout, discharge BMI, changes in target weight, tube feeding and transfers to intensive care unit.
Conclusion: This study is one of the few to examine BMI trajectories during treatment for AN. It shows that different trajectories lead to different outcomes. A better understanding of the underlying clinical profiles associated with trajectories could enable more personalized care and an improved outcome.
期刊介绍:
Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice.
The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.