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

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS
Anna Potyrcha, Aminata Ali, Benjamin Carrot, France Hirot, Nathalie Godart
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引用次数: 0

摘要

背景:体重恢复是AN治疗的主要目标之一。体重轨迹源于各种因素,包括基线个人特征和与治疗过程相关的因素。我们研究的目的是确定住院治疗期间不同的BMI轨迹,检查患者特征是否可以预测这些轨迹的性质,并检查它们如何影响住院结果。方法:研究人群为310例女性AN住院患者。为了分析数据,我们检查了BMI变化的轨迹,使用聚类算法:纵向数据的k-means。结果:我们选择了一个四轨迹模型。最常见的是A型轨迹,我们将其标记为“严重和顺应”(38.71%,N = 120)。第二常见的(28.71%,N = 89)是B型轨迹,标记为“出院前体重波动最不严重”,在整个期间位于其他轨迹之上。轨迹C,我们标记为“严重,高不满评分和长时间住院”,包括25.16% (N = 78)的患者。D轨迹,我们标记为“抵抗和不服从”,是最小的,只有23名受试者(7.42%),位于其他受试者下方。在生命、入院和目标BMI、对目标BMI的满意度、月经来潮状况和闭经持续时间、既往住院治疗和父母精神障碍等方面存在显著差异。在治疗过程中存在差异的因素有:住院时间、辍学、出院BMI、目标体重变化、管饲和转重症监护病房。结论:本研究是少数研究AN治疗期间BMI轨迹的研究之一。它表明,不同的轨迹导致不同的结果。更好地了解与轨迹相关的潜在临床特征可以实现更个性化的护理和改善的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Trajectories of change in body mass index during inpatient treatment for severe anorexia nervosa during adolescence: predictive factors and hospitalization outcomes.

Trajectories of change in body mass index during inpatient treatment for severe anorexia nervosa during adolescence: predictive factors and hospitalization outcomes.

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.

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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
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.
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