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Medical instability and growth of children and adolescents with early onset eating disorders

Objective Little is known about the physical burden of early onset eating disorders (EOEDs). Most published data on physical instability and growth in malnutrition come from specialist centres, or from the developing world where aetiology differs. The authors present data on physical status at prese... Full description

Journal Title: Archives of disease in childhood 2012, Vol.97 (9), p.779-784
Main Author: Hudson, Lee D
Other Authors: Nicholls, Dasha E , Lynn, Richard M , Viner, Russell M
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
ID: ISSN: 0003-9888
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recordid: cdi_proquest_miscellaneous_1551615605
title: Medical instability and growth of children and adolescents with early onset eating disorders
format: Article
creator:
  • Hudson, Lee D
  • Nicholls, Dasha E
  • Lynn, Richard M
  • Viner, Russell M
subjects:
  • Abridged Index Medicus
  • Adolescent
  • Biological and medical sciences
  • Body Height - physiology
  • Body Weight - physiology
  • Bradycardia - epidemiology
  • Care and treatment
  • Child
  • Child health
  • Child nutrition
  • Child, Preschool
  • Childhood eating disorders
  • Children
  • Chronic Disease
  • Company business management
  • Control
  • Cost of Illness
  • Dehydration - epidemiology
  • Eating disorders in children
  • Feeding and Eating Disorders - epidemiology
  • Feeding and Eating Disorders - physiopathology
  • Female
  • General aspects
  • Growth - physiology
  • Health aspects
  • Health Status
  • Hospitalization - statistics & numerical data
  • Humans
  • Hypotension - epidemiology
  • Hypothermia - epidemiology
  • Ireland - epidemiology
  • Male
  • Malnutrition
  • Management
  • Medical sciences
  • Menarche - physiology
  • Miscellaneous
  • Prevention and actions
  • Prospective Studies
  • Public health. Hygiene
  • Public health. Hygiene-occupational medicine
  • Risk factors
  • United Kingdom - epidemiology
ispartof: Archives of disease in childhood, 2012, Vol.97 (9), p.779-784
description: Objective Little is known about the physical burden of early onset eating disorders (EOEDs). Most published data on physical instability and growth in malnutrition come from specialist centres, or from the developing world where aetiology differs. The authors present data on physical status at presentation from population-based surveillance systems in the UK and Ireland. Design Prospective surveillance study. Participants All suspected cases of EOED in children under 13 years of age reported by paediatricians and psychiatrists via the British Paediatric Surveillance System (BPSU) and Child and Adolescent Psychiatric Surveillance System (CAPSS) in the UK and Ireland from March 2005 to May 2006 (15 months). Results 208 cases were identified (24% reported by paediatricians). Median age was 11.8 years (IQR 1.74). 171 (82%) were female (78% premenarcheal and 60% prepubertal). 74% of males were prepubertal. 35% of cases had medical instability at presentation (60% bradycardia, 54% hypotension, 34% dehydration, 26% hypothermia). 52% of cases required admission at diagnosis (73% to a paediatric ward). 41% of cases with medical instability were not underweight, that is, they had body mass index (BMI) z-scores above −2.0 (2nd centile). Sensitivities for identifying medical instability with BMI z-score
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0003-9888
fulltext: fulltext
issn:
  • 0003-9888
  • 1468-2044
url: Link


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titleMedical instability and growth of children and adolescents with early onset eating disorders
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creatorcontribHudson, Lee D ; Nicholls, Dasha E ; Lynn, Richard M ; Viner, Russell M
descriptionObjective Little is known about the physical burden of early onset eating disorders (EOEDs). Most published data on physical instability and growth in malnutrition come from specialist centres, or from the developing world where aetiology differs. The authors present data on physical status at presentation from population-based surveillance systems in the UK and Ireland. Design Prospective surveillance study. Participants All suspected cases of EOED in children under 13 years of age reported by paediatricians and psychiatrists via the British Paediatric Surveillance System (BPSU) and Child and Adolescent Psychiatric Surveillance System (CAPSS) in the UK and Ireland from March 2005 to May 2006 (15 months). Results 208 cases were identified (24% reported by paediatricians). Median age was 11.8 years (IQR 1.74). 171 (82%) were female (78% premenarcheal and 60% prepubertal). 74% of males were prepubertal. 35% of cases had medical instability at presentation (60% bradycardia, 54% hypotension, 34% dehydration, 26% hypothermia). 52% of cases required admission at diagnosis (73% to a paediatric ward). 41% of cases with medical instability were not underweight, that is, they had body mass index (BMI) z-scores above −2.0 (2nd centile). Sensitivities for identifying medical instability with BMI z-score <−3 or 70% median BMI were 31% and 15%, respectively. Menarcheal status did not predict risk of medical instability. Conclusions EOEDs present with severe levels of physical instability and frequently to paediatricians. As anthropological indices alone are poor markers for medical instability, clinical assessment is essential. Doctors providing care for children have a central role in both the recognition and management of EOEDs.
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publisherLondon: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
subjectAbridged Index Medicus ; Adolescent ; Biological and medical sciences ; Body Height - physiology ; Body Weight - physiology ; Bradycardia - epidemiology ; Care and treatment ; Child ; Child health ; Child nutrition ; Child, Preschool ; Childhood eating disorders ; Children ; Chronic Disease ; Company business management ; Control ; Cost of Illness ; Dehydration - epidemiology ; Eating disorders in children ; Feeding and Eating Disorders - epidemiology ; Feeding and Eating Disorders - physiopathology ; Female ; General aspects ; Growth - physiology ; Health aspects ; Health Status ; Hospitalization - statistics & numerical data ; Humans ; Hypotension - epidemiology ; Hypothermia - epidemiology ; Ireland - epidemiology ; Male ; Malnutrition ; Management ; Medical sciences ; Menarche - physiology ; Miscellaneous ; Prevention and actions ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk factors ; United Kingdom - epidemiology
ispartofArchives of disease in childhood, 2012, Vol.97 (9), p.779-784
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descriptionObjective Little is known about the physical burden of early onset eating disorders (EOEDs). Most published data on physical instability and growth in malnutrition come from specialist centres, or from the developing world where aetiology differs. The authors present data on physical status at presentation from population-based surveillance systems in the UK and Ireland. Design Prospective surveillance study. Participants All suspected cases of EOED in children under 13 years of age reported by paediatricians and psychiatrists via the British Paediatric Surveillance System (BPSU) and Child and Adolescent Psychiatric Surveillance System (CAPSS) in the UK and Ireland from March 2005 to May 2006 (15 months). Results 208 cases were identified (24% reported by paediatricians). Median age was 11.8 years (IQR 1.74). 171 (82%) were female (78% premenarcheal and 60% prepubertal). 74% of males were prepubertal. 35% of cases had medical instability at presentation (60% bradycardia, 54% hypotension, 34% dehydration, 26% hypothermia). 52% of cases required admission at diagnosis (73% to a paediatric ward). 41% of cases with medical instability were not underweight, that is, they had body mass index (BMI) z-scores above −2.0 (2nd centile). Sensitivities for identifying medical instability with BMI z-score <−3 or 70% median BMI were 31% and 15%, respectively. Menarcheal status did not predict risk of medical instability. Conclusions EOEDs present with severe levels of physical instability and frequently to paediatricians. As anthropological indices alone are poor markers for medical instability, clinical assessment is essential. Doctors providing care for children have a central role in both the recognition and management of EOEDs.
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3Body Height - physiology
4Body Weight - physiology
5Bradycardia - epidemiology
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11Childhood eating disorders
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13Chronic Disease
14Company business management
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17Dehydration - epidemiology
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30Ireland - epidemiology
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37Prevention and actions
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39Public health. Hygiene
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abstractObjective Little is known about the physical burden of early onset eating disorders (EOEDs). Most published data on physical instability and growth in malnutrition come from specialist centres, or from the developing world where aetiology differs. The authors present data on physical status at presentation from population-based surveillance systems in the UK and Ireland. Design Prospective surveillance study. Participants All suspected cases of EOED in children under 13 years of age reported by paediatricians and psychiatrists via the British Paediatric Surveillance System (BPSU) and Child and Adolescent Psychiatric Surveillance System (CAPSS) in the UK and Ireland from March 2005 to May 2006 (15 months). Results 208 cases were identified (24% reported by paediatricians). Median age was 11.8 years (IQR 1.74). 171 (82%) were female (78% premenarcheal and 60% prepubertal). 74% of males were prepubertal. 35% of cases had medical instability at presentation (60% bradycardia, 54% hypotension, 34% dehydration, 26% hypothermia). 52% of cases required admission at diagnosis (73% to a paediatric ward). 41% of cases with medical instability were not underweight, that is, they had body mass index (BMI) z-scores above −2.0 (2nd centile). Sensitivities for identifying medical instability with BMI z-score <−3 or 70% median BMI were 31% and 15%, respectively. Menarcheal status did not predict risk of medical instability. Conclusions EOEDs present with severe levels of physical instability and frequently to paediatricians. As anthropological indices alone are poor markers for medical instability, clinical assessment is essential. Doctors providing care for children have a central role in both the recognition and management of EOEDs.
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