Nocturnal nasogastric refeeding for hospitalized adolescent boys with anorexia nervosa.
Boys with anorexia nervosa have nutritional needs exceeding those of their female counterparts. For many males with anorexia nervosa, oral refeeding alone may result in low discharge weight, a critical risk factor in relapse. This study compared the short-term outcomes of oral refeeding (OR) and a combination of OR with supplemental nocturnal nasogastric refeeding (NNGR) in a sample of hospitalized boys. This was a retrospective chart review with a cohort design. Subjects were partitioned into: The OR group (n = 8, mean age = 14.9, SD = 1.7) and the OR + NNGR group (n = 6, mean age = 13.8, SD = 2.0). The NNGR group had greater increase in weight and Body Mass Index. Their average length of hospitalization was also shorter. Nocturnal nasogastric refeeding, complementing oral refeeding, should be considered as an alternative initial therapy for weight restoration in males with anorexia nervosa.
Silber
Tomas J
TJ
Division of Adolescent Medicine, Children's National Medical Center, Washington DC 20010, USA. TSilber@CNMC.org
Robb
Adelaide S
AS
Orrell-Valente
Joan K
JK
Ellis
Nathan
N
Valadez-Meltzer
Adela
A
Dadson
Michele J
MJ
D000293:Adolescent; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000534:rehabilitation*; D015992:Body Mass Index; D002940:Circadian Rhythm; D015331:Cohort Studies; D006760:Hospitalization; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000379:methods*; D008297:Male; D009752:Nutritional Status; D010288:Parenteral Nutrition / Q000379:methods*; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index