title: [Not Available].
abstract: Anorexia nervosa (AN) is the most prevalent of eating disorders in children and adolescents, and its treatment is long and complex, involving a multidisciplinary team. Nutritional rehabilitation and restoration of a healthy body weight is one of the central goals in the initial stages of inpatient treatment. However, current recommendations on initial energy requirements for these patients are inconsistent, with a clear lack of controlled studies, available scientific evidence and global consensus on the most effective and safe refeeding practices in hospitalized adolescents with anorexia nervosa (AN). Conservative refeeding recommendations have been classically established in order to prevent the refeeding syndrome. Nevertheless, various works have recently appeared advocating a higher initial caloric intake, without observing more complications or refeeding syndrome, and allowing a shorter average stay. We present our experience in the treatment of restricting AN with a conservative progressive treatment. We have obtained good results with this approach, which was well tolerated by patients, with no observing complications. As a consequence, the medical team could establish a pact about the therapeutic goals with the patients in an easier way.
authors: Department of Gastroenterology and Pediatric Nutrition. Hospital Clínico Universitario de Valladolid. jmmarugan@telefonica.net.
authors: José Manuel
authors: JM
authors: Marugán de Miguelsanz
authors: María Del Carmen
authors: Mdel C
authors: Torres Hinojal
authors: María Soraya
authors: MS
authors: Geijo Uribe
authors: María Paz
authors: MP
authors: Redondo Del Río
authors: Beatriz
authors: B
authors: Mongil López
authors: Inés
authors: I
authors: De Brito García-Sousa
authors: Irene
authors: I
authors: Caballero Sanz
authors: José María
authors: JM
authors: Eiros Bouza
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000534:rehabilitation / Q000628:therapy*; D002648:Child; D002149:Energy Intake; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D044623:Nutrition Therapy / Q000379:methods*; D055677:Refeeding Syndrome / Q000517:prevention & control*; D016896:Treatment Outcome
keywords: Anorexia nervosa. Adolescent. Nutritional treatment