The relationship between premorbid body weight and weight at referral, at discharge and at 1-year follow-up in anorexia nervosa

Verfasser / Beitragende:
[Manuel Föcker, Katharina Bühren, Nina Timmesfeld, Astrid Dempfle, Susanne Knoll, Reinhild Schwarte, Karin Egberts, Ernst Pfeiffer, Christian Fleischhaker, Christoph Wewetzer, Johannes Hebebrand, Beate Herpertz-Dahlmann]
Ort, Verlag, Jahr:
2015
Enthalten in:
European Child & Adolescent Psychiatry, 24/5(2015-05-01), 537-544
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00787-014-0605-0  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00787-014-0605-0 
245 0 4 |a The relationship between premorbid body weight and weight at referral, at discharge and at 1-year follow-up in anorexia nervosa  |h [Elektronische Daten]  |c [Manuel Föcker, Katharina Bühren, Nina Timmesfeld, Astrid Dempfle, Susanne Knoll, Reinhild Schwarte, Karin Egberts, Ernst Pfeiffer, Christian Fleischhaker, Christoph Wewetzer, Johannes Hebebrand, Beate Herpertz-Dahlmann] 
520 3 |a Body mass index (BMI) is one of the most important outcome predictors in patients with anorexia nervosa (AN). A low premorbid BMI percentile calculated by the patients recalled premorbid weight and the height at first admission has been found to predict the BMI at first inpatient admission. In this study, we sought to confirm this relationship. We additionally analyze the relationship between premorbid BMI percentile and BMI percentile at discharge from the first inpatient treatment and at 1-year follow-up or alternatively if applicable upon readmission within this time period. We included 161 female patients aged 11-18years of the multisite ANDI-trial with a DSM-IV diagnosis of AN. We used a multivariate statistical model including the independent variables age, duration of illness, duration of treatment, BMI at admission and BMI percentile at discharge. The relationship between premorbid BMI percentile and BMI at admission was solidly confirmed. In addition to premorbid BMI percentile, BMI at admission and age were significant predictors of BMI percentile at discharge. BMI percentile at discharge significantly predicted BMI percentile at 1-year follow-up. An additional analysis that merely included variables available upon referral revealed that premorbid BMI percentile predicts the 1-year follow-up BMI percentile. Further studies are required to identify the underlying biological mechanisms and to address the respective treatment strategies for AN patients with a low or high premorbid BMI percentile. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anorexia nervosa  |2 nationallicence 
690 7 |a BMI  |2 nationallicence 
690 7 |a Premorbid BMI  |2 nationallicence 
690 7 |a Outcome  |2 nationallicence 
690 7 |a ANDI  |2 nationallicence 
690 7 |a Tracking  |2 nationallicence 
700 1 |a Föcker  |D Manuel  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Wickenburgstr. 21, 45147, Essen, Germany  |4 aut 
700 1 |a Bühren  |D Katharina  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of the RWTH Aachen, Aachen, Germany  |4 aut 
700 1 |a Timmesfeld  |D Nina  |u Institute of Medical Biometry and Epidemiology, Philipps-University Marburg, Marburg, Germany  |4 aut 
700 1 |a Dempfle  |D Astrid  |u Institute of Medical Biometry and Epidemiology, Philipps-University Marburg, Marburg, Germany  |4 aut 
700 1 |a Knoll  |D Susanne  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Wickenburgstr. 21, 45147, Essen, Germany  |4 aut 
700 1 |a Schwarte  |D Reinhild  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of the RWTH Aachen, Aachen, Germany  |4 aut 
700 1 |a Egberts  |D Karin  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Würzburg, Würzburg, Germany  |4 aut 
700 1 |a Pfeiffer  |D Ernst  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité, Berlin, Germany  |4 aut 
700 1 |a Fleischhaker  |D Christian  |u Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany  |4 aut 
700 1 |a Wewetzer  |D Christoph  |u Department of Child and Adolescent Psychiatry and Psychotherapy, Kliniken der Stadt Köln, Cologne, Germany  |4 aut 
700 1 |a Hebebrand  |D Johannes  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Wickenburgstr. 21, 45147, Essen, Germany  |4 aut 
700 1 |a Herpertz-Dahlmann  |D Beate  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of the RWTH Aachen, Aachen, Germany  |4 aut 
773 0 |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/5(2015-05-01), 537-544  |x 1018-8827  |q 24:5<537  |1 2015  |2 24  |o 787 
856 4 0 |u https://doi.org/10.1007/s00787-014-0605-0  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Föcker  |D Manuel  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Wickenburgstr. 21, 45147, Essen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bühren  |D Katharina  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of the RWTH Aachen, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Timmesfeld  |D Nina  |u Institute of Medical Biometry and Epidemiology, Philipps-University Marburg, Marburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dempfle  |D Astrid  |u Institute of Medical Biometry and Epidemiology, Philipps-University Marburg, Marburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Knoll  |D Susanne  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Wickenburgstr. 21, 45147, Essen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Schwarte  |D Reinhild  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of the RWTH Aachen, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Egberts  |D Karin  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Würzburg, Würzburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pfeiffer  |D Ernst  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité, Berlin, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fleischhaker  |D Christian  |u Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wewetzer  |D Christoph  |u Department of Child and Adolescent Psychiatry and Psychotherapy, Kliniken der Stadt Köln, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hebebrand  |D Johannes  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Wickenburgstr. 21, 45147, Essen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Herpertz-Dahlmann  |D Beate  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of the RWTH Aachen, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/5(2015-05-01), 537-544  |x 1018-8827  |q 24:5<537  |1 2015  |2 24  |o 787