Details

Autor(en) / Beteiligte

• Kennedy, Grace A
• Forman, Sara F., M.D
• Woods, Elizabeth R., M.D., M.P.H
• Hergenroeder, Albert C., M.D
• Mammel, Kathleen A., M.D
• Fisher, Martin M., M.D
• Ornstein, Rollyn M., M.D
• Callahan, S. Todd, M.D., M.P.H
• Golden, Neville H., M.D
• Kapphahn, Cynthia J., M.D., M.P.H
• Garber, Andrea K., Ph.D., R.D
• Rome, Ellen S., M.D., M.P.H
• Richmond, Tracy K., M.D., M.P.H

Titel

History of Overweight/Obesity as Predictor of Care Received at 1-year Follow-Up in Adolescents With Anorexia Nervosa or Atypical Anorexia Nervosa

Ist Teil von

• Journal of adolescent health, 2017-06, Vol.60 (6), p.674-679

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2017

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• Abstract Purpose Previous research has indicated that patients with anorexia nervosa (AN) or atypical AN with premorbid history of overweight/obesity have greater weight loss and longer illness duration than patients with no such history. However, little is known about the association of premorbid overweight/obesity and receiving inpatient medical care during treatment for an eating disorder. Methods Using logistic regression, we sought to determine if history of overweight/obesity was associated with receiving inpatient medical care in a sample of 522 patients (mean age 15.5 years, 88% female) with AN/atypical AN. Results Binary results demonstrated greater percent weight loss (27.4% vs. 16.2%) and higher percent median body mass index (%mBMI, 99.8% vs. 85.2%) at presentation in those with a history of overweight/obesity ( p < .001) but no difference in duration of illness ( p  = .09). In models adjusted for demographics and percent weight loss, history of overweight/obesity was associated with lower odds of receiving inpatient medical care (odds ratio .60 [95% confidence interval: .45–.80]) at 1-year follow-up. However, these associations were no longer significant after adjusting for %mBMI. Mediation results suggest that %mBMI fully mediates the relationship between history of overweight/obesity and inpatient medical care, in that those with a history of overweight/obesity are less likely to receive care due to presenting at a higher weight. Conclusions Our findings suggest that, despite greater degree of weight loss and no difference in duration of illness, participants with a history of overweight/obesity are less likely to receive inpatient medical care.