Characterization of refeeding protocols for under 18 years old hospitalized patients with anorexia nervosa: A systematic review - 05/12/23

Doi : 10.1016/j.genhosppsych.2023.09.007

Helen Cristina Bittencourt Lopes ^a,^{^⁎} , Bruna Caruso Mazzolani ^b,^{^{1
Address: Av. Dr. Arnaldo, 455, Zip code: 01246–903, São Paulo-SP, Brazil.}} , Priscila Koritar ^c, Táki Athanássios Cordás ^d,^{^{2
Address: R. Dr. Ovídio Pires de Campos, 785, 1st floor, Zip code: 05403–903, São Paulo-SP, Brazil.}}
^a Nutrition and Dietetics Service and Interdisciplinary Project for Care, Teaching, and Research on Eating Disorders in Childhood and Adolescence (PROTAD), Institute of Psychiatry, University of São Paulo, São Paulo, Brazil
^b Applied Physiology & Nutrition Research Group and Laboratory of Assessment and Conditioning in Rhematology, University of São Paulo, São Paulo, Brazil
^c Nutrition and Dietetics Service, Barueri City Hall, São Paulo, SP, Brazil
^d AMBULIM - Eating Disorders Program, Institute and Department of Psychiatry, University of São Paulo, São Paulo, Brazil

^⁎Corresponding author at: R. Ministro Hermenegildo de Barros, 181, Freguesia do Ó, 02971-090 São Paulo, SP, Brazil.R. Ministro Hermenegildo de Barros, 181, Freguesia do ÓSão PauloSP02971-090Brazil

Abstract

Purpose

To characterize and compare, through descriptive analysis, existing refeeding protocols for under 18 years old hospitalized patients with anorexia nervosa (AN).

Methods

This is a systematic review of PubMed, Cochrane, SciELO, Lilacs and BVS databases, without search period restriction. Studies were selected in accordance with pre-defined eligibility criteria and according to the Population, Intervention, Comparator, Outcome and Study Design (PICOS).

Results

Twenty articles out of 412 found complied with PICOS eligibility criteria and were included in the final review. Most of the studies were observational or retrospective and 80% were published in the last decade. Large variability in relation to sample size, refeeding protocols and length of stay were observed between studies.

Conclusion

All included studies had several methodological limitations and heterogeneous designs, making it difficult to establish conclusive guidelines regarding the most adequate and effective refeeding protocol for under 18 years old hospitalized patients with AN. Prospective trials are necessary to straight compare standard refeeding protocols for this population.

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Keywords : Anorexia nervosa, Length of stay, Adolescents, Systematic review

Plan

Introduction

Methods

Literature search strategy

Screening for eligibility

Quality assessment and risk of bias

Results

Studies selection

Quality assessment and risk of bias

Studies general characteristics

Treatment and nutritional therapy characteristics

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Vol 85

P. 43-54 - novembre 2023 Retour au numéro

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Characterization of refeeding protocols for under 18 years old hospitalized patients with anorexia nervosa: A systematic review - 05/12/23

Abstract

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Conclusion

Plan

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