The longitudinal BMI pattern and body composition of patients with anorexia nervosa who require urgent hospitalization: A case control study

Keisuke Kawai, Sakino Yamashita, Takeharu Yamanaka, Motoharu Gondo, Chihiro Morita, Takehiro Nozaki, Shu Takakura, Tomokazu Hata, Yu Yamada, Sunao Matsubayashi, Masato Takii, Chiharu Kubo, Nobuyuki Sudo

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: The prevention of serious physical complications in anorexia nervosa (AN) patients is important. The purpose of this study is to clarify which physical and social factors are related to the necessity for urgent hospitalization of anorexia nervosa (AN) patients in a long-term starvation state. We hypothesized that the change of longitudinal BMI, body composition and social background would be useful as an index of the necessity for urgent hospitalization.Methods: AN patients were classified into; urgent hospitalization, due to disturbance of consciousness or difficulty walking(n = 17); planned admission (n = 96); and outpatient treatment only groups (n = 136). The longitudinal BMI pattern and the clinical features of these groups were examined. In the hospitalization groups, comparison was done of body composition variation and the social background, including the educational level and advice from family members.Results: After adjusting for age and duration of illness, the BMI of the urgent hospitalization group was lower than that of the other groups at one year before hospitalization (P < 0.01) and decreased more rapidly (P < 0.01). Urgent hospitalization was associated with the fat free mass (FFM) (P < 0.01). Between the groups, no considerable difference in social factors was found.Conclusions: The longitudinal pattern of BMI and FFM may be useful for understanding the severity in AN from the viewpoint of failure of the homeostasis system.

Original languageEnglish
Article number14
JournalBioPsychoSocial Medicine
Volume5
DOIs
Publication statusPublished - Dec 5 2011

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Anorexia Nervosa
Body Composition
Case-Control Studies
Hospitalization
Hospitalization Insurance
Fats
Mobility Limitation
Starvation
Consciousness
Homeostasis
Outpatients

All Science Journal Classification (ASJC) codes

  • Social Psychology
  • Psychology(all)
  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

The longitudinal BMI pattern and body composition of patients with anorexia nervosa who require urgent hospitalization : A case control study. / Kawai, Keisuke; Yamashita, Sakino; Yamanaka, Takeharu; Gondo, Motoharu; Morita, Chihiro; Nozaki, Takehiro; Takakura, Shu; Hata, Tomokazu; Yamada, Yu; Matsubayashi, Sunao; Takii, Masato; Kubo, Chiharu; Sudo, Nobuyuki.

In: BioPsychoSocial Medicine, Vol. 5, 14, 05.12.2011.

Research output: Contribution to journalArticle

Kawai, Keisuke ; Yamashita, Sakino ; Yamanaka, Takeharu ; Gondo, Motoharu ; Morita, Chihiro ; Nozaki, Takehiro ; Takakura, Shu ; Hata, Tomokazu ; Yamada, Yu ; Matsubayashi, Sunao ; Takii, Masato ; Kubo, Chiharu ; Sudo, Nobuyuki. / The longitudinal BMI pattern and body composition of patients with anorexia nervosa who require urgent hospitalization : A case control study. In: BioPsychoSocial Medicine. 2011 ; Vol. 5.
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AU - Takakura, Shu

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