Study of Refeeding to Optimize iNpatient Gains
Status: | Enrolling by invitation |
---|---|
Conditions: | Psychiatric, Psychiatric |
Therapuetic Areas: | Psychiatry / Psychology |
Healthy: | No |
Age Range: | 12 - 24 |
Updated: | 5/5/2018 |
Start Date: | February 2016 |
End Date: | July 2020 |
Multi-center Randomized Controlled Trial of Refeeding in Anorexia Nervosa
The purpose of this study is to compare the efficacy, safety, and cost-effectiveness of lower
calorie refeeding versus higher calorie refeeding in hospitalized adolescents with anorexia
nervosa.
calorie refeeding versus higher calorie refeeding in hospitalized adolescents with anorexia
nervosa.
Inclusion Criteria:
- diagnosis of AN
- atypical AN
- no hospital admissions for the previous six months
- meet hospitalization criteria: daytime heart rate (HR) < 50 bpm or night time HR < 45
bpm, blood pressure (BP) <90/45 mmHg, temperature < 35.6° C, or symptomatic
orthostasis defined by increase in HR > 35 bpm or decrease in systolic BP > 20 mmHg or
decrease in diastolic BP > 10 mmHg from lying to standing
Exclusion Criteria:
- diagnosis of bulimia nervosa [DSM-5]
- currently in remission (as defined by weight and EDE-Q score)
- admission for food refusal without malnutrition
- current pregnancy
- chronic disease (e.g. immune/endocrine disorders, pulmonary, cardiac, or renal
disease)
- current suicidality or psychosis
- < 60% mBMI
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