کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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2684243 | 1142735 | 2010 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Body fluid retention and body weight change in anorexia nervosa patients during refeeding Body fluid retention and body weight change in anorexia nervosa patients during refeeding](/preview/png/2684243.png)
SummaryBackground & aimsBody weight gain is an important goal in anorexia nervosa (AN) patients, but inflation in body fluids could artificially increase body weight during refeeding.Methods42 malnourished adult AN patients were refed using a normal-sodium diet, then 176 other malnourished adult AN patients received a refeeding low-sodium diet (BMI of the 218 patients: 13.4 ± 1.9 kg/m2). Sodium balance, body composition by a 2-electrode impedance method (BIA, for assessment of total and extracellular water, fat-free mass, FFM), resting energy expenditure and energy intake were calculated.ResultsIn the patients on normal-sodium diet, body weight, and total and extracellular water gains were higher than those of the low-sodium diet patients (P < 0.01). Edema occurred more often in the former group (21% vs 6%; P < 0.05). In almost all patients, BMI reached a plateau around 15–16 kg/m2, then increased again. During this plateau, an increase in intracellular water and in “active FFM” was observed with BIA, together with a similar decrease in extracellular water.ConclusionIn AN patients, who are always afraid of gaining too much weight, in regard to their food intake, it will be useful to give a low-sodium diet until a 15–16 kg/m2 BMI. This should be integrated into the cognitive behavioral therapy.
Journal: Clinical Nutrition - Volume 29, Issue 6, December 2010, Pages 749–755