SynthesisNutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition2013
Refeeding hypophosphatemia in adolescents with anorexia nervosa: a systematic review.
Synthesis in Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 126 citations in OpenAlex.
- Incidence and mortality of refeeding syndrome in critically ill patients: a systematic review and meta-analysis.Scientific reports · 2026Pooled it
- Short-term outcomes of the study of refeeding to optimize inpatient gains for patients with atypical anorexia nervosa.The International journal of eating disorders · 2024Trial
- Short-term Outcomes of the Study of Refeeding to Optimize Inpatient Gains for Patients With Anorexia Nervosa: A Multicenter Randomized Clinical Trial.JAMA pediatrics · 2021Trial
- Trial
- The Hungry Heart: Managing Cardiogenic Shock in Patients with Severe Anorexia Nervosa-A Case Report Series.Journal of clinical medicine · 2025Article
- Review
- Incidence of and factors associated with hypophosphatemia in children and adolescents receiving cancer treatment: a single-center, retrospective study.European journal of pediatrics · 2025Article
- Cardiohistological Findings in Refeeding Syndrome.Cureus · 2024Article
- Sex differences in electrolyte abnormalities indicating refeeding syndrome risk among hospitalized adolescents and young adults with eating disorders.Journal of eating disorders · 2024Article
- Refeeding syndrome and psychopharmacological interventions in children and adolescents with Anorexia Nervosa: a focus on olanzapine-related modifications of electrolyte balance.European journal of pediatrics · 2024Observational
- Gut Microbiome Changes in Anorexia Nervosa: A Comprehensive Review.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024Review
- Adherence to Dutch Guideline in Hospitalized Anorexia Nervosa Adolescents.Global pediatric health · 2024Article
- Vitamin D and hypophosphatemia in patients with anorexia nervosa and avoidant/restrictive food intake disorder: a case control study.Journal of eating disorders · 2023Article
- Advancements in Inpatient Medical Management of Malnutrition in Children and Adolescents with Restrictive Eating Disorders.The Journal of pediatrics · 2023Article
- Approach to anorexia nervosa and atypical anorexia nervosa in adolescents.Canadian family physician Medecin de famille canadien · 2023Review
- Review
- Medical instability in typical and atypical adolescent anorexia nervosa: a systematic review and meta-analysis.Journal of eating disorders · 2023Review
- Restrictive type and infectious complications might predict nadir hematological values among individuals with anorexia nervosa during the refeeding period: a retrospective study.Journal of eating disorders · 2022Article
- Outcomes of a Standardized, High-Caloric, Inpatient Re-Alimentation Treatment Protocol in 120 Severely Malnourished Adolescents with Anorexia Nervosa.Journal of clinical medicine · 2022Article
- Rapid refeeding in anorexia nervosa: A dialectic balance.The International journal of eating disorders · 2022Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The rate of adolescents presenting with anorexia nervosa (AN) is increasing. Medically unstable adolescents are admitted to the hospital for nutrition restoration. A lack of global consensus on appropriate refeeding practices of malnourished patients has resulted in inconsistent refeeding practices. Refeeding hypophosphatemia (RH) is the most common complication associated with refeeding the malnourished patient. This review sought to identify the range of refeeding rates adopted globally and the implication that total energy intake and malnutrition may have on RH while refeeding adolescents with anorexia nervosa. Studies were identified by a systematic electronic search of medical databases from 1980 to September 2012. Seventeen publications were identified, including 6 chart reviews, 1 observational study, and 10 case reports, with a total of 1039 subjects. The average refeeding energy intake was 1186 kcal/d, ranging from 125-1900 kcal/d, with a mean percentage median body mass index (% mBMI) of 78%. The average incidence rate of RH was 14%. A significant correlation between malnutrition (% mBMI) and post-refeeding phosphate was identified (R (2) = 0.6, P = .01). This review highlights the disparity in refeeding rates adopted internationally in treating malnourished adolescents with anorexia nervosa. Based on this review, the severity of malnutrition seems to be a marker for the development of RH more so than total energy intake.
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