ArticleBMC psychiatry2016
Influence of premorbid BMI on clinical characteristics at presentation of adolescent girls with eating disorders.
Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Restrictive eating disorders in higher weight persons: A systematic review of atypical anorexia nervosa prevalence and consecutive admission literature.The International journal of eating disorders · 2021Pooled it
- Trial
- Psychopathological and Organic Features of Atypical Anorexia Nervosa in Developmental Age: A Systematic Review.Pediatric reports · 2024Review
- An exploration of the association between premorbid weight status on patient and caregiver factors at pre and post-treatment among youth with anorexia nervosa/atypical anorexia nervosa.Eating behaviors · 2023Article
- Screening, assessment and diagnosis in the eating disorders: findings from a rapid review.Journal of eating disorders · 2022Review
- Atypical Anorexia in Youth: Cautiously Bridging the Treatment Gap.Children (Basel, Switzerland) · 2022Review
- Eating disorder severity and psychological morbidity in adolescents with anorexia nervosa or atypical anorexia nervosa and premorbid overweight/obesity.Eating and weight disorders : EWD · 2022Article
- Genetic risk, body mass index, and weight control behaviors: Unlocking the triad.The International journal of eating disorders · 2019Article
- Anorexia nervosa in adolescents: evolution of weight history and impact of excess premorbid weight.European journal of pediatrics · 2019Article
- Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics.Italian journal of pediatrics · 2018Review
- Family-based intervention in adolescent restrictive eating disorders: early treatment response and low weight suppression is associated with favourable one-year outcome.BMC psychiatry · 2017Article
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Abstract
backgroundConsidering the prevalence of obesity in society it can be expected that some adolescents with an eating disorder (ED) start weight loss from an overweight and present at a near-normal weight. Presently, the influence of premorbid BMI on clinical characteristics of adolescent girls presenting with an ED has ben studied.
methodPremorbid growth charts were available for 275 postmenarcheal adolescent girls presenting with an ED (anorexia nervosa = 27, (subthreshold) bulimia nervosa = 9, restrictive EDNOS = 239). Initial assessment included measurement of weight and length, physical examination, blood sampling and administration of the Eating Disorder Examination-Questionnaire youth version (EDE-Q).
resultsDespite greater weight loss girls with a high premorbid body mass index (BMI) had a higher BMI at presentation compared to those with a lower premorbid BMI. Although not underweight some presented with clinical and laboratory signs of starvation. These signs were related to not only low BMI but also to rapid and large weight loss. Their EDE-Q scores did not differ from those of girls who presented with an underweight.
conclusionGirls with a restrictive ED and premorbid overweight may present with a near-normal BMI. They can nevertheless be medically compromised and have eating disturbed cognitions at the level of underweight girls. They should not be regarded as having a less severe ED but merit full assessment and a start of treatment.
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