ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2017
History of Overweight/Obesity as Predictor of Care Received at 1-year Follow-Up in Adolescents With Anorexia Nervosa or Atypical Anorexia Nervosa.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Identifying Eating Disorders in Adolescents and Adults Living With Higher Weight: An Updated Systematic Review of Questionnaire Diagnostic Accuracy.The International journal of eating disorders · 2026Pooled 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
- 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 Relationship Between Premorbid Weight Status and Eating Disorder Onset in Adolescents: A Longitudinal Study.The International journal of eating disorders · 2026Article
- Clinician Practices in Determining Expected Body Weights Across Eating Disorders: A Mixed Methods Study.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- A comparison of methods for calculating expected body mass indices among youth with eating disorders.Journal of eating disorders · 2026Article
- A Weight-Inclusive Approach to Restrictive Eating Disorders: De-Centering Weight.The International journal of eating disorders · 2026Review
- Potential pathways to the onset and development of eating disorders in people with overweight and obesity: A scoping review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Nutritional Assessment of Children and Adolescents with Atypical Anorexia Nervosa: A Preliminary Longitudinal Investigation Using the 24-h Dietary Recall.Children (Basel, Switzerland) · 2024Article
- Course and outcome in individuals with atypical anorexia nervosa: Findings from the Study of Refeeding to Optimize iNpatient Gains (StRONG).The International journal of eating disorders · 2024Article
- Comparison among anorexia nervosa adolescents with or without previous overweight, obese, and healthy adolescents.Frontiers in psychiatry · 2024Article
- Reframing How Providers Advocate for Adolescent Well-Being in Body Image, Eating, and Weight.Journal of the American Academy of Child and Adolescent Psychiatry · 2023Article
- What does weight have to do with Atypical AN? A commentary on weight outcomes for adolescents with atypical anorexia nervosa in family-based treatment.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2023Article
- Unique considerations for the medical care of restrictive eating disorders in children and young adolescents.Journal of eating disorders · 2023Review
- A Narrative Review of Early Intervention for Eating Disorders: Barriers and Facilitators.Adolescent health, medicine and therapeutics · 2023Review
- Medical complications and management of atypical anorexia nervosa.Journal of eating disorders · 2022Review
- Genetic investigation of the contribution of body composition to anorexia nervosa in an electronic health record setting.Translational psychiatry · 2022Article
- Models of care for eating disorders: findings from a rapid review.Journal of eating disorders · 2022Review
- What next for eating disorder genetics? Replacing myths with facts to sharpen our understanding.Molecular psychiatry · 2022Review
Corrections and comments
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Authors and funding
13 authors at 10 institutions in 1 country.
Funding
Abstract
purposePrevious research has indicated that patients with anorexia nervosa (AN) or atypical AN with premorbid history of overweight/obesity have greater weight loss and longer illness duration than patients with no such history. However, little is known about the association of premorbid overweight/obesity and receiving inpatient medical care during treatment for an eating disorder.
methodsUsing logistic regression, we sought to determine if history of overweight/obesity was associated with receiving inpatient medical care in a sample of 522 patients (mean age 15.5 years, 88% female) with AN/atypical AN.
resultsBinary results demonstrated greater percent weight loss (27.4% vs. 16.2%) and higher percent median body mass index (%mBMI, 99.8% vs. 85.2%) at presentation in those with a history of overweight/obesity (p < .001) but no difference in duration of illness (p = .09). In models adjusted for demographics and percent weight loss, history of overweight/obesity was associated with lower odds of receiving inpatient medical care (odds ratio .60 [95% confidence interval: .45-.80]) at 1-year follow-up. However, these associations were no longer significant after adjusting for %mBMI. Mediation results suggest that %mBMI fully mediates the relationship between history of overweight/obesity and inpatient medical care, in that those with a history of overweight/obesity are less likely to receive care due to presenting at a higher weight.
conclusionsOur findings suggest that, despite greater degree of weight loss and no difference in duration of illness, participants with a history of overweight/obesity are less likely to receive inpatient medical care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.