Evidence map›Paper›PMID 34957571›Full record

ArticleThe International journal of eating disorders2022

Sex differences in refeeding among hospitalized adolescents and young adults with eating disorders.

Jason M Nagata, Paola Bojorquez-Ramirez, Anthony Nguyen, Kyle T Ganson, Vanessa I Machen, Chloe J Cattle, Sara M Buckelew, Andrea K Garber

Open access · greenAbstract read
In one paragraph

Article in The International journal of eating disorders, 2022. 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.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Medical Management of Restrictive Eating Disorders in Adolescents and Young Adults.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Jason M NagataDepartment of Pediatrics, University of California, San Francisco, California, USA.ORCID 0000-0002-6541-0604
Paola Bojorquez-RamirezYale School of Public Health, Yale University, New Haven, Connecticut, USA.ORCID 0000-0001-5510-5123
Anthony NguyenDepartment of Pediatrics, University of California, San Francisco, California, USA.
Kyle T GansonFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-3889-3716
Vanessa I MachenDepartment of Pediatrics, University of California, San Francisco, California, USA.
Chloe J CattleDepartment of Pediatrics, University of California, San Francisco, California, USA.
Sara M BuckelewDepartment of Pediatrics, University of California, San Francisco, California, USA.
Andrea K GarberDepartment of Pediatrics, University of California, San Francisco, California, USA.ORCID 0000-0002-7563-0651
University of California, San Francisco · USUniversity of Toronto · CAYale University · US

Funding

UCSF Nutrition Obesity Research CenterP30DK098722 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHRISTIAN VAISSE · 2015 to 2026
$14.6M
Multi-center Randomized Controlled Trial of Refeeding in Anorexia NervosaR01HD082166 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GARBER, ANDREA K · 2015 to 2025
$5.7M
Informing national guidelines on adolescent and young adult physical activity and sedentary behavior to prevent cardiovascular diseaseK08HL159350 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NAGATA, JASON M · 2021 to 2025
$869k
NHLBI NIH HHS K08 HL159350NICHD NIH HHS R01 HD082166NIDDK NIH HHS P30 DK098722
6 · The paper itself

Abstract

objectiveTo determine sex differences in refeeding (i.e., short-term nutritional rehabilitation) outcomes among hospitalized adolescents and young adults with eating disorders.

methodsWe retrospectively reviewed electronic medical records of 601 patients aged 9-25 years admitted to the University of California, San Francisco Eating Disorders Program for medical and nutritional management between May 2012 and August 2020. Descriptive statistics, crude, and adjusted linear regression models were used to assess the association between sex and nutritional outcomes and predictors of length of stay.

resultsA total of 588 adolescents and young adults met eligibility criteria (16% male, mean [SD] age 15.96  [2.75], 71.6% anorexia nervosa, admission percent median body mass index [%mBMI] 87.1 ± 14.1). In unadjusted comparisons, there were no significant sex differences in prescribed kilocalories (kcal) per day at admission (2013 vs. 1980, p = .188); however, males had higher estimated energy requirements (EER, kcal) (3,694 vs. 2,925, p < .001). In linear regression models adjusting for potential confounders, male sex was associated with higher prescribed kcals at discharge (B = 835 kcal, p < .001), greater weight change (B = 0.47 kg, p = .021), and longer length of stay (B = 1.94 days, p = .001) than females. Older age, lower admission weight, lower prescribed kcal at admission, higher EER, and lower heart rate at admission were factors associated with longer length of stay in a linear regression model. DISCUSSION: These findings support the development of individualized approaches for males with eating disorders to improve quality of care and health care efficiency among an underserved population.

Indexed as

Adolescent, HospitalizedAnorexia NervosaFeeding and Eating DisordersAdolescentAdultChildFemaleHospitalizationHumansMaleRetrospective StudiesSex CharacteristicsYoung Adultadolescentanorexia nervosabulimia nervosaeating disordersmale healthnutritionrefeedingsex differencesyoung adult

Identifiers

PMID34957571
PMCPMC8837601
OpenAlexW4200169756

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.