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Enteral Nutrition in Anorexia Nervosa
Author(s) -
Bufano Giovanni,
Bellini Carlotta,
Cervellin Gianfranco,
Coscelli Carlo
Publication year - 1990
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607190014004404
Subject(s) - parenteral nutrition , enteral administration , anorectic , medicine , anorexia nervosa , anorexia , hypophosphatemia , gastroenterology , body weight , pediatrics , endocrinology , eating disorders , psychiatry
Biochemical and anthropometric data were collected in 9 subjects with anorexia nervosa before and after enteral nutrition by the nasogastric route. All subjects but one accepted the treatment which was stopped as soon as an adequate spontaneous food intake was resumed. Enteral nutrition caused a significant increase of mid‐arm muscle circumference and of tricipital skinfold. Body weight gain was remarkable, averaging a rate of 8.22 kg/month. This value was not different from the levels attained by anorectic subjects put on total parenteral nutrition. Furthermore, a significant rise of some biochemical indexes, namely prealbumin and total iron binding capacity, was achieved. The most impressive drawbacks of enteral nutrition were occasional hypophosphatemia and moderate rise of serum aspartate and alanine aminotransferases. Both of these abnormalities were transient and apparently not associated with clinical disturbances. ( Journal of Parenteral and Enteral Nutrition 14:404–407, 1990)