Monitoring nutritional status accurately and reliably in adolescents with anorexia nervosa

    Research output: Contribution to journalArticle

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    Abstract

    Aim: Accurate assessment of nutritional status is a vital aspect of caring for individuals with anorexia nervosa (AN) and body mass index (BMI) is considered an appropriate and easy to use tool. Because of the intense fear of weight gain, some individuals may attempt to mislead the physician. Mid-upper arm circumference (MUAC) is a simple, objective method of assessing nutritional status. The setting is an eating disorders clinic in a tertiary paediatric hospital in Western Australia. The aim of this study is to evaluate how well MUAC correlates with BMI in adolescents with AN.Methods: Prospective observational study to evaluate nutritional status in adolescents with AN.Results: Fifty-five adolescents aged 12–17 years with AN were assessed between January 1, 2004 and January 1, 2006. MUAC was highly correlated with BMI (r = 0.79, P <0.001) and individuals with MUAC ≥20 cm rarely required hospitalisation (negative predictive value 93%).Conclusions: MUAC reflects nutritional status as defined by BMI in adolescents with AN. Lack of consistency between longitudinal measurements of BMI and MUAC should be viewed suspiciously and prompt a more detailed nutritional assessment.
    Original languageEnglish
    Pages (from-to)53-57
    JournalJournal of Paediatrics and Child Health
    Volume45
    Issue number1-2
    DOIs
    Publication statusPublished - 2009

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    Anorexia Nervosa
    Nutritional Status
    Arm
    Body Mass Index
    Western Australia
    Nutrition Assessment
    Pediatric Hospitals
    Tertiary Care Centers
    Weight Gain
    Fear
    Observational Studies
    Hospitalization
    Prospective Studies
    Physicians

    Cite this

    @article{77d72186e28b4d1cafa0b5634f7630ac,
    title = "Monitoring nutritional status accurately and reliably in adolescents with anorexia nervosa",
    abstract = "Aim: Accurate assessment of nutritional status is a vital aspect of caring for individuals with anorexia nervosa (AN) and body mass index (BMI) is considered an appropriate and easy to use tool. Because of the intense fear of weight gain, some individuals may attempt to mislead the physician. Mid-upper arm circumference (MUAC) is a simple, objective method of assessing nutritional status. The setting is an eating disorders clinic in a tertiary paediatric hospital in Western Australia. The aim of this study is to evaluate how well MUAC correlates with BMI in adolescents with AN.Methods: Prospective observational study to evaluate nutritional status in adolescents with AN.Results: Fifty-five adolescents aged 12–17 years with AN were assessed between January 1, 2004 and January 1, 2006. MUAC was highly correlated with BMI (r = 0.79, P <0.001) and individuals with MUAC ≥20 cm rarely required hospitalisation (negative predictive value 93{\%}).Conclusions: MUAC reflects nutritional status as defined by BMI in adolescents with AN. Lack of consistency between longitudinal measurements of BMI and MUAC should be viewed suspiciously and prompt a more detailed nutritional assessment.",
    author = "A.C. Martin and Mary Pascoe and David Forbes",
    year = "2009",
    doi = "10.1111/j.1440-1754.2008.01427.x",
    language = "English",
    volume = "45",
    pages = "53--57",
    journal = "Journal of Paediatric and Child Health",
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    Monitoring nutritional status accurately and reliably in adolescents with anorexia nervosa. / Martin, A.C.; Pascoe, Mary; Forbes, David.

    In: Journal of Paediatrics and Child Health, Vol. 45, No. 1-2, 2009, p. 53-57.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Monitoring nutritional status accurately and reliably in adolescents with anorexia nervosa

    AU - Martin, A.C.

    AU - Pascoe, Mary

    AU - Forbes, David

    PY - 2009

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    N2 - Aim: Accurate assessment of nutritional status is a vital aspect of caring for individuals with anorexia nervosa (AN) and body mass index (BMI) is considered an appropriate and easy to use tool. Because of the intense fear of weight gain, some individuals may attempt to mislead the physician. Mid-upper arm circumference (MUAC) is a simple, objective method of assessing nutritional status. The setting is an eating disorders clinic in a tertiary paediatric hospital in Western Australia. The aim of this study is to evaluate how well MUAC correlates with BMI in adolescents with AN.Methods: Prospective observational study to evaluate nutritional status in adolescents with AN.Results: Fifty-five adolescents aged 12–17 years with AN were assessed between January 1, 2004 and January 1, 2006. MUAC was highly correlated with BMI (r = 0.79, P <0.001) and individuals with MUAC ≥20 cm rarely required hospitalisation (negative predictive value 93%).Conclusions: MUAC reflects nutritional status as defined by BMI in adolescents with AN. Lack of consistency between longitudinal measurements of BMI and MUAC should be viewed suspiciously and prompt a more detailed nutritional assessment.

    AB - Aim: Accurate assessment of nutritional status is a vital aspect of caring for individuals with anorexia nervosa (AN) and body mass index (BMI) is considered an appropriate and easy to use tool. Because of the intense fear of weight gain, some individuals may attempt to mislead the physician. Mid-upper arm circumference (MUAC) is a simple, objective method of assessing nutritional status. The setting is an eating disorders clinic in a tertiary paediatric hospital in Western Australia. The aim of this study is to evaluate how well MUAC correlates with BMI in adolescents with AN.Methods: Prospective observational study to evaluate nutritional status in adolescents with AN.Results: Fifty-five adolescents aged 12–17 years with AN were assessed between January 1, 2004 and January 1, 2006. MUAC was highly correlated with BMI (r = 0.79, P <0.001) and individuals with MUAC ≥20 cm rarely required hospitalisation (negative predictive value 93%).Conclusions: MUAC reflects nutritional status as defined by BMI in adolescents with AN. Lack of consistency between longitudinal measurements of BMI and MUAC should be viewed suspiciously and prompt a more detailed nutritional assessment.

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