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Clinical features of adult patients with avoidant/restrictive food intake disorder presenting for medical stabilization: A descriptive study.

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Title: Clinical features of adult patients with avoidant/restrictive food intake disorder presenting for medical stabilization: A descriptive study.
Authors: Nitsch, Allison, Watters, Ashlie, Manwaring, Jamie, Bauschka, Maryrose, Hebert, Melanie, Mehler, Philip S.
Source: International Journal of Eating Disorders. May2023, Vol. 56 Issue 5, p978-990. 13p. 1 Diagram, 7 Charts.
Subjects: Prevention of eating disorders, Diagnosis of brain diseases, Anxiety diagnosis, Diagnosis of mental depression, Gastrointestinal disease diagnosis, Clinical pathology, Brain, Gastrointestinal system, Body weight, Leucopenia, Research methodology, Anthropometry, Age distribution, Retrospective studies, Acquisition of data, Fear, Serum albumin, Symptoms, Hospital care, Medical records, Medical history taking, Descriptive statistics, Bicarbonate ions, Vitamin D deficiency, Hypokalemia, Eating disorders, Comorbidity, Adults
Abstract: Objective: The purpose of this study is to describe the clinical features of adult patients with avoidant/restrictive food intake disorder (ARFID) to better understand the medical findings, psychological comorbidities, and laboratory abnormalities in this population. Method: We completed a retrospective chart review of all adult patients with a diagnosis of ARFID, admitted for medical stabilization, between April 2016 and June 2021, to an inpatient hospital unit, which specializes in severe eating disorders. Information collected included anthropomorphic data, laboratory assessments, and medical history at time of admission. Results: One hundred and twenty‐two adult patients with ARFID were identified as meeting inclusion criteria for the study. The most common ARFID presentation was "fear of adverse consequences." The majority were female (70%), with an average age of 32.7 ± 13.7 years and mean percent of ideal body weight (m%IBW) of 68.2 ± 10.9. The most common laboratory abnormalities were low serum prealbumin and vitamin D, hypokalemia, leukopenia, and elevated serum bicarbonate. The most common psychiatric diagnoses were anxiety and depressive disorders, and the most common medical diagnoses were disorders of gut–brain interaction (DGBI). Discussion: This is the largest study to the authors' knowledge of medical presentations in adult patients with ARFID. Our results reflect that the adult patient with ARFID may, in some aspects, present differently than pediatric and adolescent patients with ARFID, or from ARFID patients requiring less intensive care. This study highlights the need for further investigation of adult patients with ARFID. Public Significance: ARFID is a restrictive eating disorder first defined in 2013. This study explores the medical presentations of adult patients (>18 years old) with ARFID presenting for specialized eating disorder treatment and identifies unique features of the adult presentation for treatment, compared to pediatric and adolescent peers. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Clinical features of adult patients with avoidant/restrictive food intake disorder presenting for medical stabilization: A descriptive study.
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  Data: <searchLink fieldCode="AR" term="%22Nitsch%2C+Allison%22">Nitsch, Allison</searchLink><br /><searchLink fieldCode="AR" term="%22Watters%2C+Ashlie%22">Watters, Ashlie</searchLink><br /><searchLink fieldCode="AR" term="%22Manwaring%2C+Jamie%22">Manwaring, Jamie</searchLink><br /><searchLink fieldCode="AR" term="%22Bauschka%2C+Maryrose%22">Bauschka, Maryrose</searchLink><br /><searchLink fieldCode="AR" term="%22Hebert%2C+Melanie%22">Hebert, Melanie</searchLink><br /><searchLink fieldCode="AR" term="%22Mehler%2C+Philip+S%2E%22">Mehler, Philip S.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. May2023, Vol. 56 Issue 5, p978-990. 13p. 1 Diagram, 7 Charts.
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  Data: Objective: The purpose of this study is to describe the clinical features of adult patients with avoidant/restrictive food intake disorder (ARFID) to better understand the medical findings, psychological comorbidities, and laboratory abnormalities in this population. Method: We completed a retrospective chart review of all adult patients with a diagnosis of ARFID, admitted for medical stabilization, between April 2016 and June 2021, to an inpatient hospital unit, which specializes in severe eating disorders. Information collected included anthropomorphic data, laboratory assessments, and medical history at time of admission. Results: One hundred and twenty‐two adult patients with ARFID were identified as meeting inclusion criteria for the study. The most common ARFID presentation was "fear of adverse consequences." The majority were female (70%), with an average age of 32.7 ± 13.7 years and mean percent of ideal body weight (m%IBW) of 68.2 ± 10.9. The most common laboratory abnormalities were low serum prealbumin and vitamin D, hypokalemia, leukopenia, and elevated serum bicarbonate. The most common psychiatric diagnoses were anxiety and depressive disorders, and the most common medical diagnoses were disorders of gut–brain interaction (DGBI). Discussion: This is the largest study to the authors' knowledge of medical presentations in adult patients with ARFID. Our results reflect that the adult patient with ARFID may, in some aspects, present differently than pediatric and adolescent patients with ARFID, or from ARFID patients requiring less intensive care. This study highlights the need for further investigation of adult patients with ARFID. Public Significance: ARFID is a restrictive eating disorder first defined in 2013. This study explores the medical presentations of adult patients (>18 years old) with ARFID presenting for specialized eating disorder treatment and identifies unique features of the adult presentation for treatment, compared to pediatric and adolescent peers. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/eat.23897
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 978
    Subjects:
      – SubjectFull: Prevention of eating disorders
        Type: general
      – SubjectFull: Diagnosis of brain diseases
        Type: general
      – SubjectFull: Anxiety diagnosis
        Type: general
      – SubjectFull: Diagnosis of mental depression
        Type: general
      – SubjectFull: Gastrointestinal disease diagnosis
        Type: general
      – SubjectFull: Clinical pathology
        Type: general
      – SubjectFull: Brain
        Type: general
      – SubjectFull: Gastrointestinal system
        Type: general
      – SubjectFull: Body weight
        Type: general
      – SubjectFull: Leucopenia
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Anthropometry
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Serum albumin
        Type: general
      – SubjectFull: Symptoms
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Bicarbonate ions
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      – SubjectFull: Vitamin D deficiency
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      – SubjectFull: Hypokalemia
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      – SubjectFull: Eating disorders
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      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Adults
        Type: general
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      – TitleFull: Clinical features of adult patients with avoidant/restrictive food intake disorder presenting for medical stabilization: A descriptive study.
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            – D: 01
              M: 05
              Text: May2023
              Type: published
              Y: 2023
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