Mahum Abbas
Outcomes for Children, Adolescents, and Young Adults with Eating Disorders

SchoolMagnificat High School


ProgramScience


MentorEllen Rome, MD, MPH


DepartmentPediatrics


Research
Outcomes for Children, Adolescents, and Young Adults with Eating Disorders
Hypothesis
Children, adolescents and young adults with anorexia nervosa who, through treatment, are weight restored to >90% of average body weight (ABW) differ from patients who are not weight restored to >90% ABW.
Methodology

Data were collected from 20 nutritional insufficiency (NI) patients (age range, 10 to 23 years) with restrictive eating patterns driven by body image concerns who had their first visit at Cleveland Clinic’s NI program in 2008. ABW of less than 90% at the initial visit was required for inclusion. Variables analyzed included height, weight, body mass index (BMI) and percent ABW at both the ambulatory visit and closest one year follow-up. Patients whose percent ABW increased to at least 90% were observed and compared to those whose did not.

Of the >90% weight-restored patients, 50% used the Maudsley method (P=.99) of treatment, showing that patients who used the Maudsley method restored weight better than those who did not, however this was not statistically significant. Average length of inpatient stay was 7.3 days (range 2-10) versus 6.5 days (range 5-14) for weight-restored versus non-weight-restored patients. More weight-restored patients had an inpatient stay prior to a first outpatient visit (90% versus 60%, p=.033).

Outcomes
Weight restoration was associated with an inpatient stay prior to initial ambulatory visits, and longer inpatient stay.

Interpretations

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