Nutritional rehabilitation/ refeeding in people with anorexia nervosa

Nutritional rehabilitation/ refeeding in people with anorexia nervosa

Edited by Prof. Daniel Le Grange

In light of recent changes in clinical practice toward higher calorie refeeding for medically unstable adolescents with anorexia nervosa, the Journal of Eating Disorders has instigated this special issue that will highlight new research assessing, in terms of caloric intake, “start high, advance fast” compared to “start low, advance slow” programs. Lower calorie refeeding is widely practiced in light of concerns for development of the refeeding syndrome. However, some accounts have demonstrated that low/slow caloric intake in inpatient programs run the risk of what has been called the ‘underfeeding’ syndrome – that is, weight loss while inpatient due to inadequate caloric input to support rapid weight gain and medical stabilization. Approaches also vary widely around the world and in adult and outpatient treatment settings. 

This collection of articles has not been sponsored and articles have undergone the journal’s standard peer-review process. The Guest Editors declare no competing interests.

1. A few steps closer to answering the unanswered questions about higher calorie refeeding

   Authors:Andrea K. Garber

   Citation:Journal of Eating Disorders 2017 5:8

   Content type:Editorial

   Published on: 1 March 2017

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2. Outcomes of an inpatient medical nutritional rehabilitation protocol in children and adolescents with eating disorders

   Medical stabilization through inpatient nutritional rehabilitation is often necessary for patients with eating disorders (EDs) but includes the inherent risk of refeeding syndrome. Here we describe our experie...

   Authors:Rebecka Peebles, Andrew Lesser, Courtney Cheek Park, Kerri Heckert, C. Alix Timko, Eleni Lantzouni, Ronald Liebman and Laurel Weaver

   Citation:Journal of Eating Disorders 2017 5:7

   Content type:Research article

   Published on: 1 March 2017

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3. Outcomes of an inpatient refeeding protocol in youth with anorexia nervosa: Rady Children’s Hospital San Diego/University of California, San Diego

   Current guidelines for nutritional rehabilitation in hospitalized restrictive eating disorder patients recommend a cautious approach to refeeding. Several studies suggest that higher calorie diets may be safe ...

   Authors:Tamara R. Maginot, Maya M. Kumar, Jacqueline Shiels, Walter Kaye and Kyung E. Rhee

   Citation:Journal of Eating Disorders 2017 5:1

   Content type:Research article

   Published on: 3 January 2017

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4. Outcomes of an inpatient refeeding protocol in youth with Anorexia Nervosa and atypical Anorexia Nervosa at Children’s Hospitals and Clinics of Minnesota

   Historically, inpatient protocols have adopted relatively conservative approaches to refeeding in Anorexia Nervosa (AN) in order to reduce the risk of refeeding syndrome, a potentially fatal constellation of s...

   Authors:Kathryn Smith, Julie Lesser, Beth Brandenburg, Andrew Lesser, Jessica Cici, Robert Juenneman, Amy Beadle, Sarah Eckhardt, Elin Lantz, James Lock and Daniel Le Grange

   Citation:Journal of Eating Disorders 2016 4:35

   Content type:Research article

   Published on: 19 December 2016

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