Skip to main content
×
Home
    • Aa
    • Aa
  • Access
  • Cited by 10
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Graves, Leah L. and Scribner, Christina 2015. The Wiley Handbook of Eating Disorders.


    Mittnacht, Anne M. and Bulik, Cynthia M. 2015. Best nutrition counseling practices for the treatment of anorexia nervosa: A Delphi study. International Journal of Eating Disorders, Vol. 48, Issue. 1, p. 111.


    Nehring, I Kewitz, K von Kries, R and Thyen, U 2014. Long-term effects of enteral feeding on growth and mental health in adolescents with anorexia nervosa—results of a retrospective German cohort study. European Journal of Clinical Nutrition, Vol. 68, Issue. 2, p. 171.


    Rocks, Tetyana Pelly, Fiona and Wilkinson, Paul 2014. Nutritional management of anorexia nervosa in children and adolescent inpatients: The current practice of Australian dietitians. Nutrition & Dietetics, Vol. 71, Issue. 2, p. 100.


    Rocks, Tetyana Pelly, Fiona and Wilkinson, Paul 2014. Nutrition Therapy during Initiation of Refeeding in Underweight Children and Adolescent Inpatients with Anorexia Nervosa: A Systematic Review of the Evidence. Journal of the Academy of Nutrition and Dietetics, Vol. 114, Issue. 6, p. 897.


    Hart, Susan Franklin, Richard C Russell, Janice and Abraham, Suzanne 2013. A review of feeding methods used in the treatment of anorexia nervosa. Journal of Eating Disorders, Vol. 1, Issue. 1, p. 36.


    Hart, S. Russell, J. and Abraham, S. 2011. Nutrition and dietetic practice in eating disorder management. Journal of Human Nutrition and Dietetics, Vol. 24, Issue. 2, p. 144.


    Tholking, Mary M. Mellowspring, Amanda C. Eberle, Suzanne Girard Lamb, Roberta Pearle Myers, Eileen Stellefson Scribner, Christina Sloan, Reba Faye and Wetherall, Karen Balnicki 2011. American Dietetic Association: Standards of Practice and Standards of Professional Performance for Registered Dietitians (Competent, Proficient, and Expert) in Disordered Eating and Eating Disorders (DE and ED). Journal of the American Dietetic Association, Vol. 111, Issue. 8, p. 1242.


    Croll, Jillian K. 2010. Treatment of Eating Disorders.


    Maitland, Kathryn 2009. Symposium 5: Joint BAPEN and Nutrition Society Symposium on ‘Feeding size 0: the science of starvation’ Severe malnutrition: therapeutic challenges and treatment of hypovolaemic shock. Proceedings of the Nutrition Society, Vol. 68, Issue. 03, p. 274.


    ×

Managing anorexia from a dietitian's perspective: Conference on ‘Malnutrition matters’ Symposium 8: Feeding size 0: the challenges of anorexia nervosa

  • Annette Cockfield (a1) and Ursula Philpot (a2) (a3)
  • DOI: http://dx.doi.org/10.1017/S0029665109001281
  • Published online: 01 May 2009
Abstract

Anorexia nervosa has the highest mortality rate of any psychiatric condition and its management is complex and multi-faceted, requiring a multidisciplinary team approach. Dietitians are an important part of the multidisciplinary team, offering objective nutritional advice with the aim of helping the patient to develop an improved relationship with food. Refeeding patients with a low body weight requires careful management; nonetheless, refeeding the low-weight patient with anorexia presents many additional complications, largely of a psychological nature. Treatment plans need to consider psychological, physical, behavioural and psycho-social factors relating to anorexia nervosa. Currently, there is no consistent approach and a paucity of evidence to support best practice for weight restoration in this group of patients. Tube feeding is utilised at varying BMI in anorexia nervosa, mainly in an inpatient setting. However, its use should be seen as a last resort and limited to a life-saving intervention. Weight restoration is best managed by an experienced dietitian within a specialist eating disorders team, using normal foods. This approach is ideal for nutrition rehabilitation, promoting skills for eating and normal behaviour and providing a longer-term solution by challenging unhelpful coping strategies from the onset. Dietitians have a unique mix of skills and knowledge in numerous areas including nutrition, physiology, psychology, sociology and behaviour change, which can be applied to support patients with thoughts and behaviours around food, weight and appetite. Further research is required into the effectiveness of dietetic interventions in eating disorders in order to establish an evidence base for best practice.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Managing anorexia from a dietitian's perspective
      Your Kindle email address
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Managing anorexia from a dietitian's perspective
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Managing anorexia from a dietitian's perspective
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Annette Cockfield, fax +44 113 8123416, email ACockfield@theretreatyork.org.uk
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.M Gans & WB Gunn (2003) End stage anorexia: Criteria for competence to refuse treatment. Int J Law Psychiatry 26, 677695.

2.KJ Neumärker (1997) Mortality and sudden death in anorexia nervosa. Int J Eat Disord 21, 205212.

3.PS Mehler & AE Anderson (1999) Eating Disorders: A Guide to Medical Care and Complications. Baltimore, MD: The John Hopkins University Press.

6.RH Ratnasuriya , I Eisler , GI Szmukler (1991) Anorexia nervosa: Outcome and prognostic factors after 20 years. Br J Psychiatry 158, 495502.

9.D Krahn , C Roack , R Dechert (1993) Changes in resting energy expenditure and body composition in anorexia nervosa during refeeding. J Am Diet Assoc 93, 434438.

10.B Lay , C Jennen-Steinmertz , I Reindhard (2002) Characteristics of inpatient weight gain in adolescent anorexia nervosa: Relation to speed of relapse and re-admission. Eur Eat Disord Rev 10, 2240.

11.T Herzog , A Zeek & Hartman (2004) Lower targets for weekly weight gain leads to better results in in-patient treatment of anorexia nervosa: A pilot study and review. Eur Eat Disord Rev 12, 164168.

12.JO A Tan , T Hope , A Stewart (2003) Control and compulsory treatment in anorexia nervosa: The views of patients and parents. Int J Law Psychiatry 26, 627645.

13.AS Robb , TJ Silber , JK Orrell-Valente (2002) Supplemental nocturnal nasogastric refeeding for better short-term outcome in hospitalised adolescent girls with anorexia nervosa. Am J Psychiatry 159, 13471353.

14.C De Caprio , F Pasanisni & F Contaldo (2000) Gastrointestinal complications in patients with eating disorders. Eat Weight Disord 5, 228230.

18.J Tiller , U Schmidt & J Treasure (1993) Compulsory treatment for anorexia nervosa: compassion or coercion? Br J Psychiatry 162, 679680.

21.JN Zuercher , EJ Cumella , BK Woods (2003) Efficacy of voluntary nasogastric tube feeding in female inpatients with anorexia nervosa. JPEN J Parenter Enteral Nutr 27, 268276.

22.J Treasure , U Schmidt & E Furth (2005) The Essential Handbook of Eating Disorders. Chichester, West Sussex: John Wiley & Sons.

23.M Serfaty & S McClusky (1998) Compulsory treatment of anorexia nervosa and the moribund patient. Eur Eat Disord Rev 6, 2237.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Proceedings of the Nutrition Society
  • ISSN: 0029-6651
  • EISSN: 1475-2719
  • URL: /core/journals/proceedings-of-the-nutrition-society
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: