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Anorexia nervosa 2: nutrition therapy

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McIntosh VV. et al. Three psychotherapies for anorexia nervosa: a randomized, controlled trial. Am J Psychiatry. 2005 Apr;162(4):741–7.
Pike KM. et al. Cognitive behavior therapy in the posthospitalization treatment of anorexia nervosa. Am J Psychiatry. 2003 Nov;160(11):2046–9.
Barbarich NC. et al. Use of nutritional supplements to increase the efficacy of fluoxetine in the treatment of anorexia nervosa. Int J Eat Disord. 2004 Jan;35(1):10–5.

Published online by Cambridge University Press:  11 September 2013

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In a nutshell

Issues for nutrition treatment of AN include: resistance to weight regain (e.g. from elevated REE) disproportionate central fat deposition, persistent immune, bone and muscle impacts.

Very few studies on nutrition in AN are RCTs. Those few that are do not give any consistent picture. Two small trials did find a benefit from zinc supplements.

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Brief Report
Information
Arbor Clinical Nutrition Updates , Volume 249 , April 2006 , pp. 1 - 4
Copyright
Copyright © Cambridge University Press 2006

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