Grasping the weight cut-off for anorexia nervosa in children and adolescents

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Grasping the weight cut-off for anorexia nervosa in children and adolescents. / Andersen, Susanne B; Lindgreen, Pil; Rokkedal, Kristian; Clausen, Loa.

In: International Journal of Eating Disorders, Vol. 51, No. 12, 12.2018, p. 1346-1351.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Harvard

Andersen, SB, Lindgreen, P, Rokkedal, K & Clausen, L 2018, 'Grasping the weight cut-off for anorexia nervosa in children and adolescents', International Journal of Eating Disorders, vol. 51, no. 12, pp. 1346-1351. https://doi.org/10.1002/eat.22977

APA

Andersen, S. B., Lindgreen, P., Rokkedal, K., & Clausen, L. (2018). Grasping the weight cut-off for anorexia nervosa in children and adolescents. International Journal of Eating Disorders, 51(12), 1346-1351. https://doi.org/10.1002/eat.22977

CBE

Andersen SB, Lindgreen P, Rokkedal K, Clausen L. 2018. Grasping the weight cut-off for anorexia nervosa in children and adolescents. International Journal of Eating Disorders. 51(12):1346-1351. https://doi.org/10.1002/eat.22977

MLA

Andersen, Susanne B et al. "Grasping the weight cut-off for anorexia nervosa in children and adolescents". International Journal of Eating Disorders. 2018, 51(12). 1346-1351. https://doi.org/10.1002/eat.22977

Vancouver

Andersen SB, Lindgreen P, Rokkedal K, Clausen L. Grasping the weight cut-off for anorexia nervosa in children and adolescents. International Journal of Eating Disorders. 2018 Dec;51(12):1346-1351. https://doi.org/10.1002/eat.22977

Author

Andersen, Susanne B ; Lindgreen, Pil ; Rokkedal, Kristian ; Clausen, Loa. / Grasping the weight cut-off for anorexia nervosa in children and adolescents. In: International Journal of Eating Disorders. 2018 ; Vol. 51, No. 12. pp. 1346-1351.

Bibtex

@article{e8a6c2a3795e40ffb2cd269662f39b8f,
title = "Grasping the weight cut-off for anorexia nervosa in children and adolescents",
abstract = "OBJECTIVE: The Diagnostic and Statistical Manual of Mental Disorders 5 suggests the 5th age-adjusted body mass index (BMI) percentile as the numeric cut-off for anorexia nervosa (AN) in children and adolescents. We aimed to investigate the degree to which the 5th age-adjusted percentile as the numeric cut-off for AN in youths reflects the clinical population of patients accepted for treatment.METHOD: From a specialized eating disorder clinic, 305 patients with AN below 18 years of age were grouped according to age-adjusted BMI percentiles [below the 5th (low), above the 10th (high), and between the 5th and the 10th (medium)]. The distribution of eating disorder diagnoses and severity measured by the Eating Disorder Examination was compared.RESULTS: Full-syndrome anorexia nervosa (F.50.0) was found in 182 (59.5%) patients and atypical anorexia nervosa (F.50.1) in 123 patients (40.5%). The number of patients in the low, medium, and high BMI percentile groups was 189 (62.0%), 34 (11.1%), and 82 (26.9%), respectively. Patients in the low BMI group differed from patients in the medium BMI group by a lower frequency of vomiting. The high BMI group presented with more weight and shape concern than the lower BMI group. Age was not a confounder of these associations.DISCUSSION: We question the applicability of the 5th BMI percentile as a substantiated cut-off for the weight criterion in anorexia nervosa in youths and argue that the cut-off should not be ascribed great clinical importance as this may hinder early detection of illness and initiation of treatment.",
keywords = "anorexia nervosa, atypical anorexia nervosa, adolescent psychiatry, body mass index, Child psychiatry, eating disorder, Thinness, adolescent psychiatry, anorexia nervosa, atypical anorexia nervosa, body mass index, child psychiatry, eating disorder, Thinness, thinness",
author = "Andersen, {Susanne B} and Pil Lindgreen and Kristian Rokkedal and Loa Clausen",
note = "{\textcopyright} 2018 Wiley Periodicals, Inc.",
year = "2018",
month = dec,
doi = "10.1002/eat.22977",
language = "English",
volume = "51",
pages = "1346--1351",
journal = "International Journal of Eating Disorders",
issn = "0276-3478",
publisher = "JohnWiley & Sons, Inc.",
number = "12",

}

RIS

TY - JOUR

T1 - Grasping the weight cut-off for anorexia nervosa in children and adolescents

AU - Andersen, Susanne B

AU - Lindgreen, Pil

AU - Rokkedal, Kristian

AU - Clausen, Loa

N1 - © 2018 Wiley Periodicals, Inc.

PY - 2018/12

Y1 - 2018/12

N2 - OBJECTIVE: The Diagnostic and Statistical Manual of Mental Disorders 5 suggests the 5th age-adjusted body mass index (BMI) percentile as the numeric cut-off for anorexia nervosa (AN) in children and adolescents. We aimed to investigate the degree to which the 5th age-adjusted percentile as the numeric cut-off for AN in youths reflects the clinical population of patients accepted for treatment.METHOD: From a specialized eating disorder clinic, 305 patients with AN below 18 years of age were grouped according to age-adjusted BMI percentiles [below the 5th (low), above the 10th (high), and between the 5th and the 10th (medium)]. The distribution of eating disorder diagnoses and severity measured by the Eating Disorder Examination was compared.RESULTS: Full-syndrome anorexia nervosa (F.50.0) was found in 182 (59.5%) patients and atypical anorexia nervosa (F.50.1) in 123 patients (40.5%). The number of patients in the low, medium, and high BMI percentile groups was 189 (62.0%), 34 (11.1%), and 82 (26.9%), respectively. Patients in the low BMI group differed from patients in the medium BMI group by a lower frequency of vomiting. The high BMI group presented with more weight and shape concern than the lower BMI group. Age was not a confounder of these associations.DISCUSSION: We question the applicability of the 5th BMI percentile as a substantiated cut-off for the weight criterion in anorexia nervosa in youths and argue that the cut-off should not be ascribed great clinical importance as this may hinder early detection of illness and initiation of treatment.

AB - OBJECTIVE: The Diagnostic and Statistical Manual of Mental Disorders 5 suggests the 5th age-adjusted body mass index (BMI) percentile as the numeric cut-off for anorexia nervosa (AN) in children and adolescents. We aimed to investigate the degree to which the 5th age-adjusted percentile as the numeric cut-off for AN in youths reflects the clinical population of patients accepted for treatment.METHOD: From a specialized eating disorder clinic, 305 patients with AN below 18 years of age were grouped according to age-adjusted BMI percentiles [below the 5th (low), above the 10th (high), and between the 5th and the 10th (medium)]. The distribution of eating disorder diagnoses and severity measured by the Eating Disorder Examination was compared.RESULTS: Full-syndrome anorexia nervosa (F.50.0) was found in 182 (59.5%) patients and atypical anorexia nervosa (F.50.1) in 123 patients (40.5%). The number of patients in the low, medium, and high BMI percentile groups was 189 (62.0%), 34 (11.1%), and 82 (26.9%), respectively. Patients in the low BMI group differed from patients in the medium BMI group by a lower frequency of vomiting. The high BMI group presented with more weight and shape concern than the lower BMI group. Age was not a confounder of these associations.DISCUSSION: We question the applicability of the 5th BMI percentile as a substantiated cut-off for the weight criterion in anorexia nervosa in youths and argue that the cut-off should not be ascribed great clinical importance as this may hinder early detection of illness and initiation of treatment.

KW - anorexia nervosa

KW - atypical anorexia nervosa

KW - adolescent psychiatry

KW - body mass index

KW - Child psychiatry

KW - eating disorder

KW - Thinness

KW - adolescent psychiatry

KW - anorexia nervosa

KW - atypical anorexia nervosa

KW - body mass index

KW - child psychiatry

KW - eating disorder

KW - Thinness

KW - thinness

U2 - 10.1002/eat.22977

DO - 10.1002/eat.22977

M3 - Journal article

C2 - 30548931

VL - 51

SP - 1346

EP - 1351

JO - International Journal of Eating Disorders

JF - International Journal of Eating Disorders

SN - 0276-3478

IS - 12

ER -