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Management of the Malnourished Patient

Edited by: Michael Kohn, FRACP, FACPM and Neville H. Golden, MD

Early publications on eating disorders were on the medical and nutritional care for young women with anorexia nervosa in the nineteenth century.  Since that time there have been major advances in the science of starvation and physical health restoration but practice can vary and consensus can be elusive. We have also learned that individuals with eating disorders (both men and women) can demonstrate the physical and psychological effects of malnutrition even at a normal or above normal weight. There is not a shared understanding of the physiological changes in starvation nor optimal strategy to best manage malnutrition for patients with anorexia nervosa.  Whilst there are Centres with established refeeding practices lead by clinicians of considerable experience, research is needed  to address questions such as how best to provide nutrition, including  nutrients (calories and micronutrients/supplements) as well as refeeding strategies and the management of early medical complications. In this special issue in Journal of Eating Disorders, we include papers that address management of the malnourished patient with an eating disorder across the weight and age spectrum. 

  1. Persistent structural changes of the lungs in anorexia nervosa (AN) patients are rarely described in contemporary medical literature. The objective of our paper is to report a rare case of severe bronchiectasi...

    Authors: Anna Saran, Firszt Oliver, Tomasz Łosień, Monika Kulig-Kulesza, Jolanta Myga-Porosiło, Ewa Kluczewska and Dariusz Ziora

    Citation: Journal of Eating Disorders 2020 8:72

    Content type: Case report

    Published on:

  2. Anorexia Nervosa (AN) is a complex psychiatric disorder that can lead to specific somatic complications. Heart abnormalities are frequently reported, while their frequency and associated factors in severely ma...

    Authors: Mouna Hanachi, Annabel Pleple, Caroline Barry, Marika Dicembre, Emilie Latour, Maeva Duquesnoy, Jean-Claude Melchior and Abdallah Fayssoil

    Citation: Journal of Eating Disorders 2020 8:66

    Content type: Research article

    Published on:

  3. Routine supplementation of thiamine in patients with restrictive eating disorders prior to initiation of nutritional rehabilitation, is an example of a clinical guideline based on expert opinion rather than ev...

    Authors: Elizabeth Parker, Terri Maister, Anita Stefoska-Needham, Christine Wearne, Gail Anderson, Linette Gomes, Simon Clarke and Michael Kohn

    Citation: Journal of Eating Disorders 2020 8:41

    Content type: Research article

    Published on:

  4. Extreme anorexia nervosa (AN) is defined as a BMI < 15 kg/m2 in those meeting DSM-V diagnostic criteria for AN. This study seeks to define the frequency of medical complications in this group of patients in order...

    Authors: Dennis Gibson, Ashlie Watters, Jeana Cost, Margherita Mascolo and Philip S. Mehler

    Citation: Journal of Eating Disorders 2020 8:25

    Content type: Research article

    Published on:

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