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Cited by 16Eating Disorders and BehaviorsChild Nutrition and Feeding IssuesClinical Nutrition and Gastroenterology

To the limit of extreme malnutrition

Frølich, Jacob, Palm, Camilla Viola Buskbjerg, Støving, Rene K.·2016·Nutrition
DOI 10.1016/j.nut.2015.08.024
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Abstract

Extreme malnutrition with body mass index (BMI) as low as 10 kg/m(2) is not uncommon in anorexia nervosa, with survival enabled through complex metabolic adaptations. In contrast, outcomes from hunger strikes and famines are usually fatal after weight loss to about 40% below expected body weight, corresponding to BMI 12 to 13 kg/m(2) in adults. Thus, many years of adaptation in adolescent-onset anorexia nervosa, supported by supplements of vitamins and treatment of intercurrent diseases, may allow survival at a much lower BMI. However, in the literature only a few cases of survival in patients with BMI <9 kg/m(2) have been described. We report on the case of a 29-y-old woman who was successfully treated in a specialized unit. She had a BMI of 7.8 kg/m(2). To our knowledge, this level of extreme malnutrition has not previously been reported. The present case emphasizes the importance of adherence to guidelines to decrease refeeding complications.

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Authors
Frølich, J., Palm, C. V. B., & Støving, R. K.
Affiliations
Odense University Hospital (DK)
Corresponding author
Frølich, Jacob
ORCID
Venue
Nutrition
Publisher
Elsevier BV
Published
2016-01
Volume
32
Issue
1
Pages
146-148
ISSN
0899-9007 (ISSN-L)
DOI
10.1016/j.nut.2015.08.024
OpenAlex
W1802212648
Cited by
16
References
19
Citations by year
2026: 1 · 2024: 4 · 2023: 2 · 2022: 3 · 2020: 2 · 2018: 1 · 2017: 2 · 2015: 1
FWCI
1.65
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Nutrition (publishedVersion)
  • PubMed (publishedVersion)
  • University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Keywords
anorexia nervosa, body mass index, refeeding syndrome, metabolic adaptation
MeSH terms
Adult, Anorexia Nervosa, Body Weight, Female, Humans, Severity of Illness Index, Body Mass Index, Malnutrition, Refeeding Syndrome

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