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Prediction of low body weight at long-term follow-up in acute anorexia nervosa by low body weight at referral

OBJECTIVE: The authors investigated the hypothesis that in acute anorexia nervosa a low body weight predicts a poor weight prognosis for the future. METHOD: The body mass indexes at referral of 272 female patients were examined in relation to the body mass indexes of these patients after a mean foll...

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Main Authors: Hebebrand, Johannes (Author) , Himmelmann, Günther W. (Author) , Herzog, Wolfgang (Author) , Herpertz-Dahlmann, Beate (Author) , Steinhausen, Hans-Christoph (Author) , Amstein, Margit (Author) , Seidel, Reinhold (Author) , Deter, Hans-Christian (Author) , Remschmidt, Helmut (Author) , Schäfer, Helmut (Author)
Format: Article (Journal)
Language:English
Published: April 01, 1997
In: The American journal of psychiatry
Year: 1997, Volume: 154, Issue: 4, Pages: 566-569
ISSN:1535-7228
DOI:10.1176/ajp.154.4.566
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1176/ajp.154.4.566
Verlag, lizenzpflichtig, Volltext: https://psychiatryonline.org/doi/10.1176/ajp.154.4.566
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Author Notes:Johannes Hebebrand, M.D., Günther W. Himmelmann, M.D., Wolfgang Herzog, M.D., Beate M. Herpertz-Dahlmann, M.D., Hans-Christoph Steinhausen, M.D., Ph.D., Margit Amstein, M.D., Reinhold Seidel, M.D., Hans-Christian Deter, M.D., Helmut Remschmidt, M.D., Ph.D., and Helmut Schäfer, Ph.D.
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Summary:OBJECTIVE: The authors investigated the hypothesis that in acute anorexia nervosa a low body weight predicts a poor weight prognosis for the future. METHOD: The body mass indexes at referral of 272 female patients were examined in relation to the body mass indexes of these patients after a mean follow-up of 9.5 years. RESULTS: The overall correlation between body mass indexes at referral and at follow-up was r = 0.33. Despite this low correlation, the 100 patients with body mass indexes less than 13 kg/m2 at referral had low weights at long-term follow-up. Eleven of the 12 deceased patients were among these 100 patients, as were 24 of the 46 surviving patients whose body mass indexes were 17.5 kg/m2 or less at follow-up. CONCLUSIONS: For patients with anorexia nervosa, a body mass index less than 13 kg/m2 at referral indicates a substantial risk for chronic anorexia nervosa and death related to emaciation.
Item Description:Gesehen am 04.11.2025
Physical Description:Online Resource
ISSN:1535-7228
DOI:10.1176/ajp.154.4.566

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