{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T09:19:15Z","timestamp":1775035155407,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T00:00:00Z","timestamp":1668384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Investigate medical morbidity and risk of general hospital admission for patients with concurrent coronavirus disease 2019 (COVID\u201019) and anorexia nervosa (AN) who have not received severe acute respiratory syndrome coronavirus 2 vaccination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>United Kingdom eating disorders clinicians contributed to a database of patients with an eating disorder and COVID\u201019. We used this to investigate demography, symptoms, hospitalization, treatment, and outcomes for those with AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We describe data for 49 patients (median age 21.5\u2009years [interquartile range 17.0\u201333.5], 46 female) including 36 adults and 13 under\u201018\u2010year\u2010olds. Three (6.1% [95% confidence interval 1.3%\u201317.9]) were admitted to a general hospital. For this sample, the expected age\u2010standardized hospital admission rate per COVID\u201019 case (based on the general population of England) was 2.6% and therefore not significantly different to the hospitalization rate we observed. Three (including two of those admitted to hospital) contracted pneumonia. One had severe pneumonia and was admitted to an intensive care unit. No deaths or use of mechanical ventilation were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>To our knowledge, this represents the first study investigating medical morbidity or frequency of hospitalization for patients with COVID\u201019 and AN. We did not find evidence that patients with AN are at increased risk of severe COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Medical morbidity and risk of hospitalization associated with concurrent COVID\u201019 and anorexia nervosa (AN) had not, to our knowledge, been studied before. We used a database of patients with eating disorders and COVID\u201019 (to which United Kingdom clinicians had contributed) to investigate presentation, treatment, outcomes, and COVID\u201019 severity for those with AN and COVID\u201019. We did not find evidence that patients with AN are at increased risk of severe COVID\u201019.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23851","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T15:50:26Z","timestamp":1668441026000},"page":"282-287","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Medical morbidity and risk of general hospital admission associated with concurrent anorexia nervosa and <scp>COVID<\/scp>\u201019: An observational study"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0471-8912","authenticated-orcid":false,"given":"Anthony P.","family":"Winston","sequence":"first","affiliation":[{"name":"The Aspen Centre Coventry and Warwickshire Partnership Trust  Warwick UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2755-7314","authenticated-orcid":false,"given":"Michael J.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Healthcare Public Health Team National Health Service England\u2014Midlands  Nottingham UK"},{"name":"School of Medicine University of Nottingham  Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1209-6073","authenticated-orcid":false,"given":"Hubertus","family":"Himmerich","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0116-597X","authenticated-orcid":false,"given":"Mohammad A. A.","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Immunobiology and Immunological Medicine King's College London and King's Health Partners  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uju","family":"Okereke","sequence":"additional","affiliation":[{"name":"Healthcare Public Health Team National Health Service England\u2014Midlands  Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Wilson","sequence":"additional","affiliation":[{"name":"Healthcare Public Health Team National Health Service England\u2014Midlands  Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2567.1998.00548.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.54.632.395"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5215.2008.00286.x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2018.06.002"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.12788\/cp.0011"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2017.02.013"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2021.05.028"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8111915"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.10.259"},{"key":"e_1_2_10_11_1","unstructured":"Gov.uk. (2022).Coronavirus (COVID\u201019) in the UK [cited August 8 2022].https:\/\/coronavirus.data.gov.uk\/?_ga=2.146722108.944676622.1601217085-1562710827.1594116739"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30183-5"},{"key":"e_1_2_10_13_1","unstructured":"NHS England and NHS Improvement. (2021).Vaccination of JCVI cohorts 5\u20106 and additional funding for vaccination in residential settings [cited August 8 2022].https:\/\/www.england.nhs.uk\/coronavirus\/documents\/vaccination-of-jcvi-cohorts-5-6-and-additional-funding-for-vaccination-in-residential-settings\/"},{"key":"e_1_2_10_14_1","unstructured":"NHS England\/Improvement. (2021).Database of adults and children with eating disorders who contracted COVID\u201019 (we did not obtain consent from participants for their data to be shared therefore we are not able to share our study data)."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30186-3"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22497"},{"key":"e_1_2_10_17_1","unstructured":"Royal College of Psychiatrists. (2022).Eating disorders and COVID\u201019 [cited August 8 2022].https:\/\/www.rcpsych.ac.uk\/mental-health\/treatments-and-wellbeing\/eating-disorders-and-covid-19"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00369-w"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/ipm.2020.60"},{"key":"e_1_2_10_20_1","unstructured":"World Health Organisation. (2020).Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected: interim guidance [cited August 8 2022].https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/332299\/WHO-2019-nCoV-Clinical-2020.1-eng.pdf"},{"key":"e_1_2_10_21_1","unstructured":"World Health Organization. (2021).COVID\u201019 clinical management: living guidance [cited August 8 2022].https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/338882\/WHO-2019-nCoV-clinical-2021.1-eng.pdf"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/35.5.973"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23851","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.23851","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23851","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T15:54:16Z","timestamp":1692546856000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23851"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,14]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1002\/eat.23851"],"URL":"https:\/\/doi.org\/10.1002\/eat.23851","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,14]]},"assertion":[{"value":"2022-08-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}