{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T17:45:29Z","timestamp":1782755129799,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T00:00:00Z","timestamp":1636416000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>For individuals with eating disorders (EDs), medical stabilization is paramount for restoration of body weight. Careful nutritional rehabilitation minimizes risk of refeeding syndrome. Study's purpose: describe clinical outcomes of pediatric\/adolescent patients with EDs treated with lower calorie (&lt;1300 kcals\/day, n = 137), higher calorie (\u22651400 kcals\/day, n = 154) diets.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart reviews conducted for patients with known\/suspected EDs. Inclusion: patients ages 12\u201321 years with anorexia nervosa (AN), bulimia nervosa (BN), eating disorder not otherwise specified (EDNOS), atypical anorexia nervosa (AtAN). Exclusion: patients with other EDs, co\u2010morbid medical conditions. Demographic information, length of stay, anthropometrics, prior weight loss were recorded. Malnutrition classifications based on: %mBMI, BMI <jats:italic>z<\/jats:italic>\u2010score, prior weight loss percentage. Laboratory data, electrolyte supplementations were collected. Initial calorie intake\/calorie intake day 7 were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No significant differences in age, admit weight, BMI, BMI z\u2010score, %mBMI at admission, weight gain between the two groups. Six (4.4%) patients in lower calorie group, 4 (2.6%) in higher calorie group met criteria for severe refeeding syndrome based on ASPEN consensus recommendations (<jats:italic>P<\/jats:italic> = .52). Higher calorie group length of stay was significantly shorter than lower calorie group (<jats:italic>P<\/jats:italic> = .006). Shorter length of stay associated with increased calorie intake (<jats:italic>P<\/jats:italic> &lt; .001), greater %mBMI (<jats:italic>P<\/jats:italic> &lt; .001). Higher calorie prescriptions were not associated with different rates of hypomagnesia (<jats:italic>P<\/jats:italic> = 1) and hypokalemia (<jats:italic>P<\/jats:italic> = .34). There was significant increase in rate of hypophosphatemia in the lower calorie group versus the higher calorie group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Higher calorie diets were associated with decreased length of stay without impacting risk of refeeding syndrome.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.10792","type":"journal-article","created":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T11:34:25Z","timestamp":1636457665000},"page":"459-469","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Impact of caloric prescriptions and degree of malnutrition on incidence of refeeding syndrome and clinical outcomes in patients with eating disorders: A retrospective review"],"prefix":"10.1002","volume":"37","author":[{"given":"Leslie","family":"Schlapfer","sequence":"first","affiliation":[{"name":"Children's Healthcare of Atlanta  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akane","family":"Fujimoto","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9074-1184","authenticated-orcid":false,"given":"Margaret","family":"Gettis","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,9]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"What are eating disorders?"},{"key":"e_1_2_10_3_1","unstructured":"ZhaoY&EncinosaWAn update on hospitalizations for eating disorders 1999 to 2009. 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