Food Choice and Diet Variety in Weight-Restored Patients with Anorexia Nervosa
Food Choice and Diet Variety in Weight-Restored Patients with Anorexia Nervosa
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DOI：
10.1016/j.jada.2011.02.002
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发表时间：
2011-05-01
影响因子：
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通讯作者：
Walsh, B. Timothy
中科院分区：
文献类型：
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作者：
Schebendach, Janet E.;Mayer, Laurel E.;Walsh, B. Timothy
神经性厌食症是一种严重的精神疾病，与相当大的发病率和死亡率有关。有报道称，体重恢复的患有神经性厌食症的女性饮食种类有限，通过饮食多样性评分进行评估，结果很差。使用相同的患者队列，当前研究的目标是提供患者限制饮食多样性的食物类型的详细描述。在2000年6月至2005年7月期间住院的41名体重恢复的患者在出院前完成了4天的饮食记录，并进行了长达1年的跟踪调查。根据Morgan-Russell标准将患者结果分为成功(n=29)或失败(n=12)。虽然选择的食物总数在成功组和失败组之间没有差异(73+/-14比74+/-13；P=0.741)，但不同食物的总数有显著差异：失败组选择的食物更少，成功组选择的食物更多(43+/-9比51+/-7；P=0.005)。结果组在从17个食物组中的5个中选择的食物种类上也有显著差异。结果表明，从五个食物组中限制总种类和特定种类的饮食可能与神经性厌食症患者的复发有关。美国饮食协会。2011；111：732-736。
Anorexia nervosa is a serious psychiatric illness associated with substantial morbidity and mortality. Weight-restored females with anorexia nervosa with limited diet variety, assessed by a diet variety score, have been reported to have poor outcomes. Using the same patient cohort, the objective of the current study was to provide a detailed description of the types of foods from which patients restrict variety in their diets. Forty-one weight-restored patients, hospitalized between June 2000 and July 2005, who completed a 4-day food record before discharge were followed for up to 1 year. Patient outcomes were categorized as a success (n=29) or failure (n=12) using Morgan-Russell criteria. Although the total number of foods selected did not differ between the success and failure groups (73+/-14 vs 74+/-13, respectively; P=0.741), a significant difference in the total number of different foods was observed: the failure group selected fewer and the success group selected more (43+/-9 vs 51+/-7; P=0.005). Outcomes groups also differed significantly in the variety of foods selected from 5 of 17 food groups. Results suggest that a diet limited in total variety and specifically limited in variety from five food groups may be associated with relapse in patients with anorexia nervosa. J Am Diet Assoc. 2011;111:732-736.