Age dependency of body mass index distribution in childhood and adolescent inpatients with anorexia nervosa with a focus on DSM-5 and ICD-11 weight criteria and severity specifiers

  1. Engelhardt, Christian
  2. Föcker, Manuel ORCID logo
  3. Bühren, Katharina
  4. Dahmen, Brigitte ORCID logo
  5. Becker, Katja
  6. Weber, Linda
  7. Correll, Christoph U.
  8. Egberts, Karin Maria ORCID logo
  9. Ehrlich, Stefan
  10. Roessner, Veit
  11. Fleischhaker, Christian
  12. von Gontard, Alexander ORCID logo
  13. Hahn, Freia
  14. Jenetzky , Ekkehart ORCID logo
  15. Kaess, Michael
  16. Legenbauer, Tanja ORCID logo
  17. Renner, Tobias J.
  18. Schulze, Ulrike M. E.
  19. Sinzig, Judith
  20. Wessing, Ida ORCID logo
  21. Antony, Gisela ORCID logo
  22. Herpertz-Dahlmann, Beate ORCID logo
  23. Peters, Triinu ORCID logo
  24. Hebebrand, Johannes ORCID logo

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1000 Titel
  • Age dependency of body mass index distribution in childhood and adolescent inpatients with anorexia nervosa with a focus on DSM-5 and ICD-11 weight criteria and severity specifiers
1000 Autor/in
  1. Engelhardt, Christian |
  2. Föcker, Manuel |
  3. Bühren, Katharina |
  4. Dahmen, Brigitte |
  5. Becker, Katja |
  6. Weber, Linda |
  7. Correll, Christoph U. |
  8. Egberts, Karin Maria |
  9. Ehrlich, Stefan |
  10. Roessner, Veit |
  11. Fleischhaker, Christian |
  12. von Gontard, Alexander |
  13. Hahn, Freia |
  14. Jenetzky , Ekkehart |
  15. Kaess, Michael |
  16. Legenbauer, Tanja |
  17. Renner, Tobias J. |
  18. Schulze, Ulrike M. E. |
  19. Sinzig, Judith |
  20. Wessing, Ida |
  21. Antony, Gisela |
  22. Herpertz-Dahlmann, Beate |
  23. Peters, Triinu |
  24. Hebebrand, Johannes |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-07-14
1000 Erschienen in
1000 Quellenangabe
  • 30(7):1081-1094
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00787-020-01595-4 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8295075/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Both DSM-5 and ICD-11 have provided weight cut-offs and severity specifiers for the diagnosis of anorexia nervosa (AN) in childhood, adolescence and adulthood. The aims of the current study focusing on inpatients aged < 19 years were to assess (1) the relationship between age and body mass index (BMI; kg/m(2)), BMI-centiles, BMI-standard deviation scores (BMI-SDS) and body height-SDS at referral, (2) the percentages of patients fulfilling the DSM-5 and ICD-11 weight criteria and severity categories for AN, and (3) the validity of the AN severity specifiers via analysis of both weight related data at discharge and inpatient treatment duration. The German Registry for Anorexia Nervosa encompassed complete data sets for 469 female patients (mean age = 15.2 years; range 8.9-18.9 years) with a diagnosis of AN (n = 404) or atypical AN (n = 65), who were ascertained at 16 German child and adolescent psychiatric hospitals. BMI at referral increased up to age 15 to subsequently plateau. Approximately one tenth of all patients with AN had a BMI above the fifth centile. The ICD-11 specifier based on a BMI-centile of 0.3 for childhood and adolescent AN entailed two equally sized groups of patients. Discharge data revealed limited validity of the specifiers. Height-SDS was not correlated with age thus stunting had no impact on our data. We corroborate the evidence to use the tenth instead of the fifth BMI-centile as the weight criterion in children and adolescents. Weight criteria should not entail major diagnostic shifts during the transition from adolescence to adulthood. The severity specifiers based on BMI or BMI-centiles do not seem to have substantial clinical validity.
1000 Sacherschließung
lokal Adolescent [MeSH]
lokal Female [MeSH]
lokal Age Factors [MeSH]
lokal Hospitalization [MeSH]
lokal Diagnostic and Statistical Manual of Mental Disorders [MeSH]
lokal Humans [MeSH]
lokal Original Contribution
lokal Severity of Illness Index [MeSH]
lokal Weight criterion
lokal Body Mass Index [MeSH]
lokal Anorexia Nervosa/diagnosis [MeSH]
lokal BMI-centile
lokal International Classification of Diseases [MeSH]
lokal Atypical anorexia nervosa
lokal Anorexia Nervosa/therapy [MeSH]
lokal BMI-SDS
lokal Child [MeSH]
lokal Early onset anorexia nervosa
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/RW5nZWxoYXJkdCwgQ2hyaXN0aWFu|https://orcid.org/0000-0002-4783-6265|https://frl.publisso.de/adhoc/uri/QsO8aHJlbiwgS2F0aGFyaW5h|https://orcid.org/0000-0003-3079-7666|https://frl.publisso.de/adhoc/uri/QmVja2VyLCBLYXRqYQ==|https://frl.publisso.de/adhoc/uri/V2ViZXIsIExpbmRh|https://frl.publisso.de/adhoc/uri/Q29ycmVsbCwgQ2hyaXN0b3BoIFUu|https://orcid.org/0000-0002-0270-0954|https://frl.publisso.de/adhoc/uri/RWhybGljaCwgU3RlZmFu|https://frl.publisso.de/adhoc/uri/Um9lc3NuZXIsIFZlaXQ=|https://frl.publisso.de/adhoc/uri/RmxlaXNjaGhha2VyLCBDaHJpc3RpYW4=|https://orcid.org/0000-0002-3579-6200|https://frl.publisso.de/adhoc/uri/SGFobiwgRnJlaWE=|https://orcid.org/0000-0001-5415-8784|https://frl.publisso.de/adhoc/uri/S2Flc3MsIE1pY2hhZWw=|https://orcid.org/0000-0002-1580-9991|https://frl.publisso.de/adhoc/uri/UmVubmVyLCBUb2JpYXMgSi4=|https://frl.publisso.de/adhoc/uri/U2NodWx6ZSwgVWxyaWtlIE0uIEUu|https://frl.publisso.de/adhoc/uri/U2luemlnLCBKdWRpdGg=|https://orcid.org/0000-0001-8248-6814|https://orcid.org/0000-0002-5367-6069|https://orcid.org/0000-0001-8450-3323|https://orcid.org/0000-0002-7341-2802|https://orcid.org/0000-0001-5364-6073
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1000 Erstellt am 2023-11-17T13:35:10.462+0100
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