Welche Bedeutung haben die Ernährungswissenschaften für die Behandlung der Anorexia nervosa?

Zusammenfassung

Mehrere Studien liefern Hinweise auf einen biologisch bedingten Hypermetabolismus bei Patientinnen mit Anorexia nervosa (AN) während und kurz nach erfolgreicher Gewichtszunahme. Wie ein entsprechend erhöhter Energiebedarf mit derzeit praktizierten ernährungstherapeutischen Behandlungsstrategien in Einklang gebracht werden kann, ist bislang ungewiss. Wenn es gelingt, die pathophysiologischen Besonderheiten der Energieverwertung von AN-Patientinnen besser zu verstehen, könnten diese Patientinnen in Zukunft ernährungstherapeutisch besser begleitet werden. An dieser Stelle kann evidenzbasierte, ernährungswissenschaftliche Forschung einen essentiellen Beitrag leisten.

Abstract

Several studies provide evidence for the existence of a hypermetabolic state of biological origin in recently weight recovered patients with anorexia nervosa. It remains unclear if current nutritional rehabilitation strategies are consistent with the resulting high energy requirements. Further insight into specific pathophysiological characteristics of energetic efficiency in patients with anorexia nervosa will help us to provide evidence based nutritional guidance. Basic nutritional research in this field is urgently required.

Schlüselwörter

Anorexia nervosa - Energiebedarf - evidenzbasierte Ernährungstherapie

Keywords

anorexia nervosa - energy requirements - evidence-based nutrition therapy

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