Hypomagnesemia during refeeding in anorexia nervosa.
Eat Weight Disord. 2004 Sep; 9(3):236-7.EW

Abstract

BACKGROUND

Magnesium deficiency can cause weakness, constipation, seizures and arrhythmias. We frequently observe hypomagnesemia during refeeding in AN.

OBJECTIVE

To determine the incidence and time of onset of hypomagnesemia during refeeding in anorexia nervosa (AN).

DESIGN

Observational cohort study.

SETTING

University teaching hospital in Vancouver, Canada.

PATIENTS

Patients with AN (DSM-IV criteria) admitted for refeeding.

INTERVENTION

All patients were admitted for supervised refeeding by meal support, in conjunction with our standard medical and psychological treatment.

MEASUREMENTS

Serum magnesium was measured daily for 5 days and then 3 times a week.

RESULTS

Fifty patients were admitted for an average of 24 days. Sixty percent (30/50) had low serum magnesium during their admission. Hypomagnesemia was present on admission in 16% but as late as the third week of refeeding in others.

CONCLUSION

Serum magnesium should be measured on admission and rechecked weekly for the first 3 weeks of refeeding as a minimum.

Authors+Show Affiliations

Birmingham CL

Eating Disorders Program, St. Paul's Hospital, Department of Psychiatry, University of British Columbia, Canada. clbirm@interchange.ubc.ca

Puddicombe D

No affiliation info available

Hlynsky J

No affiliation info available

MeSH

AdultAnorexia NervosaCohort StudiesDiagnostic and Statistical Manual of Mental DisordersEnergy IntakeHospitalizationHumansLength of StayMagnesium DeficiencyMiddle AgedObservationPrevalence

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15656021

Citation

Birmingham, C L., et al. "Hypomagnesemia During Refeeding in Anorexia Nervosa." Eating and Weight Disorders : EWD, vol. 9, no. 3, 2004, pp. 236-7.

Birmingham CL, Puddicombe D, Hlynsky J. Hypomagnesemia during refeeding in anorexia nervosa. Eat Weight Disord. 2004;9(3):236-7.

Birmingham, C. L., Puddicombe, D., & Hlynsky, J. (2004). Hypomagnesemia during refeeding in anorexia nervosa. Eating and Weight Disorders : EWD, 9(3), 236-7.

Birmingham CL, Puddicombe D, Hlynsky J. Hypomagnesemia During Refeeding in Anorexia Nervosa. Eat Weight Disord. 2004;9(3):236-7. PubMed PMID: 15656021.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Hypomagnesemia during refeeding in anorexia nervosa. AU - Birmingham,C L, AU - Puddicombe,D, AU - Hlynsky,J, PY - 2005/1/20/pubmed PY - 2005/4/9/medline PY - 2005/1/20/entrez SP - 236 EP - 7 JF - Eating and weight disorders : EWD JO - Eat Weight Disord VL - 9 IS - 3 N2 - BACKGROUND: Magnesium deficiency can cause weakness, constipation, seizures and arrhythmias. We frequently observe hypomagnesemia during refeeding in AN. OBJECTIVE: To determine the incidence and time of onset of hypomagnesemia during refeeding in anorexia nervosa (AN). DESIGN: Observational cohort study. SETTING: University teaching hospital in Vancouver, Canada. PATIENTS: Patients with AN (DSM-IV criteria) admitted for refeeding. INTERVENTION: All patients were admitted for supervised refeeding by meal support, in conjunction with our standard medical and psychological treatment. MEASUREMENTS: Serum magnesium was measured daily for 5 days and then 3 times a week. RESULTS: Fifty patients were admitted for an average of 24 days. Sixty percent (30/50) had low serum magnesium during their admission. Hypomagnesemia was present on admission in 16% but as late as the third week of refeeding in others. CONCLUSION: Serum magnesium should be measured on admission and rechecked weekly for the first 3 weeks of refeeding as a minimum. SN - 1124-4909 UR - https://www.unboundmedicine.com/medline/citation/15656021/full_citation DB - PRIME DP - Unbound Medicine ER -

Tags

Hypomagnesemia during refeeding in anorexia nervosa.Eat Weight Disord. 2004 Sep; 9(3):236-7.EW