Please use this identifier to cite or link to this item: doi:10.22028/D291-36337
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Title: Incontinence and constipation in adolescent patients with anorexia nervosa-Results of a multicenter study from a German web-based registry for children and adolescents with anorexia nervosa
Author(s): Mattheus, Hannah
Wagner, Catharina
Becker, Katja
Bühren, Katharina
Correll, Christoph U.
Egberts, Karin M.
Ehrlich, Stefan
Fleischhaker, Christian
Föcker, Manuel
Hahn, Freia
Hebebrand, Johannes
Herpertz-Dahlmann, Beate
Jaite, Charlotte
Jenetzky, Ekkehart
Kaess, Michael
Legenbauer, Tanja
Pfeiffer, Jens P.
Renner, Tobias J.
Roessner, Veit
Schulze, Ulrike
Sinzig, Judith
Wessing, Ida
von Gontard, Alexander
Language: English
Title: International Journal of Eating Disorders
Volume: 53
Issue: 2
Pages: 219-228
Publisher/Platform: Wiley
Year of Publication: 2019
Free key words: anorexia nervosa
body weight
constipation
daytime urinary incontinence
nocturnal enuresis
DDC notations: 150 Psychology
610 Medicine and health
Publikation type: Journal Article
Abstract: Objective Nocturnal enuresis (NE), daytime urinary incontinence (DUI), and fecal incontinence (FI) are common disorders in childhood and are frequently accompanied by comorbid psychiatric disorders. Despite a high association between urinary and fecal incontinence with psychiatric and neurodevelopmental disorders, research on comorbidity between incontinence and anorexia nervosa (AN) remains scarce. Yet, it is well known that somatic consequences of AN include metabolic and gastrointestinal disorders. The study sought to assess the prevalence of incontinence and constipation in children and adolescents with AN and to examine associations of these two symptoms with body weight at admission and with BMI changes during inpatient treatment. Methods Data collected between 2015 and 2017 by a multicenter German web-based registry for AN were analyzed. Three hundred and forty-eight patients with AN (96.3% female, mean age = 15.1 ± 1.8 years) were assessed regarding AN subtype, psychiatric comorbidity, body weight, incontinence, and constipation. Results Overall, 27.6% of patients had constipation, 1.8% had NE and 1.8% DUI. Prevalence of constipation did not significantly differ between AN subtypes. Constipation did not lead to any significant differences in weight/BMI changes during inpatient treatment. Discussion This is the largest study of incontinence and constipation in patients with AN, so far. Our results indicate that constipation is highly prevalent in adolescent patients with AN and reflects a clinically relevant condition. Despite, patients with AN do not have an increased prevalence of incontinence compared with the general population. Future studies should include medical examinations like ultrasound and physical examination of the lower abdomen to evaluate the severity of constipation.
DOI of the first publication: 10.1002/eat.23182
URL of the first publication: https://onlinelibrary.wiley.com/doi/10.1002/eat.23182
Link to this record: urn:nbn:de:bsz:291--ds-363370
hdl:20.500.11880/33002
http://dx.doi.org/10.22028/D291-36337
ISSN: 1098-108X
0276-3478
Date of registration: 2-Jun-2022
Faculty: HW - Fakultät für Empirische Humanwissenschaften und Wirtschaftswissenschaft
M - Medizinische Fakultät
Department: HW - Psychologie
M - Neurologie und Psychiatrie
Professorship: HW - Prof. Dr. Tanja Michael
M - Prof. Dr. Alexander von Gontard
Collections:Die Universitätsbibliographie

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