青少年神经性厌食症的医学管理中维生素 D 评估和治疗不足。
Insufficient Assessment and Treatment of Vitamin D in the Medical Management of Adolescents with Anorexia Nervosa.
机构信息
University of Cincinnati College of Medicine, Department of Pediatrics, USA; Cincinnati Children's Hospital Medical Center, Division of Behavioral Medicine and Clinical Psychology, USA.
Mayo Clinic College of Medicine, Department of Nursing, USA.
出版信息
J Pediatr Nurs. 2021 Sep-Oct;60:177-180. doi: 10.1016/j.pedn.2021.06.014. Epub 2021 Jun 30.
PURPOSE
Suboptimal vitamin D levels are implicated in low bone mineral density, a common medical complication of anorexia nervosa. This study aimed to examine the frequency of vitamin D assessment and treatment for adolescents with anorexia nervosa in outpatient medical management.
DESIGN AND METHODS
Retrospective chart review was used to examine 179 adolescents (M age = 15.5 years, SD = 2.2), newly diagnosed with anorexia nervosa at a tertiary care medical center in the United States between January 2000 and July 2016.
RESULTS
Only 16% of patients (n = 29) received serum vitamin D assessments following diagnosis, of whom 52% had suboptimal vitamin D levels (n = 15). Only three patients with suboptimal vitamin D were advised to begin supplementation. No patients in our sample were encouraged to begin prophylactic vitamin D supplementation.
CONCLUSIONS/PRACTICE IMPLICATIONS: Findings from this study highlight the critical need for widespread care team education about vitamin D assessment and treatment in the medical management of adolescents with anorexia nervosa, particularly in light of the potentially serious consequences of bone mineral density.
目的
维生素 D 水平不足与低骨密度有关，而低骨密度是神经性厌食症的一种常见并发症。本研究旨在探讨门诊医疗管理中青少年神经性厌食症患者维生素 D 评估和治疗的频率。
方法
采用回顾性病历审查的方法，对 2000 年 1 月至 2016 年 7 月期间在美国一家三级护理医疗中心新诊断为神经性厌食症的 179 名青少年（M 年龄=15.5 岁，SD=2.2）进行了检查。
结果
仅有 16%（n=29）的患者在诊断后接受了血清维生素 D 评估，其中 52%（n=15）存在维生素 D 不足。仅有 3 名维生素 D 不足的患者被建议开始补充。我们的样本中没有患者被鼓励开始预防性维生素 D 补充。
结论/实践意义：本研究结果强调了在青少年神经性厌食症的医疗管理中，广泛开展护理团队关于维生素 D 评估和治疗的教育的重要性，特别是考虑到骨密度潜在的严重后果。
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