Salisbury J J, Levine A S, Crow S J, Mitchell J E
West Virginia University, Morgantown, USA.
Int J Eat Disord. 1995 May;17(4):337-45. doi: 10.1002/1098-108x(199505)17:4<337::aid-eat2260170405>3.0.co;2-q.
Patients with anorexia nervosa require refeeding to restore normal body weight. A variety of studies have examined the role of metabolic rate in the refeeding of anorectic patients. Several measurement techniques have been used to divide metabolic rate into its components: basal metabolic rate, resting energy expenditure, activity-induced thermogenesis, and dietary-induced thermogenesis. In anorexia nervosa patients several consistent findings are present. First, the number of kilocalories required for weight gain or weight maintenance increases as weight increases. Second, over 50% of the body mass gained in anorectic individuals represents fat tissue. Finally, both a history of bulimic symptoms and a higher premorbid body weight may lead to lower calorie requirements. These findings suggest the need for gradual increase in calories provided throughout treatment; resting energy expenditures may aid the determination of caloric requirements
神经性厌食症患者需要重新进食以恢复正常体重。各种研究探讨了代谢率在厌食症患者重新进食过程中的作用。已使用多种测量技术将代谢率分解为其组成部分：基础代谢率、静息能量消耗、活动诱导产热和饮食诱导产热。在神经性厌食症患者中存在一些一致的发现。首先，体重增加或维持体重所需的千卡数随着体重的增加而增加。其次，厌食症患者增加的体重中超过50%为脂肪组织。最后，有暴食症状史和病前体重较高可能导致热量需求较低。这些发现表明在整个治疗过程中需要逐渐增加热量供应；静息能量消耗可能有助于确定热量需求
