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Background: This presentation will include a discussion of the rationale for assigning priority to nutritional rehabilitation for malnourished adolescents. We will then discuss refeeding syndrome, followed by a review of literature about the safety of more aggressive refeeding practices in hospitalized adolescents. Finally we will discuss some practical recommendations for clinicians.
- Impact of malnutrition on the developing brain
- Weight restoration
- Refeeding safety
- Practical suggestions for clinical practice
This presentation will include a discussion of the rationale for assigning high priority to nutritional rehabilitation for malnourished adolescents given ongoing brain development. We will then discuss refeeding risks including refeeding syndrome, followed by a review of recent literature about the safety of more aggressive refeeding practices in hospitalized adolescents. Finally we will discuss some practical recommendations or “middle ground” for clinicians to balance the risks of refeeding concerns with the more aggressive recommendations recently made.
Ovidio Bermudez, MD, FAAP, FSAHM, FAED, CEDS, Board Certified in Pediatrics/Adolescent Medicine is the Medical Director of Child & Adolescent Services at Eating Recovery Center in Denver, Colorado. With academic appointments as Clinical Professor of Psychiatry/Pediatrics at University Of Oklahoma College Of Medicine, he co-founded both the Eating Disorders Coalition of Tennessee & the Oklahoma Eating Disorders Association and is a founding member of Houston Eating Disorders Specialists. A Fellow of AED, the Society for Adolescent Medicine & the American Academy of Pediatrics, he is Past Chairman of NEDA’s Board of Directors and Co-Chairs AED’s Hispano-Latino-American Chapter.
