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master's thesis
Akutne komplikacije u djece i adolescenata s restriktivnim tipom anoreksije nervoze
Osijek: Josip Juraj Strossmayer University of Osijek, FACULTY OF FOOD TECHNOLOGY, 2019. urn:nbn:hr:109:872230
Perlain, Emanuela
Josip Juraj Strossmayer University of Osijek
FACULTY OF FOOD TECHNOLOGY
Department of Food and Nutrition Research
Sub-department of Nutrition

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Perlain, E. (2019). Akutne komplikacije u djece i adolescenata s restriktivnim tipom anoreksije nervoze (Master's thesis). Osijek: Josip Juraj Strossmayer University of Osijek, FACULTY OF FOOD TECHNOLOGY. Retrieved from https://urn.nsk.hr/urn:nbn:hr:109:872230

Perlain, Emanuela. "Akutne komplikacije u djece i adolescenata s restriktivnim tipom anoreksije nervoze." Master's thesis, Josip Juraj Strossmayer University of Osijek, FACULTY OF FOOD TECHNOLOGY, 2019. https://urn.nsk.hr/urn:nbn:hr:109:872230

Perlain, Emanuela. "Akutne komplikacije u djece i adolescenata s restriktivnim tipom anoreksije nervoze." Master's thesis, Josip Juraj Strossmayer University of Osijek, FACULTY OF FOOD TECHNOLOGY, 2019. https://urn.nsk.hr/urn:nbn:hr:109:872230

Perlain, E. (2019). 'Akutne komplikacije u djece i adolescenata s restriktivnim tipom anoreksije nervoze', Master's thesis, Josip Juraj Strossmayer University of Osijek, FACULTY OF FOOD TECHNOLOGY, accessed 03 April 2025, https://urn.nsk.hr/urn:nbn:hr:109:872230

Perlain E. Akutne komplikacije u djece i adolescenata s restriktivnim tipom anoreksije nervoze [Master's thesis]. Osijek: Josip Juraj Strossmayer University of Osijek, FACULTY OF FOOD TECHNOLOGY; 2019 [cited 2025 April 03] Available at: https://urn.nsk.hr/urn:nbn:hr:109:872230

E. Perlain, "Akutne komplikacije u djece i adolescenata s restriktivnim tipom anoreksije nervoze", Master's thesis, Josip Juraj Strossmayer University of Osijek, FACULTY OF FOOD TECHNOLOGY, Osijek, 2019. Available at: https://urn.nsk.hr/urn:nbn:hr:109:872230

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Metadata
TitleAkutne komplikacije u djece i adolescenata s restriktivnim tipom anoreksije nervoze
Title (english)Acute Complications in Children and Adolescents with Restrictive Anorexia Nervosa
AuthorEmanuela Perlain
MentorInes Banjari (mentor)
MentorOrjena Žaja (komentor)
Committee memberIvica Strelec (predsjednik povjerenstva)
Committee memberInes Banjari (član povjerenstva)
Committee memberOrjena Žaja (član povjerenstva)
Committee memberDaniela Čačić Kenjerić (član povjerenstva)
GranterJosip Juraj Strossmayer University of Osijek
FACULTY OF FOOD TECHNOLOGY
(Department of Food and Nutrition Research)
(Sub-department of Nutrition)
Osijek
Defense date and country2019-07-19, Croatia
Scientific / art field,
discipline and subdiscipline		BIOTECHNICAL SCIENCES
Food Technology
Abstract
Anoreksija nervoza (AN) je najčešći i najteži poremećaja jedenja kompleksne i još nepotpuno razjašnjene etiologije. Komplikacije AN su rezultat adaptacije metabolizma na ekstremnu pothranjenost i mogu dovesti i do smrti. Liječenje je kompleksno jednako kao i sama bolest, a sama hospitalizacija ukazuje na iznimno teško stanje oboljelog. Zbog velike važnosti za kliničku praksu, cilj je bio ispitati učestalost akutnih komplikacija s obzirom na endotip. Analizirani su podatci za 183 djevojčice i... More djevojke hospitalizirane zbog AN. Poremećaj acidobazne ravnoteže češći je kod bulimičko–purgativnog (BP) endotipa (25,3 % vs 16,7 %; p=0,003), dok je hiperfosfatemija učestalija kod restriktivnog (R) endotipa (21,7 % vs 17,2 %; p=0,009). Nešto viši pH krvi kod BP endotipa ukazuje na purgativne tehnike kojima pacijentice pribjegavaju. Hiperfosfatemija kod R endotipa je potvrđena kao čimbenik rizika za akutno zatajenje bubrega jer je praćena povećanim kreatininom (16/22 s hiperfosfatemijom), nižom idealnom tjelesnom masom (52,25 kg vs 55,22 kg; p=0,027), značajnijim gubitkom mase (18,41 % vs 22,64 %; p=0,031), nižim feritinom (p=0,021) te višim transferinom (p=0,020) i klorom (p=0,023). Pacijentice kojima su serumske razine kalcija, magnezija i/ili kalija povišene imaju niži pH krvi (7,39 vs 7,42; p<0,001) te veće vrijednosti kreatinina (81,50 vs 73,82 μmol; p=0,025) i ukupnih proteina (76,38 vs 74,36 g/L; p=0,039). Rezultati ukazuju na potrebu za pomnim praćenjem AN pacijenata kako bi se izbjegle metabolička alkaloza i akutno zatajenje bubrega. Ovi podaci su od iznimne važnosti kliničarima i jedinicama intenzivnog liječenja hospitaliziranih AN pacijenata. Less
Abstract (english)
Anorexia nervosa (AN) is the most common and the most severe eating disorder with a very complex and still incompletely understood etiology. AN complications result from metabolic adaptations of the body to extremely severe malnutrition and can even result with death. Treatments is as complex as the disease itself, and hospitalization emphasizes the severety of a patient. Due to immense importance for clinical practice, the aim was to analyse the prevalence of acute complications in... More different endotypes of AN. Data for 183 children and adolescents (all females) hospitalized due to AN were analyzed. Acid-base disorder was more common in binge-purging (BP) endotype (25.3 % vs 16.7 %; p=0.003), while hyperphosphatemia was more common in restrictive (R) endotype (21.7 % vs 17.2 %; p=0.009). Slightly higher blood pH in BP is indicative of pugrative techniques used by these patients. Hyperphosphatemia in R endotype was confirmed as a risk factor for acute kidney failure because it is accompanied by increased creatinin (16/22 with hyperphosphatemia), lower Ideal Body Weight (52.25 kg vs 55.22 kg; p=0.027), more significant weight loss (18.41 % vs 22.64 %; p=0.031), lower ferritin (p=0.021) and higher transferin (p=0.020) and chloride (p=0.023). Patients with elevated serum levels of calcium, magnesium and/or potassium have lower blood pH (7.39 vs 7.42; p<0.001) and higher creatinin (81.50 vs 73.82 μmol; p=0.025) and total proteins (76.38 vs 74.36 g/L; p=0.039). The results emphasize the need to closely monitor AN patients for metabolic alkalosis and acute kidney failure, making them very useful for clinicians and intensive clinical care for hospitalized AN patients. Less
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:109:872230
Study programmeTitle: Food Science and Nutrition
Study programme type: university
Study level: graduate
Academic / professional title: magistar/magistra inženjer/inženjerka nutricionizma i znanosti o hrani (magistar/magistra inženjer/inženjerka nutricionizma i znanosti o hrani)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
RepositoryRepository of the Faculty of Food Technology Osijek
Created on2019-08-29 09:17:28
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