Revista nº 811

Ramírez-Sánchez F, et al. | Pediatric eating disorders for 10 years Actual Med. 2020; 105(811): 182- 189 185 Blood analysis was performed in most of the patients, showing a normal blood cell count. 47% had some alte- rations in biochemical parameters; the most frequent were hypercholesterolemia (>200mg/dl) in 62.5% of the patients and hypoglycemia (<55 mg/dl) in 50% of them. 58% had altered hormone levels, especially go- nadotropin and sex hormones (lower estrogen levels in girls who had reached menarche previously). Certain physical stereotypes and the idealization of thinness, and generalized body dissatisfaction encou- raged the onset of the disorder. 100% of them presen- ted restriction of food intake, 90% expressed fear of gaining weight and more than 80% had unconscious- ness of the disease, psychosocial changes, and even menstrual disorders such as amenorrhea in girls. Si- milarly, 75% presented a distorted body perception and acknowledged calorie-counting their intake. For those patients who achieved recovery at the time of the study (n=15), the average follow-up time for hos- pital visits was 17 months. The evolution of the BMI of 12 patients is described in figure 1. Figure 1. BMI evolution of treatment responders (A) and initial non-responders (B) during the first visit. Figure 1.A: Initial responders were those who, from the first consultation, begin to increase their BMI and improve their physical condition. Figure 1.B: Non-responders or initially refractory to treatment were those who at the beginning of the visits maintain or even worse their anthropometric and metabolic status.