Características clínicas de adolescentes de sexo masculino con trastornos de la conducta alimentaria: Estudio de casos clínicos

• FRANCISCA SALAS ^[1] ; M ISABEL HODGSON ^[1] ; DOLLY FIGUEROA ^[2] ; PASCUALA URREJOLA ^[1]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
  2. [2] Hospital Padre Hurtado

     Hospital Padre Hurtado

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 139, Nº. 2, 2011, págs. 182-188
• Idioma: español
• Títulos paralelos:
  • Clinical features of adolescent males with eating disorders
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• Resumen

  • Background: There is a higher prevalence of eating disorders (ED) among adolescent females. These are less common in men and there are clinical differences between genders. Aim: To describe the clinical features of adolescent males with ED. Material and Methods: Review of 38 medical records of male patients with ED seen in an ED Unit in Chile, between 2001 and 2009. Results: Mean age at first medical visit was 14.4 ± 2.2 years. Symptoms appeared 9.5 ± 8.9 months prior to the first visit. Anorexia Nervosa (AN) of the restricting type was diagnosed in 21 patients (55.2%), with a mean weight loss of 11.2 kg ± 9.4 kg. In 37% of patients, there was a past medical history of overweight. All patients either increased or maintained weight during follow up. Sixty three percent had a psychiatric co-morbidity at first visit. After 3 months of treatment, 82% of patients remained in the program. Conclusions: There was a delay in diagnosis of ED in men. The high prevalence of AN found in this group is characteristic of patients recently diagnosed with ED. Overweight could be a precipitating factor. Nearly two thirds of male ED patients had a psychiatric comorbidity. This high prevalence may suggest a susceptibility to develop ED in males.