SNR #222: Ari Snaevarsson - Anorexia Nervosa, Refeeding Syndrome & Potential Refeeding Strategies

Sigma Nutrition Radio

Danny Lennon

Sigma, Dietetics, Evidencebased, Nutrition, Training, Health & Fitness, Science, Diet, Fitness, Evidence, Bodybuilding, Health

4.8 • 626 Ratings

🗓️ 20 March 2018

⏱️ 51 minutes

🔗️ Recording | iTunes | RSS

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Summary

Ari Snaevarsson currently works as a dietetic technician at a residential treatment center for patients with eating disorders. He graduated from Gettysburg College with his Bachelor’s in Health Sciences and worked there also as a research assistant. His Capstone research was titled “How aggressively can hospitalized adolescents with anorexia nervosa be refed to prevent irreversible adverse outcomes or death?” In addition, Ari works, separate from the eating disorder field, as a Precision Nutrition Level 1 certified nutrition consultant at True Fitness & Nutrition.

In This Episode We Discuss

Defining anorexia nervosa & refeeding syndrome
How and why we see severe hypophosphatemia play out
What is the current standard of care for hospitalized anorexic patients?
Is their alternatives to current standard practice that have potential?
What sort of surpluses lead to appropriate rates of weight gain?
Differences between whole food refeeds vs. feed tube vs. TPN (intravenous)

Transcript

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0:00.0	And so, refeeding syndrome, kind of the research that we have on it now sort of came from initially some prisoners of war in World War II.
0:20.4	I don't have the exact research on hand, but sort of what we found out was that, you know,
0:25.6	when you refeed people who have been malnourished or starve for long periods of time,
0:30.6	it's not enough to just give them food and then hope they'll be on their way and they'll be healthy and safe.
0:36.6	The body actually has some really important compensation
0:39.6	mechanisms in place,
0:41.8	which mean that we need to be mindful
0:43.8	of how exactly we feed people back to proper help.
1:06.8	... Hello and welcome you are listening to Sigma Nutrition Radio.
1:09.5	I am your host as always, Danny Lennon.
1:17.2	Today we are at episode 222 of the podcast and today's episode is an extremely novel and exciting one for this particular podcast because we're going to be
1:23.0	talking about a topic that I don't think has been anywhere near to address, certainly not in any detail
1:29.3	on this show previously in any of our over 200 episodes to this point.
1:35.1	And it's a particularly important issue and has a lot of potential ramifications for
1:40.7	those you who perhaps are working in practice as a dietitian, particularly if you
1:46.1	are working with patients with anorexia nervosa. So, and even outside of that, I think,
1:52.6	for all of us who are going to be either working with other people on nutrition, just want
1:57.5	an awareness and develop our own understanding about nutrition and health
2:01.6	and various different disorders. Today's discussion hopefully will give you lots of interesting
2:07.5	insights and has certainly been an area that I've tremendously enjoyed learning more about
2:13.7	from today's guest Ari Snyverson. So Ari's work that he has done was when he passed
2:21.5	him onto me was extremely new on my radar and brought up a lot of really interesting questions.
	...

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