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• W3204111352 abstract "<h3>Background</h3> Low weight in young children is a common presentation in paediatrics and often easily recognised by paediatricians but not as easily identified in the adolescent population. Underweight in adolescents can be a sign of eating disorders or other medical illnesses that can affect their energy levels, growth and development and occasionally be life-threatening. <h3>Objectives</h3> The aim of this study was to identify all adolescents referred to our secondary and tertiary service that were identified as being underweight or having sudden onset weight loss and to describe their presentation, management and outcomes. <h3>Methods</h3> Patients were identified using the electronic health record system. Their records were searched to obtain information on their referral reason, weight on referral, symptoms, diagnosis including mental health co-morbidities if present and their follow-up outcomes. <h3>Results</h3> 55 patients were identified from our database, of which 4 were excluded because they were referred but attended their appointment at the Adolescent Clinic. Our sample was composed of 76% of female. The average age at presentation was 15.6 years old (11.6–18.8). The average BMI at presentation was 18.1 kg/m²(13.27–27.94). 25% of our sample presented with a weight for height <80%. Patients had one or two reasons for referral. The most common reasons for referral were suspected chronic fatigue syndrome (47%), underweight (25%), weight loss (23%) and abdominal pain or headaches (16%). Concerns about weight were only mentioned in the referral letter for 27 out of the 37 adolescents who received the diagnosis of underweight or weight loss at initial presentation. Another 25% (13/51) of adolescent develop a new-onset weight loss while they were followed-up with our team. Abdominal symptoms were present in 68% of adolescents of which abdominal pain was the most common (17/35). Of the patient presenting abdominal symptoms, 16/35 (46%) were reviewed by gastroenterology and 9/35 (26%) were diagnosed with Functional gastro-intestinal disorders. Of our sample, 19/51 (37%) were diagnosed with an eating disorder and were referred to mental health services. Other common mental health co-morbidities included anxiety (27%) and low mood (25%). 27/51 (52%) of our patients were referred to a dietician and of these, 85% had improved their weight at the end of follow-up. Of those who deteriorated during follow-up, 2 were diagnosed with an eating disorder, 1 was suspected to have an eating disorders and 1 had gastroparesis. <h3>Conclusions</h3> Our study reveals the importance of early identification and management of underweight in adolescents. Underweight is not being recognises sufficiently, as concern about weight was not identified in the referral letter of almost a third of patient who were diagnosed with low weight or weight loss at their first assessment by our team. Most Eating disorders peak in adolescents and studies have shown that poor recognition leads to chronicity into adulthood with significant impact on adolescent growth, puberty and psychological development." @default.
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• W3204111352 date "2021-09-30" @default.
• W3204111352 modified "2023-09-25" @default.
• W3204111352 title "733 An overview of adolescents presenting to a tertiary centre with low weight" @default.
• W3204111352 doi "https://doi.org/10.1136/archdischild-2021-rcpch.170" @default.
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