Table 1.
Table 1a. Classifications of weight parameters and their cut-offs used to diagnose low weight in patients with AN
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Absolute BMI kg/m2 Reference | BMI percentile Reference | %mBMI | %EBW-Ht | |||||
Low-weight cut-offs | ≤17.5 | >17.5 | ≤5 | >5 | ≤85 | >85 | ≤85 | >85 |
DSM-IV-TR | DSM-5 | |||||||
| ||||||||
≤18.5 | >18.5 | ≤10 | >10 | ≤90 | >90 | ≤90 | >90 | |
WHO | WHO |
1b. Classifications of severity measures for low weight
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Absolute BMI (WHO and DSM-5) | %mBMI* (SAHM) | BMI z-score (SAHM) | ||||
Low-weight severity categories | <15 | Extreme | <70% | Severe | ≤−3 | Severe |
15–15.9 | Severe | 70%–79% | Moderate | −2.9 to −2 | Moderate | |
16–16.9 | Moderate | 80%–90% | Mild | −1.9 to −1 | Mild | |
≥17 | Mild | >90% | - | >−1 | - |
%mBMI: Percent median BMI for age
%EBW-Ht: Percent expected body weight for height
WHO: World Health Organization
SAHM: Society of Adolescent Health and Medicine
Because so few patients were classified as severe using %mBMI (n=8), we grouped those identified as moderate and severe together for analyses. We chose not to eliminate these eight participants as this would have led to a reduction in the number of participants in the severe/extreme category for other severity systems, and resulted in an underrepresentation of the severity of low BMD using these other systems.