What does the evidence show is the preferred mode for feeding in eating disorders?

What does the evidence show is the preferred mode for feeding in eating disorders?

• A. Enteral feeding as first-line for all
• B. Oral refeeding is preferred in the US; enteral feeds help when unable/unwilling
• C. Total parenteral nutrition is preferred
• D. Tube feeding without oral intake is preferred

Answer: (B)

Oral refeeding is the preferred approach for feeding individuals with eating disorders because it supports gut function, normalizes eating patterns, and aligns with patient preference and autonomy. Evidence and practice guidelines emphasize starting with oral refeeding and gradually increasing calories, which reduces complications and fosters a sustainable recovery process. Enteral feeding is used when oral intake cannot meet caloric and nutritional needs or when a patient is unwilling or unable to eat despite support, serving as a bridge rather than the first-line approach. Total parenteral nutrition is generally avoided because it carries higher risks (infections, liver complications) and does not preserve gut function or support eating behavior, making it a last resort when the gut cannot be used. Feeding through a tube without any oral intake removes the opportunity for oral refeeding and is not considered the preferred strategy except in specific, uncommon circumstances. In practice, the goal is to maximize safe oral intake first, using enteral support only as needed.

Oral refeeding is the preferred approach for feeding individuals with eating disorders because it supports gut function, normalizes eating patterns, and aligns with patient preference and autonomy. Evidence and practice guidelines emphasize starting with oral refeeding and gradually increasing calories, which reduces complications and fosters a sustainable recovery process. Enteral feeding is used when oral intake cannot meet caloric and nutritional needs or when a patient is unwilling or unable to eat despite support, serving as a bridge rather than the first-line approach. Total parenteral nutrition is generally avoided because it carries higher risks (infections, liver complications) and does not preserve gut function or support eating behavior, making it a last resort when the gut cannot be used. Feeding through a tube without any oral intake removes the opportunity for oral refeeding and is not considered the preferred strategy except in specific, uncommon circumstances. In practice, the goal is to maximize safe oral intake first, using enteral support only as needed.