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Brief report: Decreased bone mineral density as a long-term complication of teenage-onset anorexia nervosa.

Journal article
Authors Elisabet Wentz
Dan Mellström
I Carina Gillberg
Christopher Gillberg
Maria Råstam
Published in European Eating Disorders Review
Volume 15
Issue 4
Pages 290-295
ISSN 1099-0968
Publication year 2007
Published at Institute of Medicine, School of Public Health and Community Medicine
Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry
Pages 290-295
Language en
Links dx.doi.org/10.1002/erv.795
Keywords Absorptiometry, Photon, Adolescent, Adult, Age of Onset, Anorexia Nervosa, Complications, Bone Density, Child, Female, Follow-Up Studies, Humans, Osteoporosis, Etiology, Physiopathology
Subject categories Child and adolescent psychiatry

Abstract

OBJECTIVE: To follow up bone mineral density (BMD) 4 years after decreased BMD was diagnosed in adult individuals with teenage-onset anorexia nervosa (AN). METHOD: In a previous study BMD was assessed in 39 individuals (36 women, 3 men) 11 years after AN onset. Decreased BMD occurred in a minority. In the present study, a 4-year follow-up of individuals with decreased BMD, 11 AN women were reassessed by using dual energy X-ray absorptiometry (DXA). Two women still had an eating disorder (ED). RESULTS: Eight out of eleven women met criteria for decreased BMD/osteoporosis. There was an increase in BMD of total body and lumbar spine (LS). There was a relationship between lumbar BMD and BMI. CONCLUSION: At follow-up of decreased BMD in adult women with teenage-onset of AN, there is a possibility of improvement of BMD.

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