Lung function study and diffusion capacity in anorexia nervosa

.  Pieters T, Boland B, Beguin C, Veriter C, Stanescu D, Frans A, Lambert M (Cliniques, Universitaires Saint‐Luc, Brussels, Belgium). Lung function study and diffusion capacity in anorexia nervosa. J Intern Med 2000; 248: 137–142. Study objectives. In humans, malnutrition alters the respiratory syst...

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Veröffentlicht in:Journal of internal medicine 2000-08, Vol.248 (2), p.137-142
Hauptverfasser: Pieters, T., Boland, B., Beguin, C., Veriter, C., Stanescu, D., Frans, A., Lambert, M.
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container_end_page 142
container_issue 2
container_start_page 137
container_title Journal of internal medicine
container_volume 248
creator Pieters, T.
Boland, B.
Beguin, C.
Veriter, C.
Stanescu, D.
Frans, A.
Lambert, M.
description .  Pieters T, Boland B, Beguin C, Veriter C, Stanescu D, Frans A, Lambert M (Cliniques, Universitaires Saint‐Luc, Brussels, Belgium). Lung function study and diffusion capacity in anorexia nervosa. J Intern Med 2000; 248: 137–142. Study objectives. In humans, malnutrition alters the respiratory system in different ways. It impairs the ventilatory drive, decreases respiratory muscle strength and reduces immune competence. In addition, typical emphysema‐like changes were demonstrated in starved animals. The presence of emphysema has never been demonstrated in starved humans. Our objective was to investigate whether pulmonary emphysema occurs in anorexia nervosa by means of a pulmonary function study. Population and method. We examined 24 women aged between 14 and 38 years (nine smokers). We studied the lung function including lung volumes, ventilatory capacity, maximal respiratory pressures and transfer factor, as well as PaO2. Results. All respiratory tests were within normal limits with the exception of decreased maximal inspiratory (59% of predicted values) and expiratory pressures (35%), and increased residual volume (162%). Diffusion capacity (98.1 ± 16.2%) and transfer coefficient (98.4 ± 16.2%) were also normal. The diffusion coefficient was lower in current smokers than in those who had never smoked (P 
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Lung function study and diffusion capacity in anorexia nervosa. J Intern Med 2000; 248: 137–142. Study objectives. In humans, malnutrition alters the respiratory system in different ways. It impairs the ventilatory drive, decreases respiratory muscle strength and reduces immune competence. In addition, typical emphysema‐like changes were demonstrated in starved animals. The presence of emphysema has never been demonstrated in starved humans. Our objective was to investigate whether pulmonary emphysema occurs in anorexia nervosa by means of a pulmonary function study. Population and method. We examined 24 women aged between 14 and 38 years (nine smokers). We studied the lung function including lung volumes, ventilatory capacity, maximal respiratory pressures and transfer factor, as well as PaO2. Results. All respiratory tests were within normal limits with the exception of decreased maximal inspiratory (59% of predicted values) and expiratory pressures (35%), and increased residual volume (162%). Diffusion capacity (98.1 ± 16.2%) and transfer coefficient (98.4 ± 16.2%) were also normal. The diffusion coefficient was lower in current smokers than in those who had never smoked (P &lt; 0.01), a difference similar to that calculated from existing reference values for transfer factor for smokers and nonsmokers. Conclusion. In anorexia nervosa, pulmonary function tests are within normal limits with the exception of maximal pressures and residual volume. Diffusion capacity is not decreased. The present results within the limitations of the used method are not compatible with the hypothesis of starvation‐induced pulmonary emphysema.</description><identifier>ISSN: 0954-6820</identifier><identifier>EISSN: 1365-2796</identifier><identifier>DOI: 10.1046/j.1365-2796.2000.00712.x</identifier><identifier>PMID: 10947892</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Anorexia nervosa ; Anorexia Nervosa - complications ; Anorexia Nervosa - physiopathology ; Biological and medical sciences ; Causality ; diffusion capacity ; Eating behavior disorders ; emphysema ; Female ; Humans ; Investigative techniques of respiratory function ; Investigative techniques, diagnostic techniques (general aspects) ; malnutrition ; Medical sciences ; Prospective Studies ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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Lung function study and diffusion capacity in anorexia nervosa. J Intern Med 2000; 248: 137–142. Study objectives. In humans, malnutrition alters the respiratory system in different ways. It impairs the ventilatory drive, decreases respiratory muscle strength and reduces immune competence. In addition, typical emphysema‐like changes were demonstrated in starved animals. The presence of emphysema has never been demonstrated in starved humans. Our objective was to investigate whether pulmonary emphysema occurs in anorexia nervosa by means of a pulmonary function study. Population and method. We examined 24 women aged between 14 and 38 years (nine smokers). We studied the lung function including lung volumes, ventilatory capacity, maximal respiratory pressures and transfer factor, as well as PaO2. Results. All respiratory tests were within normal limits with the exception of decreased maximal inspiratory (59% of predicted values) and expiratory pressures (35%), and increased residual volume (162%). Diffusion capacity (98.1 ± 16.2%) and transfer coefficient (98.4 ± 16.2%) were also normal. The diffusion coefficient was lower in current smokers than in those who had never smoked (P &lt; 0.01), a difference similar to that calculated from existing reference values for transfer factor for smokers and nonsmokers. Conclusion. In anorexia nervosa, pulmonary function tests are within normal limits with the exception of maximal pressures and residual volume. Diffusion capacity is not decreased. The present results within the limitations of the used method are not compatible with the hypothesis of starvation‐induced pulmonary emphysema.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anorexia nervosa</subject><subject>Anorexia Nervosa - complications</subject><subject>Anorexia Nervosa - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Causality</subject><subject>diffusion capacity</subject><subject>Eating behavior disorders</subject><subject>emphysema</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques of respiratory function</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>malnutrition</subject><subject>Medical sciences</subject><subject>Prospective Studies</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Pulmonary Diffusing Capacity</subject><subject>Pulmonary Emphysema - etiology</subject><subject>Pulmonary Emphysema - physiopathology</subject><subject>pulmonary function tests</subject><subject>Respiratory Function Tests</subject><issn>0954-6820</issn><issn>1365-2796</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEuLFDEQgIO4uOPqX5BGxFv3Vt7JQUEWH7uM7EXPIZ1OJENPekymdebfb9oZVDx5qqLqqwcfQg2GDgMT15sOU8FbIrXoCAB0ABKT7vAIrX43HqMVaM5aoQhcoqelbAAwBQFP0CUGzaTSZIXeruf0rQlzcvs4pabs5-HY2DQ0QwxhLkvN2Z11cX9sYqqdKftDtE3y-cdU7DN0EexY_PNzvEJfP7z_cvOpXd9_vL15t24dp5K0WkgZhKWkp2zogSgu-kCU7LkQhMlBOsmDUlZxpokdqLRaY8qJEJhjaS29Qq9Pe3d5-j77sjfbWJwfR5v8NBcjsdQMFKngy3_AzTTnVH8zWFdGYKIqpE6Qy1Mp2Qezy3Fr89FgMItgszGLR7N4NItg80uwOdTRF-f9c7_1w1-DJ6MVeHUGbHF2DNkmF8sfjjHQWFbszQn7GUd__O_75u7-9nPN6AMhG5PU</recordid><startdate>200008</startdate><enddate>200008</enddate><creator>Pieters, T.</creator><creator>Boland, B.</creator><creator>Beguin, C.</creator><creator>Veriter, C.</creator><creator>Stanescu, D.</creator><creator>Frans, A.</creator><creator>Lambert, M.</creator><general>Blackwell Science Ltd</general><general>Blackwell Science</general><general>Blackwell Publishing Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200008</creationdate><title>Lung function study and diffusion capacity in anorexia nervosa</title><author>Pieters, T. ; Boland, B. ; Beguin, C. ; Veriter, C. ; Stanescu, D. ; Frans, A. ; Lambert, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5372-9677f6a32b34db02856bf287b566247d7c75f88a85492ad37a991352661517aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anorexia nervosa</topic><topic>Anorexia Nervosa - complications</topic><topic>Anorexia Nervosa - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Causality</topic><topic>diffusion capacity</topic><topic>Eating behavior disorders</topic><topic>emphysema</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques of respiratory function</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>malnutrition</topic><topic>Medical sciences</topic><topic>Prospective Studies</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Pulmonary Diffusing Capacity</topic><topic>Pulmonary Emphysema - etiology</topic><topic>Pulmonary Emphysema - physiopathology</topic><topic>pulmonary function tests</topic><topic>Respiratory Function Tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pieters, T.</creatorcontrib><creatorcontrib>Boland, B.</creatorcontrib><creatorcontrib>Beguin, C.</creatorcontrib><creatorcontrib>Veriter, C.</creatorcontrib><creatorcontrib>Stanescu, D.</creatorcontrib><creatorcontrib>Frans, A.</creatorcontrib><creatorcontrib>Lambert, M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pieters, T.</au><au>Boland, B.</au><au>Beguin, C.</au><au>Veriter, C.</au><au>Stanescu, D.</au><au>Frans, A.</au><au>Lambert, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lung function study and diffusion capacity in anorexia nervosa</atitle><jtitle>Journal of internal medicine</jtitle><addtitle>J Intern Med</addtitle><date>2000-08</date><risdate>2000</risdate><volume>248</volume><issue>2</issue><spage>137</spage><epage>142</epage><pages>137-142</pages><issn>0954-6820</issn><eissn>1365-2796</eissn><abstract>.  Pieters T, Boland B, Beguin C, Veriter C, Stanescu D, Frans A, Lambert M (Cliniques, Universitaires Saint‐Luc, Brussels, Belgium). Lung function study and diffusion capacity in anorexia nervosa. J Intern Med 2000; 248: 137–142. Study objectives. In humans, malnutrition alters the respiratory system in different ways. It impairs the ventilatory drive, decreases respiratory muscle strength and reduces immune competence. In addition, typical emphysema‐like changes were demonstrated in starved animals. The presence of emphysema has never been demonstrated in starved humans. Our objective was to investigate whether pulmonary emphysema occurs in anorexia nervosa by means of a pulmonary function study. Population and method. We examined 24 women aged between 14 and 38 years (nine smokers). We studied the lung function including lung volumes, ventilatory capacity, maximal respiratory pressures and transfer factor, as well as PaO2. Results. All respiratory tests were within normal limits with the exception of decreased maximal inspiratory (59% of predicted values) and expiratory pressures (35%), and increased residual volume (162%). Diffusion capacity (98.1 ± 16.2%) and transfer coefficient (98.4 ± 16.2%) were also normal. The diffusion coefficient was lower in current smokers than in those who had never smoked (P &lt; 0.01), a difference similar to that calculated from existing reference values for transfer factor for smokers and nonsmokers. Conclusion. In anorexia nervosa, pulmonary function tests are within normal limits with the exception of maximal pressures and residual volume. Diffusion capacity is not decreased. The present results within the limitations of the used method are not compatible with the hypothesis of starvation‐induced pulmonary emphysema.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>10947892</pmid><doi>10.1046/j.1365-2796.2000.00712.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Adult and adolescent clinical studies
Anorexia nervosa
Anorexia Nervosa - complications
Anorexia Nervosa - physiopathology
Biological and medical sciences
Causality
diffusion capacity
Eating behavior disorders
emphysema
Female
Humans
Investigative techniques of respiratory function
Investigative techniques, diagnostic techniques (general aspects)
malnutrition
Medical sciences
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Pulmonary Diffusing Capacity
Pulmonary Emphysema - etiology
Pulmonary Emphysema - physiopathology
pulmonary function tests
Respiratory Function Tests
title Lung function study and diffusion capacity in anorexia nervosa
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