Energy expenditure and body composition in patients with anorexia nervosa
Blood biochemistry, body composition, and resting energy expenditure were studied in 25 patients with anorexia nervosa admitted to hospital during a period of 18 months. The patients' ages ranged from 12.9 to 17.2 years, and the abnormal feeding history from 3 to 12 months. Blood chemistry valu...
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Veröffentlicht in: | The Journal of pediatrics 1988-11, Vol.113 (5), p.919-924 |
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creator | Vaisman, Nachum Rossi, Miriam F. Goldberg, Eudice Dibden, Lionel J. Wykes, Linda J. Pencharz, Paul B. |
description | Blood biochemistry, body composition, and resting energy expenditure were studied in 25 patients with anorexia nervosa admitted to hospital during a period of 18 months. The patients' ages ranged from 12.9 to 17.2 years, and the abnormal feeding history from 3 to 12 months. Blood chemistry values were in the normal range, but fat body mass and lean body mass were reduced and extracellular water volume was expanded beyond normal values. Resting energy expenditure was reduced to 49% to 91% of values predicted by the Harris-Benedict equations. Substrate use after overnight fast indicated an abnormally high use of carbohydrates. Significant correlations were found between extracellular water volume and triceps skin-fold thickness, mid-arm muscle circumference and lean body mass, and substrate use and weight loss as a percentage of initial weight. We suggest that these simple anthropometric measurements can be used to assess and monitor the refeeding of patients with anorexia nervosa. |
doi_str_mv | 10.1016/S0022-3476(88)80032-5 |
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The patients' ages ranged from 12.9 to 17.2 years, and the abnormal feeding history from 3 to 12 months. Blood chemistry values were in the normal range, but fat body mass and lean body mass were reduced and extracellular water volume was expanded beyond normal values. Resting energy expenditure was reduced to 49% to 91% of values predicted by the Harris-Benedict equations. Substrate use after overnight fast indicated an abnormally high use of carbohydrates. Significant correlations were found between extracellular water volume and triceps skin-fold thickness, mid-arm muscle circumference and lean body mass, and substrate use and weight loss as a percentage of initial weight. We suggest that these simple anthropometric measurements can be used to assess and monitor the refeeding of patients with anorexia nervosa.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/S0022-3476(88)80032-5</identifier><identifier>PMID: 3183853</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Adult and adolescent clinical studies ; Anorexia Nervosa - pathology ; Anorexia Nervosa - physiopathology ; Anthropometry ; APETITO ; APPETIT ; Biological and medical sciences ; Body Composition ; Body Water ; Child ; COMPOSICION DE LA CANAL ; COMPOSICION DE LA SANGRE ; COMPOSITION DE LA CARCASSE ; COMPOSITION DU SANG ; ENERGIA ; ENERGIE ; Energy Metabolism ; ERGONOMIA ; ERGONOMIE ; Female ; Humans ; Male ; Medical sciences ; PESO ; POIDS ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Skinfold Thickness ; TEJIDO ADIPOSO ; TISSU ADIPEUX ; TRASTORNOS DEL SISTEMA NERVIOSO ; TROUBLE DU SYSTEME NERVEUX</subject><ispartof>The Journal of pediatrics, 1988-11, Vol.113 (5), p.919-924</ispartof><rights>1998 The C.V. Mosby Company</rights><rights>1990 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-2f34f9ad8579648d8b3a02243b105735ccbb49cacc57bfa0b07ebd4a20e7ee433</citedby><cites>FETCH-LOGICAL-c408t-2f34f9ad8579648d8b3a02243b105735ccbb49cacc57bfa0b07ebd4a20e7ee433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022347688800325$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=6705319$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3183853$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vaisman, Nachum</creatorcontrib><creatorcontrib>Rossi, Miriam F.</creatorcontrib><creatorcontrib>Goldberg, Eudice</creatorcontrib><creatorcontrib>Dibden, Lionel J.</creatorcontrib><creatorcontrib>Wykes, Linda J.</creatorcontrib><creatorcontrib>Pencharz, Paul B.</creatorcontrib><title>Energy expenditure and body composition in patients with anorexia nervosa</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Blood biochemistry, body composition, and resting energy expenditure were studied in 25 patients with anorexia nervosa admitted to hospital during a period of 18 months. The patients' ages ranged from 12.9 to 17.2 years, and the abnormal feeding history from 3 to 12 months. Blood chemistry values were in the normal range, but fat body mass and lean body mass were reduced and extracellular water volume was expanded beyond normal values. Resting energy expenditure was reduced to 49% to 91% of values predicted by the Harris-Benedict equations. Substrate use after overnight fast indicated an abnormally high use of carbohydrates. Significant correlations were found between extracellular water volume and triceps skin-fold thickness, mid-arm muscle circumference and lean body mass, and substrate use and weight loss as a percentage of initial weight. We suggest that these simple anthropometric measurements can be used to assess and monitor the refeeding of patients with anorexia nervosa.</description><subject>Adolescent</subject><subject>Adult and adolescent clinical studies</subject><subject>Anorexia Nervosa - pathology</subject><subject>Anorexia Nervosa - physiopathology</subject><subject>Anthropometry</subject><subject>APETITO</subject><subject>APPETIT</subject><subject>Biological and medical sciences</subject><subject>Body Composition</subject><subject>Body Water</subject><subject>Child</subject><subject>COMPOSICION DE LA CANAL</subject><subject>COMPOSICION DE LA SANGRE</subject><subject>COMPOSITION DE LA CARCASSE</subject><subject>COMPOSITION DU SANG</subject><subject>ENERGIA</subject><subject>ENERGIE</subject><subject>Energy Metabolism</subject><subject>ERGONOMIA</subject><subject>ERGONOMIE</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>PESO</subject><subject>POIDS</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Skinfold Thickness</subject><subject>TEJIDO ADIPOSO</subject><subject>TISSU ADIPEUX</subject><subject>TRASTORNOS DEL SISTEMA NERVIOSO</subject><subject>TROUBLE DU SYSTEME NERVEUX</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFu1DAQhi0EKkvhBZAq5YAQHALj2I6dU4WqApUqcSg9W2N7Uox242BnS_ftcburvXKaw__9M6OPsTMOnzjw_vMNQNe1Qur-gzEfDYDoWvWMrTgMuu2NEM_Z6oi8ZK9K-Q0AgwQ4YSeCG2GUWLGry4ny3a6hh5mmEJdtpgan0LgUdo1PmzmVuMQ0NXFqZlwiTUtp_sblV6VSpoeITV1wnwq-Zi9GXBd6c5in7Pbr5c-L7-31j29XF1-uWy_BLG03CjkOGIzSQy9NME5g_VIKx0Fpobx3Tg4evVfajQgONLkgsQPSRFKIU_Z-v3fO6c-WymI3sXhar3GitC1WGwVSyK6Cag_6nErJNNo5xw3mneVgHxXaJ4X20Y81xj4ptKr2zg4Htm5D4dg6OKv5u0OOxeN6zDj5WI5Yr0EJPlTs7R4bMVm8yxW5vTEDADeyhuf7kKqp-0jZFl_degoxk19sSPE_X_4D9oWWHA</recordid><startdate>19881101</startdate><enddate>19881101</enddate><creator>Vaisman, Nachum</creator><creator>Rossi, Miriam F.</creator><creator>Goldberg, Eudice</creator><creator>Dibden, Lionel J.</creator><creator>Wykes, Linda J.</creator><creator>Pencharz, Paul B.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>FBQ</scope><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>7X8</scope></search><sort><creationdate>19881101</creationdate><title>Energy expenditure and body composition in patients with anorexia nervosa</title><author>Vaisman, Nachum ; Rossi, Miriam F. ; Goldberg, Eudice ; Dibden, Lionel J. ; Wykes, Linda J. ; Pencharz, Paul B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-2f34f9ad8579648d8b3a02243b105735ccbb49cacc57bfa0b07ebd4a20e7ee433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Adolescent</topic><topic>Adult and adolescent clinical studies</topic><topic>Anorexia Nervosa - pathology</topic><topic>Anorexia Nervosa - physiopathology</topic><topic>Anthropometry</topic><topic>APETITO</topic><topic>APPETIT</topic><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>Body Water</topic><topic>Child</topic><topic>COMPOSICION DE LA CANAL</topic><topic>COMPOSICION DE LA SANGRE</topic><topic>COMPOSITION DE LA CARCASSE</topic><topic>COMPOSITION DU SANG</topic><topic>ENERGIA</topic><topic>ENERGIE</topic><topic>Energy Metabolism</topic><topic>ERGONOMIA</topic><topic>ERGONOMIE</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>PESO</topic><topic>POIDS</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Skinfold Thickness</topic><topic>TEJIDO ADIPOSO</topic><topic>TISSU ADIPEUX</topic><topic>TRASTORNOS DEL SISTEMA NERVIOSO</topic><topic>TROUBLE DU SYSTEME NERVEUX</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vaisman, Nachum</creatorcontrib><creatorcontrib>Rossi, Miriam F.</creatorcontrib><creatorcontrib>Goldberg, Eudice</creatorcontrib><creatorcontrib>Dibden, Lionel J.</creatorcontrib><creatorcontrib>Wykes, Linda J.</creatorcontrib><creatorcontrib>Pencharz, Paul B.</creatorcontrib><collection>AGRIS</collection><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>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vaisman, Nachum</au><au>Rossi, Miriam F.</au><au>Goldberg, Eudice</au><au>Dibden, Lionel J.</au><au>Wykes, Linda J.</au><au>Pencharz, Paul B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Energy expenditure and body composition in patients with anorexia nervosa</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>1988-11-01</date><risdate>1988</risdate><volume>113</volume><issue>5</issue><spage>919</spage><epage>924</epage><pages>919-924</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Blood biochemistry, body composition, and resting energy expenditure were studied in 25 patients with anorexia nervosa admitted to hospital during a period of 18 months. The patients' ages ranged from 12.9 to 17.2 years, and the abnormal feeding history from 3 to 12 months. Blood chemistry values were in the normal range, but fat body mass and lean body mass were reduced and extracellular water volume was expanded beyond normal values. Resting energy expenditure was reduced to 49% to 91% of values predicted by the Harris-Benedict equations. Substrate use after overnight fast indicated an abnormally high use of carbohydrates. Significant correlations were found between extracellular water volume and triceps skin-fold thickness, mid-arm muscle circumference and lean body mass, and substrate use and weight loss as a percentage of initial weight. We suggest that these simple anthropometric measurements can be used to assess and monitor the refeeding of patients with anorexia nervosa.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>3183853</pmid><doi>10.1016/S0022-3476(88)80032-5</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Adult and adolescent clinical studies Anorexia Nervosa - pathology Anorexia Nervosa - physiopathology Anthropometry APETITO APPETIT Biological and medical sciences Body Composition Body Water Child COMPOSICION DE LA CANAL COMPOSICION DE LA SANGRE COMPOSITION DE LA CARCASSE COMPOSITION DU SANG ENERGIA ENERGIE Energy Metabolism ERGONOMIA ERGONOMIE Female Humans Male Medical sciences PESO POIDS Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Skinfold Thickness TEJIDO ADIPOSO TISSU ADIPEUX TRASTORNOS DEL SISTEMA NERVIOSO TROUBLE DU SYSTEME NERVEUX |
title | Energy expenditure and body composition in patients with anorexia nervosa |
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