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
Hauptverfasser: Vaisman, Nachum, Rossi, Miriam F., Goldberg, Eudice, Dibden, Lionel J., Wykes, Linda J., Pencharz, Paul B.
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container_end_page 924
container_issue 5
container_start_page 919
container_title The Journal of pediatrics
container_volume 113
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. 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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. 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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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