Body mass index, body fat and risk factor of relapse in anorexia nervosa

Background/Objectives: Preliminary studies have reported an association between poor long-term outcome and lower total body fat percentage in weight-restored inpatients treated for anorexia nervosa (AN). A possible link between poor long-term outcome and higher trunk fat percentage has also been hyp...

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Bibliographic Details
Published in:European journal of clinical nutrition 2016-02, Vol.70 (2), p.194-198
Main Authors: El Ghoch, M, Calugi, S, Chignola, E, Bazzani, P V, Dalle Grave, R
Format: Article
Language:English
Subjects:
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Absorptiometry, Photon
Adipose tissue
Adipose Tissue - pathology
Adult
Anorexia
Anorexia nervosa
Anorexia Nervosa - pathology
Anorexia Nervosa - therapy
Body fat
Body Fat Distribution - statistics & numerical data
Body Mass Index
Body size
Body Weight Maintenance
Clinical Nutrition
Dual energy X-ray absorptiometry
Eating disorders
Epidemiology
Female
Females
Follow-Up Studies
Health aspects
Humans
Internal Medicine
Maintenance
Medicine
Medicine & Public Health
Metabolic Diseases
original-article
Patient Discharge - statistics & numerical data
Public Health
Recurrence
Risk analysis
Risk Factors
Time Factors
Treatment Failure
Weight
Young Adult
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Summary:Background/Objectives: Preliminary studies have reported an association between poor long-term outcome and lower total body fat percentage in weight-restored inpatients treated for anorexia nervosa (AN). A possible link between poor long-term outcome and higher trunk fat percentage has also been hypothesized. The aim was to assess the association between percentage and distribution of body fat at inpatient discharge and the maintenance of normal weight at 1-year follow-up in a sample of weight-restored females with AN. Subjects/Methods: Fifty-four short-term weight-restored (body mass index (BMI; in kg/m 2 ) ⩾18.5) adult females with AN treated in a specialist inpatient unit underwent dual-energy X-ray absorptiometry to determine total body fat and trunk fat percentages. Patients were contacted regularly following discharge, and at the end of the year clinical outcome was dichotomized as either ‘full, good or fair’ (a group that includes individuals with a BMI ⩾18.5 kg/m 2 ) or ‘poor’ (BMI
ISSN:0954-3007
1476-5640
DOI:10.1038/ejcn.2015.164