M El Ghoch1, S Calugi1, E Chignola1, P V Bazzani2, R Dalle Grave1. 1. Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, Verona, Italy. 2. Department of Radiology, Villa Garda Hospital, Garda, Verona, Italy.
Abstract
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<18.5 kg/m(2)), using the modified Morgan-Russell criteria. RESULTS: No significant differences were found between 'full, good or fair' and 'poor' outcome groups in either total body fat or trunk fat percentages. Only lower BMI at inpatient discharge was associated with poor clinical outcome in the year following inpatient treatment. CONCLUSIONS: In short-term weight-restored adult females with AN, BMI, but not body fat percentage or distribution, at inpatient discharge is associated with long-term normal weight maintenance.
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<18.5 kg/m(2)), using the modified Morgan-Russell criteria. RESULTS: No significant differences were found between 'full, good or fair' and 'poor' outcome groups in either total body fat or trunk fat percentages. Only lower BMI at inpatient discharge was associated with poor clinical outcome in the year following inpatient treatment. CONCLUSIONS: In short-term weight-restored adult females with AN, BMI, but not body fat percentage or distribution, at inpatient discharge is associated with long-term normal weight maintenance.
Authors: P E Garfinkel; E Lin; P Goering; C Spegg; D Goldbloom; S Kennedy; A S Kaplan; D B Woodside Journal: Br J Psychiatry Date: 1996-04 Impact factor: 9.319
Authors: B Timothy Walsh; Allan S Kaplan; Evelyn Attia; Marion Olmsted; Michael Parides; Jacqueline C Carter; Kathleen M Pike; Michael J Devlin; Blake Woodside; Christina A Roberto; Wendi Rockert Journal: JAMA Date: 2006-06-14 Impact factor: 56.272
Authors: Jacqueline C Carter; Kimberley B Mercer-Lynn; Sarah Jane Norwood; Carmen V Bewell-Weiss; Ross D Crosby; D Blake Woodside; Marion P Olmsted Journal: Psychiatry Res Date: 2012-05-31 Impact factor: 3.222
Authors: A Romero-Corral; V K Somers; J Sierra-Johnson; R J Thomas; M L Collazo-Clavell; J Korinek; T G Allison; J A Batsis; F H Sert-Kuniyoshi; F Lopez-Jimenez Journal: Int J Obes (Lond) Date: 2008-02-19 Impact factor: 5.095
Authors: Janet E Schebendach; Laurel Es Mayer; Michael J Devlin; Evelyn Attia; Isobel R Contento; Randi L Wolf; B Timothy Walsh Journal: Am J Clin Nutr Date: 2008-04 Impact factor: 7.045
Authors: Graham W Redgrave; Colleen C Schreyer; Janelle W Coughlin; Laura K Fischer; Allisyn Pletch; Angela S Guarda Journal: Front Psychiatry Date: 2021-02-25 Impact factor: 4.157
Authors: Therese Johansson; Andreas Birgegård; Ruyue Zhang; Sarah E Bergen; Mikael Landén; Liselotte V Petersen; Cynthia M Bulik; Christopher Hübel Journal: Transl Psychiatry Date: 2022-02-16 Impact factor: 7.989
Authors: Eva-Maria Gröbner; Michael Zeiler; Florian Ph S Fischmeister; Kathrin Kollndorfer; Sonja Schmelz; Andrea Schneider; Nina Haid-Stecher; Kathrin Sevecke; Gudrun Wagner; Lara Keller; Roger Adan; Unna Danner; Annemarie van Elburg; Benny van der Vijgh; Karlijn Liselotte Kooij; Serguei Fetissov; Nadia A Andreani; John F Baines; Astrid Dempfle; Jochen Seitz; Beate Herpertz-Dahlmann; Andreas Karwautz Journal: Eur Eat Disord Rev Date: 2021-11-30