Anorexia Nervosa, Osteoporosis
Conditions
Keywords
Adiponectin, Bone remodelling markers
Brief summary
The mechanism of bone loss in anorexia nervosa is complex. Marrow adipose tissue seems to play a role in the regulation of bone metabolism. Adipocytes secrete cytokines and adipokines that either stimulate or inhibit adjacent osteoblasts. This study consist to explore the relationship in anorexia nervosa patients with change in bone mineral density and adipokines like leptin, adiponectin and Préf-1 Bone mineral densities will be measure in 180 anorexia nervosa patients at inclusion and every two years during 6 years.It is assessed blood and urinary calcium and phosphate levels, bone remodelling markers and adipokines (leptin, adiponectin and Préf-1)
Interventions
The Dual Energy X-ray Absorptiometry (DEXA) is a third generation multi-captor DEXA device that allow short duration measurements. It measures Bone Mineral Density (BMD) at the spine and the femoral neck
Sponsors
Study design
Eligibility
Inclusion criteria
* anorexia patient defined by DSM IV diagnostic criteria
Exclusion criteria
* patient with other psychiatric disease * patient with other a metabolic bone disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bone mineral density by Dual Energy X-ray Absorptiometry (DEXA) | 4 years | measured the evolution of the bone mineral density in 180 anorexia nervosa patients and the relationship with this change and adipokine |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of osteoporotic fractures | at 2,4 and 6 years | — |
| Adiponectin plasma concentration by ELISA | at 2,4 and 6 years | measurement of circulating biological factors predicative of changes in BMD |
| Interleukin-7 plasma concentration by ELISA | at 2,4 and 6 years | measurement of circulating biological factors predicative of changes in BMD |
Countries
France