Anorexia Nervosa
Conditions
Keywords
Body composition, Total body protein, nutritional recovery, Exercise status, In-vivo neutron activation analysis, Protein depletion
Brief summary
The study aimed to assess protein accretion during weight gain in adolescent patients with Anorexia nervosa
Detailed description
Background: Bone health and growth during adolescence require adequate Total Body Protein (TBPr). Re-nutrition for patients with anorexia nervosa (AN) should aim to normalize body composition, i.e. recovery of fat mass and TBPr. Objective: The study intended to analyze predictors of protein status, including exercise status, in adolescents with AN, and to investigate whether weight gain would replete body protein deficits. Methods: The investigators assessed TBPr in a longitudinal, observational study as height-adjusted nitrogen index (NI) using in-vivo neutron activation analysis in adolescents with AN at the commencement of refeeding (T0), as well as seven months thereafter (T1), and in age-matched normal weight controls. Lean tissue and fat mass were assessed with Dual-Energy X-Ray Absorptiometry (DXA). BMI, BMI-SDS and lean tissue mass were tested as predictors of protein status using Receiver Operating Characteristic (ROC) analysis.
Interventions
Nutritional rehabilitation in a clinic with specialized eating disorder service
Sponsors
Study design
Eligibility
Inclusion criteria
Patient Inclusion Criteria: * diagnosis of anorexia nervosa (DSM-IV) * aged 12 - 19 years * female gender Patient
Exclusion criteria
\- existence of a further disease with effect on body composition Controls: * no known disease * normal weight
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Total Body protein | Between baseline (inpatient admission) and at 7 months follow-up | Change in Total Body protein |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in body weight | Between baseline (inpatient admission) and at 7 months follow-up | Change in: body weight (kg) |
| Change in Body Mass Index | Between baseline (inpatient admission) and at 7 months follow-up | Change in Body Mass Index (BMI; kg/m2) |
| Change in body fat mass | Between baseline (inpatient admission) and at 7 months follow-up | Change in body fat mass (kg) |
| Change in body lean tissue mass | Between baseline (inpatient admission) and at 7 months follow-up | Change in body lean tissue mass (kg) |