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Reduced bone mineral density in bulimia as well as anorexia nervosa
Author(s) -
Morris Jane,
Tothill Peter,
Gard Maisie,
McPhail Karen,
Hannan James,
Cowen Stephen,
Freeman Chris
Publication year - 2004
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.561
Subject(s) - anorexia nervosa , bulimia nervosa , anorexia , eating disorders , bone mineral , psychology , medicine , lumbar , endocrinology , psychiatry , osteoporosis , surgery
We conducted a case controlled study to examine bone mineral density (BMD) in 47 women with bulimia nervosa, 51 with anorexia nervosa, 45 women recovered from past eating disorders, and 40 healthy controls. Lumbar spine and whole body BMD were measured by dual energy X‐ray absorptiometry. In contrast with previous studies, we found that subjects with active bulimia nervosa, even with no previous history of anorexia, had lower whole body and lumbar spine BMD than controls, although higher than in anorexia. Non‐traumatic spinal fractures were detected in two anorexic subjects and two bulimic subjects, but none of the controls. Assessment of BMD should be considered in patients with severe bulimia as well as anorexia nervosa. Copyright © 2004 John Wiley & Sons, Ltd and Eating Disorders Association.