Predictors of bone mineral density in patients with eating disorders
Article first published online: 8 FEB 1999
Copyright © 1999 John Wiley & Sons, Inc.
International Journal of Eating Disorders
Volume 25, Issue 2, pages 143–150, March 1999
How to Cite
Goebel, G., Schweiger, U., Krüger, R. and Fichter, M. M. (1999), Predictors of bone mineral density in patients with eating disorders. Int. J. Eat. Disord., 25: 143–150. doi: 10.1002/(SICI)1098-108X(199903)25:2<143::AID-EAT3>3.0.CO;2-3
- Issue published online: 8 FEB 1999
- Article first published online: 8 FEB 1999
- Manuscript Accepted: 11 AUG 1997
- clinical predictors;
- lumbar bone density;
- x-ray absorptiometry
The objective of this study was to examine potential clinical predictors of bone density in patients with eating disorders.
We studied 137 women with anorexia nervosa, bulimia nervosa, or eating disorder not otherwise specified (NOS) after admission to the hospital. Clinical data of patients were collected by clinical interview and standardized questionnaires. Bone mineral density of the lumbar spine was measured by dual energy x-ray absorptiometry.
Lumbar bone density was significantly correlated to present and past minimum weight even after correction for height and age. Other factors did not reach significance.
Normalized present and past weight is the best predictor of lumbar bone density in patients with eating disorders. Factors like reduced caloric intake, binge eating, vomiting, menstrual status, and use of estrogen, laxatives, and nicotine seem to have no independent effect on bone density in this group of patients. © 1999 by John Wiley & Sons, Inc. Int J Eat Disord 25: 143–150, 1999.