High risk of osteoporosis in male patients with eating disorders
Article first published online: 4 JUN 2008
Copyright © 2008 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 41, Issue 7, pages 666–672, November 2008
How to Cite
Mehler, P. S., Sabel, A. L., Watson, T. and Andersen, A. E. (2008), High risk of osteoporosis in male patients with eating disorders. Int. J. Eat. Disord., 41: 666–672. doi: 10.1002/eat.20554
- Issue published online: 6 OCT 2008
- Article first published online: 4 JUN 2008
- Manuscript Accepted: MAR 2008
- anorexia nervosa;
- bone density
Osteoporosis has traditionally been considered a female problem. This study's purpose is to evaluate bone mineral density (BMD) in males with eating disorders.
Charts of 70 consecutive males admitted to an eating disorder program were reviewed. Females admitted during the same time period were used for comparison. BMD was measured by dual-energy X-ray absorptiometry.
Thirty-six percent (19/53) had osteopenia and 26% (14/53) had osteoporosis at the lumbar spine. A disproportionate number of males with anorexia restricting or binge/purge subtype (ANR/ANB) had osteoporosis, as well as those of older age, lower weights, and longer illness duration. BMD for ANR and ANB males was significantly lower than females (p = .02 and p = .03, respectively). In multivariate stepwise linear and logistic regression, lowest BMI and illness duration predicted lumbar Z-scores.
Males with ANR/ANB often have severe bone disease, which is worse than females, and is best predicted by a patient's lowest BMI and illness duration. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008