PMID- 31765843 OWN - NLM STAT- MEDLINE DCOM- 20210618 LR - 20210618 IS - 1873-2763 (Electronic) IS - 1873-2763 (Linking) VI - 131 DP - 2020 Feb TI - Bone density status in a large population of patients with anorexia nervosa. PG - 115161 LID - S8756-3282(19)30455-7 [pii] LID - 10.1016/j.bone.2019.115161 [doi] AB - Anorexia nervosa (AN) is associated with multiple medical complications. One of the rare permanent complications of AN is the deleterious effect that it has on a patient's bone mineral density (BMD). We report on the Dual-Energy X-ray Absorptiometry (DXA) findings of 336 consecutive patients with AN. Also, we investigated the effects of different factors on these DXA results. These factors included age, body mass index (BMI), percentage of ideal body weight (IBW), duration of illness, duration of amenorrhea, medications such as proton pump inhibitors (PPI) or selective serotonin reuptake inhibitors (SSRI), tobacco use and 25-hydroxy vitamin D levels. This study demonstrated a concerning high prevalence of reduced bone mineral density in patients with AN. Thus, the implication being that those involved in the care of patients with AN need to be cognizant of this serious complication and not be assuaged by the young age of this patient population. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Workman, Cassandra AU - Workman C AD - Eating Recovery Center, Denver, CO, United States of America. FAU - Blalock, Dan V AU - Blalock DV AD - Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Medical Center, Durham, NC, United States of America; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States of America. FAU - Mehler, Philip S AU - Mehler PS AD - Eating Recovery Center, Denver, CO, United States of America; Departments of Medicine, Denver Health and University of Colorado Health Science Center, Aurora, CO, United States of America. Electronic address: Phil.mehler@eatingrecovery.com. LA - eng PT - Journal Article DEP - 20191123 PL - United States TA - Bone JT - Bone JID - 8504048 SB - IM MH - Absorptiometry, Photon MH - Amenorrhea/epidemiology MH - *Anorexia Nervosa/epidemiology MH - Body Mass Index MH - *Bone Density MH - Female MH - Humans OTO - NOTNLM OT - Anorexia nervosa OT - Dual-energy x-ray absorptiometry OT - Osteopenia OT - Osteoporosis EDAT- 2019/11/26 06:00 MHDA- 2021/06/22 06:00 CRDT- 2019/11/26 06:00 PHST- 2019/08/19 00:00 [received] PHST- 2019/10/29 00:00 [revised] PHST- 2019/11/20 00:00 [accepted] PHST- 2019/11/26 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2019/11/26 06:00 [entrez] AID - S8756-3282(19)30455-7 [pii] AID - 10.1016/j.bone.2019.115161 [doi] PST - ppublish SO - Bone. 2020 Feb;131:115161. doi: 10.1016/j.bone.2019.115161. Epub 2019 Nov 23.