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Title: | Long-term cardiac assessment in a sample of adolescent-onset anorexia nervosa |
Author: | Flamarique, Itziar Vidal, B. Plana, Maria Teresa Andrés Perpiñá, Susana Gárriz, Miguel Sánchez, P. Pajuelo, Francesca Mont Girbau, Lluís Castro Fornieles, Josefina |
Keywords: | Imatge del propi cos en els adolescents Anorèxia nerviosa Avaluació del risc per la salut Serveis de cures de llarga durada Malalts cardíacs Mètode longitudinal Body image in adolescence Anorexia nervosa Health risk assessment Long-term care facilities Cardiac patients Longitudinal method |
Issue Date: | 31-Jan-2022 |
Publisher: | BioMed Central |
Abstract: | Background: High mortality rates have been reported in patients with anorexia nervosa, mainly due to cardiovascular alterations. The purpose of the present study was to assess cardiac structural and functional abnormalities some 20 years after initial treatment in a sample of adolescent-onset anorexia nervosa (A-AN) and to compare them with matched healthy controls (HC). Methods: A sample of 29 women diagnosed and treated for AN during adolescence (A-AN) were assessed more than 20 years later. A complete cardiac evaluation was carried out including an electrocardiogram (ECG) and a standard 2D echocardiography. Thirty matched HC were also assessed. Results: In the A-AN group, four subjects had a body mass index lower than 18.5 and met full DSM 5 criteria for AN at follow-up (Low-Weight group). They were compared with the rest of the sample (n = 25) who had normalized their weight (Normal-Weight group), though some still showed some eating disorder symptoms. Both groups were compared with the HC group. Subjects in the Low-Weight group presented statistically significant decreases in the left ventricular end-diastolic and left atrium dimensions and left ventricular mass in comparison with the Normal-Weight group and the HC. No other differences in cardiac parameters were found between groups. Conclusions: Echocardiographic and ECG parameters of adults who had presented A-AN twenty years earlier and currently maintained normal weight were similar to those of HC who had never been treated or diagnosed with AN. Adult subjects with A-AN who still had low weight in the long term present certain cardiac abnormalities similar to those seen in short-lasting disease. More studies are needed to confirm these results in a larger sample. |
Note: | Reproducció del document publicat a: https://doi.org/10.1186/s40337-022-00533-w |
It is part of: | Journal of Eating Disorders, 2022, vol. 10, num. 1, p. 12 |
URI: | http://hdl.handle.net/2445/199980 |
Related resource: | https://doi.org/10.1186/s40337-022-00533-w |
ISSN: | 2050-2974 |
Appears in Collections: | Articles publicats en revistes (Institut de Neurociències (UBNeuro)) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Medicina) |
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