神经性厌食症——计量指数、BMI年龄特异性百分位数曲线与目标体重的三联征

[Anorexia nervosa--the triad of metric index, BMI age-specific percentile curve and goal weight].

作者信息

Neumärker K J, Bartsch A J, Bzufka M W, Dudeck U, Greil H, Neumärker U

机构信息

Universitätsklinik und Poliklinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Medizinische Fakultät, Humboldt-Universität, Berlin.

出版信息

Z Kinder Jugendpsychiatr Psychother. 1999 Feb;27(1):5-17. doi: 10.1024//1422-4917.27.1.5.

DOI:10.1024//1422-4917.27.1.5

PMID:10096155

Abstract

Cross sectional and longitudinal data from the Berlin Anorexia Study on the inpatient treatment of n = 133 adolescent females with the principal axis I diagnosis of an eating disorder (n = 104 anorexia nervosa, n = 19 bulimia nervosa, n = 10 eating disorders not otherwise specified; according to ICD-10 and DSM-IV criteria) indicate a significant shift in the frequency distribution of somatometrically assessed types of body shape among patients as categorized by the Metric Index, towards the leptomorphic phenotype (p < 0.050, chi 2/Fisher's). Three explanatory models are discussed. Diagnostic and therapeutic implications, particularly of the determination of target weight in anorexia nervosa based on the individual's type of body shape, are emphasized, and an operational algorithm is proposed which uses the Metric Index and sex-specific BMI age percentiles adjusted for type of body shape.

摘要

来自柏林厌食症研究的横断面和纵向数据，该研究针对133名患有轴I主要诊断为饮食失调的青春期女性进行住院治疗（其中104例神经性厌食症，19例神经性贪食症，10例未另行规定的饮食失调；根据ICD - 10和DSM - IV标准），结果表明，根据度量指数分类的患者中，经身体测量评估的体型类型的频率分布发生了显著变化，趋向于瘦长型表型（p < 0.050，卡方检验/费舍尔检验）。文中讨论了三种解释模型。强调了诊断和治疗方面的意义，特别是基于个体体型类型确定神经性厌食症的目标体重，并提出了一种操作算法，该算法使用度量指数以及根据体型类型调整的特定性别的BMI年龄百分位数。