Vestergaard Peter, Emborg Charlotte, Støving René K, Hagen Claus, Mosekilde Leif, Brixen Kim
Department of Endocrinology and Metabolism C, Aarhus Amtssygehus, Aarhus University Hospital, Aarhus, Denmark.
Orthop Nurs. 2003 Sep-Oct;22(5):325-31. doi: 10.1097/00006416-200309000-00006.
To analyze fracture risk and bone mineral density in patients with eating disorders (anorexia nervosa, bulimia nervosa, and other eating disorders).
Clinical overview.
Bone mineral density is decreased and fracture risk increased in patients with anorexia nervosa. In patients with bulimia nervosa, bone mineral is only marginally decreased and fracture risk marginally increased. In patients with other eating disorders (eating disorders not otherwise specified), bone mineral density is decreased and fracture risk increased.
Fracture risk is increased in patients with eating disorders. An eating disorder should be suspected in severely underweight young individuals (primarily girls) presenting with fractures, especially low-energy fractures.
分析饮食失调(神经性厌食症、神经性贪食症和其他饮食失调)患者的骨折风险和骨密度。
临床综述。
神经性厌食症患者的骨密度降低,骨折风险增加。神经性贪食症患者的骨矿物质仅略有降低,骨折风险略有增加。在其他饮食失调(未另行指定的饮食失调)患者中,骨密度降低,骨折风险增加。
饮食失调患者的骨折风险增加。对于出现骨折,尤其是低能量骨折的严重体重过轻的年轻个体(主要是女孩),应怀疑患有饮食失调症。