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饮食失调患者。骨折的高危人群。

Patients with eating disorders. A high-risk group for fractures.

作者信息

Vestergaard Peter, Emborg Charlotte, Støving René K, Hagen Claus, Mosekilde Leif, Brixen Kim

机构信息

Department of Endocrinology and Metabolism C, Aarhus Amtssygehus, Aarhus University Hospital, Aarhus, Denmark.

出版信息

Orthop Nurs. 2003 Sep-Oct;22(5):325-31. doi: 10.1097/00006416-200309000-00006.

DOI:10.1097/00006416-200309000-00006
PMID:14595992
Abstract

PURPOSE

To analyze fracture risk and bone mineral density in patients with eating disorders (anorexia nervosa, bulimia nervosa, and other eating disorders).

DESIGN

Clinical overview.

FINDINGS

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.

CONCLUSIONS

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.

摘要

目的

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。

设计

临床综述。

研究结果

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。

结论

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。

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Iowa Orthop J. 2023;43(1):101-110.
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Associations between bone mineral density, body composition and amenorrhoea in females with eating disorders: a systematic review and meta-analysis.
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Rev Endocr Metab Disord. 2012 Sep;13(3):209-23. doi: 10.1007/s11154-011-9187-z.
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Strategies to reverse bone loss in women with functional hypothalamic amenorrhea: a systematic review of the literature.恢复功能性下丘脑性闭经女性骨质流失的策略:文献系统综述
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