Restrictive Eating Disorders and Skeletal Health in Adolescent Girls and Young Women.

Restrictive Eating Disorders and Skeletal Health in Adolescent Girls and Young Women.
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DOI:
10.1007/s00223-016-0164-0
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发表时间:
2017-05
影响因子:
4.2
通讯作者:
Gordon, Catherine M.
Gordon, Catherine M.
中科院分区:
医学3区
文献类型:
--
作者:
Thornton, Darcey;Gordon, Catherine M.

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This article reviews the effects of restrictive eating disorders on bone health. The relationship between eating disorders and amenorrhea is discussed in detail. The pathologic impact of malnutrition on bone is explored by examining the results of studies using various available imaging techniques. The multiple hormonal alterations seen in adolescents and young women with anorexia nervosa are reviewed, and how these alterations may influence bone turnover, density, structure and strength. The diagnostic clinical evaluation for adolescents and young women with these disorders is outlined. Available treatment options, including those that hold promise for efficacy, as well we those deemed to be ineffective, are considered from both a clinical and mechanistic standpoint. Finally, future research opportunities are offered, including intriguing work in the area of fat and bone interactions.
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