High Risk of Osteoporosis in Male Eating Disordered Patients

About the Course:

Osteoporosis has traditionally been considered a female problem.
This study’s purpose is to evaluate bone mineral density (BMD) in males with eating disorders.
Method: Charts of 70 consecutive males admitted to an eating disorder program were reviewed. Females admitted during the same time period were used for comparison. BMD was measured
by dual-energy X-ray absorptiometry.
Results: Thirty-six percent (19/53) had osteopenia and 26% (14/53) had osteoporosis at the lumbar spine. A disproportionate
number of males with anorexia restricting or binge/purge subtype (ANR/ANB) had osteoporosis, as well as those of older age, lower weights, and longer illness duration. BMD for ANR and ANB
males was significantly lower than females (p 5 .02 and p 5 .03, respectively). In multivariate stepwise linear and logistic regression, lowest BMI and illness duration predicted lumbar Zscores.
Conclusion: Males with ANR/ANB often have severe bone disease, which is worse than females, and is best predicted by a
patient’s lowest BMI and illness duration.

Content for this course is based on an article from the International Journal of Eating Disorders, the official journal of the Association for Eating Disorders.

Journal/Publisher:

International Journal of Eating Disorders/ Wiley Publishing

Authors

Phil Mehler, MD; Arnold Anderson, MD

About the Authors:

Philip S. Mehler, MD is the Chief Medical Officer of Denver Health. He has been on staff at Denver Health for more than 25 years during which time he has developed an expertiese in treating the medical complications of anorexia nervosa and bulimia. He has written two books on this subject and has published close to 200 scientific publications. He is a Professor of Medicine at the Univeristy of Colorado Health Sciences Center.

Arnold Andersen, MD is the Director of the Eating Disorder Unit at the University of Iowa Hospital. He has a national reputation as a long-time leader in the area of psychiatric treatment for patient with anorexia nervosa and bulimia. Dr. Andersen has published numerous textbooks and scientific manuscripts on this subject. He is a Professor of Psychiatry at the University of Iowa School of Medicine.

Recommended For:

Mental health workers, dietitians, and physicians caring for patients with anorexia nervosa.

Course Objectives:

  1. Know the definitions of osteoporisis

  2. Understand the effective therapeutic modalities to treat osteoporosis in patients with anorexia nervosa

  3. Recognize that male patients with anorexia nervosa develop severe osteoporosis

Exam Questions

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