Evidence map›Paper›PMID 19793856›Full record

ArticleThe American journal of clinical nutrition2009

Adipose tissue distribution after weight restoration and weight maintenance in women with anorexia nervosa.

Laurel E S Mayer, Diane A Klein, Elizabeth Black, Evelyn Attia, Wei Shen, Xiangling Mao, Dikoma C Shungu, Mark Punyanita, Dympna Gallagher, Jack Wang and 4 more

Abstract read
In one paragraph

Article in The American journal of clinical nutrition, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Laurel E S MayerDepartment of Psychiatry, Columbia University Medical Center, and New York State Psychiatric Institute, New York, NY, USA. lsm16@columbia.edu
Diane A Klein
Elizabeth Black
Evelyn Attia
Wei Shen
Xiangling Mao
Dikoma C Shungu
Mark Punyanita
Dympna Gallagher
Jack Wang
Steven B Heymsfield
Joy Hirsch
Henry N Ginsberg
B Timothy Walsh

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
WEIGHT LOSS--BONE &SKELETAL MUSCLE HOMEOSTASIS IN NIDDMP01DK042618 · NIDDK · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI GALLAGHER, DYMPNA · 1990 to 2005
$7.8M
ENERGY HOMEOSTASIS IN ANOREXIA NERVOSAK23DK002749 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYER, LAUREL ES · 2000 to 2004
$645k
Does Metabolic Syndrome Exist in Anorexia Nervosa?R03DK066033 · NIDDK · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MAYER, LAUREL ES · 2005 to 2006
$317k
NCRR NIH HHS UL1 RR024156NIDDK NIH HHS DK02749NIDDK NIH HHS DK42618NIDDK NIH HHS DK66033NIDDK NIH HHS K23 DK002749NIDDK NIH HHS P01 DK042618NIDDK NIH HHS R03 DK066033
6 · The paper itself

Abstract

backgroundBody image distortions are a core feature of anorexia nervosa (AN). We, and others, previously reported abnormalities in adipose tissue distribution after acute weight restoration in adult women with AN compared with body mass index-matched healthy control women. Whether these abnormalities persist over time remains unknown.

objectivesWe aimed to 1) replicate previous findings that showed preferential central accumulation of adipose tissue in recently weight-restored AN women compared with control subjects, 2) describe the change within patients with longer-term (1-y) weight maintenance, and 3) compare adipose tissue distribution after 1-y maintenance with that of control subjects.

designBody composition and adipose tissue distribution were assessed by whole-body magnetic resonance imaging in women with AN shortly after weight normalization (n = 30) and again 1 y after hospital discharge (n = 16) and in 8 female control subjects at 2 time points.

resultsWith acute weight restoration, AN patients had significantly greater visceral and intermuscular adipose tissue compared with control women [visceral: 0.75 +/- 0.26 compared with 0.51 +/- 0.26 kg in AN patients and controls, respectively (P = 0.02); intermuscular: 0.46 +/- 0.17 compared with 0.29 +/- 0.13 kg in AN patients and controls, respectively (P = 0.01)]. With maintenance of normal weight for approximately 1 y, visceral adipose tissue distribution in AN patients was not different from that in healthy control subjects.

conclusionsIn adult women with AN, normalization of weight in the short term is associated with a distribution of adipose tissue that is consistent with a central adiposity phenotype. This abnormal distribution appears to normalize within a 1-y period of weight maintenance. This research was registered at clinicaltrials.gov as NCT 00271921 and NCT 00368667.

Indexed as

Body ImageAdipose TissueAdolescentAdultAmenorrheaAnorexia NervosaBody CompositionBody WeightFearFemaleHumansLiverMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMiddle AgedMuscle, Skeletal

Identifiers

PMID19793856
PMCPMC2762154

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.