Evidence map›Paper›PMID 24275621›Full record

ReviewCurrent opinion in endocrinology, diabetes, and obesity2014

Endocrinology of anorexia nervosa in young people: recent insights.

Vibha Singhal, Madhusmita Misra, Anne Klibanski

Abstract readReview
In one paragraph

Review in Current opinion in endocrinology, diabetes, and obesity, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 16% of its field
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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Psychological aspects of infertility. A systematic review.The Journal of international medical research · 2020
    Pooled it
  3. Review
  4. Article
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  10. Review
  11. Ghrelin as a possible biomarker and maintaining factor in patients with eating disorders reporting childhood traumatic experiences.European eating disorders review : the journal of the Eating Disorders Association · 2021
    Article
  12. Article
  13. Article
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  18. Review
  19. Article
  20. Obstetric and gynecologic problems associated with eating disorders.The International journal of eating disorders · 2016
    Review
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

3 authors at 2 institutions in 1 country.

Vibha SinghalaPediatric Endocrine bNeuroendocrine Units of Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Madhusmita Misra
Anne Klibanski
Endocrine Society · USMassachusetts General Hospital · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHRISTOPHER P DUGGAN · 1994 to 2026
$31.6M
Effects of Anorexia Nervosa on Peak Bone MassR01DK062249 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI KLIBANSKI, ANNE · 2003 to 2015
$7.2M
Fat Mediated Modulation of Reproductive and Endocrine Function in Young AthletesR01HD060827 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI MISRA, MADHUSMITA · 2009 to 2013
$2.4M
Bone Metabolism and Body Composition in Young AthletesK24HD071843 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI MISRA, MADHUSMITA · 2013 to 2017
$930k
NCRR NIH HHS 5 UL1 RR025758NCRR NIH HHS UL1 RR025758NICHD NIH HHS 1 K24 HD071843-01A1NICHD NIH HHS 1R01 HD060827NICHD NIH HHS K24 HD071843NICHD NIH HHS R01 HD060827NIDDK NIH HHS 2 R01 DK062249NIDDK NIH HHS P30 DK040561NIDDK NIH HHS R01 DK062249
6 · The paper itself

Abstract

purpose of reviewAnorexia nervosa is among the most prevalent chronic medical conditions in young adults. It has acute as well as long-term consequences, some of which, such as low bone mineral density (BMD), are not completely reversible even after weight restoration. This review discusses our current understanding of endocrine consequences of anorexia nervosa. RECENT

findingsAnorexia nervosa is characterized by changes in multiple neuroendocrine axes including acquired hypogonadotropic hypogonadism, growth hormone resistance with low insulin-like growth factor-1 (likely mediated by fibroblast growth factor-1), relative hypercortisolemia, alterations in adipokines such as leptin, adiponectin and resistin, and gut peptides including ghrelin, PYY and amylin. These changes in turn contribute to low BMD. Studies in anorexia nervosa have demonstrated abnormalities in bone microarchitecture and strength, and an association between increased marrow fat and decreased BMD. One study in adolescents reported an improvement in BMD following physiologic estrogen replacement, and another in adults demonstrated improved BMD following risedronate administration. Brown adipose tissue is reduced in anorexia nervosa, consistent with an adaptive response to the energy deficit state. SUMMARY: Anorexia nervosa is associated with widespread physiologic adaptations to the underlying state of undernutrition. Hormonal changes in anorexia nervosa affect BMD adversely. Further investigation is underway to optimize therapeutic strategies for low BMD.

Indexed as

Adipose Tissue, BrownAdolescentAnorexia NervosaBone DensityBone MarrowEndocrinologyEnergy MetabolismEstrogen Replacement TherapyFemaleHuman Growth HormoneHumansHypogonadismHypothalamo-Hypophyseal SystemMalePituitary-Adrenal SystemYoung AdultHuman Growth Hormone

Identifiers

PMID24275621
PMCPMC3971868
OpenAlexW2012263309

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.