Evidence map›Paper›PMID 29214023›Full record

ReviewJournal of eating disorders2017

Assessment and clinical management of bone disease in adults with eating disorders: a review.

Anne Drabkin, Micol S Rothman, Elizabeth Wassenaar, Margherita Mascolo, Philip S Mehler

Open access · goldAbstract readReview
In one paragraph

Review in Journal of eating disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.1field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Reframing anorexia nervosa as a metabo-psychiatric disorder.Trends in endocrinology and metabolism: TEM · 2021
    Review
  8. Anorexia nervosa: COVID-19 pandemic period (Review).Experimental and therapeutic medicine · 2021
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
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

5 authors at 3 institutions in 1 country.

Anne DrabkinDenver Health and Hospital Authority, 660 Bannock MC 4000, Denver, CO 80204 USA.ORCID 0000-0002-1536-2974
Micol S RothmanUniversity of Colorado Hospital, Anschutz Medical Campus, 13001 E 17th Pl, Aurora, CO 80045 USA.
Elizabeth WassenaarEating Recovery Center, 7351 E. Lowry Blvd. Suite 200, Denver, CO 80230 USA.
Margherita MascoloDenver Health and Hospital Authority, 660 Bannock MC 4000, Denver, CO 80204 USA.
Philip S MehlerDenver Health and Hospital Authority, 660 Bannock MC 4000, Denver, CO 80204 USA.
Denver Health Medical Center · USThe Recovery Center · USUniversity of Colorado Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo review current medical literature regarding the causes and clinical management options for low bone mineral density (BMD) in adult patients with eating disorders.

backgroundLow bone mineral density is a common complication of eating disorders with potentially lifelong debilitating consequences. Definitive, rigorous guidelines for screening, prevention and management are lacking. This article intends to provide a review of the literature to date and current options for prevention and treatment.

methodsCurrent, peer-reviewed literature was reviewed, interpreted and summarized.

conclusionAny patient with lower than average BMD should weight restore and in premenopausal females, spontaneous menses should resume. Adequate vitamin D and calcium supplementation is important. Weight-bearing exercise should be avoided unless cautiously monitored by a treatment team in the setting of weight restoration. If a patient has a Z-score less than expected for age with a high fracture risk or likelihood of ongoing BMD loss, physiologic transdermal estrogen plus oral progesterone, bisphosphonates (alendronate or risedronate) or teriparatide could be considered. Other agents, such as denosumab and testosterone in men, have not been tested in eating-disordered populations and should only be trialed on an empiric basis if there is a high clinical concern for fractures or worsening bone mineral density. A rigorous peer-based approach to establish guidelines for evaluation and management of low bone mineral density is needed in this neglected subspecialty of eating disorders.

Indexed as

Anorexia nervosaBone mineral densityMalnutritionOsteopeniaOsteoporosisPremenopausal

Identifiers

PMID29214023
PMCPMC5713040
OpenAlexW2759851388

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.