Evidence map›Paper›PMID 30676658›Full record

ArticleThe International journal of eating disorders2019

Preserved white matter microstructure in adolescent patients with atypical anorexia nervosa.

Gaia Olivo, Ingemar Swenne, Christina Zhukovsky, Anna-Kaisa Tuunainen, Avista Saaid, Helena Salonen-Ros, Elna-Marie Larsson, Samantha J Brooks, Helgi B Schiöth

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The International journal of eating disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01882023 (Comparing Neural Responses to Explicit and Subliminal Food Images in EDNOS Patients and Healthy Controls Using fMRI), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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.

NCT01882023 suspendednot on this map

Comparing Neural Responses to Explicit and Subliminal Food Images in EDNOS Patients and Healthy Controls Using fMRI

TypeobservationalSponsorUppsala UniversityRan2011 to 2031Enrolled150ConditionsEating Disorders
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Neuroimaging and eating disorders.Current opinion in psychiatry · 2019
    Review
  11. Article
  12. 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

9 authors at 2 institutions in 3 countries.

Gaia OlivoDepartment of Neuroscience, Functional Pharmacology, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-7514-4493
Ingemar SwenneDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-3352-0742
Christina ZhukovskyDepartment of Neuroscience, Functional Pharmacology, Uppsala University, Uppsala, Sweden.
Anna-Kaisa TuunainenDepartment of Neuroscience, Functional Pharmacology, Uppsala University, Uppsala, Sweden.
Avista SaaidDepartment of Neuroscience, Functional Pharmacology, Uppsala University, Uppsala, Sweden.
Helena Salonen-RosDepartment of Neuroscience, Child and Adolescent Psychiatry, Uppsala University, Uppsala, Sweden.
Elna-Marie LarssonDepartment of Surgical Sciences, Radiology, Uppsala University, Uppsala, Sweden.
Samantha J BrooksDepartment of Human Biology, University of Cape Town, Cape Town, South Africa.
Helgi B SchiöthDepartment of Neuroscience, Functional Pharmacology, Uppsala University, Uppsala, Sweden.
Uppsala University · SEUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePatients with atypical anorexia nervosa (AN) are often in the normal-weight range at presentation; however, signs of starvation and medical instability are not rare. White matter (WM) microstructural correlates of atypical AN have not yet been investigated, leaving an important gap in our knowledge regarding the neural pathogenesis of this disorder.

methodWe investigated WM microstructural integrity in 25 drug-naïve adolescent patients with atypical AN and 25 healthy controls, using diffusion tensor imaging (DTI) with a tract-based spatial statistics (TBSS) approach. Psychological variables related to the eating disorder and depressive symptoms were also evaluated by administering the eating disorder examination questionnaire (EDE-Q) and the Montgomery-Åsberg depression rating scale (MADRS-S) respectively, to all participants.

resultsPatients and controls were in the normal-weight range and did not differ from the body mass index standard deviations for their age. No between groups difference in WM microstructure could be detected. DISCUSSION: Our findings support the hypothesis that brain structural alterations may not be associated to early-stage atypical AN. These findings also suggest that previous observations of alterations in WM microstructure in full syndrome AN may constitute state-related consequences of severe weight loss. Whether the preservation of WM structure is a pathogenetically discriminant feature of atypical AN or only an effect of a less severe nutritional disturbance, will have to be verified by future studies on larger samples, possibly directly comparing AN and atypical AN.

Indexed as

AdolescentAnorexia NervosaBrainFemaleHumansMaleWhite Matteradolescentanorexia nervosabraincognitive neurosciencediffusion tensor imagingfeeding and eating disordersneuroimaging

Identifiers

PMID30676658
PMCPMC6590352
OpenAlexW2914480420

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.