Evidence map›Paper›PMID 30809191›Full record

ReviewFrontiers in endocrinology2019

The Impact of Starvation on the Microbiome and Gut-Brain Interaction in Anorexia Nervosa.

Jochen Seitz, Meriem Belheouane, Nina Schulz, Astrid Dempfle, John F Baines, Beate Herpertz-Dahlmann

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06371963 (The Relative Energy Deficiency in Sports), which is not on this map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
7.8field-weighted citation impact, top 3% 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.

NCT06371963 completednot on this mapstarted 2022, after this paper: background citation

The Relative Energy Deficiency in Sports (REDs) in Swedish Athletes Study

TypeobservationalSponsorLinnaeus UniversityRan2022 to 2024Enrolled44ConditionsRED S, Eating Disorders
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. The Efficacy of Pharmacological Treatment of Depression in Anorexia Nervosa and Underweight Patients: A Systematic Review.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Pooled it
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  10. Neuroendocrine adaptations to starvation.Psychoneuroendocrinology · 2023
    Review
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  18. Intestinal barrier integrity in anorexia nervosa (a pilot study).The International journal of eating disorders · 2022
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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

6 authors at 3 institutions in 1 country.

Jochen SeitzDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Hospital, RWTH University Aachen, Aachen, Germany.
Meriem BelheouaneInstitute for Experimental Medicine, Kiel University and Max Planck Institute for Evolutionary Biology, Plön, Germany.
Nina SchulzDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Hospital, RWTH University Aachen, Aachen, Germany.
Astrid DempfleInstitute of Medical Informatics and Statistics, Kiel University, Kiel, Germany.
John F BainesInstitute for Experimental Medicine, Kiel University and Max Planck Institute for Evolutionary Biology, Plön, Germany.
Beate Herpertz-DahlmannDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Hospital, RWTH University Aachen, Aachen, Germany.
RWTH Aachen University · DEMax Planck Institute for Evolutionary Biology · DEKiel University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interactions between the gut microbiome and the brain are of increasing interest to both researchers and clinicians. Evidence is mounting on the causal role of an altered gut microbiome in inflammatory diseases such as arthritis, inflammatory bowel disease, obesity and diabetes, and psychiatric diseases like anxiety and depression. Mechanisms include altered energy harvest from food, hormonal changes, increased gut permeability, inflammation, immune response, and a direct influence on the brain and behavior. Anorexia nervosa (AN) is the third most common disease in adolescence and exacts a high burden on patients and caregivers. It often becomes chronic and has the highest mortality of all psychiatric diseases. As AN is characterized by nutritional restrictions, weight loss, and severe behavioral symptoms including weight phobia, comorbid anxiety and depression, accompanied by endocrine alterations, increased inflammation, and immune response, exploring the role of the gut microbiome is crucial. Here, we present an overview of the potential mechanisms of interaction between the gut microbiome, the host and particularly the brain in AN and summarize the initial findings of microbiome research on AN. We conclude by identifying future research directions and potential therapeutic approaches, including nutritional interventions, probiotics, prebiotics and food supplements, that could become important additions to current AN therapy.

Indexed as

anorexia nervosaautoimmune diseasegut-brain axisinflammationmicrobiomenutritionprebioticsprobiotics

Identifiers

PMID30809191
PMCPMC6379250
OpenAlexW2911642049

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.