Evidence map›Paper›PMID 30920679›Full record

SynthesisThe International journal of eating disorders2019

Increased lipid and lipoprotein concentrations in anorexia nervosa: A systematic review and meta-analysis.

Alia A Hussain, Christopher Hübel, Mathias Hindborg, Emilie Lindkvist, Annie M Kastrup, Zeynep Yilmaz, René K Støving, Cynthia M Bulik, Jan M Sjögren

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
7.0field-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.

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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
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  6. Recovery From Anorexia Nervosa: A Concept Analysis.Journal of advanced nursing · 2026
    Review
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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

9 authors at 4 institutions in 4 countries.

Alia A HussainEating Disorder Unit, Mental Health Center Ballerup, Ballerup, Denmark.ORCID 0000-0002-1011-5165
Christopher HübelDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.ORCID 0000-0002-1267-8287
Mathias HindborgEating Disorder Unit, Mental Health Center Ballerup, Ballerup, Denmark.
Emilie LindkvistEating Disorder Unit, Mental Health Center Ballerup, Ballerup, Denmark.
Annie M KastrupEating Disorder Unit, Mental Health Center Ballerup, Ballerup, Denmark.
Zeynep YilmazDepartment of Psychiatry, University of North Carolina at Chapel Hill, North Carolina, USA.ORCID 0000-0002-8145-1596
René K StøvingNutrition Clinic, Center for Eating Disorders, Odense University Hospital & Psychiatric Services in the Region of Southern Denmark, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-4255-5544
Cynthia M BulikDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.ORCID 0000-0001-7772-3264
Jan M SjögrenEating Disorder Unit, Mental Health Center Ballerup, Ballerup, Denmark.ORCID 0000-0003-2060-1914
University of Copenhagen · DKUniversity of North Carolina at Chapel Hill · USKing's College London · GBUniversity of Southern Denmark · DK

Funding

Shared Genetic and Environmental Risk Factors for Anorexia Nervosa and Obsessive-Compulsive Disorder in DenmarkK01MH109782 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI YILMAZ, ZEYNEP · 2016 to 2019
$620k
NIH HHS K01MH109782NIMH NIH HHS K01 MH109782
6 · The paper itself

Abstract

objectiveAlterations in blood lipid concentrations in anorexia nervosa (AN) have been reported; however, the extent, mechanism, and normalization with weight restoration remain unknown. We conducted a systematic review and a meta-analysis to evaluate changes in lipid concentrations in acutely-ill AN patients compared with healthy controls (HC) and to examine the effect of partial weight restoration.

methodA systematic literature review and meta-analysis (PROSPERO: CRD42017078014) were conducted for original peer-reviewed articles.

resultsForty-eight studies were eligible for review; 33 for meta-analyses calculating mean differences (MD). Total cholesterol (MD = 22.7 mg/dL, 95% CI = 12.5, 33.0), high-density lipoprotein (HDL; MD = 3.4 mg/dL, CI = 0.3, 7.0), low-density lipoprotein (LDL; MD = 12.2 mg/dL, CI = 4.4, 20.1), triglycerides (TG; MD = 8.1 mg/dL, CI = 1.7, 14.5), and apolipoprotein B (Apo B; MD = 11.8 mg/dL, CI = 2.3, 21.2) were significantly higher in acutely-ill AN than HC. Partially weight-restored AN patients had higher total cholesterol (MD = 14.8 mg/dL, CI = 2.1, 27.5) and LDL (MD = 16.1 mg/dL, CI = 2.3, 30.0). Pre- versus post-weight restoration differences in lipid concentrations did not differ significantly. DISCUSSION: We report aggregate evidence for elevated lipid concentrations in acutely-ill AN patients compared with HC, some of which persist after partial weight restoration. This could signal an underlying adaptation or dysregulation not fully reversed by weight restoration. Although concentrations differed between AN and HC, most lipid concentrations remained within the reference range and meta-analyses were limited by the number of available studies.

Indexed as

AdolescentAdultAnorexia NervosaFemaleHumansLipidsLipoproteinsMiddle AgedYoung AdultLipidsLipoproteinscholesteroleating disorderlipidsre-nutritionweight restoration

Identifiers

PMID30920679
PMCPMC6842568
OpenAlexW2933586945

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.