Evidence map›Paper›PMID 40249501›Full record

Observational studyEndocrine2025

Bone evaluation and relationship between body composition and bone mass in anorexia nervosa followed up by a multidisciplinary team.

Iana Mizumukai de Araújo, Maria Victoria Figueiredo Rebolho, Mayra Macena Gomes, Vivian Marques Suen, Francisco José Albuquerque de Paula

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

Iana Mizumukai de AraújoDepartment of Internal Medicine, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil. iana.mizumukai@gmail.com.ORCID 0000-0003-0903-4787
Maria Victoria Figueiredo RebolhoDepartment of Internal Medicine, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.
Mayra Macena GomesDepartment of Internal Medicine, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.
Vivian Marques SuenDepartment of Internal Medicine, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.
Francisco José Albuquerque de PaulaDepartment of Internal Medicine, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.

Funding

National Council of Scientific and Technological Development (CNPq) 309316/2021-9São Paulo Research Foundation (FAPESP) 2018/18071-5São Paulo Research Foundation (FAPESP) 2021/03152-2
6 · The paper itself

Abstract

purposeAnorexia nervosa is a psychiatric disorder characterized by self-imposed fasting and significant weight loss, leading to nutrient deficiencies that disrupt bone metabolism. This cross-sectional observational study aimed to characterize the bone health of women with anorexia nervosa using dual-energy X-ray absorptiometry (DXA), trabecular bone score (TBS), and 3D shaper analysis.

methodsThe study involved 12 women diagnosed with anorexia nervosa monitored by a multidisciplinary team and 11 control subjects. Both groups underwent blood sampling and assessments with DXA, TBS, and 3D shaper analysis.

resultsThe results indicated that areal bone mineral density (aBMD) and Z-scores at the total hip and femoral neck were significantly lower in the anorexia group compared to controls (p < 0.05). Additionally, the fat mass index was reduced in women with anorexia (p < 0.05). Appendicular lean mass index (ALMI) was similar between the two groups. 3D shaper analysis revealed that surface BMD (sBMD), volumetric BMD (vBMD), integral vBMD, and trabecular vBMD were generally lower in the anorexia group. Associations were found between proximal femur 3D parameters and total hip and femoral neck aBMD. Moreover, significant correlations were observed between total cortical vBMD, total cortical sBMD, integral vBMD, and TBS. ALMI was associated with total cortical thickness and showed a trend toward association with femoral neck Z-score.

conclusionIn addition to previous studies indicating bone impairment in AN using DXA and TBS, the present study suggests that the 3D Shaper is also capable of detecting bone loss in this disorder. Therefore, the data encourage the further studies to assess the role of the 3D Shaper in prediction of fracture.

Indexed as

Anorexia NervosaBody CompositionBone DensityAbsorptiometry, PhotonAdolescentAdultCross-Sectional StudiesFemaleFemur NeckHumansYoung Adult3D ShaperAnorexia nervosaBone microstructureBone mineral densityDual-energy x-ray absorptiometryTrabecular bone score

Identifiers

What OpenQuestion holds

Textmetadata
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.