Evidence map›Paper›PMID 40516452›Full record

ArticleComputers in biology and medicine2025

Does restrictive anorexia nervosa impact brain aging? A machine learning approach to estimate age based on brain structure.

Yubraj Gupta, Feliberto de la Cruz, Katrin Rieger, Monica di Giuliano, Christian Gaser, James Cole, Lauren Breithaupt, Laura M Holsen, Kamryn T Eddy, Jennifer J Thomas and 7 more

Abstract read
In one paragraph

Article in Computers in biology and medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

17 authors.

Yubraj GuptaDepartment of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany. Electronic address: Yubraj.Gupta@med.uni-jena.de.
Feliberto de la CruzDepartment of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany; Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Katrin RiegerDepartment of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany.
Monica di GiulianoDepartment of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany.
Christian GaserDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany; Department of Neurology, Jena University Hospital, Jena, Germany; German Center for Mental Health (DZPG), Germany.
James ColeCentre for Medical Imaging Computer, University College London, London, UK; Dementia Research Centre, University College London, London, UK.
Lauren BreithauptEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, USA; Department of Psychiatry, Harvard Medical School, Boston, USA; Mass General Brigham Multidisciplinary Eating Disorder Research Collaborative, Massachusetts General Hospital, Boston, USA.
Laura M HolsenDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, USA; Mass General Brigham Multidisciplinary Eating Disorder Research Collaborative, Massachusetts General Hospital, Boston, USA; Harvard Medical School, Boston, USA.
Kamryn T EddyEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, USA; Department of Psychiatry, Harvard Medical School, Boston, USA; Mass General Brigham Multidisciplinary Eating Disorder Research Collaborative, Massachusetts General Hospital, Boston, USA.
Jennifer J ThomasEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, USA; Department of Psychiatry, Harvard Medical School, Boston, USA; Mass General Brigham Multidisciplinary Eating Disorder Research Collaborative, Massachusetts General Hospital, Boston, USA.
Suheyla Cetin-KarayumakDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, USA; Department of Psychiatry, Harvard Medical School, Boston, USA.
Marek KubickiDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, USA; Department of Psychiatry, Harvard Medical School, Boston, USA; Athinoula A. Martinos Center, Massachusetts General Hospital, Boston, USA.
Elizabeth A LawsonMass General Brigham Multidisciplinary Eating Disorder Research Collaborative, Massachusetts General Hospital, Boston, USA; Harvard Medical School, Boston, USA; Neuroendocrine Unit, Massachusetts General Hospital, Boston, USA.
Karen K MillerHarvard Medical School, Boston, USA; Neuroendocrine Unit, Massachusetts General Hospital, Boston, USA.
Madhusmita MisraMass General Brigham Multidisciplinary Eating Disorder Research Collaborative, Massachusetts General Hospital, Boston, USA; Neuroendocrine Unit, Massachusetts General Hospital, Boston, USA; Division of Pediatric Endocrinology, University of Virginia, Charlottesville, USA; Department of Pediatrics, University of Virginia, Charlottesville, USA.
Andy SchumannDepartment of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany.
Karl-Jürgen BärDepartment of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany.

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Homeostatic and Hedonic Food Motivation Underlying Eating Disorder TrajectoriesR01MH103402 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI EDDY, KAMRYN T, LAWSON, ELIZABETH AUSTEN · 2014 to 2018
$3.7M
Mentorship in Biobehavioral Mechanisms of Avoidant/Restrictive Food Intake DisorderK24MH135189 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI JENNIFER JOANNE THOMAS · 2023 to 2026
$747k
NCRR NIH HHS UL1 RR025758NIMH NIH HHS K24 MH135189NIMH NIH HHS R01 MH103402
6 · The paper itself

Abstract

Anorexia nervosa (AN), a severe eating disorder marked by extreme weight loss and malnutrition, leads to significant alterations in brain structure. This study used machine learning (ML) to estimate brain age from structural MRI scans and investigated brain-predicted age difference (brain-PAD) as a potential biomarker in AN. Structural MRI scans were collected from female participants aged 10-40 years across two institutions (Boston, USA, and Jena, Germany), including acute AN (acAN; n=113), weight-restored AN (wrAN; n=35), and age-matched healthy controls (HC; n=90). The ML model was trained on 3487 healthy female participants (ages 5-45 years) from ten datasets, using 377 neuroanatomical features extracted from T1-weighted MRI scans. The model achieved strong performance with a mean absolute error (MAE) of 1.93 years and a correlation of r = 0.88 in HCs. In acAN patients, brain age was overestimated by an average of +2.25 years, suggesting advanced brain aging. In contrast, wrAN participants showed significantly lower brain-PAD than acAN (+0.26 years, p=0.0026) and did not differ from HC (p=0.98), suggesting normalization of brain age estimates following weight restoration. A significant group-by-age interaction effect on predicted brain age (p<0.001) indicated that brain age deviations were most pronounced in younger acAN participants. Brain-PAD in acAN was significantly negatively associated with BMI (r = -0.291, p

Indexed as

AgingAnorexia NervosaBrainMachine LearningMagnetic Resonance ImagingAdolescentAdultChildChild, PreschoolFemaleHumansMiddle AgedYoung AdultAcute anorexia nervosa (acAN)Brain agingBrain-PADEating disorderMachine learning (ML)Structural MRIWeight-restored AN (wrAN)

Identifiers

PMID40516452
PMCPMC13382908

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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.