Evidence map›Paper›PMID 41128909›Full record

ArticleCalcified tissue international2025

Effect of Anorexia Nervosa on Volumetric Bone Mineral Density.

Laurent Maïmoun, Helena Huguet, Eric Renard, Patrick Lefebvre, Maude Seneque, Vincent Boudousq, Lisa Maïmoun Nande, Pascal de Santa Barbara, Jean Paul Cristol, Ludovic Humbert and 4 more

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Article in Calcified tissue international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

14 authors.

Laurent MaïmounPhyMedExp, University of Montpellier, INSERM, CNRS, Montpellier, France. l-maimoun@chu-montpellier.fr.
Helena HuguetUnit of Clinical Research and Epidemiology, CHU Montpellier, University of Montpellier, Montpellier, France.
Eric RenardService d'Endocrinologie-Diabétologie, Hôpital Lapeyronie, CHU de Montpellier, Montpellier, France.
Patrick LefebvreService d'Endocrinologie-Diabétologie, Hôpital Lapeyronie, CHU de Montpellier, Montpellier, France.
Maude SenequeDepartment of Emergency and Post-Emergency Psychiatry, CHU Montpellier, University of Montpellier INSERM, Montpellier, France.
Vincent BoudousqDepartment of Nuclear Medicine, CHU Nîmes, Nîmes, France.
Lisa Maïmoun NandeMontpellier University, Montpellier, France.
Pascal de Santa BarbaraPhyMedExp, University of Montpellier, INSERM, CNRS, Montpellier, France.
Jean Paul CristolPhyMedExp, University of Montpellier, INSERM, CNRS, Montpellier, France.
Ludovic Humbert3D-Shaper Medical, Barcelona, Spain.
Philippe CourtetDepartment of Emergency and Post-Emergency Psychiatry, CHU Montpellier, University of Montpellier INSERM, Montpellier, France.
Marie-Christine PicotUnit of Clinical Research and Epidemiology, CHU Montpellier, University of Montpellier, Montpellier, France.
Sébastien GuillaumeDepartment of Emergency and Post-Emergency Psychiatry, CHU Montpellier, University of Montpellier INSERM, Montpellier, France.
Denis Mariano-GoulartPhyMedExp, University of Montpellier, INSERM, CNRS, Montpellier, France.

Funding

AOI AOI UF 8751AOI UF 8854
6 · The paper itself

Abstract

It was widely acknowledged that patients with anorexia nervosa (AN) present a decrease in areal bone mineral density (aBMD), but the effect on bone microarchitecture and other parameters associated with fracture risk have been less well investigated. The two aims of this study were to (i) compare aBMD at various bone sites as determined by DXA, as well as trabecular and cortical volumetric BMD (vBMD) at femoral regions using 3D-Shaper® software, in young women with AN and normal-weight controls (CON) and (ii) determine the factors potentially associated with aBMD and vBMD. Three hundred young women from 18 to 35 years old were enrolled in this study: 209 patients with AN and 91 age-matched normal-weight controls. aBMD was determined with DXA and vBMD by 3D-Shaper® software. Compared with controls, patients with AN presented significantly lower aBMD at all bone sites, but the difference was greater at hip and lumbar spine compared with radius. In whole proximal femur and all femoral compartments, vBMD was also lower in patients, but the difference between groups was greater for cortical vBMD compared with trabecular vBMD. Cortical thickness was also altered but to a lower extent. The bone deterioration induced a decrease in bone structural parameters. In the patients, the independent variables for determining aBMD and vBMD were principally minimal disease-related BMI, menstrual disorder status and duration of amenorrhea. This study confirmed not only that young women with AN present lower aBMD across the skeleton, but it also showed for the first time a concomitant deterioration in trabecular and cortical vBMD and cortical thickness as measured by 3D-Shaper®, leading to a decrease in bone structural parameters. In future, it will be interesting to determine whether 3D-Shaper® parameters are more sensitive than aBMD for monitoring skeletal changes due to weight variations or during therapeutic interventions. It will also be relevant to assess whether these new bone parameters are more predictive of fracture risk than aBMD in these patients.

Indexed as

Anorexia NervosaBone DensityAbsorptiometry, PhotonAdolescentAdultFemaleHumansYoung Adult3D-DXA3D-Shaper®Anorexia nervosaAreal bone mineral densityCortical thickness

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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.