신경성 폭식증 환자에서의 신체적 이상
Medical Findings in Korean Women with Bulimia Nervosa
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Objectives Medical complications are common and often serious in patients with eating disorders,however, little is known about complications in patients with bulimia nervosa. Methods We conducted a retrospectively investigation of clinical characteristics and hematologic,biochemical, hormonal, and bone density evaluations in 90 Korean women with bulimia nervosa together with 100 healthy Korean women of comparable ages. Results In patients with bulimia nervosa, 20% were anemic, 3.3% were hypokalemic, 14.4%had increased alanine aminotransferase, 24.4% were lower in serum protein, 8.8% were hypercholesterolemia,and 77.8% were hyperamylasemia. Osteopenia at any one site was identified in 26.7% of patients and the lowest-ever body mass index was the main determinant of bone mineral density in patients with bulimia nervosa. Conclusion In this study, many features of medical findings reported in anorexia nervosa were found in bulimia nervosa, however, the findings in bulimia nervosa were milder form than in anorexia nervosa. Management of any physical abnormalities in bulimia nervosa should focus on correction of the eating disorder.
Abstract
Objectives Medical complications are common and often serious in patients with eating disorders,however, little is known about complications in patients with bulimia nervosa. Methods We conducted a retrospectively investigation of clinical characteristics and hematologic,biochemical, hormonal, and bone density evaluations in 90 Korean women with bulimia nervosa together with 100 healthy Korean women of comparable ages. Results In patients with bulimia nervosa, 20% were anemic, 3.3% were hypokalemic, 14.4%had increased alanine aminotransferase, 24.4% were lower in serum protein, 8.8% were hypercholesterolemia,and 77.8% were hyperamylasemia. Osteopenia at any one site was identified in 26.7% of patients and the lowest-ever body mass index was the main determinant of bone mineral density in patients with bulimia nervosa. Conclusion In this study, many features of medical findings reported in anorexia nervosa were found in bulimia nervosa, however, the findings in bulimia nervosa were milder form than in anorexia nervosa. Management of any physical abnormalities in bulimia nervosa should focus on correction of the eating disorder.
참고문헌 (23)
- Hudson JI, "The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication", Biol Psychiatry, 61, pp.348~358 (2007)
- Makino M, "Prevalence of eating disorders: a comparison of Western and non-Western countries", Med Gen Med, 6, pp.49~ (2004)
- Lee YH, "Epidemiology of eating disordered symptoms in the Korean general population using a Korean version of the Eating Attitudes Test", Eat Weight Disord, 3, pp.153~161 (1998)
- Korea Centers for Disease Control & Prevention 7th youth health behavior research online, "Korea Centers for Disease Control & Prevention", ~ (2012)
- Russell G, "Bulimia nervosa: an ominous variant of anorexia nervosa", Psychol Med, 9, pp.429~448 (1979)
- Wolfe BE, "Bulimia Nervosa in DSM- 5", Psychiatric Annals, 42, pp.406~409 (2012)
- Casper RC, "Depression and eating disorders", Depress Anxiety, 8(1), pp.96~104 (1998)
- Strober M, "Familial contributions to the etiology and course of anorexia nervosa and bulimia", J Consult Clin Psychol, 55, pp.654~659 (1987)
- Palla B, "Medical complications of eating disorders in adolescents", Pediatrics, 81, pp.613~623 (1988)
- Zipfel S, "Osteoporosis in eating disorders: a follow-up study of patients with anorexia and bulimia nervosa", J Clin Endocrinol Metab, 86, pp.5227~5233 (2001)
- Newton JR, "Osteoporosis and normal weight bulimia nervosa--which patients are at risk?", J Psychosom Res, 37, pp.239~247 (1993)
- Baker D, "Factors predictive of bone mineral density in eating-disordered women: a longitudinal study", Int J Eat Disord, 27, pp.29~35 (2000)
- Heo SY, "Reliability and factor analysis of the Korean Version of Eating Disorder Examination", J Korean Soc Study Obes, 13, pp.42~52 (2004)
- Dansky BS, "Comorbidity of bulimia nervosa and alcohol use disorders: results from the National Women’s Study", Int J Eat Disord, 27, pp.180~190 (2000)
- Kaye WH, "Bulimia nervosa and substance dependence: association and family transmission", Alcohol Clin Exp Res, 20, pp.878~881 (1996)
- Legroux-Gerot I, "Bone loss associated with anorexia nervosa", Joint Bone Spine, 72, pp.489~495 (2005)
- Greenfeld D, "Hypokalemia in outpatients with eating disorders", Am J Psychiatry, 152, pp.60~63 (1995)
- 김율리, "Medical Findings in Women with Anorexia Nervosa in a Korean Population", PSYCHIATRY INVESTIGATION, 10(2), pp.101~107 (2013), 대한신경정신의학회
- Wolfe BE, "Laboratory screening for electrolyte abnormalities and anemia in bulimia nervosa: a controlled study", Int J Eat Disord, 30, pp.288~293 (2001)
- Mitchell JE, "Electrolyte and other physiological abnormalities in patients with bulimia", Psychol Med, 13, pp.273~278 (1983)
- Gilsanz V, "Quantitative spinal mineral analysis in children", Ann Radiol, 29, pp.380~382 (1986)
- Katzman DK, "Osteoporosis in anorexia nervosa: a brittle future?", Curr Drug Targets CNS Neurol Disord, 2, pp.11~15 (2003)
- Calabrese LH, "Nutritional and medical considerations in dancers", Clin Sports Med, 2, pp.539~548 (1983)