Adequate nutrition status important for bone mineral density improvement in a patient with anorexia nervosa

Low bone mineral density (BMD) is one of the most frequent complications of anorexia nervosa (AN). We report the clinical outcomes of a female patient with severe AN, whose chest had become deformed due to thoracic fracture. Lumbar BMD was 0.358 g/cm(2) (T-score = −6.3), and total hip BMD was 0.411...

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Autores principales: Nakamura, Yukio, Kamimura, Mikio, Koiwai, Hidefumi, Kato, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965386/
https://www.ncbi.nlm.nih.gov/pubmed/29849462
http://dx.doi.org/10.2147/TCRM.S160280
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author Nakamura, Yukio
Kamimura, Mikio
Koiwai, Hidefumi
Kato, Hiroyuki
author_facet Nakamura, Yukio
Kamimura, Mikio
Koiwai, Hidefumi
Kato, Hiroyuki
author_sort Nakamura, Yukio
collection PubMed
description Low bone mineral density (BMD) is one of the most frequent complications of anorexia nervosa (AN). We report the clinical outcomes of a female patient with severe AN, whose chest had become deformed due to thoracic fracture. Lumbar BMD was 0.358 g/cm(2) (T-score = −6.3), and total hip BMD was 0.411 g/cm(2) (T-score = −4.4). Active vitamin D increased these parameters by 81.0% and 57.4%, respectively, but a drop in her nutrition status afterward resulted in a sharp decrease in BMD values. These findings suggest that adequate nutrient intake is essential for effective osteoporosis treatment in patients with AN.
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spelling pubmed-59653862018-05-30 Adequate nutrition status important for bone mineral density improvement in a patient with anorexia nervosa Nakamura, Yukio Kamimura, Mikio Koiwai, Hidefumi Kato, Hiroyuki Ther Clin Risk Manag Case Report Low bone mineral density (BMD) is one of the most frequent complications of anorexia nervosa (AN). We report the clinical outcomes of a female patient with severe AN, whose chest had become deformed due to thoracic fracture. Lumbar BMD was 0.358 g/cm(2) (T-score = −6.3), and total hip BMD was 0.411 g/cm(2) (T-score = −4.4). Active vitamin D increased these parameters by 81.0% and 57.4%, respectively, but a drop in her nutrition status afterward resulted in a sharp decrease in BMD values. These findings suggest that adequate nutrient intake is essential for effective osteoporosis treatment in patients with AN. Dove Medical Press 2018-05-18 /pmc/articles/PMC5965386/ /pubmed/29849462 http://dx.doi.org/10.2147/TCRM.S160280 Text en © 2018 Nakamura et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Nakamura, Yukio
Kamimura, Mikio
Koiwai, Hidefumi
Kato, Hiroyuki
Adequate nutrition status important for bone mineral density improvement in a patient with anorexia nervosa
title Adequate nutrition status important for bone mineral density improvement in a patient with anorexia nervosa
title_full Adequate nutrition status important for bone mineral density improvement in a patient with anorexia nervosa
title_fullStr Adequate nutrition status important for bone mineral density improvement in a patient with anorexia nervosa
title_full_unstemmed Adequate nutrition status important for bone mineral density improvement in a patient with anorexia nervosa
title_short Adequate nutrition status important for bone mineral density improvement in a patient with anorexia nervosa
title_sort adequate nutrition status important for bone mineral density improvement in a patient with anorexia nervosa
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965386/
https://www.ncbi.nlm.nih.gov/pubmed/29849462
http://dx.doi.org/10.2147/TCRM.S160280
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