Manuelli, M, Blundell, JE orcid.org/0000-0002-7085-9596, Biino, G et al. (1 more author) (2019) Body composition and resting energy expenditure in women with anorexia nervosa: Is hyperactivity a protecting factor? Clinical nutrition ESPEN, 29. pp. 160-164. ISSN 2405-4577
Abstract
Background: In subjects with anorexia nervosa (AN) physical exercise may cause or even prevent weight loss, body composition alterations and adaptive thermogenesis. To investigate the influence of behavioral patterns on body composition and energy expenditure in women with AN, we conducted a retrospective analysis in 62 patients with AN referring to our outpatients’ clinic.
Materials and methods: We assessed anthropometric measurement of weight, height, and BMI; body composition was assessed by bioelectrical impedance analysis; resting energy expenditure was measured through indirect calorimetry. Patients’ characteristics were assessed at the time of first evaluation.
Results: The subjects were both restricting type (ANR, n = 39) and binge-eating/purging type (ANBP, n = 23) according to DSM-5. We observed a lower reactance (58.63 (11.9) vs. 66.5 (15.5) Ohm, p < 0.05) and higher total body water in ANR subjects. No differences were found in phase angle, fat mass or fat-free mass, nor in REE measures. Within ANR subgroup, we identified two behavioral patterns, with or without physical hyperactivity. Compared to dieting and fasting subjects, hyperactive subjects showed higher phase angle [5.6 (0.7) vs. 4.8 (0.8), p < 0.05], lower fat-free mass [82.5 (6.8) vs. 89.9 (7.5)%, p < 0.05], greater proportion of fat mass [17.5 (6.8) vs. 10.1 (7.5)%, p < 0.05] and body cell mass [46.6 (5.1) vs. 42.5 (5.5)%, p < 0.05]. Finally, hyperactive subjects had greater BMI than dieting or fasting subjects [18.2 (1.7) vs. 15.8 (1.7), p < 0.005].
Conclusion: With limitations due to the small sample size, hyperactive subjects show body composition and energy metabolism features that seem protective in terms of prognosis.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. This is an author produced version of a paper published in Clinical Nutrition ESPEN. Uploaded in accordance with the publisher's self-archiving policy.© 2018 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. This is an author produced version of a paper published in Clinical Nutrition ESPEN. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Anorexia nervosa; Body composition; Energy metabolism; Hyperactivity; Physical activity |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 21 Mar 2019 10:45 |
Last Modified: | 20 Nov 2019 01:39 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.clnesp.2018.10.015 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:143934 |
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