Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-23T16:25:30.013Z Has data issue: false hasContentIssue false

Body composition in female anorexia nervosa patients

Published online by Cambridge University Press:  09 March 2007

M. Probst
Affiliation:
University Center St Joseph, B-3070 Kortenberg, Belgium
M. Goris
Affiliation:
Department of Kinesiology, Catholic University of Leuven, Leuven, Belgium
W. Vandereycken
Affiliation:
University Center St Joseph, B-3070 Kortenberg, Belgium
H. Van Coppenolle
Affiliation:
University Center St Joseph, B-3070 Kortenberg, Belgium
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

For the first time, body composition has been studied in a very large sample of female anorexia nervosa patients (n 200) using two methods: anthropometry (skinfold thickness) and densitometry (underwater weighing). The concurrent validity of both methods appeared to be good (r 0·84). Although the mean percentage of body fat (13·5) in our sample corresponds with most of the previous reports, the range (4·3–24·8) is great. Our study shows that BMI is not a good measure of fatness. Age and duration of illness were not related to body fat. Percentage fat was found to be different (t 2·76, P <0·01) according to the diagnostic subtype of anorexia nervosa: restricters (12·9) v. bingers and/or purgers (14·7).

Type
Human and Clinical Nutrition
Copyright
Copyright © The Nutrition Society 1996

References

REFERENCES

American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC: American Psychiatric Association.Google Scholar
Andersen, A. E.,Woodward, P. J. & Lafrance, N. (1995). Bone mineral density of eating disorder subgroups. International Journal of Eating Disorders 18, 335342.3.0.CO;2-T>CrossRefGoogle ScholarPubMed
Behnke, A. R. & Wilmore, J. H. (1974). Evaluation and Regulation of Body Build and Composition. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Beumont, P. J., Al-Alami, M. & Touyz, S. (1988). Relevance of a standard measurement of undernutrition to the diagnosis of anorexia nervosa: use of Quetelet's body mass index (BMI). International Journal of Eating Disorders 7, 399405.3.0.CO;2-R>CrossRefGoogle Scholar
Biersteker, M. W., Boere, F. & Biersteker, P. A. (1983). Het schatten van het gewichtspercentage lichaamsvet met eenvoudige hulpmiddelen (Estimation of percentage body fat with easy devices). Geneeskunde en Sport 16, 2933.Google Scholar
Brodie, D. A. & Slade, P. (1988). The relationship between body image and body fat in adult women. Psychological Medicine 16, 623631.CrossRefGoogle Scholar
Brown, W. J. & Jones, P. R. M. (1977). The distribution of body fat in relation to habitual activity. Annals of Human Biology, 4, 537550.CrossRefGoogle ScholarPubMed
Calabrese, L. H., Kirkendall, D. T. & Floyd, M. (1983). Menstrual abnormalities, nutritional patterns and body composition in female classical ballet dancers. Physician and Sports Medicine 11, 8698.CrossRefGoogle ScholarPubMed
Casper, R. C., Schoeller, D. A., Kushner, R., Hnilicka, J. & Gold, S. T. (1991). Total daily energy expenditure and activity level in anorexia nervosa. American Journal of Clinical Nutrition 53, 11431150.CrossRefGoogle ScholarPubMed
Charest-Lilly, P., Sherill, C. & Rosentsweig, J. (1987). Body composition of women with anorexia nervosa: a pilot study. Adapted Physical Activity Quarterly 4, 126136.CrossRefGoogle Scholar
Clarkson, P. M., Freedson, P. S., Keller, B., Carney, D. & Skrinar, M. (1985). Maximal oxygen uptake, nutritional patterns and body composition of adolescent female ballet dancers. Research Quarterly Exercise and Sport 56, 180184.CrossRefGoogle Scholar
Cochran, W. J., Wong, W., Fiorotto, M., Sheng, H., Klein, P. & Klish, W. J. (1988). Total body water estimated by measuring total body electrical conductivity. American Journal of Clinical Nutrition 48, 946950.CrossRefGoogle ScholarPubMed
Davies, C. T. M., Döbln, W., Fohlin, L., Freyschuss, V. & Thoren, C. (1978). Total body potassium fat free weight and maximal aerobic power in children with anorexia nervosa. Acta Paediatrica Scandinavica 67, 229234.CrossRefGoogle ScholarPubMed
Dempsey, D. T., Crosby, L. O., Lusk, E., Oberlander, J. L., Pertschuk, M. G. & Muller, J. L. (1984). Total body water and total body potassium in anorexia nervosa. American Journal of Clinical Nutrition 40, 260269.CrossRefGoogle ScholarPubMed
Dolgener, F., Spasoff, W. E. & StJohn, W. E. (1980). Body build and body composition of high ability female dancers. Research Quarterly Exercise and Sport 51, 599607.CrossRefGoogle ScholarPubMed
Durnin, J. V. & Womersley, J. (1974). Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. British Journal of Nutrition 32, 7796.CrossRefGoogle ScholarPubMed
Forbes, G. B., Kreipe, R. E., Lipinski, B. A. & Hodgman, C. H. (1984). Body composition changes during recovery from anorexia nervosa: comparison of two dietary regimens. American Journal of Clinical Nutrition 40, 11371145.CrossRefGoogle Scholar
Garfinkel, P. E. & Garner, D. (1982). Anorexia Nervosa: A Multidimensional Perspective. New York: Brunner/Mazel.Google Scholar
Goris, M. (1984). Toepassingen van de fysiologische antropometrie in de studie van de lichaamssamenstelling en van de trainingseffecten bij jonge volwassene (Applications of physiological anthropometry in the study of body composition and training effects in young adults). Doctoral Dissertation, Catholic University of Leuven.Google Scholar
Haarbo, J., Gotfredsen, A., Hassager, C. & Christiansen, C. (1991). Validation of body composition by dual energy X ray absorptiometry. Clinical Physiology 11, 331341.CrossRefGoogle ScholarPubMed
Hannan, W. J., Cowen, S., Freeman, C. P. & Shapiro, C. M. (1990). Evaluation of bioelectrical impedance analysis for body composition measurements in anorexia nervosa. Clinical Physics and Physiological Measurement 11, 209216.CrossRefGoogle ScholarPubMed
Hannan, W. J., Cowen, S. J., Freeman, C. P. & Wrate, M. (1993 a). Can bioelectrical impedance improve the prediction of body fat in patients with eating disorders? European Journal of Clinical Nutrition 41, 741746.Google Scholar
Hannan, W. J., Cowen, S. J., Freeman, C. P., Wrate, R. M. & Barton, J. (1993 b). Evaluation of dual-energy X- ray absorptiometry for the assessment of body composition in anorexic females. In Human Body Composition, pp. 169172 [Ellis, K. J. and Eastman, J. D. editors]. New York: Plenum Press.CrossRefGoogle Scholar
Hannan, W. J., Wrate, R. M., Cowen, S. J. & Freeman, C. P. (1995). Body mass index as an estimate of body fat. International Journal of Eating Disorders 17, 9197.3.0.CO;2-M>CrossRefGoogle Scholar
Hergenroeder, A. C., Fiorotto, M. L. & Klish, W. J. (1991 a). Body composition in ballet dancers measured by total body electrical conductivity. Medicine and Science in Sports and Exercise 23, 528533.CrossRefGoogle ScholarPubMed
Hergenroeder, A. C., Wone, M., Fiorotto, M., Smith, E. & Klish, W. (1991 b). Total body water and fat free mass in ballet dancers: comparing isotope dilution and Tobec. Medicine and Science in Sports and Exercise 23, 534541.CrossRefGoogle ScholarPubMed
Heymsfield, S. B., Wang, J., Funfar, J., Kehayvas, J. J. & Pierson, R. N. (1990). Dual-photon absorptiometry: comparison of bone mineral and soft tissue mass measurement in vivo with established methods. American Journal of Clinical Nutrition 49, 12831289.CrossRefGoogle Scholar
Heymsfield, S. B., Allison, D. B., Heshka, S. & Pierson, R. N. (1995). Assessment of human body composition. In Handbook of Assessment Methods for Eating Behaviors and Weight Related Problems. Measures, Theory and Research, pp. 515560 [Allison, D. B. editor]. London: Sage Publications.Google Scholar
Jackson, A. S. & Pollock, M. L. (1985). Practical assessment of body composition. Physician and Sports Medicine 13, 7689.CrossRefGoogle ScholarPubMed
Jones, P. R. M., Marshall, W. A. & Branson, S. J. (1979). Harpenden electric read-out (HERO) skinfold calipers. Annals of Human Biology 6, 159162.CrossRefGoogle Scholar
Katch, F. I., Katch, V. L. & Behnke, A. R. (1980). The underweight female. Physician and Sports Medicine 8, 5560.CrossRefGoogle ScholarPubMed
Kirkendall, D. T. & Calabrese, C. H. (1983). Physiologic aspects of dance. Clinical Sports Medicine 2, 525537.CrossRefGoogle ScholarPubMed
Kohrt, W. M. (1995). Body composition by DXA: tried and true? Medicine and Science in Sports and Exercise 27, 13491353.CrossRefGoogle ScholarPubMed
Krahn, D. D., Rock, C., Dechert, R. E., Nairn, K. K. & Hasse, S. A. (1993). Changes in resting energy expenditure and body composition in anorexia nervosa patients during refeeding. Journal of the American Dietetics Association 93, 434438.CrossRefGoogle ScholarPubMed
Kushner, R. F. & Schoeller, D. A. (1986). Estimation of total body water by bioelectrical impedance analysis. American Journal of Clinical Nutrition 44, 417424.CrossRefGoogle ScholarPubMed
Lasser, R. B., Bond, J. H. & Levitt, M. D. (1975). The role of intestinal gas in functional abdominal pain. New England Journal of Medicine 293, 524526.CrossRefGoogle ScholarPubMed
Lasser, R. B., Levitt, M. D. & Bond, J. H. (1976). Studies of intestinal gas after ingestion of a standard meal. Gastroenterology 70, A–48/906.Google Scholar
Leusink, J. A. (1974). A comparison of the body composition estimated by densitometry and total body potassium measurement in trained and untrained subjects. Pflügers Archives 348, 357362.CrossRefGoogle ScholarPubMed
Ljunggren, H., Ikkos, D. & Luft, R. (1957). Studies on composition III. Body fluid compartments and exchangeable potassium in females with anorexia nervosa. Acta Endocrinology Scandinavica 25, 209233.Google ScholarPubMed
Llewellyn-Jones, D. & Abraham, S. F. (1984). Quetelet index in diagnosis of anorexia nervosa. British Medical Journal 288. 1800.CrossRefGoogle ScholarPubMed
Lohman, T. G. (1981). Skinfold and body density and their relation to body fatness: A review. Human Biology 53, 181225.Google ScholarPubMed
Mayo-Smith, W., Hayes, C. W., Biller, B., Klibanski, A., Rosenthal, H. & Rosenthal, D. (1989). Body fat distribution measured with CT: correlations in healthy subjects, patients with anorexia nervosa, and patients with Cushing syndrome. Radiology 170, 515518.CrossRefGoogle ScholarPubMed
Michielutte, R., Diseker, R. A., Corbitt, W. T., Schey, H. M. & Ureda, J. R. (1984). The relationship between weight-height indices and the triceps skinfold measure among children aged 5–12. American Journal of Public Health 74, 604606.CrossRefGoogle Scholar
Mitchell, P. B. & Truswell, A. S. (1987). Body composition in anorexia nervosa and starvation. In Handbook of Eating Disorders. Part I: Anorexia and Bulimia Nervosa, pp. 4577 [Beumont, P. J. V.Burrows, G. D. & Casper, R. C. editors]. Amsterdam: Elsevier.Google Scholar
Pirke, K. M., Pahl, J., Münzing, W., Lang, P. & Büll, U. (1986). Total body potassium, intracellular potassium and body composition in patients with anorexia nervosa during refeeding. International Journal of Eating Disorders 5, 347354.3.0.CO;2-L>CrossRefGoogle Scholar
Probst, M., Van Coppenolle, H. & Vandereyken, W. (1995). Body experience in anorexia nervosa patients: an overview of therapeutic approaches. Eating Disorders 3, 145157.CrossRefGoogle Scholar
Rigotti, N. A., Nussbaum, S. R., Herzog, D. B. & Neer, R. M. (1984). Osteoporosis in women with anorexia nervosa. New England Journal of Medicine 311, 16011606.CrossRefGoogle ScholarPubMed
Roubenoff, R., Kehayias, J. J., Dawson-Hughes, B. & Heymsfield, S. B. (1993). American Journal of Clinical Nutrition 58, 589591.CrossRefGoogle Scholar
Russell, J. D., Mira, M., Allen, B. J., Stawart, P. M., Vizzard, J., Arthur, B. & Beumont, P. J. (1994). Protein repletion and treatment in anorexia nervosa. American Journal of Clinical Nutrition, 59, 98102.CrossRefGoogle ScholarPubMed
Russell, D., Prendergast, P. J., Darby, P. L., Garfinkel, P. E., Whitewell, J. R. & Jeejeebhoy, K. N. (1983). A comparison between muscle function and body composition in anorexia nervosa: the effect of refeeding. American Journal of Clinical Nutrition 38, 229237.CrossRefGoogle ScholarPubMed
Shetty, P. S. (1995). Body composition in health and disease. In Society for the Study of Human Biology: Symposium no. 36, pp. 7184 [Davies, P. S. W. and Cole, T. J. editors]. Cambridge: Cambridge University Press.Google Scholar
Siri, W. E. (1956). The gross composition of the body. In Advances in Biological and Medical Physics, pp. 239280 [Lawrence, J. H. and Tobias, C. A. editors]. New York: Academic Press.Google Scholar
Smalley, K. J., Knerr, A. N., Kendrick, Z. V., Colliver, J. A. & Owen, O. E. (1990). Reassessment of body mass indices. American Journal of Clinical Nutrition 52, 405408.CrossRefGoogle ScholarPubMed
Statsoft Inc. (1991). Statistica. Tulsa, OK: Statsoft Inc.Google Scholar
Steinbaugh, M. (1984). Nutritional needs of female athletes. Clinics in Sports Medicine 3, 649670.CrossRefGoogle ScholarPubMed
Vaisman, N., Corey, M., Rossi, M. F., Goldberg, E. & Pencharz, P. (1988). Changes in body composition during refeeding of patients with anorexia nervosa. Journal of Pediatrics 113, 925929.CrossRefGoogle ScholarPubMed
Vaisman, N., Rossi, M., Corey, M., Clarke, R., Goldberg, E. & Pencharz, B. (1991). The effect on the energy metabolism of adolescent girls who have anorexia nervosa. European Journal of Clinical Nutrition 45, 527537.Google ScholarPubMed
Vandereycken, W. & Meermann, R. (1984). Anorexia nervosa: A Clinican's Guide to Treatment. New York: Walter de Gruyter.CrossRefGoogle Scholar
Vandereycken, W. & Pierloot, R. (1983). The significance of subclassification in anorexia nervosa: a comparative study of clinical features in 141 patients. Psychological Medicine 13, 543549.CrossRefGoogle ScholarPubMed
Van Loan, M. D. & Mayclin, P. (1987). A new Tobec instrument and procedure for the assessment of body composition. American Journal of Clinical Nutrition 45, 131137.CrossRefGoogle ScholarPubMed
Volz, P. A. & Ostrove, S. M. (1984). Evaluation of a portable ultranoscope in assessing the body composition of college-age women. Medicine and Science in Sports and Exercise 16, 97102.CrossRefGoogle ScholarPubMed
Wang, J., Heymsfield, S. B., Aulet, M., Thornton, J. C. & Pierson, R. N. Jr (1984). Body fat from body density: underwater weighing versus dual photon absorptiometry. American Journal of Physiology 256, E829E834.Google Scholar
Womersley, J., Boddy, K., King, P. C. & Durnin, J. V. (1972). A comparison of the fat-free mass of young adults estimated by anthropometry, body density and total body potassium content. Clinical Science 43, 469475.CrossRefGoogle ScholarPubMed
Weiner, J. S. & Lourie, J. A. (1969). Human Biology. A Guide to Field Methods. Edinburgh: Blackwell Scientific Publications Ltd.Google Scholar
Williams, D., Anderson, T. & Currier, D. (1984). Underwater weighing using the Hubbard tank versus the standard tank. Physical Therapy 64, 658663.CrossRefGoogle Scholar
Young, N., Formica, C. & Szmukler, G. (1994). Bone density and weight-bearing and nonweight-bearing site in ballet dancers: the effect of exercise, hypogonadism and body weight. Journal of Clinical Endrocrinology and Metabolism 78, 449454.Google Scholar