High risk of osteoporosis in male patients with eating disorders

Philip S. Mehler, Allison L. Sabel, Tureka Watson, Arnold E. Andersen

Research output: Contribution to journalArticle

Abstract

Objective: Osteoporosis has traditionally been considered a female problem. This study's purpose is to evaluate bone mineral density (BMD) in males with eating disorders. Method: Charts of 70 consecutive males admitted to an eating disorder program were reviewed. Females admitted during the same time period were used for comparison. BMD was measured by dual-energy X-ray absorptiometry. Results: Thirty-six percent (19/53) had osteopenia and 26% (14/53) had osteoporosis at the lumbar spine. A disproportionate number of males with anorexia restricting or binge/purge subtype (ANR/ANB) had osteoporosis, as well as those of older age, lower weights, and longer illness duration. BMD for ANR and ANB males was significantly lower than females (p = .02 and p = .03, respectively). In multivariate stepwise linear and logistic regression, lowest BMI and illness duration predicted lumbar Z-scores. Conclusion: Males with ANR/ANB often have severe bone disease, which is worse than females, and is best predicted by a patient's lowest BMI and illness duration.

Original languageEnglish (US)
Pages (from-to)666-672
Number of pages7
JournalInternational Journal of Eating Disorders
Volume41
Issue number7
DOIs
StatePublished - Nov 2008
Externally publishedYes

Fingerprint

Osteoporosis
Bone Density
Metabolic Bone Diseases
Bone Diseases
Photon Absorptiometry
Anorexia
Linear Models
Spine
Logistic Models
Feeding and Eating Disorders
Weights and Measures

Keywords

  • Anorexia nervosa
  • Bone density
  • Male
  • Osteopenia
  • Osteoporosis

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

High risk of osteoporosis in male patients with eating disorders. / Mehler, Philip S.; Sabel, Allison L.; Watson, Tureka; Andersen, Arnold E.

In: International Journal of Eating Disorders, Vol. 41, No. 7, 11.2008, p. 666-672.

Research output: Contribution to journalArticle

Mehler, Philip S. ; Sabel, Allison L. ; Watson, Tureka ; Andersen, Arnold E. / High risk of osteoporosis in male patients with eating disorders. In: International Journal of Eating Disorders. 2008 ; Vol. 41, No. 7. pp. 666-672.
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