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 journalArticlepeer-review

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 1 2008

Keywords

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

ASJC Scopus subject areas

  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'High risk of osteoporosis in male patients with eating disorders'. Together they form a unique fingerprint.

Cite this