Eating disorders and their associations with physical form and body composition in young adults: sistematic review
Keywords:
anorexia nervosa, binge eating disorder, body constitution, malnutrition, mental health, physical exerciseAbstract
Aim: Since physical form and body composition are affected by disturbances in eating behavior, these two
factors are theoretically related; however, we did not identify studies that primarily aimed to study these
relationships. This updated systematic review analyzed studies published from 2011 on eating disorders
and how these disorders are associated with or modify the physical form and body composition of young
female adults (18-45 years old).
Methods: Scopus, MEDLINE and Science Direct were searched using the keywords “Eating disorders”, “Body composition”, “Body shape”, “Undernutrition”, “Obesity” and “Anorexia”. Of the 10031 articles identified through independent selection, three researchers selected 15 manuscripts that fulfilled the inclusion and exclusion criteria.
Results: None of the manuscripts described physical form; only body composition was addressed. X-ray densitometry (DXA) was the measurement method most commonly used, whereas anthropometry was erroneously used to assess body composition.
Conclusions: Body composition changes, not body shape changes, were associated with the presence of eating disorder in young female adults, but not with the severity of behavior. We did not find any papers that studied eating disorders in men.
References
Agüera, Z., Romero, X., Arcelus, J., Sánchez, I., Riesco, N., Jiménez-Murcia, S., ... & Tárrega, S. (2015). Changes in body composition in anorexia nervosa: predictors of recovery and treatment outcome. PloS one, 10(11), e0143012.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). Am Psychiatr Publ (2013).
Bloch, M., Ish-Shalom, S., Greenman, Y., Klein, E., & Latzer, Y. (2012). Dehydroepiandrosterone treatment effects on weight, bone density, bone metabolism and mood in women suffering from anorexia nervosa—a pilot study. Psychiatry research, 200(2), 544-549.
Borkan, G. A., Gerzof, S. G., Robbins, A. H., Hults, D. E., Silbert, C. K., & Silbert, J. E. (1982). Assessment of abdominal fat content
by computed tomography. The American journal of clinical nutrition, 36(1), 172-177.
Bratland-Sanda, S., Martinsen, E. W., & Sundgot-Borgen, J. (2012). Changes in physical fitness, bone mineral density and body composition during inpatient treatment of underweight and normal weight females with longstanding eating disorders. International journal of environmental research and public health, 9(1), 315-330.
Bredella, M. A., Fazeli, P. K., Daley, S. M., Miller, K. K., Rosen, C. J., Klibanski, A., & Torriani, M. (2014). Marrow fat composition in anorexia nervosa. Bone, 66, 199-204.
Bredella, M. A., Gill, C. M., Keating, L. K., Torriani, M., Anderson, E. J., Punyanitya, M., ... & Miller, K. K. (2013). Assessment of abdominal fat compartments using DXA in premenopausal women from anorexia nervosa to morbid obesity. Obesity, 21(12), 2458-2464.
Cash, T. F. (2004). Body image: Past, present, and future. Body image, 1(1), 1-5.
Collins, M. A., Millard-Stafford, M. L., Sparling, P. B., Snow, T. K., Rosskopf, L. B., Webb, S. A., & Omer, J. (1999). Evaluation of the Bod Pod for assessing body fat in collegiate football players. Medicine and science in sports and exercise, 31(9), 1350-1356.
Conway, J. M., Norris, K. H., & Bodwell, C. E. (1984). A new approach for the estimation of body composition: infrared interactance. The American journal of clinical nutrition, 40(6), 1123-1130.
De Mateo, S. B., Redondo, D. R. P., Camina, M. A., Soto, C. M., Alonso, T. S., & Miján, D. L. T. A. (2012). Effect of refeeding on the body composition of females with restrictive anorexia nervosa; anthropometry versus bioelectrical impedance. Nutricion Hospitalaria, 28(5), 1717-1724.
El Ghoch, M., Alberti, M., Milanese, C., Battistini, N. C., Pellegrini, M., Capelli, C., ... & Dalle Grave, R. (2012). Comparison between dual-energy X-ray absorptiometry and skinfolds thickness in assessing body fat in anorexia nervosa before and after weight restoration.
Clinical nutrition, 31(6), 911-916.
El Ghoch, M., Milanese, C., Calugi, S., Müller, M. J., Pourhassan, M., Ruocco, A., & Dalle Grave, R. (2015a). Regional fat distribution in adolescent and adult females with anorexia nervosa: a longitudinal study. Clinical Nutrition, 34(6), 1224-1232.
El Ghoch, M., Milanese, C., Calugi, S., Pellegrini, M., Battistini, N. C., & Dalle Grave, R. (2014). Body composition, eating disorder psychopathology, and psychological distress in anorexia nervosa: a longitudinal study. The American journal of clinical nutrition, 99(4), 771-778.
El Ghoch, M., Pourhassan, M., Milanese, C., Müller, M. J., Calugi, S., Bazzani, P. V., & Dalle Grave, R. (2015b). Changes in lean and skeletal muscle body mass in adult females with anorexia nervosa before and after weight restoration. Clinical Nutrition. http://dx.doi.org/10.1016/j.clnu.2015.10.006.
Elia, M., Fuller, N. J., Hardingham, C. R., Graves, M., Screaton, N., Dixon, A. K., & Ward, L. C. (2000). Modeling Leg Sections by Bioelectrical Impedance Analysis, Dual-Energy Xray Absorptiometry, and Anthropometry: Assessing Segmental Muscle Volume Using Magnetic Resonance Imaging as a Reference. Annals of the New York Academy of Sciences, 904(1), 298-305.
Fairburn, C. G., Welch, S. L., Doll, H. A., Davies, B. A., & O’connor, M. E. (1997). Risk factors for bulimia nervosa: A community-based case-control study. Archives of General psychiatry, 54(6), 509-517.
Fisher, S. (1970). Body experience in fantasy and behavior. New York: Appleton-Century-Crofts.
Fuller, N. J., Hardingham, C. R., Graves, M., Screaton, N., Dixon, A. K., Ward, L. C., & Elia, M. (1999). Assessment of limb muscle and adipose tissue by dual-energy X-ray absorptiometry using magnetic resonance imaging for comparison. International journal of obesity, 23, 1295-1302.
Gómez-Ambrosi, J., Silva, C., Galofré, J. C., Escalada, J., Santos, S., Millán, D., ... & Rotellar, F. (2012). Body mass index classification misses subjects with increased cardiometabolic risk factors related to elevated adiposity. International journal of obesity, 36(2), 286-294.
Gradmark, A. M., Rydh, A., Renström, F., De Lucia-Rolfe, E., Sleigh, A., Nordström, P. & Franks, P. W. (2010). Computed tomography-based validation of abdominal adiposity measurements from ultrasonography, dual-energy X-ray absorptiometry and anthropometry. British journal of nutrition, 104(04), 582-588.
Haas, V., Riedl, A., Hofmann, T., Nischan, A., Burghardt, R., Boschmann, M., & Klapp, B. (2012). Bioimpedance and bioimpedance vector analysis in patients with anorexia nervosa. European Eating Disorders Review, 20(5), 400-405.
Kosmiski, L., Schmiege, S. J., Mascolo, M., Gaudiani, J., & Mehler, P. S. (2013). Chronic starvation secondary to anorexia nervosa is associated with an adaptive suppression of resting energy expenditure. The Journal of Clinical Endocrinology & Metabolism, 99(3), 908-914.
Lawson, E. A., Donoho, D. A., Blum, J. I., Meenaghan, E. M., Misra, M., Herzog, D. B., ... & Klibanski, A. (2011). Decreased nocturnal oxytocin levels in anorexia nervosa are associated with low bone mineral density and fat mass. The Journal of clinical psychiatry, 72(11), 1546.
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., ... & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med, 6(7), e1000100.
Maïano, C., Morin, A. J., Monthuy-Blanc, J., Garbarino, J. M., & Ninot, G. (2016). Development and validity of a very short form of the Eating Disorder Inventory. Comprehensive psychiatry, 65, 141-149.
Marco, J. H., Perpina, C., & Botella, C. (2013). Effectiveness of cognitive behavioral therapy supported by virtual reality in the treatment of body image in eating disorders: one year follow-up. Psychiatry Research, 209(3), 619-625.
Mijnarends, D. M., Meijers, J. M., Halfens, R. J., ter Borg, S., Luiking, Y. C., Verlaan, S., ... & Schols, J. M. (2013). Validity and reliability of tools to measure muscle mass, strength, and physical performance in community-dwelling older people: a systematic review. Journal of the American Medical Directors Association, 14(3), 170-178.
Mitchell, J. E., & Crow, S. (2006). Medical complications of anorexia nervosa and bulimia nervosa. Current Opinion in Psychiatry, 19(4), 438-443
Miyatani, M., Kanehisa, H., & Fukunaga, T. (2000). Validity of bioelectrical impedance and ultrasonographic methods for estimating the muscle volume of the upper arm. European journal of applied physiology, 82(5), 391-396.
Pattyn, N., Peeters, M. W., Balloey, E., Claessens, A. L., & Probst, M. (2011). Body composition assessment in anorexia nervosa patients by air displacement plethysmography, bioelectrical impedance and skin fold measurements. International Journal of Body Composition Research, 9(2), 49-56.
Polnay, A., James, V. A. W., Hodges, L., Murray, G. D., Munro, C., & Lawrie, S. M. (2014). Group therapy for people with bulimia nervosa: systematic review and meta-analysis. Psychological medicine, 44(11), 2241-2254.
Prioletta, A., Muscogiuri, G., Sorice, G. P., Lassandro, A. P., Mezza, T., Policola, C., ... & Giaccari, A. (2011). In anorexia nervosa, even a small increase in abdominal fat is responsible for the appearance of insulin resistance. Clinical endocrinology, 75(2), 202-206.
Prior, B. M., Cureton, K. J., Modlesky, C. M., Evans, E. M., Sloniger, M. A., Saunders, M., & Lewis, R. D. (1997). In vivo validation of whole body composition estimates from dual-energy X-ray absorptiometry. Journal of applied physiology, 83(2), 623-630.
Ramos-Jimenez, A., Chavez-Herrera, R., Castro-Sosa, A. S., Perez-Hernández, L. C., Hernández-Torres, R. P., Olivas-Davila, D. Body shape, image, and composition as predictors of athlete´s performance. In Hasan Sozen (Ed.). Fitness Medicine. Ordu University, School of Physical Education and Sports. (2016). In-Tech, Turkey. Available from: http://www.intechopen.com/books/fitness-medicine/body-shape-image-and-composition-as-predictors-of-athlete-s-performance
Raymond, N. C., Peterson, R. E., Bartholome, L. T., Raatz, S. K., Jensen, M. D., & Levine, J. A. (2012). Comparisons of energy intake and energy expenditure in overweight and obese women with and without binge eating disorder. Obesity, 20(4), 765-772.
Shapiro, J. R., Berkman, N. D., Brownley, K. A., Sedway, J. A., Lohr, K. N., & Bulik, C. M. (2007). Bulimia nervosa treatment: a systematic review of randomized controlled trials. International Journal of Eating Disorders, 40(4), 321-336.
Silleras, M., Redondo del Río, P., Camina Martín, A., Soto Célix, M., Alonso Torre, S. R., & Miján de la Torre, A. (2013). Efecto de la realimentación en la composición corporal de mujeres con anorexia nerviosa restrictiva: antropometría frente a impedancia bioeléctrica. Nutrición Hospitalaria, 28(5), 1717-1724.
Shontz, F. C. (1969). Perceptual and cognitive aspects of body experience. New York: Macmillan.
Wall-Medrano, A., Ramos-Jiménez, A., Hernandez-Torres, R. P., Villalobos-Molina, R., Tapia-Pancardo, D. C., Jiménez-Flores, J. R., ... & Urquídez-Romero, R. (2016). Cardiometabolic risk in young adults from northern Mexico: Revisiting body mass index and waistcircumference as predictors. BMC public health, 16(1), 236.
Yanovski, S. Z., Leet, M., Yanovski, J. A., Flood, M. N., Gold, P. W., Kissileff, H. R., & Walsh, B. T. (1992). Food selection and intake of
obese women with binge-eating disorder. The American journal of clinical nutrition, 56(6), 975-980.
