Nutritional factors such as lean body mass and body mass index appear to be most important in assessing risk for osteoporosis among patients with anorexia nervosa, while endocrinological factors appear to be of limited importance.
Italian researches enrolled 49 young females with anorexia nervosa and malnutrition and 24 age-matched normal controls in whom the condition had been excluded on the basis of a clinical evaluation using DSM IV criteria. They studied bone density in early osteopenia, a condition in which the potential risk of fractures is high and traditionally related to a variety of endocrinological and nutritional factors.
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