Medical Findings in Korean Women with Bulimia Nervosa.
10.4306/jknpa.2013.52.5.365
- Author:
Jung Kun KANG
1
;
Young Wan KIM
;
Sang Bin BAE
;
Youl Ri KIM
Author Information
1. Department of Neuropsychiatry, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. youlri.kim@paik.ac.kr
- Publication Type:Original Article
- Keywords:
Bulimia nervosa;
Eating disorder;
Medical complication;
Bone mineral density;
Korean
- MeSH:
Alanine Transaminase;
Anorexia Nervosa;
Body Mass Index;
Bone Density;
Bone Diseases, Metabolic;
Bulimia Nervosa*;
Bulimia*;
Feeding and Eating Disorders;
Female;
Humans;
Hyperamylasemia;
Hypercholesterolemia;
Retrospective Studies
- From:Journal of Korean Neuropsychiatric Association
2013;52(5):365-371
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: Medical complications are common and often serious in patients with eating disorders, however, little is known about complications in patients with bulimia nervosa. METHODS: We conducted a retrospectively investigation of clinical characteristics and hematologic, biochemical, hormonal, and bone density evaluations in 90 Korean women with bulimia nervosa together with 100 healthy Korean women of comparable ages. RESULTS: In patients with bulimia nervosa, 20% were anemic, 3.3% were hypokalemic, 14.4% had increased alanine aminotransferase, 24.4% were lower in serum protein, 8.8% were hypercholesterolemia, and 77.8% were hyperamylasemia. Osteopenia at any one site was identified in 26.7% of patients and the lowest-ever body mass index was the main determinant of bone mineral density in patients with bulimia nervosa. CONCLUSION: In this study, many features of medical findings reported in anorexia nervosa were found in bulimia nervosa, however, the findings in bulimia nervosa were milder form than in anorexia nervosa. Management of any physical abnormalities in bulimia nervosa should focus on correction of the eating disorder.
