Changes in appetite-regulating hormones following food intake are associated with changes in reported appetite and a measure of hedonic eating in girls and young women with anorexia nervosa

A woman aged 58 who has been blind since the age of nine months presented with major depression and a 40 year history of an eating disorder characterized by a restriction of food intake and body disparagement. The case is additional evidence that a specifically visual body image is not essential for the development of anorexia nervosa and supports the view that the concept of body image is unnecessary and unproductive in eating disorders. Greater emphasis should be placed on attitudes and feelings toward the body, and the possibility of an eating disorder should be considered in cases of older women with an atypical presentation.

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Prevalence of autism spectrum disorder and autistic traits in children with anorexia nervosa and avoidant/restrictive food intake disorder

BioPsychoSocial Medicine ◽

10.1186/s13030-021-00212-3 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Takeshi Inoue ◽

Ryoko Otani ◽

Toshiyuki Iguchi ◽

Ryuta Ishii ◽

Soh Uchida ◽

...

Keyword(s):

Autism Spectrum Disorder ◽

Anorexia Nervosa ◽

Food Intake ◽

Autistic Traits ◽

Autism Spectrum ◽

Eating Attitudes ◽

Spectrum Disorder ◽

Autism Spectrum Quotient ◽

Multicenter Cohort Study ◽

Feeding And Eating Disorders

Abstract Background Autism spectrum disorder (ASD) and feeding and eating disorders (FEDs) such as anorexia nervosa (AN) are strongly linked as evidenced by frequent comorbidity and overlapping traits. However, eating and social behaviors are shaped by culture, so it is critical to examine these associations in different populations. Moreover, FEDs are heterogeneous, and there has been no examination of autistic traits in avoidant/restrictive food intake disorder (ARFID). Methods Therefore, we investigated the prevalence of ASD and autistic traits among Japanese children with AN (n = 92) or ARFID (n = 32) from a prospective multicenter cohort study using the Autism Spectrum Quotient Children’s version (AQC) and Children’s Eating Attitudes Test (ChEAT26). Results ASD prevalence was high in both AN and ARFID (16.3 and 12.5%, respectively). The AN group exhibited significantly higher scores on all AQC subscales than an age-matched healthy control (HC) group, but there were no significant correlations between AQC scores and ChEAT26 scores. In the AFRID group, AQC scores did not differ from HCs, but significant correlations were found between total AQC and ChEAT26 scores and between several AQC and ChEAT26 subscales. Conclusions Both the AN and ARFID groups had high prevalence rates of ASD. The AN group showed a significantly higher degree of autistic traits than the HC group; however, no difference was found between the ARFID and HC groups. Clinicians need to be aware of these rates when working with children with ED.

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The Gut Microbiome Derived From Anorexia Nervosa Patients Impairs Weight Gain and Behavioral Performance in Female Mice

Endocrinology ◽

10.1210/en.2019-00408 ◽

2019 ◽

Vol 160 (10) ◽

pp. 2441-2452 ◽

Cited By ~ 15

Author(s):

Tomokazu Hata ◽

Noriyuki Miyata ◽

Shu Takakura ◽

Kazufumi Yoshihara ◽

Yasunari Asano ◽

...

Keyword(s):

Body Weight ◽

Anorexia Nervosa ◽

Weight Gain ◽

Food Intake ◽

Brain Stem ◽

Body Weight Gain ◽

Field Tests ◽

Compulsive Behavior ◽

The Brain ◽

Poor Weight Gain

Abstract Anorexia nervosa (AN) results in gut dysbiosis, but whether the dysbiosis contributes to AN-specific pathologies such as poor weight gain and neuropsychiatric abnormalities remains unclear. To address this, germ-free mice were reconstituted with the microbiota of four patients with restricting-type AN (gAN mice) and four healthy control individuals (gHC mice). The effects of gut microbes on weight gain and behavioral characteristics were examined. Fecal microbial profiles in recipient gnotobiotic mice were clustered with those of the human donors. Compared with gHC mice, gAN mice showed a decrease in body weight gain, concomitant with reduced food intake. Food efficiency ratio (body weight gain/food intake) was also significantly lower in gAN mice than in gHC mice, suggesting that decreased appetite as well as the capacity to convert ingested food to unit of body substance may contribute to poor weight gain. Both anxiety-related behavior measured by open-field tests and compulsive behavior measured by a marble-burying test were increased only in gAN mice but not in gHC mice. Serotonin levels in the brain stem of gAN mice were lower than those in the brain stem of gHC mice. Moreover, the genus Bacteroides showed the highest correlation with the number of buried marbles among all genera identified. Administration of Bacteroides vulgatus reversed compulsive behavior but failed to exert any substantial effect on body weight. Collectively, these results indicate that AN-specific dysbiosis may contribute to both poor weight gain and mental disorders in patients with AN.

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Acyl-CoA-binding protein (ACBP): a phylogenetically conserved appetite stimulator

Cell Death and Disease ◽

10.1038/s41419-019-2205-x ◽

2020 ◽

Vol 11 (1) ◽

Cited By ~ 5

Author(s):

Nikolaos Charmpilas ◽

Christoph Ruckenstuhl ◽

Valentina Sica ◽

Sabrina Büttner ◽

Lukas Habernig ◽

...

Keyword(s):

Saccharomyces Cerevisiae ◽

Anorexia Nervosa ◽

Caenorhabditis Elegans ◽

Food Intake ◽

Binding Protein ◽

Plasma Concentrations ◽

Food Sources ◽

Knowing That ◽

Pharyngeal Pumping ◽

Appetite Stimulation

AbstractRecently, we reported that, in mice, hunger causes the autophagy-dependent release of a protein called “acyl-CoA-binding protein” or “diazepam binding inhibitor” (ACBP/DBI) from cells, resulting in an increase in plasma ACBP concentrations. Administration of extra ACBP is orexigenic and obesogenic, while its neutralization is anorexigenic in mice, suggesting that ACBP is a major stimulator of appetite and lipo-anabolism. Accordingly, obese persons have higher circulating ACBP levels than lean individuals, and anorexia nervosa is associated with subnormal ACBP plasma concentrations. Here, we investigated whether ACBP might play a phylogenetically conserved role in appetite stimulation. We found that extracellular ACBP favors sporulation in Saccharomyces cerevisiae, knowing that sporulation is a strategy for yeast to seek new food sources. Moreover, in the nematode Caenorhabditis elegans, ACBP increased the ingestion of bacteria as well as the frequency pharyngeal pumping. These observations indicate that ACBP has a phylogenetically ancient role as a ‘hunger factor’ that favors food intake.

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Incidence of anorexia nervosa in young people in the UK and Ireland: a national surveillance study

BMJ Open ◽

10.1136/bmjopen-2018-027339 ◽

2019 ◽

Vol 9 (10) ◽

pp. e027339 ◽

Cited By ~ 2

Author(s):

Hristina Petkova ◽

Mima Simic ◽

Dasha Nicholls ◽

Tamsin Ford ◽

A Matthew Prina ◽

...

Keyword(s):

Mental Health ◽

Anorexia Nervosa ◽

Mental Health Services ◽

Young People ◽

Health Services ◽

Young Women ◽

Adolescent Mental Health ◽

Child And Adolescent ◽

Surveillance Study ◽

The Uk

ObjectivesThis study aimed to estimate the incidence of DSM5 anorexia nervosa in young people in contact with child and adolescent mental health services in the UK and Ireland.DesignObservational, surveillance study, using the Child and Adolescent Psychiatry Surveillance System, involving monthly reporting by child and adolescent psychiatrists between 1st February 2015 and 30th September 2015.SettingThe study was based in the UK and Ireland.ParticipantsClinician-reported data on young people aged 8–17 in contact with child and adolescent mental health services for a first episode of anorexia nervosa.Main outcome measuresAnnual incidence rates (IRs) estimated as confirmed new cases per 100 000 population at risk.Results305 incident cases of anorexia nervosa were reported over the 8-month surveillance period and assessed as eligible for inclusion. The majority were young women (91%), from England (70%) and of white ethnicity (92%). Mean age was 14.6 years (±1.66) and mean percentage of median expected body mass index for age and sex was 83.23% (±10.99%). The overall IR, adjusted for missing data, was estimated to be 13.68 per 100 000 population (95% CI 12.88 to 14.52), with rates of 25.66 (95% CI 24.09 to 27.30) for young women and 2.28 (95% CI 1.84 to 2.79) for young men. Incidence increased steadily with age, peaking at 15 (57.77, 95% CI 50.41 to 65.90) for young women and 16 (5.14, 95% CI 3.20 to 7.83) for young men. Comparison with earlier estimates suggests IRs for children aged 12 and under have increased over the last 10 years.ConclusionThese results provide new estimates of the incidence of anorexia nervosa in young people. Service providers and commissioners should consider evidence to suggest an increase in incidence in younger children.Trial registration numberISRCTN12676087.

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Neural Correlates of Theory of Mind Are Preserved in Young Women With Anorexia Nervosa

Frontiers in Psychology ◽

10.3389/fpsyg.2020.568073 ◽

2020 ◽

Vol 11 ◽

Author(s):

Monica Leslie ◽

Daniel Halls ◽

Jenni Leppanen ◽

Felicity Sedgewick ◽

Katherine Smith ◽

...

Keyword(s):

Anorexia Nervosa ◽

Prefrontal Cortex ◽

Theory Of Mind ◽

Social Interactions ◽

Young Women ◽

Inferior Frontal Gyrus ◽

Reliability And Validity ◽

Neural Correlates ◽

Neural Activation ◽

Neural Basis

People with anorexia nervosa (AN) commonly exhibit social difficulties, which may be related to problems with understanding the perspectives of others, commonly known as Theory of Mind (ToM) processing. However, there is a dearth of literature investigating the neural basis of these differences in ToM and at what age they emerge. This study aimed to test for differences in the neural correlates of ToM processes in young women with AN, and young women weight-restored (WR) from AN, as compared to healthy control participants (HC). Based on previous findings in AN, we hypothesized that young women with current or prior AN, as compared to HCs, would exhibit a reduced neural response in the medial prefrontal cortex (mPFC), the inferior frontal gyrus, and the temporo-parietal junction (TPJ) whilst completing a ToM task. We recruited 73 young women with AN, 45 WR young women, and 70 young women without a history of AN to take part in the current study. Whilst undergoing a functional magnetic resonance imaging (fMRI) scan, participants completed the Frith-Happé task, which is a commonly used measure of ToM with demonstrated reliability and validity in adult populations. In this task, participants viewed the movements of triangles, which depicted either action movements, simple interactions, or complex social interactions. Viewing trials with more complex social interactions in the Frith-Happé task was associated with increased brain activation in regions including the right TPJ, the bilateral mPFC, the cerebellum, and the dorsolateral prefrontal cortex. There were no group differences in neural activation in response to the ToM contrast. Overall, these results suggest that the neural basis of spontaneous mentalizing is preserved in most young women with AN.

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