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Medical Complications of Eating Disorders in Boys and Men

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Eating Disorders in Boys and Men

Abstract

Medical complications of eating disorders can affect nearly every organ system. Although the Minnesota Starvation Experiment documented medical consequences of starvation in young men, there has subsequently been relatively limited research examining medical complications in boys or men with eating disorders. The purpose of this chapter is to summarize the evidence base on medical complications of eating disorders in boys and men. In particular, we review cardiovascular, electrolyte, refeeding syndrome, endocrine, bone density, growth and body composition, gastrointestinal and liver, neurological, and hematological consequences of eating disorders in boys and men. Boys and men with eating disorders may face unique medical complications, and more research is needed to document gender differences in medical complications of eating disorders.

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Notes

  1. 1.

    In this chapter, we use the terms males and boys/men interchangeably.

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.

    Book  Google Scholar 

  2. Katzman DK. Medical complications in adolescents with anorexia nervosa: a review of the literature. Int J Eat Disord. 2005;37(Suppl):S52–9.

    Article  Google Scholar 

  3. Keys A. The biology of human starvation. Minneapolis: University of Minnesota Press; 1950.

    Book  Google Scholar 

  4. Quadflieg N, Strobel C, Naab S, Voderholzer U, Fichter MM. Mortality in males treated for an eating disorder-A large prospective study. Int J Eat Disord. 2019;52(12):1365–9.

    Article  Google Scholar 

  5. Gueguen J, Godart N, Chambry J, Brun-Eberentz A, Foulon C, Divac Phd SM, et al. Severe anorexia nervosa in men: comparison with severe AN in women and analysis of mortality. Int J Eat Disord. 2012;45(4):537–45.

    Article  Google Scholar 

  6. Sachs KV, Harnke B, Mehler PS, Krantz MJ. Cardiovascular complications of anorexia nervosa: a systematic review. Int J Eat Disord. 2016;49(3):238–48.

    Article  Google Scholar 

  7. Vo M, Lau J, Rubinstein M. Eating disorders in adolescent and young adult males: presenting characteristics. J Adolesc Health. 2016;59(4):397–400.

    Article  Google Scholar 

  8. Murray SB, Accurso EC, Griffiths S, Nagata JM. Boys, biceps, and bradycardia: the hidden dangers of muscularity-oriented disordered eating. J Adolesc Health. 2018;62(3):352–5.

    Article  Google Scholar 

  9. Siegel JH, Hardoff D, Golden NH, Shenker IR. Medical complications in male adolescents with anorexia nervosa. J Adolesc Health. 1995;16(6):448–53.

    Article  CAS  Google Scholar 

  10. Coelho JS, Lee T, Karnabi P, Burns A, Marshall S, Geller J, et al. Eating disorders in biological males: clinical presentation and consideration of sex differences in a pediatric sample. J Eat Disord. 2018;6:40.

    Article  Google Scholar 

  11. Nakai Y, Noma S, Fukusima M, Taniguchi A, Teramukai S. Serum lipid levels in patients with eating disorders. Intern Med. 2016;55(14):1853–7.

    Article  CAS  Google Scholar 

  12. Nagata JM, Garber AK, Tabler J, Murray SB, Vittinghoff E, Bibbins-Domingo K. Disordered eating behaviors and future cardiometabolic risk among young adults with overweight or obesity. Int J Eat Disord. 2018;51(8):931–41.

    Article  Google Scholar 

  13. Chidiac CW. An update on the medical consequences of anorexia nervosa. Curr Opin Pediatr. 2019;31(4):448–53.

    Article  Google Scholar 

  14. Fuentebella J, Kerner JA. Refeeding syndrome. Pediatr Clin N Am. 2009;56(5):1201–10.

    Article  Google Scholar 

  15. Skolnick A, Schulman RC, Galindo RJ, Mechanick JI. The endocrinopathies of male anorexia nervosa: case series. AACE Clin Case Rep. 2016;2(4):e351–7.

    Article  Google Scholar 

  16. Misra M, Katzman DK, Cord J, Manning SJ, Mendes N, Herzog DB, et al. Bone metabolism in adolescent boys with anorexia nervosa. J Clin Endocrinol Metab. 2008;93(8):3029–36.

    Article  CAS  Google Scholar 

  17. Misra M, Katzman DK, Clarke H, Snelgrove D, Brigham K, Miller KK, et al. Hip structural analysis in adolescent boys with anorexia nervosa and controls. J Clin Endocrinol Metab. 2013;98(7):2952–8.

    Article  CAS  Google Scholar 

  18. Nagata JM, Golden NH, Peebles R, Long J, Leonard MB, Carlson JL. Assessment of sex differences in bone deficits among adolescents with anorexia nervosa. Int J Eat Disord. 2017;50(4):352–8.

    Article  Google Scholar 

  19. Nagata JM, Carlson JL, Golden NH, Long J, Murray SB, Peebles R. Comparisons of bone density and body composition among adolescents with anorexia nervosa and atypical anorexia nervosa. Int J Eat Disord. 2019;52(5):591–6.

    Article  Google Scholar 

  20. Schorr M, Drabkin A, Rothman MS, Meenaghan E, Lashen GT, Mascolo M, et al. Bone mineral density and estimated hip strength in men with anorexia nervosa, atypical anorexia nervosa and avoidant/restrictive food intake disorder. Clin Endocrinol. 2019;90(6):789–97.

    Article  CAS  Google Scholar 

  21. Nagata JM, Carlson JL, Golden NH, Murray SB, Long J, Leonard MB, et al. Associations between exercise, body composition, and bone mineral density in adolescents with anorexia nervosa. Eat Weight Disord. 2019;24(5):939–45.

    Article  Google Scholar 

  22. Nagata JM, Golden NH, Leonard MB, Copelovitch L, Denburg MR. Assessment of sex differences in fracture risk among patients with anorexia nervosa: a population-based cohort study using the health improvement network. J Bone Miner Res. 2017;32(5):1082–9.

    Article  CAS  Google Scholar 

  23. Modan-Moses D, Yaroslavsky A, Novikov I, Segev S, Toledano A, Miterany E, et al. Stunting of growth as a major feature of anorexia nervosa in male adolescents. Pediatrics. 2003;111(2):270–6.

    Article  Google Scholar 

  24. Nagata JM, Golden NH, Peebles R, Long J, Murray SB, Leonard MB, et al. Assessment of sex differences in body composition among adolescents with anorexia nervosa. J Adolesc Health. 2017;60(4):455–9.

    Article  Google Scholar 

  25. Norris ML, Harrison ME, Isserlin L, Robinson A, Feder S, Sampson M. Gastrointestinal complications associated with anorexia nervosa: a systematic review. Int J Eat Disord. 2016;49(3):216–37.

    Article  Google Scholar 

  26. Robinson PH. Perceptivity and paraceptivity during measurement of gastric emptying in anorexia and bulimia nervosa. Br J Psychiatry. 1989;154:400–5.

    Article  CAS  Google Scholar 

  27. Hutson WR, Wald A. Gastric emptying in patients with bulimia nervosa and anorexia nervosa. Am J Gastroenterol. 1990;85(1):41–6.

    CAS  PubMed  Google Scholar 

  28. Recio-Barbero M, Fuertes-Soriano S, Cabezas-Garduño J, López-Atanes M, Peña-Rotella A, Sáenz-Herrero M. Delayed diagnosis of an eating disorder in a male patient with superior mesenteric artery syndrome: results from a case study. Front Psych. 2019;10:731.

    Article  Google Scholar 

  29. Nagata JM, Park KT, Colditz K, Golden NH. Associations of elevated liver enzymes among hospitalized adolescents with anorexia nervosa. J Pediatr. 2015;166(2):439–43.e1.

    Article  CAS  Google Scholar 

  30. Castro-Fornieles J, Bargallo N, Lazaro L, Andres S, Falcon C, Plana MT, et al. A cross-sectional and follow-up voxel-based morphometric MRI study in adolescent anorexia nervosa. J Psychiatr Res. 2009;43(3):331–40.

    Article  Google Scholar 

  31. Nagata JM, Golden NH. Sex differences in eating disorders. Adolesc Med State Art Rev. 2018;29:245–59.

    Google Scholar 

  32. Nagata JM, Ganson KT, Murray SB. Eating disorders in adolescent boys and young men: an update. Curr Opin Pediatr. 2020;32(4):476–81.

    Google Scholar 

  33. Nagata JM, Ganson KT, Cunningham ML, Mitchison D, Lavender JM, Blashill AJ, Gooding HC, Murray SB. Associations between legal performance-enhancing substance use and future cardiovascular disease risk factors in young adults: A prospective cohort study. PLoS One. 2020;15(12):e0244018.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA

    Jason M. Nagata

  2. Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada

    Kyle T. Ganson

  3. Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA

    Neville H. Golden

Authors
  1. Jason M. Nagata
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  2. Kyle T. Ganson
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  3. Neville H. Golden
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Editor information

Editors and Affiliations

  1. Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA

    Jason M. Nagata

  2. Department of Psychiatry, University of California, San Diego, San Diego, CA, USA

    Tiffany A. Brown

  3. Department of Psychiatry and Behavioral Sciences, USC Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Stuart B. Murray

  4. Department of Medicine, Military Cardiovascular Outcomes Research (MiCOR) Program, Uniformed Services University of the Health Sciences, The Metis Foundation, Bethesda, MD, USA

    Jason M. Lavender

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Nagata, J.M., Ganson, K.T., Golden, N.H. (2021). Medical Complications of Eating Disorders in Boys and Men. In: Nagata, J.M., Brown, T.A., Murray, S.B., Lavender, J.M. (eds) Eating Disorders in Boys and Men. Springer, Cham. https://doi.org/10.1007/978-3-030-67127-3_9

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  • DOI: https://doi.org/10.1007/978-3-030-67127-3_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-67126-6

  • Online ISBN: 978-3-030-67127-3

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