Excessive physical activity in young girls with restrictive-type anorexia nervosa: its role on cardiac structure and performance

Lucia Billeci, Elena Brunori, Silvia Scardigli, Olivia Curzio, Sara Calderoni, Sandra Maestro, Maria Aurora Morales

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

PURPOSE: The aim of this study was to investigate the influence of hyperactivity on left ventricular mass (LVM) in Anorexia Nervosa restricting-type (AN-R) and the correlation between LVM and auxologic parameters/circulating hormones.

METHODS: Echocardiography was performed in 44 AN-R girls, subgrouped in 24 hyperactive (ANH+) and 20 non-hyperactive (ANH-), and in 20 controls (HC). LVM indexed to Body Surface Area (LVMi) and LVM indexed to height (LVMh) were calculated.

RESULTS: LVMi and LVMh were significantly lower in the AN-R subjects compared to HC. Moreover, both LVMi and LVMh were higher in the ANH+ than in the ANH-. In the HC, LVMi was higher when compared to the ANH- subjects than to the ANH+. Stepwise analysis revealed that in the ANH+ group, fT4 was the only independent predictor of LVMh, while in the ANH- group, height was the only independent predictors of LVMi.

CONCLUSIONS: Despite its negative influence on disease severity and outcome, hyperactivity from the standpoint of cardiac function makes the LVM of AN-R young girls more similar to HC.

LEVEL OF EVIDENCE: Level III, case-control study.

Original languageEnglish
JournalEating and Weight Disorders
DOIs
Publication statusE-pub ahead of print - Oct 20 2017

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Anorexia Nervosa
Exercise
Body Surface Area
Left Ventricular Function
Echocardiography
Case-Control Studies
Hormones

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Excessive physical activity in young girls with restrictive-type anorexia nervosa : its role on cardiac structure and performance. / Billeci, Lucia; Brunori, Elena; Scardigli, Silvia; Curzio, Olivia; Calderoni, Sara; Maestro, Sandra; Morales, Maria Aurora.

In: Eating and Weight Disorders, 20.10.2017.

Research output: Contribution to journalArticle

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abstract = "PURPOSE: The aim of this study was to investigate the influence of hyperactivity on left ventricular mass (LVM) in Anorexia Nervosa restricting-type (AN-R) and the correlation between LVM and auxologic parameters/circulating hormones.METHODS: Echocardiography was performed in 44 AN-R girls, subgrouped in 24 hyperactive (ANH+) and 20 non-hyperactive (ANH-), and in 20 controls (HC). LVM indexed to Body Surface Area (LVMi) and LVM indexed to height (LVMh) were calculated.RESULTS: LVMi and LVMh were significantly lower in the AN-R subjects compared to HC. Moreover, both LVMi and LVMh were higher in the ANH+ than in the ANH-. In the HC, LVMi was higher when compared to the ANH- subjects than to the ANH+. Stepwise analysis revealed that in the ANH+ group, fT4 was the only independent predictor of LVMh, while in the ANH- group, height was the only independent predictors of LVMi.CONCLUSIONS: Despite its negative influence on disease severity and outcome, hyperactivity from the standpoint of cardiac function makes the LVM of AN-R young girls more similar to HC.LEVEL OF EVIDENCE: Level III, case-control study.",
author = "Lucia Billeci and Elena Brunori and Silvia Scardigli and Olivia Curzio and Sara Calderoni and Sandra Maestro and Morales, {Maria Aurora}",
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T1 - Excessive physical activity in young girls with restrictive-type anorexia nervosa

T2 - its role on cardiac structure and performance

AU - Billeci, Lucia

AU - Brunori, Elena

AU - Scardigli, Silvia

AU - Curzio, Olivia

AU - Calderoni, Sara

AU - Maestro, Sandra

AU - Morales, Maria Aurora

N1 - Extracted concepts Anorexia Nervosa

PY - 2017/10/20

Y1 - 2017/10/20

N2 - PURPOSE: The aim of this study was to investigate the influence of hyperactivity on left ventricular mass (LVM) in Anorexia Nervosa restricting-type (AN-R) and the correlation between LVM and auxologic parameters/circulating hormones.METHODS: Echocardiography was performed in 44 AN-R girls, subgrouped in 24 hyperactive (ANH+) and 20 non-hyperactive (ANH-), and in 20 controls (HC). LVM indexed to Body Surface Area (LVMi) and LVM indexed to height (LVMh) were calculated.RESULTS: LVMi and LVMh were significantly lower in the AN-R subjects compared to HC. Moreover, both LVMi and LVMh were higher in the ANH+ than in the ANH-. In the HC, LVMi was higher when compared to the ANH- subjects than to the ANH+. Stepwise analysis revealed that in the ANH+ group, fT4 was the only independent predictor of LVMh, while in the ANH- group, height was the only independent predictors of LVMi.CONCLUSIONS: Despite its negative influence on disease severity and outcome, hyperactivity from the standpoint of cardiac function makes the LVM of AN-R young girls more similar to HC.LEVEL OF EVIDENCE: Level III, case-control study.

AB - PURPOSE: The aim of this study was to investigate the influence of hyperactivity on left ventricular mass (LVM) in Anorexia Nervosa restricting-type (AN-R) and the correlation between LVM and auxologic parameters/circulating hormones.METHODS: Echocardiography was performed in 44 AN-R girls, subgrouped in 24 hyperactive (ANH+) and 20 non-hyperactive (ANH-), and in 20 controls (HC). LVM indexed to Body Surface Area (LVMi) and LVM indexed to height (LVMh) were calculated.RESULTS: LVMi and LVMh were significantly lower in the AN-R subjects compared to HC. Moreover, both LVMi and LVMh were higher in the ANH+ than in the ANH-. In the HC, LVMi was higher when compared to the ANH- subjects than to the ANH+. Stepwise analysis revealed that in the ANH+ group, fT4 was the only independent predictor of LVMh, while in the ANH- group, height was the only independent predictors of LVMi.CONCLUSIONS: Despite its negative influence on disease severity and outcome, hyperactivity from the standpoint of cardiac function makes the LVM of AN-R young girls more similar to HC.LEVEL OF EVIDENCE: Level III, case-control study.

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