» Articles » PMID: 32867089

Backstage of Eating Disorder-About the Biological Mechanisms Behind the Symptoms of Anorexia Nervosa

Overview
Journal Nutrients
Date 2020 Sep 2
PMID 32867089
Citations 14
Authors
Affiliations
Soon will be listed here.
Abstract

Anorexia nervosa (AN) represents a disorder with the highest mortality rate among all psychiatric diseases, yet our understanding of its pathophysiological components continues to be fragmentary. This article reviews the current concepts regarding AN pathomechanisms that focus on the main biological aspects involving central and peripheral neurohormonal pathways, endocrine function, as well as the microbiome-gut-brain axis. It emerged from the unique complexity of constantly accumulating new discoveries, which hamper the ability to look at the disease in a more comprehensive way. The emphasis is placed on the mechanisms underlying the main symptoms and potential new directions that require further investigation in clinical settings.

Citing Articles

Anorexia Nervosa in Polish Children and Adolescents in the Context of the COVID-19 Pandemic-An Observational Single Centre Study.

Dylag K, Skowron K, Kurnik-Lucka M, Drzewiecki L, Przybyszewska K, Krol-Dykas M Nutrients. 2024; 16(23.

PMID: 39683506 PMC: 11643843. DOI: 10.3390/nu16234112.


Depression, anxiety, and stress in medical students in Peru: a cross-sectional study.

Valladares-Garrido D, Quiroga-Castaneda P, Berrios-Villegas I, Zila-Velasque J, Anchay-Zuloeta C, Chuman-Sanchez M Front Psychiatry. 2023; 14:1268872.

PMID: 38090694 PMC: 10715266. DOI: 10.3389/fpsyt.2023.1268872.


Editorial: Neurological, psychological and endocrine markers of eating disorders and obesity.

Fernandez-Aranda F, Granero R, Jimenez-Murcia S Front Nutr. 2023; 10:1289370.

PMID: 37899820 PMC: 10613052. DOI: 10.3389/fnut.2023.1289370.


Neuro-Vulnerability in Energy Metabolism Regulation: A Comprehensive Narrative Review.

Clemente-Suarez V, Beltran-Velasco A, Redondo-Florez L, Martin-Rodriguez A, Yanez-Sepulveda R, Tornero-Aguilera J Nutrients. 2023; 15(14).

PMID: 37513524 PMC: 10383861. DOI: 10.3390/nu15143106.


Psilocybin-assisted psychotherapy as a potential treatment for eating disorders: a narrative review of preliminary evidence.

Koning E, Brietzke E Trends Psychiatry Psychother. 2023; 46:e20220597.

PMID: 37126863 PMC: 11790131. DOI: 10.47626/2237-6089-2022-0597.


References
1.
Robinson L, Micali N, Misra M . Eating disorders and bone metabolism in women. Curr Opin Pediatr. 2017; 29(4):488-496. PMC: 5675561. DOI: 10.1097/MOP.0000000000000508. View

2.
Fazeli P, Misra M, Goldstein M, Miller K, Klibanski A . Fibroblast growth factor-21 may mediate growth hormone resistance in anorexia nervosa. J Clin Endocrinol Metab. 2009; 95(1):369-74. PMC: 2805486. DOI: 10.1210/jc.2009-1730. View

3.
Simon J, Stopyra M, Monning E, Sailer S, Lavandier N, Kihm L . Neuroimaging of hypothalamic mechanisms related to glucose metabolism in anorexia nervosa and obesity. J Clin Invest. 2020; 130(8):4094-4103. PMC: 7410066. DOI: 10.1172/JCI136782. View

4.
Smith M, Yatsunenko T, Manary M, Trehan I, Mkakosya R, Cheng J . Gut microbiomes of Malawian twin pairs discordant for kwashiorkor. Science. 2013; 339(6119):548-54. PMC: 3667500. DOI: 10.1126/science.1229000. View

5.
Carrera O, Adan R, Gutierrez E, Danner U, Hoek H, van Elburg A . Hyperactivity in anorexia nervosa: warming up not just burning-off calories. PLoS One. 2012; 7(7):e41851. PMC: 3407098. DOI: 10.1371/journal.pone.0041851. View