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2001 MAY 17 - (NewsRx Network) Anorexia nervosa is a psychiatric illness of girls and young women that culminates in severe undernutrition with mortality rates as high as 21%.
Because the patient's self-perceived body image is an important component of successful recovery, the pattern of weight regain may have psychological significance. In research published in the American Journal of Clinical Nutrition, Steven K Grinspoon et al. studied 27 women with anorexia nervosa who were involved in an outpatient recovery program. Among the 20 patients who gained weight, body fat was increased to in the trunk region, significantly higher than the 34% of the normal-weight control group.
During the nine-month study, the participants were randomly assigned to receive or not receive estrogen in the form of birth control pills. Of the 20 women who gained weight, 10 were taking estrogen and 10 were not; each group gained an average of 4.1 kg each to attain a mean body mass index of 17.5. There were no differences in weight gain and body fat distribution patterns as a result of estrogen use ("Changes in regional fat redistribution and ...