Larger hippocampus size in women with anorexia nervosa who exercise excessively than healthy women.
Abstract
Exercise has been shown to increase hippocampal volume in healthy older adults. Observations from animal models of diabetes and hypertension suggest that the combination of exercise and caloric restriction may exert greater neuroprotection in the hippocampus than either behavior alone. Yet, in humans, the effects of exercise and caloric restriction on the hippocampus are not known. We measured the volume of the hippocampus prior to clinical treatment in women with anorexia nervosa (AN) who were restricting calories and engaging in excessive exercise, women with AN who did not exercise excessively, and healthy women who did not engage in either behavior. Women with AN were also examined longitudinally (once weight was restored and 6 months later). In the present report, we found that women with AN engaged in caloric restriction and excessive exercising prior to clinical treatment had larger hippocampal volumes than healthy comparison women. After weight restoration, women with AN who had engaged in food restriction and excessive exercise prior to treatment had hippocampal volumes similar to that of women with AN who only engaged in caloric restriction. These results advance the field by showing for the first time that hippocampal volume may be increased by exercise alone or exercise interacting with food restriction in AN.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Higher levels of aerobic fitness have been correlated with larger hippocampal volumes in patients with obesity, anorexia, mild cognitive impairments, major depressive disorder, Alzheimer's disease, and multiple sclerosis.
“Cross-sectional data has also indicated that AE may also be beneficial to non-healthy individuals as higher levels of aerobic fitness have also been correlated with larger hippocampal volumes in patients with obesity (Bugg et al., 2012), anorexia (Beadle et al., 2015), mild cognitive impairments (Gates et al., 2013; Makizako et al., 2014), MDD (Travis et al., 2015), Alzheimer’s disease (Honea et”
From Aerobic Exercise as a Tool to Improve Hippocampal Plasticity and Function in Humans: Practical Implications for Mental Health Treatment (2016) · cites this paper as Beadle et al., 2015
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Hamilton, M. (1960) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.23.1.56 · Cited by 32,817 · see citing works
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,767 · see citing works
Brain development during childhood and adolescence: a longitudinal MRI study
Giedd, J. N., Blumenthal, J., Jeffries, N. O., Castellanos, F. X., Liu, H., Zijdenbos, A., Paus, T., Evans, A. C., & Rapoport, J. L. (1999) · Nature Neuroscience · doi:10.1038/13158 · Cited by 5,552 · see citing works
The Eating Attitudes Test: psychometric features and clinical correlates
Garner, D. M., Olmsted, M., Bohr, Y., & Garfinkel, P. (1982) · Psychological Medicine · doi:10.1017/s0033291700049163 · Cited by 4,902 · see citing works
Exercise training increases size of hippocampus and improves memory
Erickson, K. I., Voss, M. W., Prakash, R. S., Basak, C., Szabo, A., Chaddock, L., Kim, J. S., Heo, S., Alves, H., White, S. M., et al. (2011) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1015950108 · Cited by 4,855 · see citing works
Wechsler Adult Intelligence Scale
(2007) · Sage eBooks · doi:10.4135/9781412952644.n478 · Cited by 2,017 · see citing works
Regulation of Cell Survival by Secreted Proneurotrophins
Lee, R., Kermani, P., Teng, K. K., & Hempstead, B. L. (2001) · Science · doi:10.1126/science.1065057 · Cited by 1,670 · see citing works
Keller, M. B. (1987) · Archives of General Psychiatry · doi:10.1001/archpsyc.1987.01800180050009 · Cited by 1,643 · see citing works
Lee, J., Duan, W., & Mattson, M. P. (2002) · Journal of Neurochemistry · doi:10.1046/j.1471-4159.2002.01085.x · Cited by 975 · see citing works
Mortality in anorexia nervosa.
(1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.7.1073 · Cited by 974 · see citing works
Pencea, V., Bingaman, K. D., Wiegand, S. J., & Luskin, M. B. (2001) · Journal of Neuroscience · doi:10.1523/jneurosci.21-17-06706.2001 · Cited by 928 · see citing works
Evidence for a release of brain-derived neurotrophic factor from the brain during exercise
Rasmussen, P., Brassard, P., Adser, H., Pedersen, M. V., Leick, L., Hart, E., Secher, N. H., Pedersen, B. K., & Pilegaard, H. (2009) · Experimental Physiology · doi:10.1113/expphysiol.2009.048512 · Cited by 914 · see citing works
Chaddock, L., Erickson, K. I., Prakash, R. S., Kim, J. S., Voss, M. W., VanPatter, M., Pontifex, M. B., Raine, L. B., Konkel, A., Hillman, C. H., et al. (2010) · Brain Research · doi:10.1016/j.brainres.2010.08.049 · Cited by 687 · see citing works
Differential aging of the medial temporal lobe
Raz, N., Rodrigue, K., Head, D., Kennedy, K. M., & Acker, J. D. (2004) · Neurology · doi:10.1212/01.wnl.0000106466.09835.46 · Cited by 453 · see citing works
Self-starvation of rats living in activity wheels on a restricted feeding schedule.
Routtenberg, A., & Kuznesof, A. W. (1967) · Journal of Comparative and Physiological Psychology · doi:10.1037/h0025205 · Cited by 450 · see citing works
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997) · Medical Entomology and Zoology · Cited by 367 · see citing works
The prevalence of high-level exercise in the eating disorders: Etiological implications
Davis, C. A., Katzman, D. K., Kaptein, S. A., Kirsh, C., Brewer, H., Kalmbach, K. C., Olmsted, M. F., Woodside, D. B., & Kaplan, A. S. (1997) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(97)90927-5 · Cited by 353 · see citing works
Stranahan, A. M., Lee, K. M., Martin, B., Maudsley, S. R., Golden, E. J., Cutler, R. G., & Mattson, M. P. (2009) · Hippocampus · doi:10.1002/hipo.20577 · Cited by 333 · see citing works
Effects of long-term voluntary exercise on the mouse hypothalamic–pituitary–adrenocortical axis
Droste, S. K., Gesing, A., Ulbricht, S., Müller, M. B., Linthorst, A. C. E., & Reul, J. M. H. M. (2003) · Endocrinology · doi:10.1210/en.2003-0097 · Cited by 324 · see citing works
Zoladz, J. A., Pilc, A., Majerczak, J., Grandys, M., Zapart-Bukowska, J., & Duda, K. (2008) · PubMed · Cited by 309 · see citing works
Structural MR image processing using the brains2 toolbox
Magnotta, V. A., Harris, G., Andreasen, N. C., OʼLeary, D. S., Yuh, W. T. C., & Heckel, D. (2002) · Computerized Medical Imaging and Graphics · doi:10.1016/s0895-6111(02)00011-3 · Cited by 301 · see citing works
The Yale-Brown-Cornell eating disorder scale: Development, use, reliability and validity
Mazure, C. M., Halmi, K. A., Sunday, S. R., Romano, S. J., & Einhorn, A. M. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90002-7 · Cited by 213 · see citing works
Powell, S., Magnotta, V. A., Johnson, H. J., Jammalamadaka, V. K., Pierson, R. K., & Andreasen, N. C. (2007) · NeuroImage · doi:10.1016/j.neuroimage.2007.05.063 · Cited by 169 · see citing works
Naylor, A. S., Persson, A. I., Eriksson, P. S., Jonsdottir, I. H., & Thorlin, T. (2005) · Journal of Neurophysiology · doi:10.1152/jn.01085.2004 · Cited by 127 · see citing works
Herting, M. M., & Nagel, B. J. (2012) · Behavioural Brain Research · doi:10.1016/j.bbr.2012.05.012 · Cited by 126 · see citing works
Biedermann, S. V., Fuß, J., Zheng, L., Sartorius, A., Falfán-Melgoza, C., Demirakça, T., Gass, P., Ende, G., & Weber‐Fahr, W. (2012) · NeuroImage · doi:10.1016/j.neuroimage.2012.04.010 · Cited by 111 · see citing works
Warshaw, M., Dyck, I. R., Allsworth, J., Stout, R. L., & Keller, M. B. (2001) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(01)00030-9 · Cited by 108 · see citing works
Striatal Volume Contributes to the Prediction of Onset of Huntington Disease in Incident Cases
Aylward, E., Liu, D., Nopoulos, P., Ross, C. A., Pierson, R. K., Mills, J. A., Long, J. D., & Paulsen, J. S. (2011) · Biological Psychiatry · doi:10.1016/j.biopsych.2011.07.030 · Cited by 100 · see citing works
Stewart, T. M., Bhapkar, M. V., Das, S. K., Galan, K. M., Martin, C. K., McAdams, L. H., Pieper, C. F., Redman, L. M., Roberts, S. B., Stein, R. I., et al. (2012) · Contemporary Clinical Trials · doi:10.1016/j.cct.2012.08.011 · Cited by 81 · see citing works
Fully automated analysis using BRAINS: AutoWorkup
Pierson, R. K., Johnson, H. J., Harris, G., Keefe, H., Paulsen, J. S., Andreasen, N. C., & Magnotta, V. A. (2010) · NeuroImage · doi:10.1016/j.neuroimage.2010.06.047 · Cited by 80 · see citing works
Activity-based anorexia in rats as failure to adapt to a feeding schedule.
Dwyer, D. M., & Boakes, R. A. (1997) · Behavioral Neuroscience · doi:10.1037/0735-7044.111.1.195 · Cited by 79 · see citing works
Richter, S. H., Gass, P., & Fuß, J. (2014) · The Neuroscientist · doi:10.1177/1073858413516798 · Cited by 63 · see citing works
Aoki, C. J., Sabaliauskas, N. A., Chowdhury, T. G., Min, J., Colacino, A. R., Laurino, K., & Barbarich-Marsteller, N. C. (2011) · Synapse · doi:10.1002/syn.21528 · Cited by 63 · see citing works
Moderate exercise training and chronic caloric restriction modulate redox status in rat hippocampus
Santin, K., da Rocha, R. F., Cechetti, F., Quincozes-Santos, A., de Souza, D. F., Nardin, P., Rodrigues, L., Leite, M. C., Moreira, J. C. F., Salbego, C. G., et al. (2011) · Brain Research · doi:10.1016/j.brainres.2011.08.003 · Cited by 38 · see citing works
Kishi, T., & Sunagawa, K. (2012) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2012.6347547 · Cited by 34 · see citing works
Fuss, J., Biedermann, S. V., Falfán-Melgoza, C., Auer, M. K., Zheng, L., Steinle, J., Hörner, F., Sartorius, A., Ende, G., Weber-Fahr, W., et al. (2014) · Hippocampus · doi:10.1002/hipo.22227 · Cited by 32 · see citing works
Color Enhancement of Multispectral MR Images: Improving the Visualization of Subcortical Structures
Ward, J., Magnotta, V. A., Andreasen, N. C., Ooteman, W., Nopoulos, P., & Pierson, R. K. (2001) · Journal of Computer Assisted Tomography · doi:10.1097/00004728-200111000-00018 · Cited by 13 · see citing works
Assessment of eating disorders: interview or self-report questionnaire
Fairburn, C. G., & Beglin, S. J. (1994) · International Journal of Eating Disorders · doi:10.1002/1098-108x(199412)16:4
Strober (1997) · doi:10.1002/(sici)1098-108x(199712)22:4
Garner (1983) · doi:10.1002/1098-108x(198321)2:2
Flagged first, then by citations
1 of the 43 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
The effects of aging in the hippocampus and cognitive decline
Bettio, L. E. B., Rajendran, L., & Gil‐Mohapel, J. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.04.030 · Cited by 654 · see citing works
Brain morphological changes in adolescent and adult patients with anorexia nervosa
Seitz, J., Herpertz‐Dahlmann, B., & Konrad, K. (2016) · Journal of Neural Transmission · doi:10.1007/s00702-016-1567-9 · Cited by 180 · see citing works
Kandola, A., Hendrikse, J., Lucassen, P. J., & Yücel, M. (2016) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2016.00373 · Cited by 155 · see citing works
“…as higher levels of aerobic fitness have also been correlated with larger hippocampal volumes in patients with obesity (Bugg et al., 2012), anorexia (Beadle et al., 2015), mild cognitive impairments (Gates et al., 2013; Makizako et al., 2014), MDD (Travis et al., 2015), Alzheimer’s disease (Honea…”
Aoki, C. J., Chowdhury, T. G., Wable, G. S., & Chen, Y.-W. (2016) · Brain Research · doi:10.1016/j.brainres.2016.01.019 · Cited by 62 · see citing works
Hippocampal volume, function, and related molecular activity in anorexia nervosa: A scoping review
Keeler, J. L., Patsalos, O., Thuret, S., Ehrlich, S., Tchanturia, K., Himmerich, H., & Treasure, J. L. (2020) · Expert Review of Clinical Pharmacology · doi:10.1080/17512433.2020.1850256 · Cited by 35 · see citing works
Anorexia Reduces GFAP+ Cell Density in the Rat Hippocampus
Reyes‐Haro, D., Labrada-Moncada, F. E., Varman, D. R., Krüger, J., Morales, T., Miledi, R., & Martínez‐Torres, A. (2016) · Neural Plasticity · doi:10.1155/2016/2426413 · Cited by 31 · see citing works
Varman, D. R., Macedo-Mendoza, M., Labrada-Moncada, F. E., Reyes-Ortega, P., Morales, T., Martínez‐Torres, A., & Reyes‐Haro, D. (2019) · Behavioural Brain Research · doi:10.1016/j.bbr.2019.01.042 · Cited by 26 · see citing works
Brodrick, B. B., Adler-Neal, A. L., Palka, J. M., Mishra, V. R., Aslan, S., & McAdams, C. J. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-021-00466-w · Cited by 25 · see citing works
Behavioral reinforcement of pathological exercise in anorexia nervosa
Coniglio, K., Cooper, M., & Selby, E. A. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23626 · Cited by 30 · see citing works
Aoki, C. J., & Santiago, A. N. (2022) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2022.990354 · Cited by 20 · see citing works
Hippocampal volumes in anorexia nervosa at different stages of the disorder
Collantoni, E., Tenconi, E., Solmi, M., Meneguzzo, P., Marzola, E., D’Agata, F., Gotti, S., Daga, G. A., Manara, R., & Favaro, A. (2020) · European Eating Disorders Review · doi:10.1002/erv.2806 · Cited by 19 · see citing works
Goodwin‐Groen, S., Dong, Y., & Aoki, C. J. (2023) · International Journal of Eating Disorders · doi:10.1002/eat.24036 · Cited by 19 · see citing works
Dopaminergic Activity and Exercise Behavior in Anorexia Nervosa
Gorrell, S., Collins, A. G. E., Grange, D. L., & Yang, T. T. (2020) · OBM Neurobiology · doi:10.21926/obm.neurobiol.2001053 · Cited by 15 · see citing works
Volume and complexity of the thalamus in Anorexia Nervosa: An exploratory evaluation
Collantoni, E., Meregalli, V., Manara, R., Meneguzzo, P., Tenconi, E., & Favaro, A. (2022) · European Eating Disorders Review · doi:10.1002/erv.2965 · Cited by 8 · see citing works
Dong, Y., Goodwin‐Groen, S., Ma, J., Kim, E., Giudice, S. D., Santos, M., & Aoki, C. J. (2025) · Physiology & Behavior · doi:10.1016/j.physbeh.2025.114956 · Cited by 4 · see citing works
Ketogenic Food Ameliorates Activity‐Based Anorexia of Adult Female Mice
Dong, Y., Lin, Y., Khatri, L., Chao, M. V., & Aoki, C. J. (2024) · International Journal of Eating Disorders · doi:10.1002/eat.24323 · Cited by 6 · see citing works
Bilash, O. M., Actor-Engel, H. S., Sherpa, A. D., Chen, Y., & Aoki, C. J. (2021) · Synapse · doi:10.1002/syn.22197 · Cited by 6 · see citing works
Maternal Separation in ABA Rats Promotes Cell Proliferation in the Dentate Gyrus of the Hippocampus
Farinetti, A., Aspesi, D., Marraudino, M., Marzola, E., Daga, G. A., & Gotti, S. (2020) · Neuroscience · doi:10.1016/j.neuroscience.2020.08.005 · Cited by 6 · see citing works
Dong, Y., Wang, J., Ge, O., Lin, Y., & Aoki, C. J. (2025) · Hippocampus · doi:10.1002/hipo.70039 · Cited by 3 · see citing works
Subanesthetic Ketamine Ameliorates Activity‐Based Anorexia of Adult Mice
Dong, Y., & Aoki, C. J. (2025) · Synapse · doi:10.1002/syn.70005 · Cited by 2 · see citing works
Wang, Y., Xie, M., Zheng, L., Ma, J., Wang, M., & Zhang, L. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-06120-4 · Cited by 3 · see citing works
Leverett, S. D., Cherubin, S., Roche-Dean, M. V., & Weller, B. E. (2025) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2025.112043 · Cited by 2 · see citing works
Oral administration of indole-3-lactic acid alleviates activity-based anorexia in female mice
Tang, X., Wang, J., Sun, J., Jin, Z., Qian, X., Zhao, J., Chen, W., & Tian, P. (2025) · Neuropharmacology · doi:10.1016/j.neuropharm.2025.110746 · Cited by 2 · see citing works
Visuospatial and Neuropsychological Functions in Eating Disorders
Timko, C. A., & Susanin, A. (2025) · Oxford University Press eBooks · doi:10.1093/9780197675212.003.0014 · Cited by 1 · see citing works
The Hippocampus in Anorexia Nervosa
Collantoni, E., Meregalli, V., Tenconi, E., Meneguzzo, P., & Favaro, A. (2023) · Springer eBooks · doi:10.1007/978-3-030-67929-3_30-1 · Cited by 1 · see citing works
Cellular Adaptations to Intermittent Fasting with Emphasis on the Brain
Mattson, M. P. (2024) · Springer eBooks · doi:10.1007/978-3-031-49622-6_7 · Cited by 2 · see citing works
Systematic Review of fMRI Studies with Visual Food Stimuli in Anorexia Nervosa
Dąbkowska-Mika, A., Steiger, R., Gander, M., Sevecke, K., & Gizewski, E. R. (2021) · Austin Journal of Nutrition & Metabolism · doi:10.26420/austinjnutrmetab.2021.1115 · Cited by 1 · see citing works
Anorexia Nervosa and Obesity: A Psychological Health Comparison
Archer, T. (2016) · Archives of Depression and Anxiety · doi:10.17352/2455-5460.000009
More Hippocampal Weight and Cells in Cardiac Allograft Transplanted Mice
Yin, E., Uchiyama, M., Jin, X., Kawai, K., Takao, M., & Niimi, M. (2018) · Transplantation Proceedings · doi:10.1016/j.transproceed.2018.03.107
The Hippocampus in Anorexia Nervosa
Collantoni, E., Meregalli, V., Tenconi, E., Meneguzzo, P., & Favaro, A. (2023) · Springer eBooks · doi:10.1007/978-3-031-16691-4_30
Dong, Y., Goodwin‐Groen, S., Ma, J., Kim, E., Giudice, S. D., Santos, M., & Aoki, C. J. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5164048
The Impact of Age on Gray Matter Volume Reduction in Anorexia Nervosa: A Systematic ReviewPreprint
Gao, H., Chen, S., Wang, L., & Shih, P.-A. B. (2025) · medRxiv · doi:10.1101/2025.03.03.25322748 · Cited by 2 · see citing works
Brodrick, B. B., Adler-Neal, A. L., Palka, J. M., Mishra, V., Aslan, S., & McAdams, C. J. (2021) · Figshare · doi:10.6084/m9.figshare.16569976
- Authors
- Beadle, J. N., Paradiso, S., Brumm, M., Voss, M., Halmi, K., & McCormick, L. M.
- Affiliations
- University of Iowa Hospitals and Clinics (US)
- Universidad Diego Portales (CL)
- University of Iowa (US)
- Cornell University (US)
- Corresponding author
- McCormick, Laurie M.
- Venue
- Psychiatry Research Neuroimaging
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 232
- Issue
- 2
- Pages
- 193-199
- ISSN
- 0925-4927 (ISSN-L)
- OpenAlex
- W2015897591
- Cited by
- 33
- References
- 43
- Citations by year
- 2025: 8 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 5 · 2020: 4 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 5
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research Neuroimaging (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (5K23MH08387905)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- anorexia nervosa, hippocampal volume, excessive exercise, caloric restriction, dietary restriction, weight restoration, neuroprotection, women, brain structure
- MeSH terms
- Adult, Animals, Anorexia Nervosa, Female, Health Status, Hippocampus, Humans, Longitudinal Studies, Male, Organ Size, Exercise, Caloric Restriction, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review