Normal gray matter volumes in women recovered from anorexia nervosa: a voxel-based morphometry study
Open accessAbstract
BACKGROUND: Anorexia nervosa (AN) has consistently been associated with reduced gray (GM) and white matter (WM) brain volumes. It is unclear whether GM alterations are present following recovery from AN, as previous findings are inconsistent. The aim of the present study was to determine if women recovered from AN exhibit reduced global or regional GM volumes. METHODS: Global GM and WM, as well as regional GM volumes, were investigated in 22 women recovered from AN and 22 age-matched healthy controls using magnetic resonance imaging. Women were considered recovered if they had maintained a body mass index above 18.0 and had not engaged in binge eating, purging, or restrictive eating behaviors during the past year. RESULTS: There were no significant differences between recovered AN women and healthy controls in terms of GM and WM volumes. There were also no significant differences between restricting and binging-purging AN subtypes. Lowest lifetime weight was positively correlated with regional GM volumes in the precuneus and insula. CONCLUSIONS: The present study showed that regional GM and global GM and WM volumes were similar for women long-term recovered from AN and age-matched healthy controls. Further research is needed to determine the extent to which illness severity affect regional GM volumes.
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Research has documented extensive cognitive impairments associated with malnutrition in anorexia nervosa, including brain atrophy, cognitive distortions, reduced executive functioning, and emotional processing issues.
“This raises profound concerns, given that research has documented extensive cognitive impairments associated with malnutrition in anorexia nervosa, including brain atrophy, cognitive distortions, reduced executive functioning, and emotional processing issues (151–155).”
From Assisted death in eating disorders: a systematic review of cases and clinical rationales (2024) · cites this paper as [151]
The Background (no page given) reports reduced gray- and white-matter volumes in anorexia nervosa, supporting the claim's brain-structure component. But the Discussion says gray-matter loss may be reversible rather than atrophy, and the paper does not document cognitive distortions, reduced executive functioning, or emotional-processing impairments. (LLM, conf=0.86)
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- Authors
- Bang, L., Rø, Ø., & Endestad, T.
- Affiliations
- Oslo University Hospital (NO)
- University of Oslo (NO)
- Corresponding author
- Bang, Lasse
- Venue
- BMC Psychiatry
- Published
- 2016-05-13
- Volume
- 16
- Issue
- 1
- Pages
- 144-144
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC4866026
- OpenAlex
- W2369683906
- Cited by
- 36
- References
- 36
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 9 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 1
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- anorexia nervosa, gray matter volume, white matter volume, recovery from anorexia nervosa, women, regional brain volume, precuneus, insula, disease severity
- MeSH terms
- Adult, Anorexia Nervosa, Brain Mapping, Female, Humans, Magnetic Resonance Imaging, Organ Size, Body Mass Index, Gray Matter
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