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Cited by 171

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

Anorexia nervosa and bone

Open access
Misra, Madhusmita, Klibanski, Anne·2014·Journal of Endocrinology

Abstract

Anorexia nervosa (AN) is a condition of severe low weight that is associated with low bone mass, impaired bone structure, and reduced bone strength, all of which contribute to increased fracture risk. Adolescents with AN have decreased rates of bone accrual compared with normal-weight controls, raising additional concerns of suboptimal peak bone mass and future bone health in this age group. Changes in lean mass and compartmental fat depots, and hormonal alterations secondary to nutritional factors contribute to impaired bone metabolism in AN. The best strategy to improve bone density is to regain weight and menstrual function. Oral estrogen–progesterone combinations are not effective in increasing bone density in adults or adolescents with AN, and transdermal testosterone replacement is not effective in increasing bone density in adult women with AN. However, physiological estrogen replacement as transdermal estradiol with cyclic progesterone does increase bone accrual rates in adolescents with AN to approximate that in normal-weight controls, leading to a maintenance of bone density Z-scores. A recent study has shown that risedronate increases bone density at the spine and hip in adult women with AN. However, bisphosphonates should be used with great caution in women of reproductive age, given their long half-life and potential for teratogenicity, and should be considered only in patients with low bone density and clinically significant fractures when non-pharmacological therapies for weight gain are ineffective. Further studies are necessary to determine the best therapeutic strategies for low bone density in AN.

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Metadata

Authors
Misra, M., & Klibanski, A.
Venue
Journal of Endocrinology
Published
2014-06
Volume
221
Issue
3
Pages
R163-R176
ISSN
  • 0022-0795 (ISSN-L)
  • 1479-6805
OpenAlex
W2167032038
Cited by
171
References
7
FWCI
17.24
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Anorexia nervosa and bone. https://app.cochat.ai/papers/10.1530/joe-14-0039
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Misra, M., & Klibanski, A. (2014). Anorexia nervosa and bone. Journal of Endocrinology. https://doi.org/10.1530/joe-14-0039

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