Serum Lipid Levels in Patients with Eating Disorders

• Published in: Internal Medicine Vol. 55; no. 14; pp. 1853 - 1857
• Main Authors: Nakai, Yoshikatsu, Noma, Shun'ichi, Fukusima, Mitsuo, Taniguchi, Ataru, Teramukai, Satoshi
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Society of Internal Medicine 01.01.2016
• Subjects: Adolescent; Adult; Anorexia Nervosa - blood; Bulimia - blood; Bulimia Nervosa - blood; Cardiovascular Diseases - blood; Cardiovascular Diseases - epidemiology; eating disorders; Feeding and Eating Disorders - blood; Feeding and Eating Disorders - epidemiology; Feeding and Eating Disorders - physiopathology; Female; Humans; Japan; LDL cholesterol; Lipids - blood; Male; non-HDL cholesterol; Risk Factors; Young Adult
• ISSN: 0918-2918; 1349-7235
• DOI: 10.2169/internalmedicine.55.5632

Objective To evaluate some risk factors for cardiovascular diseases in feeding and eating disorders, the degree of lipid abnormalities was investigated in a large Japanese cohort of different groups of feeding and eating disorders, according to the Japan Atherosclerosis Society Guidelines for the Prevention of Atherosclerotic Cardiovascular Diseases 2012 (JAS Guidelines 2012). Methods Participants in the current study included 732 women divided into four groups of feeding and eating disorders: anorexia nervosa, restricting type (AN-R); anorexia nervosa, binge-eating/purging type; bulimia nervosa (BN); and binge-eating disorder (BED). We measured the serum levels of total cholesterol, high-density-lipoprotein (HDL) cholesterol, and triglyceride in these participants. Low-density-lipoprotein (LDL) cholesterol and non-HDL cholesterol levels were also calculated. Results The concentrations of LDL cholesterol and non-HDL cholesterol were widely distributed in all groups. When the LDL cholesterol risk was defined as ≥120 mg/dL and the non-HDL cholesterol risk as ≥150 mg/dL, according to the JAS Guidelines 2012, the proportion of LDL cholesterol risk ranged from 29.6% (BN) to 38.6% (AN-R), and the proportion of non-HDL cholesterol risk ranged from 17.8% (BN) to 30.1% (BED). Conclusion The present findings suggest the existence of LDL cholesterol risk and non-HDL cholesterol risk in all groups of eating disorders. Given the chronicity of this condition, the development of elevated concentrations of LDL cholesterol and non-HDL cholesterol at an early age may increase the risk of cardiovascular diseases.