Abnormal liver enzymes in outpatients with eating disorders

Objective: This study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency and their clinical correlates. Method: Eight hundred seventy-nine eating-disordered outpatients presenting at a suburban clinic constituted...

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Published inThe International journal of eating disorders Vol. 20; no. 3; pp. 325 - 329
Main Authors Mickley, D. (Yale University School of Medicine, New Haven, CT.), Greenfeld, D, Quinlan, D.M, Roloff, P, Zwas, F
Format Journal Article
LanguageEnglish
Published New York, NY Wiley 01.11.1996
Wiley Subscription Services, Inc
Subjects
Online AccessGet full text
ISSN0276-3478
1098-108X
DOI10.1002/(SICI)1098-108X(199611)20:3<325::AID-EAT13>3.0.CO;2-Z

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Abstract Objective: This study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency and their clinical correlates. Method: Eight hundred seventy-nine eating-disordered outpatients presenting at a suburban clinic constituted the subject population. Serum glutamic oxalacetic transaminase, serum glutamic pyruvate transaminase, and gamma glutamyl transpeptidase (SGOT, SGPT, and GGTP, respectively) were drawn at intake. Medical charts were reviewed to obtain further clinical data on all patients with an enzyme elevation. Results: Liver enzymes were abnormally high in 36 patients (4.1%). Elevated SGPT was the most frequent enzyme abnormality and was correlated with lower current and past weight and body mass index (BMI). Discussion: Hepatic dysfunction in eating-disordered outpatients is neither specific nor common. Low weight alone can cause liver damage, yet elevated liver chemistries in patients with anorexia and especially bulima are often not due to their eating disorder
AbstractList Objective: This study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency and their clinical correlates. Method: Eight hundred seventy-nine eating-disordered outpatients presenting at a suburban clinic constituted the subject population. Serum glutamic oxalacetic transaminase, serum glutamic pyruvate transaminase, and gamma glutamyl transpeptidase (SGOT, SGPT, and GGTP, respectively) were drawn at intake. Medical charts were reviewed to obtain further clinical data on all patients with an enzyme elevation. Results: Liver enzymes were abnormally high in 36 patients (4.1%). Elevated SGPT was the most frequent enzyme abnormality and was correlated with lower current and past weight and body mass index (BMI). Discussion: Hepatic dysfunction in eating-disordered outpatients is neither specific nor common. Low weight alone can cause liver damage, yet elevated liver chemistries in patients with anorexia and especially bulima are often not due to their eating disorder
A study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency and their clinical correlates. Liver enzymes were abnormally high in 36 patients, with elevated serum glutamic pyruvate transaminase being the most frequent enzyme abnormality.
Objective: This study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency and their clinical correlates. Method: Eight hundred seventy-nine eating-disordered outpatients presenting at a suburban clinic constituted the subject population. Serum glutamic oxalacetic transaminase, serum glutamic pyruvate transaminase, and gamma glutamyl transpeptidase (SGOT, SGPT, and GGTP, respectively) were drawn at intake. Medical charts were reviewed to obtain further clinical data on all patients with an enzyme elevation. Results: Liver enzymes were abnormally high in 36 patients (4.1%). Elevated SGPT was the most frequent enzyme abnormality and was correlated with lower current and past weight and body mass index (BMI). Discussion: Hepatic dysfunction in eating-disordered outpatients is neither specific nor common. Low weight alone can cause liver damage, yet elevated liver chemistries in patients with anorexia and especially bulima are often not due to their eating disorder.
This study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency and their clinical correlates.OBJECTIVEThis study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency and their clinical correlates.Eight hundred seventy-nine eating-disordered outpatients presenting at a suburban clinic constituted the subject population. Serum glutamic oxalacetic transaminase, serum glutamic pyruvate transaminase, and gamma glutamyl transpeptidase (SGOT, SGPT, and GGTP, respectively) were drawn at intake. Medical charts were reviewed to obtain further clinical data on all patients with an enzyme elevation.METHODEight hundred seventy-nine eating-disordered outpatients presenting at a suburban clinic constituted the subject population. Serum glutamic oxalacetic transaminase, serum glutamic pyruvate transaminase, and gamma glutamyl transpeptidase (SGOT, SGPT, and GGTP, respectively) were drawn at intake. Medical charts were reviewed to obtain further clinical data on all patients with an enzyme elevation.Liver enzymes were abnormally high in 36 patients (4.1%). Elevated SGPT was the most frequent enzyme abnormality and was correlated with lower current and past weight and body mass index (BMI).RESULTSLiver enzymes were abnormally high in 36 patients (4.1%). Elevated SGPT was the most frequent enzyme abnormality and was correlated with lower current and past weight and body mass index (BMI).Hepatic dysfunction in eating-disordered outpatients is neither specific nor common. Low weight alone can cause liver damage, yet elevated liver chemistries in patients with anorexia and especially bulima are often not due to their eating disorder.DISCUSSIONHepatic dysfunction in eating-disordered outpatients is neither specific nor common. Low weight alone can cause liver damage, yet elevated liver chemistries in patients with anorexia and especially bulima are often not due to their eating disorder.
This study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency and their clinical correlates. Eight hundred seventy-nine eating-disordered outpatients presenting at a suburban clinic constituted the subject population. Serum glutamic oxalacetic transaminase, serum glutamic pyruvate transaminase, and gamma glutamyl transpeptidase (SGOT, SGPT, and GGTP, respectively) were drawn at intake. Medical charts were reviewed to obtain further clinical data on all patients with an enzyme elevation. Liver enzymes were abnormally high in 36 patients (4.1%). Elevated SGPT was the most frequent enzyme abnormality and was correlated with lower current and past weight and body mass index (BMI). Hepatic dysfunction in eating-disordered outpatients is neither specific nor common. Low weight alone can cause liver damage, yet elevated liver chemistries in patients with anorexia and especially bulima are often not due to their eating disorder.
Author Quinlan, D.M
Roloff, P
Greenfeld, D
Mickley, D. (Yale University School of Medicine, New Haven, CT.)
Zwas, F
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Issue 3
Keywords Human
Enzyme
Transferases
Liver
Body weight
Anorexia nervosa
Eating disorder
Aminoacyltransferases
γ-Glutamyltransferase
Bulimia
Body mass index
Transaminases
Aspartate transaminase
Alanine transaminase
Quantitative analysis
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PublicationTitle The International journal of eating disorders
PublicationTitleAlternate Int J Eat Disord
PublicationYear 1996
Publisher Wiley
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Snippet Objective: This study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency...
This study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency and their...
A study was undertaken to screen a large series of outpatients with anorexia or bulimia for liver enzyme abnormalities, examining their frequency and their...
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SubjectTerms Adolescent
adolescents
Adult
Adult and adolescent clinical studies
ADULTE
ADULTOS
adults
ALANINA AMINOTRANSFERASA
ALANINE AMINOTRANSFERASE
alanine transaminase
Alanine Transaminase - metabolism
aminoacyltransferases
Anorexia
Anorexia nervosa
ASPARTATE AMINOTRANSFERASE
Aspartate Aminotransferases
Aspartate Aminotransferases - metabolism
aspartate transaminase
ASPARTATO AMINOTRANSFERASA
binging
Biological and medical sciences
blood serum
body mass index
body weight
Bulimia
Child
children
diagnosis
Eating behavior disorders
Eating disorders
ENFANT
Enzymes
enzymology
Feeding and Eating Disorders
Feeding and Eating Disorders - diagnosis
Feeding and Eating Disorders - enzymology
Female
FOIE
FONCTION PHYSIOLOGIQUE
FUNCION FISIOLOGICA
gamma-Glutamyltransferase
gamma-Glutamyltransferase - metabolism
HIGADO
Humans
JEUNESSE
JUVENTUD
Liver
Liver - enzymology
liver function
Male
Medical sciences
metabolism
Middle Aged
NINOS
patients
PESO
POIDS
Predictive Value of Tests
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
SERUM SANGUIN
Severity of Illness Index
SUERO SANGUINEO
TRANSFERASAS
TRANSFERASE
TRASTORNOS ALIMENTICIOS
TROUBLE ALIMENTAIRE
United States
Title Abnormal liver enzymes in outpatients with eating disorders
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