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 in | The International journal of eating disorders Vol. 20; no. 3; pp. 325 - 329 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
New York, NY
Wiley
01.11.1996
Wiley Subscription Services, Inc |
Subjects | |
Online Access | Get full text |
ISSN | 0276-3478 1098-108X |
DOI | 10.1002/(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 |
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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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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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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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