Bone Loss in Patients With Anorexia Nervosa
Physiopathology of Bone Loss in Young Patient With Anorexia Nervosa
Nutritional deprivation of adolescent girls with anorexia nervosa (AN) reduces the bone mass acquisition. A better understanding of this process would improve the medical treatment of bone alteration and its long-term consequences.
160 patients (age < 38 yr) with AN and 160 age-matched controls (CON) will be enrolled in this study. The areal bone mineral density (aBMD) will be determined using dual-X-ray absorptiometry. Calciotropic hormones, bone turnover markers will be concomitantly evaluated.
研究概览
地位
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习地点
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Montpellier、法国、34295
- CHU de Montpellier - Département d'Endocrinologie Diabète
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
描述
Inclusion Criteria:
- Informed Consent
- Health Insurance regimen or benefit from an health insurance regimen
- Aged from 14 to 38 years old
- Women
- No pregnant
Specific inclusion criteria for patient:
Patient suffering from anorexia nervosa defined by criteria of Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)
Specific inclusion criteria for controls:
- Normal menstrual cycles,
- No lifetime history of eating disorders,
- BMI between 18 and 25 kg/m²
Exclusion Criteria:
- use of treatments may be modify bone mass (bisphosphonates,…)
- Disease or treatment may be induce osteoporosis
- In exclusion period in relation with another study
- Law protected subject
学习计划
研究是如何设计的?
设计细节
- 主要用途:基础科学
- 分配:非随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:Patients with anorexia nervosa
This arm is the experimental arm composed of patients
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description of weight, height, Bone Mass Index, dietary questionnary, amenorrhea time, pathology time for the two arms
description of DMO, mass, basal metabolism, IGF-1/IGFBP-3 for the two arms
dosing of leptine, leptine receptor, adiponectine, ghreline for the two arms
dosing of osteocalcine, bone alkalin phosphatase, C-telopeptide of type-I collagene, osteoprotegerine/ RANKL for the two arms
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有源比较器:controls subjects
This arm is composed of healthy volunteers
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description of weight, height, Bone Mass Index, dietary questionnary, amenorrhea time, pathology time for the two arms
description of DMO, mass, basal metabolism, IGF-1/IGFBP-3 for the two arms
dosing of leptine, leptine receptor, adiponectine, ghreline for the two arms
dosing of osteocalcine, bone alkalin phosphatase, C-telopeptide of type-I collagene, osteoprotegerine/ RANKL for the two arms
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Dual-X-ray absorptiometry (DEXA)
大体时间:at Day 0 (time of the inclusion visit)
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The primary outcome is to model the bone mass acquisition in young women with anorexia nervosa.
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at Day 0 (time of the inclusion visit)
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Biological parameters identification
大体时间:At day 0 (time of the inclusion visit)
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One of the secondary outcome is to identify biological factors associated with bone demineralisation.
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At day 0 (time of the inclusion visit)
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clinical parameters identification
大体时间:At Day 0 (at time of the the inclusion visit)
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One of the secondary outcome is to identify the clinical factors associated with bone demineralisation.
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At Day 0 (at time of the the inclusion visit)
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合作者和调查者
调查人员
- 首席研究员:Patrick PL LEFEBVRE, MD、University Hospital, Montpellier
出版物和有用的链接
一般刊物
- Maimoun L, Guillaume S, Lefebvre P, Philibert P, Bertet H, Picot MC, Gaspari L, Paris F, Courtet P, Thomas E, Mariano-Goulart D, Bringer J, Renard E, Sultan C. Role of sclerostin and dickkopf-1 in the dramatic alteration in bone mass acquisition in adolescents and young women with recent anorexia nervosa. J Clin Endocrinol Metab. 2014 Apr;99(4):E582-90. doi: 10.1210/jc.2013-2565. Epub 2014 Jan 28.
- Maimoun L, Guillaume S, Lefebvre P, Philibert P, Bertet H, Picot MC, Gaspari L, Paris F, Seneque M, Dupuys AM, Courtet P, Thomas E, Mariano-Goulart D, Bringer J, Renard E, Sultan C. Evidence of a link between resting energy expenditure and bone remodelling, glucose homeostasis and adipokine variations in adolescent girls with anorexia nervosa. Osteoporos Int. 2016 Jan;27(1):135-46. doi: 10.1007/s00198-015-3223-x. Epub 2015 Aug 6.
- Maimoun L, Guillaume S, Lefebvre P, Philibert P, Bertet H, Picot MC, Courtet P, Mariano-Goulart D, Renard E, Sultan C. Is Serum Serotonin Involved in the Bone Loss of Young Females with Anorexia Nervosa? Horm Metab Res. 2016 Mar;48(3):174-177. doi: 10.1055/s-0035-1559632. Epub 2015 Sep 29.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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