A case study of carotenemia in anorexia nervosa may support the interrelationship of vitamin A and thyroid hormone

Curran‐Celentano, Joanne; Erdman, John W.

doi:10.1016/s0271-5317(05)80702-x

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Lipid levels in anorexia nervosa

Mehler

Lezotte

Eckel

1998

Int. J. Eat. Disord.

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Objective Anorexia nervosa is a chronic disorder characterized by the patient's refusal to maintain body weight and a myriad of medical complications. Two frequently cited and poorly understood complications are hypercholesterolemia and hypercarotenemia. We therefore measured fasting cholesterol and beta‐carotene levels in a cohort of moderately severe anorectics. Method: All subjects were female and met DSM‐IV criteria for anorexia nervosa. Lipid profiles and beta‐carotene levels were determined in 23 female anorexics. Results: The mean total cholesterol for this group of anorectics was 179.3 mg/dl. Low‐density lipoprotein values (LDL) ranged from 47 to 173, with a mean of 104.1 mg/dl. The mean high‐density lipoprotein value (HDL) was 51.5 mg/dl. Beta‐carotene levels were all normal. Discussion: We conclude that total and LDL cholesterol in anorexia are well within the range of normal, and HDL levels are favorably high. Further, hypercarotenemia was not associated with anorexia nervosa. © 1998 by John Wiley & Sons, Inc. Int J Eat Disord 24: 217–221, 1998.

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