The Psychobiology of Anorexia Nervosa 1984
DOI: 10.1007/978-3-642-69594-0_6
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Effect of Starvation on Central Neurotransmitter Systems and on Endocrine Regulation

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Cited by 9 publications
(9 citation statements)
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“…MOPEG concentration in the cerebrospinal fluid of anorectic patients is reduced indicating that not only peripheral but also central noradrenergic activity is reduced (Kaye et al, 1984). Peripheral NE secretion is stimulated during exercise in anorectic patients although this increase is much smaller than in healthy controls (Nudel et al, 1984;Pirke et al, 1989). This depression of norepinephrine turnover is most likely a consequence of starvation, since peripheral and central norepinephrine turnover is reduced in the starved rat (Landsberg and Young, 1978;Pirke et al, 1984;Schweiger et al, 1985a, b).…”
Section: Discussionmentioning
confidence: 90%
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“…MOPEG concentration in the cerebrospinal fluid of anorectic patients is reduced indicating that not only peripheral but also central noradrenergic activity is reduced (Kaye et al, 1984). Peripheral NE secretion is stimulated during exercise in anorectic patients although this increase is much smaller than in healthy controls (Nudel et al, 1984;Pirke et al, 1989). This depression of norepinephrine turnover is most likely a consequence of starvation, since peripheral and central norepinephrine turnover is reduced in the starved rat (Landsberg and Young, 1978;Pirke et al, 1984;Schweiger et al, 1985a, b).…”
Section: Discussionmentioning
confidence: 90%
“…Peripheral NE secretion is stimulated during exercise in anorectic patients although this increase is much smaller than in healthy controls (Nudel et al, 1984;Pirke et al, 1989). This depression of norepinephrine turnover is most likely a consequence of starvation, since peripheral and central norepinephrine turnover is reduced in the starved rat (Landsberg and Young, 1978;Pirke et al, 1984;Schweiger et al, 1985a, b). We may speculate that reduced NE turnover might be one internal stimulus for the induction of running.…”
Section: Discussionmentioning
confidence: 95%
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“…Previous data obtained in animal models suggest that nutritional factors and percentage of body fat are also relevant to the failure of the GnRH neurosecretory mechanism, with depression of gonadotropin secretion independently of ovarian presence (4,6). No studies in humans have as yet provided clear information on the relevance of nutritional status to the central mechanism underlying diet-induced hypogonadism, in particular in AN (2,8,9,33). In this context, the study of chronic undernourished AN patients, with low plasma levels of endogenous estrogen and without estrogen replacement therapy, represents a useful approach for evaluating the effects of endogenous alteration of pulsatile GnRH secretion on gonadotropin isoform secretion.…”
Section: Discussionmentioning
confidence: 99%
“…Although a clear relationship exists between menstrual dysfunction, weight loss and malnutrition, amenorrhea can predate weight loss and may persist despite weight gain (2,3). An abnormality in the central regulation of the gonadotropin-releasing hormone (GnRH) pulse-generation system has been described in both undernourished animal models (4)(5)(6) and humans with AN, with a reduced gonadotropin pulsatility and an age-inappropriate gonadotropin secretion pattern (3,(7)(8)(9)(10). Pulsatile GnRH therapy in AN patients has been reported to induce the quantitative restoration of both episodic luteinizing hormone (LH) secretion and pituitary LH responsiveness to GnRH (11).…”
Section: Introductionmentioning
confidence: 99%