Weight Loss and the Heart

Schocken, Douglas D.; Holloway, John; Powers, Pauline S.

doi:10.1001/archinte.1989.00390040085017

Cited by 93 publications

(19 citation statements)

References 57 publications

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“…Cardiovascular complications of anorexia and bulimia nervosa include mitral valve prolapse, a decreased size of the heart, bradycardia, hypotension, a prolonged QT segment and cardiac arrhythmia (Schocken, Holloway, & Powers, 1989). Probably most are related to electrolyte disturbances, being found most commonly in emaciated patients who vomit or purge (Hall et al, 1989).…”

Section: Deleterious Effects Of Excessive Physical Activitymentioning

confidence: 99%

Excessive physical activity in dieting disorder patients: Proposals for a supervised exercise program

Beumont¹,

Arthur²,

Russell³

et al. 1994

Int. J. Eat. Disord.

203

117

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A relationship between starvation and hyperactivity has been observed in animal models, in experiments with human subjects, and in dieting disorder patients. Since the earliest descriptions of anorexia nervosa, excessive physical activity has figured prominently as a symptom of the illness, yet little attention has been directed towards this phenomenon. The aims of this paper are to review the published literature, to report our experience of the role of physical over activity in the clinical presentation of dieting disorders, to discuss its implications for treatment, and to propose a supervised exercise program by which over activity may be addressed specifically in the treatment of these patients. © 1994 by John Wiley & Sons, Inc.

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Section: Deleterious Effects Of Excessive Physical Activitymentioning

confidence: 99%

Excessive physical activity in dieting disorder patients: Proposals for a supervised exercise program

Beumont¹,

Arthur²,

Russell³

et al. 1994

Int. J. Eat. Disord.

203

117

View full text Add to dashboard Cite

show abstract

“…During the past decade, several reports have described the refeeding syndrome in patients with anorexia nervosa (AN; Beaumont & Large, 1991;Schocken, Holloway, & Powers, 1989). Most reports have described patients who developed the syndrome secondary to refeeding with total parenteral nutrition (TPN).…”

Section: Introductionmentioning

confidence: 99%

Hypophosphatemia secondary to oral refeeding in anorexia nervosa

Fisher

Simpser

Schneider

2000

Int. J. Eat. Disord.

103

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“…At one extreme of clinical cardiac function, Powers (1982) has reported several patients who developed congestive heart failure during the course of nutritional rehabilitation. Schocken, Holloway, & Powers (1989) have recently summarized evidence for cardiac abnormalities and decompensation with anorexia nervosa and starvation, and during their treatment. The present study sought to evaluate cardiac function at several points during the course of weight restoration, including early intermediate stages.…”

mentioning

confidence: 99%

Cardiac function during weight restoration in anorexia nervosa

Powers

Schocken

Feld

et al. 1991

Int. J. Eat. Disord.

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Fifteen anorexia nervosa patients were evaluated on hospitalization at their lowest weights; 10 were restudied after 25% of their weight deficit had been restored and five at 75% weight restoration. Cardiac function improved with weight gain, but different aspects of cardiac performance varied in their course of recovery. Restoration of normal cardiac rhythm occurred early in weight gain. Left ventricular mass index assessed by echocardiogram increased significantly by 25% weight restoration, while other echocardiographic abnormalities, including mitral valve prolapse, did not change markedly during weight recovery. Overall functional exercise capacity improved, but not until 75% of weight restoration. Consistent with the concept that systolic function lags in recovery, resting left ventricular ejection fraction (LVEF) actually demonstrated a trend to decline by the time 25% of the weight deficit was restored.

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Weight Loss and the Heart

Cited by 93 publications

References 57 publications

Excessive physical activity in dieting disorder patients: Proposals for a supervised exercise program

Excessive physical activity in dieting disorder patients: Proposals for a supervised exercise program

Hypophosphatemia secondary to oral refeeding in anorexia nervosa

Cardiac function during weight restoration in anorexia nervosa

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