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Abstract
Caloric requirements for weight gain in subgroups of anorectic patients (anorectic
restrictors, anorectic binge-purgers) and weight maintenance in subgroups of anorectic
and bulimic patients (bulimics with and without a prior history of anorexia nervosa)
were studied in a total of 36 patients. No significant differences were found between
subgroups of anorectic patients either in calories to gain weight or to maintain a
normal weight. Bulimic patients, as a group, were found to require significantly more
calories than the group of anorectic patients to maintain a normal weight. Bulimic
patients with a prior history of anorexia nervosa were found to require more calories
for weight maintenance than bulimics with no such prior history. In the entire eating
disorder population, there was a significant negative correlation between highest
premorbid body mass index (BMI) and calories required to maintain weight. These findings
suggest that differences in energy metabolism may be present in the eating disorder
subgroups.
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Article info
Publication history
Received in revised form:
February 3,
1987
Received:
August 30,
1986
The authors gratefully acknowledge the assistance of Noelle Strauss R.N. and Angela Puglisi.Identification
Copyright
© 1987 Published by Elsevier Inc.
