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Brain structure in acutely underweight and partially weight-restored individuals with anorexia nervosa: a coordinated analysis by the ENIGMA Eeating Disorders Working Group

Background - The pattern of structural brain abnormalities in anorexia nervosa (AN) is still not well understood. While several studies report substantial deficits in gray matter volume and cortical thickness in acutely underweight patients, others find no differences, or even increases in patients...

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Main Authors: Walton, Esther (Author) , Bernardoni, Fabio (Author) , Batury, Victoria-Luise (Author) , Bahnsen, Klaas (Author) , Larivière, Sara (Author) , Abbate-Daga, Giovanni (Author) , Andres-Perpiña, Susana (Author) , Bang, Lasse (Author) , Bischoff-Grethe, Amanda (Author) , Brooks, Samantha J. (Author) , Campbell, Iain C. (Author) , Cascino, Giammarco (Author) , Castro-Fornieles, Josefina (Author) , Collantoni, Enrico (Author) , D’Agata, Federico (Author) , Dahmen, Brigitte (Author) , Danner, Unna N. (Author) , Favaro, Angela (Author) , Feusner, Jamie D. (Author) , Frank, Guido K. W. (Author) , Friederich, Hans-Christoph (Author) , Graner, John L. (Author) , Herpertz-Dahlmann, Beate (Author) , Hess, Andreas (Author) , Horndasch, Stefanie (Author) , Kaplan, Allan S. (Author) , Kaufmann, Lisa-Katrin (Author) , Kaye, Walter H. (Author) , Khalsa, Sahib S. (Author) , LaBar, Kevin S. (Author) , Lavagnino, Luca (Author) , Lazaro, Luisa (Author) , Manara, Renzo (Author) , Miles, Amy E. (Author) , Milos, Gabriella F. (Author) , Monteleone, Alessio Maria (Author) , Monteleone, Palmiero (Author) , Mwangi, Benson (Author) , O’Daly, Owen (Author) , Pariente, Jose (Author) , Roesch, Julie (Author) , Schmidt, Ulrike H. (Author) , Seitz, Jochen (Author) , Shott, Megan E. (Author) , Simon, Joe J. (Author) , Smeets, Paul A. M. (Author) , Tamnes, Christian K. (Author) , Tenconi, Elena (Author) , Thomopoulos, Sophia I. (Author) , van Elburg, Annemarie A. (Author) , Voineskos, Aristotle N. (Author) , von Polier, Georg G. (Author) , Wierenga, Christina E. (Author) , Zucker, Nancy L. (Author) , Jahanshad, Neda (Author) , King, Joseph A. (Author) , Thompson, Paul M. (Author) , Berner, Laura A. (Author) , Ehrlich, Stefan (Author)
Format: Article (Journal)
Language:English
Published: 3 October 2022
In: Biological psychiatry
Year: 2022, Volume: 92, Issue: 9, Pages: 730-738
ISSN:1873-2402
DOI:10.1016/j.biopsych.2022.04.022
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.biopsych.2022.04.022
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0006322322012902
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Author Notes:Esther Walton, Fabio Bernardoni, Victoria-Luise Batury, Klaas Bahnsen, Sara Larivière, Giovanni Abbate-Daga, Susana Andres-Perpiña, Lasse Bang, Amanda Bischoff-Grethe, Samantha J. Brooks, Iain C. Campbell, Giammarco Cascino, Josefina Castro-Fornieles, Enrico Collantoni, Federico D’Agata, Brigitte Dahmen, Unna N. Danner, Angela Favaro, Jamie D. Feusner, Guido K.W. Frank, Hans-Christoph Friederich, John L. Graner, Beate Herpertz-Dahlmann, Andreas Hess, Stefanie Horndasch, Allan S. Kaplan, Lisa-Katrin Kaufmann, Walter H. Kaye, Sahib S. Khalsa, Kevin S. LaBar, Luca Lavagnino, Luisa Lazaro, Renzo Manara, Amy E. Miles, Gabriella F. Milos, Alessio Maria Monteleone, Palmiero Monteleone, Benson Mwangi, Owen O’Daly, Jose Pariente, Julie Roesch, Ulrike H. Schmidt, Jochen Seitz, Megan E. Shott, Joe J. Simon, Paul A.M. Smeets, Christian K. Tamnes, Elena Tenconi, Sophia I. Thomopoulos, Annemarie A. van Elburg, Aristotle N. Voineskos, Georg G. von Polier, Christina E. Wierenga, Nancy L. Zucker, Neda Jahanshad, Joseph A. King, Paul M. Thompson, Laura A. Berner, and Stefan Ehrlich

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245 1 0 |a Brain structure in acutely underweight and partially weight-restored individuals with anorexia nervosa  |b a coordinated analysis by the ENIGMA Eeating Disorders Working Group  |c Esther Walton, Fabio Bernardoni, Victoria-Luise Batury, Klaas Bahnsen, Sara Larivière, Giovanni Abbate-Daga, Susana Andres-Perpiña, Lasse Bang, Amanda Bischoff-Grethe, Samantha J. Brooks, Iain C. Campbell, Giammarco Cascino, Josefina Castro-Fornieles, Enrico Collantoni, Federico D’Agata, Brigitte Dahmen, Unna N. Danner, Angela Favaro, Jamie D. Feusner, Guido K.W. Frank, Hans-Christoph Friederich, John L. Graner, Beate Herpertz-Dahlmann, Andreas Hess, Stefanie Horndasch, Allan S. Kaplan, Lisa-Katrin Kaufmann, Walter H. Kaye, Sahib S. Khalsa, Kevin S. LaBar, Luca Lavagnino, Luisa Lazaro, Renzo Manara, Amy E. Miles, Gabriella F. Milos, Alessio Maria Monteleone, Palmiero Monteleone, Benson Mwangi, Owen O’Daly, Jose Pariente, Julie Roesch, Ulrike H. Schmidt, Jochen Seitz, Megan E. Shott, Joe J. Simon, Paul A.M. Smeets, Christian K. Tamnes, Elena Tenconi, Sophia I. Thomopoulos, Annemarie A. van Elburg, Aristotle N. Voineskos, Georg G. von Polier, Christina E. Wierenga, Nancy L. Zucker, Neda Jahanshad, Joseph A. King, Paul M. Thompson, Laura A. Berner, and Stefan Ehrlich 
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520 |a Background - The pattern of structural brain abnormalities in anorexia nervosa (AN) is still not well understood. While several studies report substantial deficits in gray matter volume and cortical thickness in acutely underweight patients, others find no differences, or even increases in patients compared with healthy control subjects. Recent weight regain before scanning may explain some of this heterogeneity. To clarify the extent, magnitude, and dependencies of gray matter changes in AN, we conducted a prospective, coordinated meta-analysis of multicenter neuroimaging data. - Methods - We analyzed T1-weighted structural magnetic resonance imaging scans assessed with standardized methods from 685 female patients with AN and 963 female healthy control subjects across 22 sites worldwide. In addition to a case-control comparison, we conducted a 3-group analysis comparing healthy control subjects with acutely underweight AN patients (n = 466) and partially weight-restored patients in treatment (n = 251). - Results - In AN, reductions in cortical thickness, subcortical volumes, and, to a lesser extent, cortical surface area were sizable (Cohen’s d up to 0.95), widespread, and colocalized with hub regions. Highlighting the effects of undernutrition, these deficits were associated with lower body mass index in the AN sample and were less pronounced in partially weight-restored patients. - Conclusions - The effect sizes observed for cortical thickness deficits in acute AN are the largest of any psychiatric disorder investigated in the ENIGMA (Enhancing Neuro Imaging Genetics through Meta Analysis) Consortium to date. These results confirm the importance of considering weight loss and renutrition in biomedical research on AN and underscore the importance of treatment engagement to prevent potentially long-lasting structural brain changes in this population. 
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700 1 |a Larivière, Sara  |e VerfasserIn  |4 aut 
700 1 |a Abbate-Daga, Giovanni  |e VerfasserIn  |4 aut 
700 1 |a Andres-Perpiña, Susana  |e VerfasserIn  |4 aut 
700 1 |a Bang, Lasse  |e VerfasserIn  |4 aut 
700 1 |a Bischoff-Grethe, Amanda  |e VerfasserIn  |4 aut 
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700 1 |a Cascino, Giammarco  |e VerfasserIn  |4 aut 
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700 1 |a Collantoni, Enrico  |e VerfasserIn  |4 aut 
700 1 |a D’Agata, Federico  |e VerfasserIn  |4 aut 
700 1 |a Dahmen, Brigitte  |e VerfasserIn  |4 aut 
700 1 |a Danner, Unna N.  |e VerfasserIn  |4 aut 
700 1 |a Favaro, Angela  |e VerfasserIn  |4 aut 
700 1 |a Feusner, Jamie D.  |e VerfasserIn  |4 aut 
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700 1 |a Hess, Andreas  |e VerfasserIn  |4 aut 
700 1 |a Horndasch, Stefanie  |e VerfasserIn  |4 aut 
700 1 |a Kaplan, Allan S.  |e VerfasserIn  |4 aut 
700 1 |a Kaufmann, Lisa-Katrin  |e VerfasserIn  |4 aut 
700 1 |a Kaye, Walter H.  |e VerfasserIn  |4 aut 
700 1 |a Khalsa, Sahib S.  |e VerfasserIn  |4 aut 
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700 1 |a Lazaro, Luisa  |e VerfasserIn  |4 aut 
700 1 |a Manara, Renzo  |e VerfasserIn  |4 aut 
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700 1 |a Mwangi, Benson  |e VerfasserIn  |4 aut 
700 1 |a O’Daly, Owen  |e VerfasserIn  |4 aut 
700 1 |a Pariente, Jose  |e VerfasserIn  |4 aut 
700 1 |a Roesch, Julie  |e VerfasserIn  |4 aut 
700 1 |a Schmidt, Ulrike H.  |e VerfasserIn  |4 aut 
700 1 |a Seitz, Jochen  |e VerfasserIn  |4 aut 
700 1 |a Shott, Megan E.  |e VerfasserIn  |4 aut 
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700 1 |a Wierenga, Christina E.  |e VerfasserIn  |4 aut 
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700 1 |a Berner, Laura A.  |e VerfasserIn  |4 aut 
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