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High Risk of Osteoporosis in Male Eating Disordered Patients

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About the Course

Osteoporosis has traditionally been considered a female problem.
This study’s purpose is to evaluate bone mineral density (BMD) in males with eating disorders.
Method: Charts of 70 consecutive males admitted to an eating disorder program were reviewed. Females admitted during the same time period were used for comparison. BMD was measured
by dual-energy X-ray absorptiometry.
Results: Thirty-six percent (19/53) had osteopenia and 26% (14/53) had osteoporosis at the lumbar spine. A disproportionate
number of males with anorexia restricting or binge/purge subtype (ANR/ANB) had osteoporosis, as well as those of older age, lower weights, and longer illness duration. BMD for ANR and ANB
males was significantly lower than females (p 5 .02 and p 5 .03, respectively). In multivariate stepwise linear and logistic regression, lowest BMI and illness duration predicted lumbar Zscores.
Conclusion: Males with ANR/ANB often have severe bone disease, which is worse than females, and is best predicted by a
patient’s lowest BMI and illness duration.

Content for this course is based on an article from the International Journal of Eating Disorders, the official journal of the Association for Eating Disorders.

This course is based on the reading-based online article, High Risk of Osteoporosis in Male Eating Disordered Patients created by Phil Mehler, MD and Arnold Anderson, MD


International Journal of Eating Disorders/ Wiley Publishing

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Phil Mehler, MD

Philip S. Mehler, MD is the Chief Medical Officer of Denver Health. He has been on staff at Denver Health for more than 25 years during which time he has developed an expertiese in treating the medical complications of anorexia nervosa and bulimia. He has written two books on this subject and has published close to 200 scientific publications. He is a Professor of Medicine at the Univeristy of Colorado Health Sciences Center.

Arnold Anderson, MD

Arnold Andersen, MD is the Director of the Eating Disorder Unit at the University of Iowa Hospital. He has a national reputation as a long-time leader in the area of psychiatric treatment for patient with anorexia nervosa and bulimia. Dr. Andersen has published numerous textbooks and scientific manuscripts on this subject. He is a Professor of Psychiatry at the University of Iowa School of Medicine.

Course Creator

Dan Rebek, Ph.D.

Recommended For:

Mental health workers, dietitians, and physicians caring for patients with anorexia nervosa.

Course Objectives:

After taking this course, you should be able to:

  1. Know the definitions of osteoporisis
  2. Understand the effective therapeutic modalities to treat osteoporosis in patients with anorexia nervosa
  3. Recognize that male patients with anorexia nervosa develop severe osteoporosis

Disclosure to Learners

Disclosure of Relevant Financial Relationships

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Commercial support

There is no commercial support for this distance-learning course.

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Course Retired
Course Number 101491
1 CE credit hour
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  • Reading-Based Online
Exam Fee $5.97
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