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@ARTICLE{Walton:911611,
author = {Walton, Esther and Bernardoni, Fabio and Batury,
Victoria-Luise and Bahnsen, Klaas and Larivière, Sara and
Abbate-Daga, Giovanni and Andres-Perpiña, Susana and Bang,
Lasse and Bischoff-Grethe, Amanda and Brooks, Samantha J.
and Campbell, Iain C. and Cascino, Giammarco and
Castro-Fornieles, Josefina and Collantoni, Enrico and
D’Agata, Federico and Dahmen, Brigitte and Danner, Unna N.
and Favaro, Angela and Feusner, Jamie D. and Frank, Guido K.
W. and Friederich, Hans-Christoph and Graner, John L. and
Herpertz-Dahlmann, Beate and Hess, Andreas and Horndasch,
Stefanie and Kaplan, Allan S. and Kaufmann, Lisa-Katrin and
Kaye, Walter H. and Khalsa, Sahib S. and LaBar, Kevin S. and
Lavagnino, Luca and Lazaro, Luisa and Manara, Renzo and
Miles, Amy E. and Milos, Gabriella F. and Monteleone,
Alessio Maria and Monteleone, Palmiero and Mwangi, Benson
and O’Daly, Owen and Pariente, Jose and Roesch, Julie and
Schmidt, Ulrike H. and Seitz, Jochen and Shott, Megan E. and
Simon, Joe J. and Smeets, Paul A. M. and Tamnes, Christian
K. and Tenconi, Elena and Thomopoulos, Sophia I. and
Voineskos, Aristotle N. and van Elburg, Annemarie A. and von
Polier, Georg G. and Wierenga, Christina E. and Zucker,
Nancy L. and Jahanshad, Neda and King, Joseph A. and
Thompson, Paul M. and Berner, Laura A. and Ehrlich, Stefan},
title = {{B}rain {S}tructure in {A}cutely {U}nderweight and
{P}artially {W}eight-{R}estored {I}ndividuals {W}ith
{A}norexia {N}ervosa: {A} {C}oordinated {A}nalysis by the
{ENIGMA} {E}ating {D}isorders {W}orking {G}roup},
journal = {Biological psychiatry},
volume = {92},
number = {9},
issn = {0006-3223},
address = {Amsterdam [u.a.]},
publisher = {Elsevier Science},
reportid = {FZJ-2022-04870},
pages = {730 - 738},
year = {2022},
abstract = {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
underweightpatients, others find no differences, or even
increases in patients compared with healthy control
subjects. Recentweight regain before scanning may explain
some of this heterogeneity. To clarify the extent,
magnitude, and de-pendencies of gray matter changes in AN,
we conducted a prospective, coordinated meta-analysis of
multicenterneuroimaging data.METHODS: We analyzed
T1-weighted structural magnetic resonance imaging scans
assessed with standardizedmethods from 685 female patients
with AN and 963 female healthy control subjects across 22
sites worldwide. Inaddition to a case-control comparison, we
conducted a 3-group analysis comparing healthy control
subjects withacutely 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 areawere sizable (Cohen’s d up to 0.95),
widespread, and colocalized with hub regions. Highlighting
the effects of un-dernutrition, these deficits were
associated with lower body mass index in the AN sample and
were less pronouncedin partially weight-restored
patients.CONCLUSIONS: The effect sizes observed for cortical
thickness deficits in acute AN are the largest of any
psychiatricdisorder 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
andunderscore the importance of treatment engagement to
prevent potentially long-lasting structural brain changes
inthis population.},
cin = {INM-7},
ddc = {610},
cid = {I:(DE-Juel1)INM-7-20090406},
pnm = {5253 - Neuroimaging (POF4-525)},
pid = {G:(DE-HGF)POF4-5253},
typ = {PUB:(DE-HGF)16},
pubmed = {36031441},
UT = {WOS:000878185900008},
doi = {10.1016/j.biopsych.2022.04.022},
url = {https://juser.fz-juelich.de/record/911611},
}