Pulmonary complications of eating disorders: a literature review

Journal of Eating Disorders

Review

Allison Nitsch¹  Philip Mehler²  Mark Kearns³ 

[1] ACUTE Center for Eating Disorders at Denver Health, 777 Bannock Street, 80204, Denver, CO, USA;Department of Medicine, University of Colorado School of Medicine, 13001 E 17th Pl, 80045, Aurora, CO, USA;ACUTE Center for Eating Disorders at Denver Health, 777 Bannock Street, 80204, Denver, CO, USA;Department of Medicine, University of Colorado School of Medicine, 13001 E 17th Pl, 80045, Aurora, CO, USA;Eating Recovery Center, 7351 E Lowry Blvd, 80230, Denver, CO, USA;Department of Pulmonary and Critical Care Medicine, Denver Health, Denver, USA;Department of Medicine, University of Colorado School of Medicine, 13001 E 17th Pl, 80045, Aurora, CO, USA;

关键词: Medical complications;    Pulmonary;    Anorexia nervosa;    Bulimia nervosa;    Avoidant/restrictive food intake disorder;    Binge eating disorder;    Rumination;    Pica;   

DOI  :  10.1186/s40337-023-00735-w

 received in 2022-08-31, accepted in 2023-01-11,  发布年份 2023

来源: Springer

【 摘 要 】

The medical complications of eating disorders (EDs) have been described in the literature; however, the pulmonary system has historically been described as relatively spared from the ravages of eating disorders and thus neglected in the literature. Here we review the pulmonary complications that have been described in the literature, including the effects of starvation on the lungs of nutritionally deprived animals and patients with anorexia nervosa. There is clear evidence of weakness of respiratory muscles with starvation in both groups. However, there is discordance in the literature as to whether starvation results in “nutritional emphysema,” and if so, by what mechanism and at what degree of malnutrition it develops. We also explore the growing concern for the risk of non-tuberculosis mycobacterium infection as well as risk for pneumomediastinum and pneumothorax in patients with restrictive EDs. From the limited literature, it is clear the lungs, in fact, are not spared and that further research is needed to fully understand the full extent of pulmonary complications instigated by EDs.

【 授权许可】

CC BY   
© The Author(s) 2023