1. Fatty Acids and Their Lipogenic Enzymes in Anorexia Nervosa Clinical Subtypes.
- Author
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Nguyen, Nhien, Woodside, D, Lam, Eileen, Quehenberger, Oswald, German, J, and Shih, Pei-An
- Subjects
anorexia nervosa ,desaturases ,elongases ,fatty acids ,Humans ,Female ,Anorexia Nervosa ,Adult ,Fatty Acids ,Young Adult ,Lipogenesis ,Eicosapentaenoic Acid ,Lauric Acids ,Fatty Acid Elongases ,Adolescent ,Fatty Acid Desaturases ,Case-Control Studies ,Fatty Acids ,Unsaturated - Abstract
Disordered eating behavior differs between the restricting subtype (AN-R) and the binging and purging subtype (AN-BP) of anorexia nervosa (AN). Yet, little is known about how these differences impact fatty acid (FA) dysregulation in AN. To address this question, we analyzed 26 FAs and 7 FA lipogenic enzymes (4 desaturases and 3 elongases) in 96 women: 25 AN-R, 25 AN-BP, and 46 healthy control women. Our goal was to assess subtype-specific patterns. Lauric acid was significantly higher in AN-BP than in AN-R at the fasting timepoint (p = 0.038) and displayed significantly different postprandial changes 2 h after eating. AN-R displayed significantly higher levels of n-3 alpha-linolenic acid, stearidonic acid, eicosapentaenoic acid (EPA), docosapentaenoic acid, and n-6 linoleic acid and gamma-linolenic acid compared to controls. AN-BP showed elevated EPA and saturated lauric acid compared to controls. Higher EPA was associated with elevated anxiety in AN-R (p = 0.035) but was linked to lower anxiety in AN-BP (p = 0.043). These findings suggest distinct disordered eating behaviors in AN subtypes contribute to lipid dysregulation and eating disorder comorbidities. A personalized dietary intervention may improve lipid dysregulation and enhance treatment effectiveness for AN.
- Published
- 2024