Physical activity and restlessness correlate with leptin levels in patients with adolescent anorexia nervosa.

Abstract:

BACKGROUND:In food-restricted rats, leptin suppresses semistarvation-induced hyperactivity (SIH) and decreases exploratory behavior. Leptin ameliorates anxiety-related movement in ob/ob mice. In this study, we assessed the relationship between leptin and qualities of physical activity and restlessness in acute anorexia nervosa (AN). METHODS:Serum leptin, body mass index (BMI), % body fat, and self- and expert-ratings of qualities of physical activity and restlessness were assessed in 26 inpatients with acute AN. Accelerometry was also performed. Regression analyses were used to predict activity and restlessness using BMI, % body fat, and leptin levels as predictor variables. RESULTS:Leptin levels significantly contributed to the prediction of all measures of activity and restlessness. CONCLUSIONS:This is the first study linking hypoleptinemia in AN patients to subjective and objective measures of higher physical activity and motor and inner restlessness. Leptin may directly or indirectly (or both) influence behaviors and cognitions contributing to hyperactivity and motor restlessness.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Holtkamp K,Herpertz-Dahlmann B,Hebebrand K,Mika C,Kratzsch J,Hebebrand J

doi

10.1016/j.biopsych.2005.11.001

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

311-3

issue

3

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(05)01271-0

journal_volume

60

pub_type

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