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Updated: Jun 21, 2026

Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
Published on: January 29, 2018
[Bone metabolism and fracture risk in anorexia nervosa]
María Luisa Fernández Soto1, Amalia González Jiménez, Mariela Varsavsky
1Servicio de Endocrinología y Nutrición, Unidad de Nutrición Clínica y Dietética, Hospital Universitario San Cecilio, Granada, España. mlfernan@ugr.es
Abstract:
The prevalence of anorexia nervosa has increased in recent years and a large proportion of patients with this disorder have low bone density at diagnosis and, therefore, an increased risk of early and late fractures. The mechanism of bone loss in anorexia nervosa is not well understood, yet it likely includes hypogonadism, alterations of the GH-IGF-1 axis and hypercortisolism. DEXA is the most effective tool for assessing and monitoring bone density in these patients, and it is important to improve or at least stabilize bone metabolism in those with low bone mass. No agent has yet been proven to be effective in improving bone density. However, sustained weight recovery and menses besides an adequate intake of calcium and vitamin D are recommended to optimize the conditions in which bone mass accrual may occur.
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