Evidence mapPaperPMID 34426039Full record

ReviewTrends in endocrinology and metabolism: TEM2021

Reframing anorexia nervosa as a metabo-psychiatric disorder.

Cynthia M Bulik, Ian M Carroll, Phil Mehler

Abstract readReview
In one paragraph

Review in Trends in endocrinology and metabolism: TEM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Recovery From Anorexia Nervosa: A Concept Analysis.Journal of advanced nursing · 2026
    Review
  7. Article
  8. Increasing visibility of the neurobiology of eating disorders in youth - a commentary on Hagan et al. (2025).Journal of child psychology and psychiatry, and allied disciplines · 2026
    Article
  9. Divergent Roles of Nucleus Accumbens D1- and D2-MSNs in Regulating Hedonic Feeding.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Anorexia nervosa: 150 years of critical theory.Journal of eating disorders · 2026
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Drivers of hypoglycaemia in anorexia nervosa: Clinical severity, BMI, and illness duration.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Cynthia M BulikDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Electronic address: cynthia_bulik@med.unc.edu.
Ian M CarrollDepartment of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Phil MehlerACUTE at Denver Health, Denver, CO, USA; Eating Recovery Center, Denver, CO, USA; University of Colorado School of Medicine, Denver, CO, USA.

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · UNIV OF NORTH CAROLINA CHAPEL HILL · 1999 to 2025
$5.9M
Predicting the multi-omic impact of psychiatric GWAS associationsR01MH118278 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Laura Marianne Huckins · 2021 to 2022
$1.4M
1/7 PGC: Advancing Discovery and ImpactR01MH124871 · UNIV OF NORTH CAROLINA CHAPEL HILL · 2025 to 2025
$719k
NIDDK NIH HHS P30 DK056350NIMH NIH HHS R01 MH105684NIMH NIH HHS R01 MH118278NIMH NIH HHS R01 MH119084NIMH NIH HHS R01 MH120170NIMH NIH HHS R01 MH124871NIMH NIH HHS R21 MH115397NIMH NIH HHS U01 MH109528
6 · The paper itself

Abstract

Anorexia nervosa (AN) is a serious and often fatal illness. Despite decades of research, investigators have failed to adequately advance our understanding of the biological aspects of AN that could inform the development of effective interventions. Genome-wide association studies are revealing the important role of metabolic factors in AN, and studies of the gastrointestinal tract are shedding light on disruptions in enteric microbial communities and anomalies in gut morphology. In this opinion piece, we review the state of the science through the lens of the clinical presentation of illness. We project how the integration of rigorous science in genomics and microbiology, in collaboration with experienced clinicians, has the potential to markedly enhance treatment outcome via precision interventions.

Indexed as

Anorexia NervosaMicrobiotaGastrointestinal TractGenome-Wide Association StudyGenomicsHumanseating disordersendocrinologygeneticsGWASmetabolismmicrobiome

Identifiers

PMID34426039
PMCPMC8717872

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.