Peripheral Vascular Abnormalities in Anorexia Nervosa: A Psycho-Neuro-Immune-Metabolic Connection

Immune, neuroendocrine, and autonomic nervous system dysregulation in anorexia nervosa lead to cardiovascular complications that can potentially result in increased morbidity and mortality. It is suggested that a complex non-invasive assessment of cardiovascular autonomic regulation—cardiac vagal co...

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Main Authors: Maria Maddalena Sirufo, Lia Ginaldi, Massimo De Martinis
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/9/5043
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author Maria Maddalena Sirufo
Lia Ginaldi
Massimo De Martinis
author_facet Maria Maddalena Sirufo
Lia Ginaldi
Massimo De Martinis
author_sort Maria Maddalena Sirufo
collection DOAJ
description Immune, neuroendocrine, and autonomic nervous system dysregulation in anorexia nervosa lead to cardiovascular complications that can potentially result in increased morbidity and mortality. It is suggested that a complex non-invasive assessment of cardiovascular autonomic regulation—cardiac vagal control, sympathetic vascular activity, and cardiovascular reflex control—could represent a promising tool for early diagnosis, personalized therapy, and monitoring of therapeutic interventions in anorexia nervosa particularly at a vulnerable adolescent age. In this view, we recommend to consider in the diagnostic route, at least in the subset of patients with peripheral microvascular symptoms, a nailfold video-capillaroscopy as an easy not invasive tool for the early assessing of possible cardiovascular involvement.
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spelling doaj.art-6a8e2b85e7bb4de5b8eba9dbfa6a56cb2023-11-21T19:00:35ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-05-01229504310.3390/ijms22095043Peripheral Vascular Abnormalities in Anorexia Nervosa: A Psycho-Neuro-Immune-Metabolic ConnectionMaria Maddalena Sirufo0Lia Ginaldi1Massimo De Martinis2Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, ItalyImmune, neuroendocrine, and autonomic nervous system dysregulation in anorexia nervosa lead to cardiovascular complications that can potentially result in increased morbidity and mortality. It is suggested that a complex non-invasive assessment of cardiovascular autonomic regulation—cardiac vagal control, sympathetic vascular activity, and cardiovascular reflex control—could represent a promising tool for early diagnosis, personalized therapy, and monitoring of therapeutic interventions in anorexia nervosa particularly at a vulnerable adolescent age. In this view, we recommend to consider in the diagnostic route, at least in the subset of patients with peripheral microvascular symptoms, a nailfold video-capillaroscopy as an easy not invasive tool for the early assessing of possible cardiovascular involvement.https://www.mdpi.com/1422-0067/22/9/5043anorexia nervosaneuroendocrine dysregulationcytokinescardiovascular diseasescapillaroscopynailfoldcapillaroscopy
spellingShingle Maria Maddalena Sirufo
Lia Ginaldi
Massimo De Martinis
Peripheral Vascular Abnormalities in Anorexia Nervosa: A Psycho-Neuro-Immune-Metabolic Connection
International Journal of Molecular Sciences
anorexia nervosa
neuroendocrine dysregulation
cytokines
cardiovascular diseases
capillaroscopy
nailfoldcapillaroscopy
title Peripheral Vascular Abnormalities in Anorexia Nervosa: A Psycho-Neuro-Immune-Metabolic Connection
title_full Peripheral Vascular Abnormalities in Anorexia Nervosa: A Psycho-Neuro-Immune-Metabolic Connection
title_fullStr Peripheral Vascular Abnormalities in Anorexia Nervosa: A Psycho-Neuro-Immune-Metabolic Connection
title_full_unstemmed Peripheral Vascular Abnormalities in Anorexia Nervosa: A Psycho-Neuro-Immune-Metabolic Connection
title_short Peripheral Vascular Abnormalities in Anorexia Nervosa: A Psycho-Neuro-Immune-Metabolic Connection
title_sort peripheral vascular abnormalities in anorexia nervosa a psycho neuro immune metabolic connection
topic anorexia nervosa
neuroendocrine dysregulation
cytokines
cardiovascular diseases
capillaroscopy
nailfoldcapillaroscopy
url https://www.mdpi.com/1422-0067/22/9/5043
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AT liaginaldi peripheralvascularabnormalitiesinanorexianervosaapsychoneuroimmunemetabolicconnection
AT massimodemartinis peripheralvascularabnormalitiesinanorexianervosaapsychoneuroimmunemetabolicconnection