Background: Disturbances of leptin, neuropeptide Y (NPY), and peptide YY (P
YY) have been found in women who are ill with anorexia or bulimia nervosa.
it is not certain whether peptide disturbances are cause or consequence of
eating disorders.
Methods: Plasma leptin and cerebrospinal fluid leptin, NPY, and PW concentr
ations were measured ill women who were recovered from anorexia or bulimia
nervosa to determine, whether alterations persisted after recovery.
Results: NPY, PYY, and leptin concentrations were similar across all diagno
stic groups.
Conclusions: Alterations in NPY, PYY, and serum leptin concentrations are p
robably secondary to pathological eating behaviors. Alterations of these pe
ptides are unlikely to be trait-related disturbances that contribute to the
etiology of eating disorders. (C) 1999 Society of Biological Psychiatry.