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1 The role of nutrition intervention for increasing body weight in college girls with BMI less than 18. Yukiko Miyake

2 BMI18 1

3 BMI / NY DSMIV WHO ICD

4 17 20 BMI ) BMI )6)7)8)9) 10 3

5 (4 5 ) kgBMI 21.2 BMI BMI BMI BMI BMI BMI

6

7 EAT-26Eating Attitudes Test [ ] 11)12) 1

8 [ ] [ ] [2005 ] ) kcal 50g g 10.5g BMIBody Mass Index 14) 27 7

9 18 1 BMI BMI

10 Akselrod HF LF LF LF LF LF HF LF /HF BMI 18 9

11 BMI LF/HF LF/HF LF/HF HPA CRH 10

12 BMI BMI GnRH 16 BMI NPY Y AgRH HPA TSH CRH HPA 11

13 10 12 BMI BMI 17 BMI 12

14 13

15 1) Becker AE, Grinspoon SK, Klibanski A, Herzog DB,. Eating disorder. New England Journal of Medicine. 340: (1999) ) Position of the American dietetic association: Nutrition intervention in the treatment of anorexia nervosa, bulmina nervosa, and eating disorders not otherwise specified(ednos). J. Amer. Dietetic Association. 101: (2001) ) No (2004) 7) VOL.18No VOL.18 No ) ) ) no ) [2005 ] ) ) Akselrod S, Gordon D, Ubel FA, et al. Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science.213: (1981). 16) Chan JL, Heist K, Depaoli AM, et al. The role of falling leptin levels in the neuroendocrine and metabolic adaptation to short-term starvation in healthy men. 14

16 Journal of Clinical Investigation. 111: (2003) 17) Belmarker,RH and Agam G. Major depressive disorder. New England Journal of Medicine. 358: (2008) 15

17 eating disorder ; ED anorexia nervosa ; AN bulimia nervosa ; BN AN BN AN BN AN 1972 Feighner BN 1979 Russell DSM WHO ICD AN BN 5 AN DSM A

18 85 B. C. D. AN-R AN-BP WHO ICD

19 15 BMI17.5 Garner Garfinkel

20 comorbidity DSM- ICD-10 DSM- restricting type ;AN-R binge-eatingpurging type ; AN-BP BN DSM A. 1 B. C. D. E. 19

21 BN-P BN-NP WHO ICD DSM- BN 20

22 AN AN AN DSM- AN BN DSN- BN AN DSM- purging type ; BN-P non-purging type ; BN-NP AN BN DSM- eating disorder not otherwise specified ; ED-NOS ICD-10 atypical anorexia nervosa atypical bulimia nervosa eating disorder not otherwise specified ; ED-NOSDSM

23 atypical anorexia nervosa atypical bulimia nervosaicd atypical anorexia nervosa atypical bulimia nervosa AN BN 22

24 23

25 24

26 25

27 1) ) ) no

28 cm kg

29 kg 15. kg

30 kg 610kg1115kg1620kg2125kg2630kg30kg

31

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33 44. 32

34 33

35 1. cm kgbmi mmhg

36 35

37 36

38 37

39 38

40 * * * * BMI 39

41 16 BMI

42 BMI 41

43 10 42

44

45

46 16 45

47

48 18 47

49 48 19

50

51 21 50

52 * 22 * * 23 51

53 * * 24 52

54 25 LF/HF 53

55 * * 26LF/HF 54

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