<b>Assessment of Corneal Parameters in Patients with Constitutional Thinness Using Scheimpflug Imaging</b>

Güneş, Alime; Baş, Funda Yıldırım; Arslan, Bahriye; Tök, Levent; Tök, Özlem; Salman, Zeliha

doi:10.1080/08820538.2016.1188127

Cited by 6 publications

(24 citation statements)

References 19 publications

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“…Of the thirty-five studies selected in the systematic review, twenty-six (7)(8)(9)(10)(11)16,17,(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)32,33,36,37,40,41,43,45,46) enrolled females exclusively, three (18,34,39) enrolled males exclusively and six (30,31,35,38,42,44) enrolled both females and males (Table 1). Of these thirty-five studies, thirty-two (7)(8)(9)(10)(11)(16)(17)(18)(19)(20)(21)(22)(23)(24)…”

Section: Population Characteristicsmentioning

confidence: 99%

“…Weight history was considered in twenty-five (7-10,16-19,21-23, 27,28,30,31,35-39,41-44,46) of the thirty-five studies: four studies (16,38,43,46) reported a stable body weight for a certain period of time before the experiment (ranging from 1 week (38) to 2 years (16,43,46) ), and twenty-one studies (7)(8)(9)(10)(17)(18)(19)(21)(22)(23)27,28,30,31,(35)(36)(37)39,41,42,44) reported it for a longer period throughout the growth period and/or the post-pubertal period. Weight history was not considered in the ten (11,20,(24)(25)(26)(32)(33)(34)40,45) remaining studies.…”

Section: Diagnosis Of Constitutional Thinnessmentioning

confidence: 99%

“…Of the thirty-five studies, thirty-two (7)(8)(9)(10)(11)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)45) considered the absence of eating disorders in the inclusion criteria of CT and three (43,44,46) did not consider it. The absence of eating disorders was implicitly confirmed by the presence of a group of patients with AN in twenty-three studies (7-9,11,16-18, 20-25,27,28,30,33,35,36,40-42,45) .…”

Section: Consideration Of the Absence Of Eating Disorders In Individumentioning

confidence: 99%

“…The Composite International Diagnostic Interview (49) was used for one study (35) , the Structured Clinical Interview for DSM-III-R was used for two studies (37,39) and an interview to detect potential lifetime eating disorders in accordance with the criteria of the DSM-IV was used for one study (42) . The twenty-six remaining studies (7)(8)(9)11,(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(32)(33)(34)38,40,41,43,44,46) did not mentioned the use of questionnaires or interviews. Three studies (10,19,31) presented the following criteria as inclusion criteria: normal insulin-like growth factor-1, oestradiol and free triiodothyronine.…”

Section: Consideration Of the Absence Of Eating Disorders In Individumentioning

confidence: 99%

“…Among them, two studies (10,31) also added normal mean cortisol and non-blunted leptin as inclusion criteria. Under-nutritional markers were not assessed in the thirty-two remaining studies (7)(8)(9)11,(16)(17)(18)(20)(21)(22)(23)(24)(25)(26)(27)(28)30,(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46) .…”

Section: Consideration Of the Absence Of Eating Disorders In Individumentioning

confidence: 99%

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Definition and diagnosis of constitutional thinness: a systematic review

et al. 2020

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The existing literature about the definition and diagnostic criteria of constitutional thinness (CT) appears equivocal. The present work systematically reviewed the criteria used in the diagnosis of adult individuals with CT (PROSPERO registration number: CRD42019138236). Five electronic bibliographic databases were searched between December 2018 and November 2019: MEDLINE, Embase, CENTRAL (Cochrane Library), Google Scholar and Clinical Trials. Search terms were combined with Medical Subject Headings terms. The search strategy included any clinical trials that enrolled adults with CT. Studies were systematically excluded if the state of thinness was not due to a well-identified constitutional origin. From the 689 references after duplicate removal, 199 studies were excluded based on title and 164 based on abstract. According to the inclusion and exclusion criteria, 291 other studies were removed. Finally, thirty-five studies remained at the end of the process. The analysis of these studies showed high heterogeneity in the diagnostic criteria of CT. A real need emerged to adopt a common terminology and to systematically exclude potential non-constitutional origins of thinness such as eating disorders, associated pathology or over-exercising, with validated tools. Weight history, physiological menses and weight gain resistance are also important criteria to consider. The present systematic review revealed that our medical and scientific approaches of CT need to be harmonised in terms of terminology and diagnostic criteria. Although further studies are needed, we finally proposed recommendations and a decision tree to help in the recognition and diagnosis of CT.

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