“…For instance, people with anorexia nervosa who are underweight and malnourished have been found to have significantly increased concentrations of NPY in the cerebrospinal fluid compared to normal weight controls, and this change is significantly correlated with the decrease in serum and cerebrospinal fluid leptin concentrations (Kaye et al, 1990, Martinez et al, 1993, Hebebrand et al, 1995, Grinspoon et al, 1996, Baranowska et al, 1997, Ferron et al, 1997and Mantzoros et al, 1997. Moreover, the elevated cerebrospinal fluid NPY levels in people with anorexia nervosa are normalized when their eating behavior and body weight are restored to normal, suggesting that increases in central NPY levels may be a biological adaptation to energy deficit in humans (Kaye et al, 1990 andGendall et al, 1999) as well as in rodents.…”