Cargando…
Menstruation disorders in adolescents with eating disorders – target body mass index percentiles for their resolution
OBJECTIVE: To analyse the progression of body mass index in eating disorders and to determine the percentile for establishment and resolution of the disease. METHODS: A retrospective descriptive cross-sectional study. Review of clinical files of adolescents with eating disorders. RESULTS: Of the 62...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Instituto Israelita de Ensino e Pesquisa Albert Einstein
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4891159/ https://www.ncbi.nlm.nih.gov/pubmed/25003922 http://dx.doi.org/10.1590/S1679-45082014AO2942 |
_version_ | 1782435235046096896 |
---|---|
author | Vale, Beatriz Brito, Sara Paulos, Lígia Moleiro, Pascoal |
author_facet | Vale, Beatriz Brito, Sara Paulos, Lígia Moleiro, Pascoal |
author_sort | Vale, Beatriz |
collection | PubMed |
description | OBJECTIVE: To analyse the progression of body mass index in eating disorders and to determine the percentile for establishment and resolution of the disease. METHODS: A retrospective descriptive cross-sectional study. Review of clinical files of adolescents with eating disorders. RESULTS: Of the 62 female adolescents studied with eating disorders, 51 presented with eating disorder not otherwise specified, 10 anorexia nervosa, and 1 bulimia nervosa. Twenty-one of these adolescents had menstrual disorders; in that, 14 secondary amenorrhea and 7 menstrual irregularities (6 eating disorder not otherwise specified, and 1 bulimia nervosa). In average, in anorectic adolescents, the initial body mass index was in 75th percentile; secondary amenorrhea was established 1 month after onset of the disease; minimum weight was 76.6% of ideal body mass index (at 4th percentile) at 10.2 months of disease; and resolution of amenorrhea occurred at 24 months, with average weight recovery of 93.4% of the ideal. In eating disorder not otherwise specified with menstrual disorder (n=10), the mean initial body mass index was at 85th percentile; minimal weight was in average 97.7% of the ideal value (minimum body mass index was in 52nd percentile) at 14.9 months of disease; body mass index stabilization occured at 1.6 year of disease; and mean body mass index was in 73rd percentile. Considering eating disorder not otherwise specified with secondary amenorrhea (n=4); secondary amenorrhea occurred at 4 months, with resolution at 12 months of disease (mean 65th percentile body mass index). CONCLUSION: One-third of the eating disorder group had menstrual disorder – two-thirds presented with amenorrhea. This study indicated that for the resolution of their menstrual disturbance the body mass index percentiles to be achieved by female adolescents with eating disorders was 25–50 in anorexia nervosa, and 50–75, in eating disorder not otherwise specified. |
format | Online Article Text |
id | pubmed-4891159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
record_format | MEDLINE/PubMed |
spelling | pubmed-48911592016-08-10 Menstruation disorders in adolescents with eating disorders – target body mass index percentiles for their resolution Vale, Beatriz Brito, Sara Paulos, Lígia Moleiro, Pascoal Einstein (Sao Paulo) Original Article OBJECTIVE: To analyse the progression of body mass index in eating disorders and to determine the percentile for establishment and resolution of the disease. METHODS: A retrospective descriptive cross-sectional study. Review of clinical files of adolescents with eating disorders. RESULTS: Of the 62 female adolescents studied with eating disorders, 51 presented with eating disorder not otherwise specified, 10 anorexia nervosa, and 1 bulimia nervosa. Twenty-one of these adolescents had menstrual disorders; in that, 14 secondary amenorrhea and 7 menstrual irregularities (6 eating disorder not otherwise specified, and 1 bulimia nervosa). In average, in anorectic adolescents, the initial body mass index was in 75th percentile; secondary amenorrhea was established 1 month after onset of the disease; minimum weight was 76.6% of ideal body mass index (at 4th percentile) at 10.2 months of disease; and resolution of amenorrhea occurred at 24 months, with average weight recovery of 93.4% of the ideal. In eating disorder not otherwise specified with menstrual disorder (n=10), the mean initial body mass index was at 85th percentile; minimal weight was in average 97.7% of the ideal value (minimum body mass index was in 52nd percentile) at 14.9 months of disease; body mass index stabilization occured at 1.6 year of disease; and mean body mass index was in 73rd percentile. Considering eating disorder not otherwise specified with secondary amenorrhea (n=4); secondary amenorrhea occurred at 4 months, with resolution at 12 months of disease (mean 65th percentile body mass index). CONCLUSION: One-third of the eating disorder group had menstrual disorder – two-thirds presented with amenorrhea. This study indicated that for the resolution of their menstrual disturbance the body mass index percentiles to be achieved by female adolescents with eating disorders was 25–50 in anorexia nervosa, and 50–75, in eating disorder not otherwise specified. Instituto Israelita de Ensino e Pesquisa Albert Einstein 2014 /pmc/articles/PMC4891159/ /pubmed/25003922 http://dx.doi.org/10.1590/S1679-45082014AO2942 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Vale, Beatriz Brito, Sara Paulos, Lígia Moleiro, Pascoal Menstruation disorders in adolescents with eating disorders – target body mass index percentiles for their resolution |
title | Menstruation disorders in adolescents with eating disorders – target body mass index percentiles for their resolution |
title_full | Menstruation disorders in adolescents with eating disorders – target body mass index percentiles for their resolution |
title_fullStr | Menstruation disorders in adolescents with eating disorders – target body mass index percentiles for their resolution |
title_full_unstemmed | Menstruation disorders in adolescents with eating disorders – target body mass index percentiles for their resolution |
title_short | Menstruation disorders in adolescents with eating disorders – target body mass index percentiles for their resolution |
title_sort | menstruation disorders in adolescents with eating disorders – target body mass index percentiles for their resolution |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4891159/ https://www.ncbi.nlm.nih.gov/pubmed/25003922 http://dx.doi.org/10.1590/S1679-45082014AO2942 |
work_keys_str_mv | AT valebeatriz menstruationdisordersinadolescentswitheatingdisorderstargetbodymassindexpercentilesfortheirresolution AT britosara menstruationdisordersinadolescentswitheatingdisorderstargetbodymassindexpercentilesfortheirresolution AT paulosligia menstruationdisordersinadolescentswitheatingdisorderstargetbodymassindexpercentilesfortheirresolution AT moleiropascoal menstruationdisordersinadolescentswitheatingdisorderstargetbodymassindexpercentilesfortheirresolution |