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Menstruation disorders in adolescents with eating disorders ? target body mass index percentiles for their resolution / Distúrbios menstruais em adolescentes com transtornos alimentares ? meta de percentil de índice de massa corporal para resolução dos distúrbios menstruais
Vale, Beatriz; Brito, Sara; Paulos, Lígia; Moleiro, Pascoal.
Affiliation
  • Vale, Beatriz; Centro Hospitalar Universitário de Coimbra. Hospital Pediátrico Carmona de Mota. Coimbra. PT
  • Brito, Sara; Centro Hospitalar Universitário de Coimbra. Hospital Pediátrico Carmona de Mota. Coimbra. PT
  • Paulos, Lígia; Centro Hospitalar Universitário de Coimbra. Hospital Pediátrico Carmona de Mota. Coimbra. PT
  • Moleiro, Pascoal; Centro Hospitalar Universitário de Coimbra. Hospital Pediátrico Carmona de Mota. Coimbra. PT
Einstein (Säo Paulo) ; 12(2): 175-180, Apr-Jun/2014. tab, graf
Article in En | LILACS | ID: lil-713006
Responsible library: BR1.1
ABSTRACT
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. .
RESUMO
Objetivo Analisar a progressão do índice de massa corporal nos transtornos alimentares e determinar o percentil para estabelecimento e resolução da doença. Métodos Estudo retrospectivo descritivo, com análise dos processos de adolescentes com transtorno alimentar. Resultados Das 62 adolescentes com distúrbio alimentar, 51 apresentavam distúrbio sem outra especificação, 10 anorexia nervosa, e uma bulimia. Vinte e uma adolescentes apresentavam distúrbios menstruais, sendo 14 amenorreia secundária, 7 irregularidades menstruais (6 distúrbio alimentar sem outra especificação e 1 bulimia). Em média, nas anoréticas índice de massa corporal inicial - percentil 75, instalação da amenorreia secundária com um mês de doença, peso mínimo 76,6% do índice de massa corporal ideal, no percentil 4), com 10,2 meses de doença, resolução da amenorreia aos 24 meses com recuperação ponderal média de 93,4% do peso ideal. No distúrbio alimentar sem outra especificação com distúrbio menstrual (n=10), o índice de massa corporal inicial médio no percentil 85, peso mínimo, em média, 97,7% do valor de peso ideal (média no percentil 52 de índice de massa corporal), aos 14,9 meses, estabilização ponderal aos 1,6 anos, percentil médio de índice de massa corporal de 73. Na perturbação do comportamento alimentar sem outra especificação com amenorreia secundária (n=4) amenorreia secundária aos 4 meses, resolução aos 12 meses (média no percentil 65 do índice de massa corporal). Conclusão Um terço do grupo com transtornos alimentares teve distúrbios menstruais − sendo dois terços com amenorreia secundária. Este estudo indicou que, para resolução ...
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Full text: 1 Index: LILACS Main subject: Feeding and Eating Disorders / Body Mass Index / Menstruation Disturbances Type of study: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limits: Adolescent / Child / Female / Humans Language: En Journal: Einstein (Säo Paulo) Journal subject: MEDICINA Year: 2014 Type: Article

Full text: 1 Index: LILACS Main subject: Feeding and Eating Disorders / Body Mass Index / Menstruation Disturbances Type of study: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limits: Adolescent / Child / Female / Humans Language: En Journal: Einstein (Säo Paulo) Journal subject: MEDICINA Year: 2014 Type: Article