Sujatha Seetharaman1, Neville H Golden1, Bonnie Halpern-Felsher1, Rebecka Peebles2, Allison Payne3, Jennifer L Carlson4. 1. Division of Adolescent Medicine, Stanford University Medical Center, Palo Alto, California. 2. The Craig Dalsimer Division of Adolescent Medicine, Department of Pediatrics, The Children's Hospital of Philadelphia, Perelman School of Medicine, Philadelphia, Pennsylvania. 3. Pacific Northwest University of Health Sciences, Yakima, Washington. 4. Division of Adolescent Medicine, Stanford University Medical Center, Palo Alto, California. Electronic address: carlson2@stanford.edu.
Abstract
PURPOSE: The purpose of this study was to determine whether a history of overweight, weight suppression, and weight gain during treatment have an effect on return of menses (ROM) in adolescents with eating disorders (EDs). METHODS: Retrospective chart review of female adolescents presenting to an ED program from January 2007 to June 2009. RESULTS: One hundred sixty-three participants (mean age, 16.6 ± 2.1 years) met eligibility criteria. The mean median body mass index percent at ROM for those previously overweight was 106.1 ± 11.7 versus 94.2 ± 8.9 for those not previously overweight (p < .001). Both groups needed to gain weight for ROM. Greater weight suppression (odds ratio, 0.90; 95% confidence interval, 0.84-0.98; p = .013) was associated with lower likelihood of ROM, and greater weight gain during treatment (odds ratio, 1.20; 95% confidence interval, 1.07-1.36; p = .002) was associated with higher likelihood of ROM in those not previously overweight. CONCLUSIONS: Previously overweight amenorrheic patients with EDs needed to be at a higher median body mass index percent for ROM compared to those who were not previously overweight.
PURPOSE: The purpose of this study was to determine whether a history of overweight, weight suppression, and weight gain during treatment have an effect on return of menses (ROM) in adolescents with eating disorders (EDs). METHODS: Retrospective chart review of female adolescents presenting to an ED program from January 2007 to June 2009. RESULTS: One hundred sixty-three participants (mean age, 16.6 ± 2.1 years) met eligibility criteria. The mean median body mass index percent at ROM for those previously overweight was 106.1 ± 11.7 versus 94.2 ± 8.9 for those not previously overweight (p < .001). Both groups needed to gain weight for ROM. Greater weight suppression (odds ratio, 0.90; 95% confidence interval, 0.84-0.98; p = .013) was associated with lower likelihood of ROM, and greater weight gain during treatment (odds ratio, 1.20; 95% confidence interval, 1.07-1.36; p = .002) was associated with higher likelihood of ROM in those not previously overweight. CONCLUSIONS: Previously overweight amenorrheicpatients with EDs needed to be at a higher median body mass index percent for ROM compared to those who were not previously overweight.
Authors: Andrea K Garber; Jing Cheng; Erin C Accurso; Sally H Adams; Sara M Buckelew; Cynthia J Kapphahn; Anna Kreiter; Daniel Le Grange; Vanessa I Machen; Anna-Barbara Moscicki; Kristina Saffran; Allyson F Sy; Leslie Wilson; Neville H Golden Journal: Pediatrics Date: 2019-11-06 Impact factor: 7.124
Authors: Laura Hooper; Susan Telke; Nicole Larson; Susan M Mason; Dianne Neumark-Sztainer Journal: Public Health Nutr Date: 2020-05-29 Impact factor: 4.022
Authors: Angelique F Ralph; Leah Brennan; Sue Byrne; Belinda Caldwell; Jo Farmer; Laura M Hart; Gabriella A Heruc; Sarah Maguire; Milan K Piya; Julia Quin; Sarah K Trobe; Andrew Wallis; A J Williams-Tchen; Phillipa Hay Journal: J Eat Disord Date: 2022-08-18