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[Lower bone density (osteopenia) in adolescent girls with oligomenorrhea and secondary amenorrhea].
Orv Hetil 1997; 138(43):2735-41OH

Abstract

Occurrence of reduced BMD among adolescent girls and young women due to certain specific oligomenorrhea or amenorrhea (anorexia nervosa, excessive sport or ballet, etc.) is well known. However the prevalence of osteopenia among 16-18 years old girls with the cycle disorders mentioned above--caused by "pure" hypothalamo-pituitary-ovarian insufficiency--is not yet sufficiently examined. The hormonal (FSH, LH, prolactin, LH/FSH, estradiol. testosterone, progesterone) and ion (Ca++,PO4(3-),Na+,K+,Cl-) parameters and the bone mineral density (BMD) of the lumbar spine of 19 girls age 16-18 with oligomenorrhea or secondary amenorrhea, due to hypothalamo-pituitary-ovarian axis insufficiency were investigated, and correlation were searched for among them. In 3 of the case significant BMD reduction was found with a value lower than the -2 SD. compared to the age, sex and race matched control values, showing definite osteoporosis. The BMD of 10 girls was between the -2.SD. and -1 SD.: they had osteopenia. Only 6 of them had normal BMD ranging from the -1 SD. to the +1 SD. Neither the ion or hormonal values, nor the clinical parameters (height, weight age, age at menarche, duration of amenorrheic period) showed correlation with the BMD values, except of the body mass index (BMI), which showed a loose positive linear correlation. The measured low BMD values have a significance, referring to a possible reduction in the peak BMD. Patients having low peak BMD have an inclination for earlier, and more sever osteoporosis and fractures in the climacteric decades. These results emphasize the need of effective and early treatment of adolescent bleeding disorders from the point of view of prevention of osteoporosis as well.

Authors+Show Affiliations

Pécsi Orvostudományi Egyetem, Szülészeti és Nögyógyászati Klinika.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

hun

PubMed ID

9411343

Citation

Csermely, T, et al. "[Lower Bone Density (osteopenia) in Adolescent Girls With Oligomenorrhea and Secondary Amenorrhea]." Orvosi Hetilap, vol. 138, no. 43, 1997, pp. 2735-41.
Csermely T, Halvax L, Schmidt E, et al. [Lower bone density (osteopenia) in adolescent girls with oligomenorrhea and secondary amenorrhea]. Orv Hetil. 1997;138(43):2735-41.
Csermely, T., Halvax, L., Schmidt, E., Zámbó, K., Péterfai, J., Vadon, G., & Szabó, I. (1997). [Lower bone density (osteopenia) in adolescent girls with oligomenorrhea and secondary amenorrhea]. Orvosi Hetilap, 138(43), pp. 2735-41.
Csermely T, et al. [Lower Bone Density (osteopenia) in Adolescent Girls With Oligomenorrhea and Secondary Amenorrhea]. Orv Hetil. 1997 Oct 26;138(43):2735-41. PubMed PMID: 9411343.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Lower bone density (osteopenia) in adolescent girls with oligomenorrhea and secondary amenorrhea]. AU - Csermely,T, AU - Halvax,L, AU - Schmidt,E, AU - Zámbó,K, AU - Péterfai,J, AU - Vadon,G, AU - Szabó,I, PY - 1997/12/31/pubmed PY - 1997/12/31/medline PY - 1997/12/31/entrez SP - 2735 EP - 41 JF - Orvosi hetilap JO - Orv Hetil VL - 138 IS - 43 N2 - Occurrence of reduced BMD among adolescent girls and young women due to certain specific oligomenorrhea or amenorrhea (anorexia nervosa, excessive sport or ballet, etc.) is well known. However the prevalence of osteopenia among 16-18 years old girls with the cycle disorders mentioned above--caused by "pure" hypothalamo-pituitary-ovarian insufficiency--is not yet sufficiently examined. The hormonal (FSH, LH, prolactin, LH/FSH, estradiol. testosterone, progesterone) and ion (Ca++,PO4(3-),Na+,K+,Cl-) parameters and the bone mineral density (BMD) of the lumbar spine of 19 girls age 16-18 with oligomenorrhea or secondary amenorrhea, due to hypothalamo-pituitary-ovarian axis insufficiency were investigated, and correlation were searched for among them. In 3 of the case significant BMD reduction was found with a value lower than the -2 SD. compared to the age, sex and race matched control values, showing definite osteoporosis. The BMD of 10 girls was between the -2.SD. and -1 SD.: they had osteopenia. Only 6 of them had normal BMD ranging from the -1 SD. to the +1 SD. Neither the ion or hormonal values, nor the clinical parameters (height, weight age, age at menarche, duration of amenorrheic period) showed correlation with the BMD values, except of the body mass index (BMI), which showed a loose positive linear correlation. The measured low BMD values have a significance, referring to a possible reduction in the peak BMD. Patients having low peak BMD have an inclination for earlier, and more sever osteoporosis and fractures in the climacteric decades. These results emphasize the need of effective and early treatment of adolescent bleeding disorders from the point of view of prevention of osteoporosis as well. SN - 0030-6002 UR - https://www.unboundmedicine.com/medline/citation/9411343/[Lower_bone_density__osteopenia__in_adolescent_girls_with_oligomenorrhea_and_secondary_amenorrhea]_ L2 - https://medlineplus.gov/bonedensity.html DB - PRIME DP - Unbound Medicine ER -