Alacsonyabb csontsürüség (osteopenia) raromenorrhoeás és szekunder amenorrhoeás serdülö lányok körében.

Translated title of the contribution: Lower bone density (osteopenia) in adolescent girls with oligomenorrhea and secondary amenorrhea

T. Csermely, L. Halvax, E. Schmidt, K. Zámbó, J. Péterfai, G. Vadon, I. Szabó

Research output: Contribution to journalArticle

3 Citations (Scopus)

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.

Original languageHungarian
Pages (from-to)2735-2741
Number of pages7
JournalOrvosi Hetilap
Volume138
Issue number43
Publication statusPublished - Oct 26 1997

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Oligomenorrhea
Metabolic Bone Diseases
Amenorrhea
Bone Density
Osteoporosis
Dancing
Ions
Hypopituitarism
Menarche
Anorexia Nervosa
Prolactin
Sports
Progesterone
Testosterone
Estradiol
Spine
Body Mass Index
Hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Csermely, T., Halvax, L., Schmidt, E., Zámbó, K., Péterfai, J., Vadon, G., & Szabó, I. (1997). Alacsonyabb csontsürüség (osteopenia) raromenorrhoeás és szekunder amenorrhoeás serdülö lányok körében. Orvosi Hetilap, 138(43), 2735-2741.

Alacsonyabb csontsürüség (osteopenia) raromenorrhoeás és szekunder amenorrhoeás serdülö lányok körében. / Csermely, T.; Halvax, L.; Schmidt, E.; Zámbó, K.; Péterfai, J.; Vadon, G.; Szabó, I.

In: Orvosi Hetilap, Vol. 138, No. 43, 26.10.1997, p. 2735-2741.

Research output: Contribution to journalArticle

Csermely, T, Halvax, L, Schmidt, E, Zámbó, K, Péterfai, J, Vadon, G & Szabó, I 1997, 'Alacsonyabb csontsürüség (osteopenia) raromenorrhoeás és szekunder amenorrhoeás serdülö lányok körében.', Orvosi Hetilap, vol. 138, no. 43, pp. 2735-2741.
Csermely T, Halvax L, Schmidt E, Zámbó K, Péterfai J, Vadon G et al. Alacsonyabb csontsürüség (osteopenia) raromenorrhoeás és szekunder amenorrhoeás serdülö lányok körében. Orvosi Hetilap. 1997 Oct 26;138(43):2735-2741.
Csermely, T. ; Halvax, L. ; Schmidt, E. ; Zámbó, K. ; Péterfai, J. ; Vadon, G. ; Szabó, I. / Alacsonyabb csontsürüség (osteopenia) raromenorrhoeás és szekunder amenorrhoeás serdülö lányok körében. In: Orvosi Hetilap. 1997 ; Vol. 138, No. 43. pp. 2735-2741.
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