PMID: 9419753Jan 1, 1994Paper

Hypothalamic amenorrhea and hidden nutritional insults

Journal of the Society for Gynecologic Investigation
Michelle P WarrenJ Brooks-Gunn

Abstract

We examined whether abnormal nutrition is an associated event in idiopathic hypothalamic amenorrhea. Eighteen amenorrheic subjects were compared to 36 normal controls using endocrine, nutritional, and psychological evaluations. Controls were closer to their ideal weight (97.2 versus 89.7%; P < .05) than amenorrheics despite similar ages and heights. Amenorrheics denied eating disorders; however, our evaluation showed more eating disorders (55 versus 26%; P < .05), higher scores on a scale of eating behavior (22.28 versus 10.36; P < .001), twice as much fiber intake (26.14 versus 14.69 g/day) and less fat intake (20.7 versus 27.10 g/day) (P < .001), more aerobic activity (85 versus 58%) despite expending fewer calories per day (2303.7 versus 2576.7 kcal/day; P < .05), and similar caloric intake. Significant abnormalities suggest that a greater percentage of hypothalamic amenorrhea occurs on a nutritional basis than previously suspected and should be searched for in depth.

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Citations

Oct 1, 2005·Endocrinology·Marla E LujanDean A Van Vugt
Jan 15, 2002·Journal of Women's Health & Gender-based Medicine·S ShanthaM P Warren
Feb 28, 2009·The International Journal of Eating Disorders·Wendy Meyer SterlingStanley M Hertz
Apr 4, 2017·The Journal of Clinical Endocrinology and Metabolism·Catherine M GordonMichelle P Warren
Aug 28, 2020·Therapeutic Advances in Endocrinology and Metabolism·Rachel E RobertsChanna Jayasena
Apr 24, 2008·Current Osteoporosis Reports·Rebecca M Fenichel, Michelle P Warren
Jun 3, 2021·Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia·Alexandra Ruivo CoelhoMaria João Cascais

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