Weight and menstrual function in patients with eating disorders and cystic fibrosis

E. A. Weltman, R. C. Stern, C. F. Doershuk, R. N. Moir, K. Palmer, Arthur Jaffe

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Many patients with eating disorders have menstrual dysfunction. In patients with anorexia nervosa, amenorrhea has been linked to weight loss. However, many patients with bulimia nervosa, even those of average or greater than average weight, also experience menstrual abnormalities, including amenorrhea. It was hypothesized that low weight per se is not responsible for menstrual dysfunction in patients with eating disorders. First, 16 patients with bulimia nervosa of average weight and 29 patients with cystic fibrosis of below average weight of similar menstrual age were compared. Of the patients with bulimia nervosa, 11 (73%) had had secondary amenorrhea at some time compared with 8 (28%) of the patients with cystic fibrosis (P <.01). At the time of study, 6 (40%) of the patients with bulimia nervosa and 21 (78%) of the patients with cystic fibrosis were having regular cycles (P <.01). Next 18 patients with anorexia nervosa were compared with 18 patients with cystic fibrosis matched for weight and menstrual age. Although 18 (100%) of the patients with anorexia nervosa had had secondary amenorrhea, only 6 (33%) of the patients with cystic fibrosis had amenorrhea. Although only 1 (6%) of the anorexia nervosa group was currently having regular cycles, 14 (78%) of the patients with cystic fibrosis were (P <.0001). Closer approximation to ideal body weight was associated with regular menses only in the cystic fibrosis group. Exercise did not appear related to regularity of menstruation in any group. Body weight is not the major factor responsible for menstrual abnormalities in patients with eating disorders.

Original languageEnglish (US)
Pages (from-to)282-287
Number of pages6
JournalPediatrics
Volume85
Issue number3
StatePublished - 1990
Externally publishedYes

Fingerprint

Cystic Fibrosis
Weights and Measures
Amenorrhea
Bulimia Nervosa
Anorexia Nervosa
Menstruation
Feeding and Eating Disorders
Ideal Body Weight
Time and Motion Studies
Weight Loss

Keywords

  • anorexia nervosa
  • bulimia nervosa
  • cystic fibrosis
  • eating disorder
  • menstrual dysfunction

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Weltman, E. A., Stern, R. C., Doershuk, C. F., Moir, R. N., Palmer, K., & Jaffe, A. (1990). Weight and menstrual function in patients with eating disorders and cystic fibrosis. Pediatrics, 85(3), 282-287.

Weight and menstrual function in patients with eating disorders and cystic fibrosis. / Weltman, E. A.; Stern, R. C.; Doershuk, C. F.; Moir, R. N.; Palmer, K.; Jaffe, Arthur.

In: Pediatrics, Vol. 85, No. 3, 1990, p. 282-287.

Research output: Contribution to journalArticle

Weltman, EA, Stern, RC, Doershuk, CF, Moir, RN, Palmer, K & Jaffe, A 1990, 'Weight and menstrual function in patients with eating disorders and cystic fibrosis', Pediatrics, vol. 85, no. 3, pp. 282-287.
Weltman EA, Stern RC, Doershuk CF, Moir RN, Palmer K, Jaffe A. Weight and menstrual function in patients with eating disorders and cystic fibrosis. Pediatrics. 1990;85(3):282-287.
Weltman, E. A. ; Stern, R. C. ; Doershuk, C. F. ; Moir, R. N. ; Palmer, K. ; Jaffe, Arthur. / Weight and menstrual function in patients with eating disorders and cystic fibrosis. In: Pediatrics. 1990 ; Vol. 85, No. 3. pp. 282-287.
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