Patterns of menstrual disturbance in eating disorders

Andréa Poyastro Pinheiro; Laura M Thornton; Katherine H Plotonicov; Federica Tozzi; Kelly L Klump; Wade H Berrettini; Harry Brandt; Steven Crawford; Scott Crow; Manfred M Fichter; David Goldman; Katherine A Halmi; Craig Johnson; Allan S Kaplan; Pamela Keel; Maria LaVia; James Mitchell; Alessandro Rotondo; Michael Strober; Janet Treasure; D Blake Woodside; Ann Von Holle; Robert Hamer; Walter H Kaye; Cynthia M Bulik

doi:10.1002/eat.20388

Patterns of menstrual disturbance in eating disorders

Poyastro Pinheiro A, Thornton LM, Plotonicov KH, Tozzi F, Klump KL, Berrettini WH, Brandt H, Crawford S, Crow S, Fichter MM, Goldman D, Halmi KA, Johnson C, Kaplan AS, Keel P, LaVia M, Mitchell J, Rotondo A, Strober M, Treasure J, Woodside DB, Von Holle A, Hamer R, Kaye WH, Bulik CM

Published July 2007 The International journal of eating disorders, 40(5), 424-34

DOI 10.1002/eat.20388 PMID 17497704

Abstract

Objective

To describe menstrual disturbance in eating disorders (ED).

Method

We describe menstrual history in 1,705 women and compare eating, weight, and psychopathological traits across menstrual groups.

Results

Menstrual dysfunction occurred across all eating disorder subtypes. Individuals with normal menstrual history and primary amenorrhea reported the highest and lowest lifetime body mass index (BMI), respectively. Normal menstruation and oligomenorrhea groups reported greater binge eating, vomiting, and appetite suppressant use. Amenorrhea was associated with lower caloric intake and higher exercise. Harm avoidance, novelty seeking, perfectionism, and obsessionality discriminated among menstrual status groups. No differences in comorbid Axis I and II disorders were observed.

Conclusion

Menstrual dysfunction is not limited to any eating disorder subtype. BMI, caloric intake, and exercise were strongly associated with menstrual function. Menstrual status is not associated with comorbidity. Menstrual irregularity is an associated feature of all ED rather than being restricted to AN only.

Topics

Menstrual Cycle › Cycle Disorders › Amenorrhea · Reproductive Endocrinology › Neuroendocrinology › Hypothalamic Amenorrhea · Lifestyle and Environment › Nutrition and Metabolic Health › Eating Disorders and Underfueling

Andréa Poyastro Pinheiro, Laura M Thornton, Katherine H Plotonicov, Federica Tozzi, Kelly L Klump, Wade H Berrettini, Harry Brandt, Steven Crawford, Scott Crow, Manfred M Fichter, David Goldman, Katherine A Halmi, Craig Johnson, Allan S Kaplan, Pamela Keel, Maria LaVia, James Mitchell, Alessandro Rotondo, Michael Strober, Janet Treasure, D Blake Woodside, Ann Von Holle, Robert Hamer, Walter H Kaye, Cynthia M Bulik

A Pinheiro, L Thornton, Kathy Plotonicov, Kate Plotonicov, Katie Plotonicov, K Plotonicov, F Tozzi, K Klump, W Berrettini, H Brandt, Steve Crawford, S Crawford, S Crow, M Fichter, Dave Goldman, D Goldman, Kathy Halmi, Kate Halmi, Katie Halmi, K Halmi, C Johnson, A Kaplan, P Keel, M LaVia, Jim Mitchell, Jimmy Mitchell, J Mitchell, A Rotondo, Mike Strober, M Strober, J Treasure, A Holle, Bob Hamer, Rob Hamer, Bobby Hamer, R Hamer, W Kaye, C Bulik

PMID 17497704 17497704 DOI 10.1002/eat.20388 10.1002/eat.20388 Poyastro Pinheiro et al. 2007, Poyastro Pinheiro 2007

Patterns of menstrual disturbance in eating disorders

Abstract

Topics

By this author

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