A Practical Approach to Adolescent Bone Health by Sarah Pitts & Catherine M. Gordon

Author:Sarah Pitts & Catherine M. Gordon
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

© Springer International Publishing AG 2018

Sarah Pitts and Catherine M. Gordon (eds.)A Practical Approach to Adolescent Bone Health https://doi.org/10.1007/978-3-319-72880-3_9

9. Bone Health in Adolescents with Eating Disorders

Neville H. Golden1

(1)Division of Adolescent Medicine, The Marron and Mary Elizabeth Kendrick Professor of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA

Neville H. Golden

Email: [email protected]

Keywords

AdolescentsEating disordersAnorexia nervosaBone mineral densityEstrogenBisphosphonatesCalciumVitamin D

Jen is a 15-year-old female with anorexia nervosa who has been followed in your practice since early childhood. She has a 1-year history of anorexia nervosa, diagnosed after losing 20 lbs. in order to “become healthy.” Her last menstrual period was 18 months ago. One month ago, she sustained a fracture of the forearm when she fell during a soccer practice. DXA measurements revealed a lumbar spine Z-score of −2.5 and a total hip Z-score of −2.0. She has been in treatment with a multidisciplinary team for the past year and has gained 12 lbs. However, she still has not resumed menses. Her BMI is 18.9 kg/m 2 . What strategies would you recommend to optimize her bone health?

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