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Preterm infant-term SGA infant sequence in adolescent pregnancy
220
ABSTRACTS
JOURNAL OF ADOLESCENT HEALTH CARE Vol. ,4, No. 3
PR.rrl[~lq INFANT-TaNgSGA INFAIfl" S[~UtNC[ IN NOOL[S¢[NI" PPt~SNAblCY, R,A.Dleclo.ood. P,C.Leppert. Po/~tS, of 0be/Gyn •nd Pedlltrlcs, Col|ear of Phyllclenl end Surg~na IL~ York, N. Y. A preva1~nt cOecern regarding the s u t t e e o f a~l•sc~nt prs|nenclos Ic low birth ~mlght i n f e n t s . Rarely ere these Iot~ birth ~elght ~ b l e a evaluated by ~estatlanel aJe. Therefore, s retrospective revise ms c ~ d ~ t o d Jan, '82 to ~sr. '83 In the I~olescent ar~rmncy pr~Dram within the dlvlclcm of perlnetology. 6~ |o~ blrth ~ l g h t Infests unre born to 801 bJKk and hlspenlc noshers. (8.6~ Incidence) averate oeternsl age ~es 18,3 yrs. svere~ ~ t s r n a l prepregnent ~ l g h t wee 61.5 IncheSl ~ r e p r e ~ n t tmlght 11).4 ibs. Aneele ~ s |lrmet•r In this group coeqsared to total pregnant teens. (p~.O01). IIIrth unhlht ~y geststloMI •ge (DubO~ltz)Jhoe~d • |~quent/al f • l l In ~el|ht percentile with vi th advancing age. Vs.
÷ 1.66
+ 2.81
• (p-<.01) " Low birth wel¢~t infants In this proDrse ~ r e born to mothers tlho t ~ r l See1| p r i o r to pregnancy. Semeprep•tel Insult, possible Ix~r nvtrltl~m •rrested f e t a l 9 r ~ t h ]eedlng to • progresslv~ sequence of f e l l In birth ~ | g h t producing preter~ Infants In s o s •od SGA In other Instances.
PEL~ALF.~CE o r ~EXU~X~Y TR~q~MITTED D Z ~ XN YOUNG AD~L~CF.qT FENALES. N. G o l d e n . H. Hsmmerechlag, and 8. N e u h o f f , Dept, o f P e d e . 6 O b j . O y n . , a r o o k d e l e H o e p . Ne~. C e n t e r , k D o w n s t a t e ~ e d . C e n t e r , B r o o k l y n . N.Y. TO d e t e r m i n e p~evalence o f s e x u a l l y t r a n s m i t t e d di-
a e e • a e ( S ~ ) An young a d o l e s c e n t g i r Z 8 , 186 J e x u e l l y a c t i v e f e m a l e s (12-17 y r s . , mean 15.5) y o r e s c r e e n e d . PEp e~eera, e n d o c e r v £ c & 1 c ~ l t u r e s f o r C h l e ~ d i a traoho~ m4tle(Ct) & Neieeeria gonorrhoeee(GC), 6 syphilis serologyvere obte£ned p r o • p e c t i v e l y . Th£• I n n e r ¢ i t y ~ o pula~Aon wee ma£nly b l a c k (81~), 31~ ~ e r e pregnent~ l i K ~d e~ptOme of genital tract £nfll~tlon (lover e~o~Anal pain. fever, or vagLnel diecherga), 6 S3t p r e s e n ted for
routlne
~ y n n c o l o ~ L c care. c t was Aeolated f r ~
19/186(10o2~), GC f r o m 1 8 / 1 8 6 ( 9 . 7 ~ ) , & 6 / 2 8 6 ( 3 . 2 ~ ) h a d • y p h ~ l i e . "L'hir~y t v o / l O 6 ( 1 7 . 2 t J h e d s t l e a s t l a t e w h i l e 9 / 1 8 6 ( 4 . 8 S ) had 2 o r more. E £ g h t / 1 8 ( 4 4 . 4 ~ ) GC p m t i e n t s SIlO hid Ct. OCpatLente were more likely to present w i t h syl~pt~ms o f g e n L t e l t r a c t A n f l a m u a t l o n , 6 / 1 8 , t h a n n o n OC ~ e t l e n t e , 20/168(1)-O.O2). T h i s wee n o t t r u e f o r Ct p~tiente. Zaflmtorychengea on Pep smear~ae n ~ e common I n Ct p o s i t i v e p a t i e n t s , 17/19(9Og), t h a n i n Ct negative ~tLente, 9 6 / 1 6 7 ( 5 7 . 5 ~ ) , s~'O.01. C t wee m o r e prevalent in blacks, l~/lSl(ll.3~}, t h e n in o t h e r s 2/35 ( 5 . 7 ~ ) , 1~'0.17. No c o ~ r e l e t l o n w a s found hatVeen 571) & age O r p r ~ n a n c y . HAgh S~D r a t e s v a r i a n t r o u t i n e ecreenAnqin even t h e very young s e x u a l l y a c t l v e adolescent.
PSYC~OSOCIAL ASPECTS OF VAGINALAG~ESXS. H.L.Poland~ P.T.Glbl£n, Depts. of G~ecolosy sad O b s t e t r i c s and P e d i s t r l c s , Wayne S t e t s U n i v e r s i t y , D e t r o i t . N/chases. T o t a l e | e n e ~ l e of r e g i n a end u t e r u s (Rokituneky-Euster-Naussr syndrome) i s a s o e r s l l y din|nosed d u r i ~ edolescance. Surest7 to c r e a t e the neovss/na (h~cIndoe Procedure) r e q u i r ~ l e ~ t h l y hosp £ t a l i s c t i ~ eud d i l £ t e a t use of vsgisml ditator~ post-operatively ~ s e s s m e n t c f readiness f o r s u r s e r y and p r e o p e r a t i v e c o u n s e l l i u J s r s / a p e r i e n t f o r the p s y c h o l o | / c a l ~sXlbeLn8 of these p a t i e n t s ~ d to p r a t e coapli~ncs with self-cars procedures, f i f t y - e i g h t y e a s t wooen with t h i s c o n l e n i t a l d~Jorder were followed f r e e dL• t h e s i s ~hrou~h two to ten years post • u r g l c a l c o r r e c t i o u , l n f o r n~tion regarding t h e i r l u i t i a l f a e l i n J s , thoughts ~ o u t s u r g e r y , usa of post-operaS/we d i l a t o r s , r e l a x / u n s h i p s v l t h r e a l l y , f r i e n d s , bn~frlemds emd spouse wes obtelued p r o s p e c t i v e l y by I n t e r v i e w , q u e s t i o n n a i r e , d l a r i s s snd | r e a p d i s c u s s i o n s . Hothera and sour • Ibs o£ these a d o l s s c e ~ t s ware also iutervis~ed. I n i t i a l diaguosls r e s u l t e d io depression, f e e l / ~ I 8 of v o r t h l e s • u n s s sad questloun ~bout •ezuil i d e n t i t y . Assessment of readiness for s u r g e r y l u cludsd degree o f ~m~tional and fa~t~y s t a b i l i t y and w i l l i n g n e s s to perform alas-consenSus and soeetlmes p a i n f u l vaginal d i l s t i c , ss. Intemsivs pre-operetLvs p r e p a r a t i o u yes necessary for couplidmcs v l t h s e l f - c a r e procedures and su op~IsaL p o s t - s u r g l c • l resul~. Host pet/eats were s e x ~ l l y active w i t h i n t h r e e y e a r s of 8urgsrT. 33 of ~l who were s a x ~ l l y a c t i v e ~ r e saiLer/e,: to vary s a t / s f l e d v i t h t h e i r sexual l i v e s . ContlnuLnt patient support addressed ~ s u e 8 includl~J poor s e l f - ~ g e , f e a r of luJury mad sexual
GOnC•L'D~,
I~C0~rlJ~NG FId~LY DY81q~CTITM ~ CAS~| Or J~OPJ~[~ ~KlrfOJ&, ~.Cols-Ratly. Dept. of Peal. Case Western I s s e r v e ~niv, C l e v e I ~ d j C81. The obJecaivu o~ the paper le to educate ~dbyliCiJms sbo~t p a t tern• e f dysftmction repeat:edly observed in t h • JlielmeJ~ti Of f e l l i e s with m e n o r u i c daughter. • b r i e f o v s r v l ~ o f the c u r r ~ t I t t e r e t u ~ ~ family therapy •ppFo•cbss in ~norexia n e r ~ N ~ t l l precede a m r s d e t s t L d u n • l y s i e of d • t e reflected ms 20 ilUrleiC fillies. Thl ms~k~e used tO m d e r s C m d the dysfmct i o n e l £amily dynamics • r e those o f the a u t h o r ' s cUnical M • l y s i s Of weekly therapy islsLnns g r i t • 3"IS uo~th period. ~ ••oh of the f a i l l e s , a l l r e a l l y ~mm~orj p a r t i c i p a t e d , The analyeLs r e v e a l s ~ecurrent Smugly ~ t t e m • that r e f l e c t t h r e e 8~lsrsClonj of d y a f u n c t / ~ a l f...ny i n t e r a c t i o n s . The m~Jer dyi~uflctioet i s ~ e i n a b i l i t y Of really a m b e r s s u c c e s s f u l l y to l u d i v £ d ~ t e - s e p s r e t e . The fe~Aly prohibitioq q e i n e t r ~ i e i • disCUSSed, the d y s f u n c t i o n a l r a i £ f i c e t i o o s are described and t e n - - m i s S i o n s for c h a s e mrs node. Other s l ~ n i ~ i c ~ t dysfunct i e r s SUCh el e~ceesivs coqtrol, lack of l n d i v l d ~ L ~u~de'~l•s, poorly defined subeystunJ, ~easlm~nt and t r i m ~ l u l a t i u n are also deecrlbed in language meaningful ~o the p r a c t i c i n g ~ h y l l carol. These findinse are s ~ z ~ s s d md e u b o d t ~ in • d i q ~ n e s t i c aseesmm~t lnstrum~t d e s i r e d tu help physic£eae better add~*es. at the family sy~,tmse leveL, an l u c r e • s i n g l y pressing p r o b l t e r~*~fro~cing tbmez th*incidmes of mlorsxi• n e r n s • in a d 0 1 e s c ~ t &
THE ~ELATION OF 90DY FAT TO NENAACHE(/I) IN G/RLS MITH INSULIN OEPENOENTDIABETES HELLITUS (IDD~) by J.F. ~ r k s , J.J. ChJpmn, L.P. Fredrtckson and P. Eagan, UnI~trs|ty Qf Texas Health Science Center, Dallas, Taxis. Trm pubert~l dynamics of g i r l s ~tth l ~ were studied crosssectionally and longitudinally with 24 hour sleep studies of hormonal secretory patterns. No s t g n t f t t a n t d i f f e r e n c e f o r age or sties 0~ puberty could b8 sho~n tn 65 diabetic g i r l s In ¢omp~rdso, to a norm? centre| pope?arian f o r release o f LH. F~H, Estrddto) and Adrenal Androgens. Iithough N was delayed (13.9 yrs) f o r the diabetics. Significant difference was present f o r percent of body f a t sttetned at M. The percent o f body f a t ~n 44 pre-mensrchfl~ g i r l s was 18.41t5.17 tn cnmpartson to a percent body f i t tn 21 p o e t - N e n a ~ h / a l girls o f 27.51,4.77 (p~0,001). In 13 9 I r i s ~here sequentta] dttemJnatJons were m~de. one cou|d sho~ in ~ncreas~ in the percent body f a t with the highest perclnt body f a t being oh. as/ned at the t i m o f H rather than i t In ear~ler determination. The Neon percent of t~Ote] body f a t at H f o r the dJibettC S t r i a (27.5) was stgnIftcant?y greater than that described by Fr/sch and HcArthur f o r normls (Z3.3) (p<0.0l). There was a wide v l r f l t l o n o f diabetes control as deterutned by g|ycosolated hem091O61n | e v e ) s and t~ere was no c o r r e l a t i o n between percant bo~ f i t and glycosolited hmoglo~ln. In addition, the age of the onset o f d|abetes did not a p ~ l r to Influence the t o t a l percent o f body f a t at M, This stuc~ Indicates that there was e c l o s e ¢ o r r e l l t l o n between percent body f a t and N for g i r l s with IO(~ and tee percent body f a t at uhtch H occurs ~as higher for diabetic thin nenodlabet~¢ g i r l s . The ~ n ~ n l l bisls f o r ~his finding a t the present Is obscure.
T U tl3,ATIONSSlP OF INDEP]~D~qCg I~VEL 70 ANOM~IC EATING AI"fIIUD~ AND BULINIC TI~E)~CIZS. J.N. Hyers. K.M. Goodmen -,,,4 J,W. Greene. Dept, of I~DalCh end Physics1 F~lucsCiOn, V s n d s r b l l t U n i v e r s i t y . N a s h v i l l e , Yen~es0ae. Since n a r l y i d s n t l f / c • t l o u and t r e a d - - s t of eaorexla say Improve s u t t e e , this study sun|ha to detens~sw whether predictors of high r i s k s t a t u s f o r developing meting d i s o r d e r • (anorexia and
bulfJsio) CO~Lld be lddmt/~tad In adolescent Pestles attend~sg J u n i o r and e a s i e r hash •ebools. A t h r e e - p a r t survey we8 edmlnist a r e d t o 741 adol~.sceat f m ~ l e a (grades 7-12) i n a public echoes syscem. ~5• f i r s t p i t t il~ludad 17 Lt -m- taken f r ~ the Indepeudeuce s u s i e (A~) of Che CLliforsda Psychologi©•l l ~ v s n t o ~ (CrI) which usa-ares Independence level. The second part ,ms the P ~ t ~ Attit'"ees Test (/IAT) which amdusures anore11~ t~trvose symptomS. 1he t h i r d p a r t was a modified v e r e l o u of th e E e t i ~ Problem ~ e • t i o u ~ , t i r e dsslSued to m e u u r • h~Lldmia s y m p t ~ . C o ~ e l a t i o ~ w r e mede b e ~ e a the EAT snores end the (All s c a l e • cores (u~$89) Jmd between the 13~ scores and the i n d e p e p d s ~ s • e~le •cores (w'62L) hy ns£ul r e i r • o n ' e ?reduce C o r r e l a t t o e Co-
e f f i c i e m t . A n•letive s i l ~ i f i c s n t c o r r a l • t i c s existed betvann the EAT scores e~4 the (A~) s c a l e s c o r e s (p .c.OOl). The higher one scored ma the KAY the lobar the A ~ e p e ~ e n c e levsX. ~hie fd=din8 outsetS8 t h a t the p r o b s b / 1 / t y of one deYelopLuS e~ocexle I s 8~reeter i f a Io~ ~ • p e e d e ~ c • l e ~ l e x f ~ t • . T ~ c o r r e l • t l o ~ be~ann 11~ • c o ~ u a~d the i-~epo-~e~ce scale s c o r e s m ale0 n e l a t l v e L y s / / o l f l c a n t (p,: ,001). Yhe h l / ~ e r the /2~ k e r r tb~ lo~tz th~ 4,-4epe~e~-• level. Theun date , u y a i d i n the developmast of preYeative p r o f e s s mad e a r l y d e t e c t i o n of sb~de~t8 at rlek f o r d m l o p i o g e a t l ~ d i • o r d e r s .
ABSTRACTS
JOURNAL OF ADOLESCENT HEALTH CARE Vol. ,4, No. 3
PR.rrl[~lq INFANT-TaNgSGA INFAIfl" S[~UtNC[ IN NOOL[S¢[NI" PPt~SNAblCY, R,A.Dleclo.ood. P,C.Leppert. Po/~tS, of 0be/Gyn •nd Pedlltrlcs, Col|ear of Phyllclenl end Surg~na IL~ York, N. Y. A preva1~nt cOecern regarding the s u t t e e o f a~l•sc~nt prs|nenclos Ic low birth ~mlght i n f e n t s . Rarely ere these Iot~ birth ~elght ~ b l e a evaluated by ~estatlanel aJe. Therefore, s retrospective revise ms c ~ d ~ t o d Jan, '82 to ~sr. '83 In the I~olescent ar~rmncy pr~Dram within the dlvlclcm of perlnetology. 6~ |o~ blrth ~ l g h t Infests unre born to 801 bJKk and hlspenlc noshers. (8.6~ Incidence) averate oeternsl age ~es 18,3 yrs. svere~ ~ t s r n a l prepregnent ~ l g h t wee 61.5 IncheSl ~ r e p r e ~ n t tmlght 11).4 ibs. Aneele ~ s |lrmet•r In this group coeqsared to total pregnant teens. (p~.O01). IIIrth unhlht ~y geststloMI •ge (DubO~ltz)Jhoe~d • |~quent/al f • l l In ~el|ht percentile with vi th advancing age. Vs.
÷ 1.66
+ 2.81
• (p-<.01) " Low birth wel¢~t infants In this proDrse ~ r e born to mothers tlho t ~ r l See1| p r i o r to pregnancy. Semeprep•tel Insult, possible Ix~r nvtrltl~m •rrested f e t a l 9 r ~ t h ]eedlng to • progresslv~ sequence of f e l l In birth ~ | g h t producing preter~ Infants In s o s •od SGA In other Instances.
PEL~ALF.~CE o r ~EXU~X~Y TR~q~MITTED D Z ~ XN YOUNG AD~L~CF.qT FENALES. N. G o l d e n . H. Hsmmerechlag, and 8. N e u h o f f , Dept, o f P e d e . 6 O b j . O y n . , a r o o k d e l e H o e p . Ne~. C e n t e r , k D o w n s t a t e ~ e d . C e n t e r , B r o o k l y n . N.Y. TO d e t e r m i n e p~evalence o f s e x u a l l y t r a n s m i t t e d di-
a e e • a e ( S ~ ) An young a d o l e s c e n t g i r Z 8 , 186 J e x u e l l y a c t i v e f e m a l e s (12-17 y r s . , mean 15.5) y o r e s c r e e n e d . PEp e~eera, e n d o c e r v £ c & 1 c ~ l t u r e s f o r C h l e ~ d i a traoho~ m4tle(Ct) & Neieeeria gonorrhoeee(GC), 6 syphilis serologyvere obte£ned p r o • p e c t i v e l y . Th£• I n n e r ¢ i t y ~ o pula~Aon wee ma£nly b l a c k (81~), 31~ ~ e r e pregnent~ l i K ~d e~ptOme of genital tract £nfll~tlon (lover e~o~Anal pain. fever, or vagLnel diecherga), 6 S3t p r e s e n ted for
routlne
~ y n n c o l o ~ L c care. c t was Aeolated f r ~
19/186(10o2~), GC f r o m 1 8 / 1 8 6 ( 9 . 7 ~ ) , & 6 / 2 8 6 ( 3 . 2 ~ ) h a d • y p h ~ l i e . "L'hir~y t v o / l O 6 ( 1 7 . 2 t J h e d s t l e a s t l a t e w h i l e 9 / 1 8 6 ( 4 . 8 S ) had 2 o r more. E £ g h t / 1 8 ( 4 4 . 4 ~ ) GC p m t i e n t s SIlO hid Ct. OCpatLente were more likely to present w i t h syl~pt~ms o f g e n L t e l t r a c t A n f l a m u a t l o n , 6 / 1 8 , t h a n n o n OC ~ e t l e n t e , 20/168(1)-O.O2). T h i s wee n o t t r u e f o r Ct p~tiente. Zaflmtorychengea on Pep smear~ae n ~ e common I n Ct p o s i t i v e p a t i e n t s , 17/19(9Og), t h a n i n Ct negative ~tLente, 9 6 / 1 6 7 ( 5 7 . 5 ~ ) , s~'O.01. C t wee m o r e prevalent in blacks, l~/lSl(ll.3~}, t h e n in o t h e r s 2/35 ( 5 . 7 ~ ) , 1~'0.17. No c o ~ r e l e t l o n w a s found hatVeen 571) & age O r p r ~ n a n c y . HAgh S~D r a t e s v a r i a n t r o u t i n e ecreenAnqin even t h e very young s e x u a l l y a c t l v e adolescent.
PSYC~OSOCIAL ASPECTS OF VAGINALAG~ESXS. H.L.Poland~ P.T.Glbl£n, Depts. of G~ecolosy sad O b s t e t r i c s and P e d i s t r l c s , Wayne S t e t s U n i v e r s i t y , D e t r o i t . N/chases. T o t a l e | e n e ~ l e of r e g i n a end u t e r u s (Rokituneky-Euster-Naussr syndrome) i s a s o e r s l l y din|nosed d u r i ~ edolescance. Surest7 to c r e a t e the neovss/na (h~cIndoe Procedure) r e q u i r ~ l e ~ t h l y hosp £ t a l i s c t i ~ eud d i l £ t e a t use of vsgisml ditator~ post-operatively ~ s e s s m e n t c f readiness f o r s u r s e r y and p r e o p e r a t i v e c o u n s e l l i u J s r s / a p e r i e n t f o r the p s y c h o l o | / c a l ~sXlbeLn8 of these p a t i e n t s ~ d to p r a t e coapli~ncs with self-cars procedures, f i f t y - e i g h t y e a s t wooen with t h i s c o n l e n i t a l d~Jorder were followed f r e e dL• t h e s i s ~hrou~h two to ten years post • u r g l c a l c o r r e c t i o u , l n f o r n~tion regarding t h e i r l u i t i a l f a e l i n J s , thoughts ~ o u t s u r g e r y , usa of post-operaS/we d i l a t o r s , r e l a x / u n s h i p s v l t h r e a l l y , f r i e n d s , bn~frlemds emd spouse wes obtelued p r o s p e c t i v e l y by I n t e r v i e w , q u e s t i o n n a i r e , d l a r i s s snd | r e a p d i s c u s s i o n s . Hothera and sour • Ibs o£ these a d o l s s c e ~ t s ware also iutervis~ed. I n i t i a l diaguosls r e s u l t e d io depression, f e e l / ~ I 8 of v o r t h l e s • u n s s sad questloun ~bout •ezuil i d e n t i t y . Assessment of readiness for s u r g e r y l u cludsd degree o f ~m~tional and fa~t~y s t a b i l i t y and w i l l i n g n e s s to perform alas-consenSus and soeetlmes p a i n f u l vaginal d i l s t i c , ss. Intemsivs pre-operetLvs p r e p a r a t i o u yes necessary for couplidmcs v l t h s e l f - c a r e procedures and su op~IsaL p o s t - s u r g l c • l resul~. Host pet/eats were s e x ~ l l y active w i t h i n t h r e e y e a r s of 8urgsrT. 33 of ~l who were s a x ~ l l y a c t i v e ~ r e saiLer/e,: to vary s a t / s f l e d v i t h t h e i r sexual l i v e s . ContlnuLnt patient support addressed ~ s u e 8 includl~J poor s e l f - ~ g e , f e a r of luJury mad sexual
GOnC•L'D~,
I~C0~rlJ~NG FId~LY DY81q~CTITM ~ CAS~| Or J~OPJ~[~ ~KlrfOJ&, ~.Cols-Ratly. Dept. of Peal. Case Western I s s e r v e ~niv, C l e v e I ~ d j C81. The obJecaivu o~ the paper le to educate ~dbyliCiJms sbo~t p a t tern• e f dysftmction repeat:edly observed in t h • JlielmeJ~ti Of f e l l i e s with m e n o r u i c daughter. • b r i e f o v s r v l ~ o f the c u r r ~ t I t t e r e t u ~ ~ family therapy •ppFo•cbss in ~norexia n e r ~ N ~ t l l precede a m r s d e t s t L d u n • l y s i e of d • t e reflected ms 20 ilUrleiC fillies. Thl ms~k~e used tO m d e r s C m d the dysfmct i o n e l £amily dynamics • r e those o f the a u t h o r ' s cUnical M • l y s i s Of weekly therapy islsLnns g r i t • 3"IS uo~th period. ~ ••oh of the f a i l l e s , a l l r e a l l y ~mm~orj p a r t i c i p a t e d , The analyeLs r e v e a l s ~ecurrent Smugly ~ t t e m • that r e f l e c t t h r e e 8~lsrsClonj of d y a f u n c t / ~ a l f...ny i n t e r a c t i o n s . The m~Jer dyi~uflctioet i s ~ e i n a b i l i t y Of really a m b e r s s u c c e s s f u l l y to l u d i v £ d ~ t e - s e p s r e t e . The fe~Aly prohibitioq q e i n e t r ~ i e i • disCUSSed, the d y s f u n c t i o n a l r a i £ f i c e t i o o s are described and t e n - - m i s S i o n s for c h a s e mrs node. Other s l ~ n i ~ i c ~ t dysfunct i e r s SUCh el e~ceesivs coqtrol, lack of l n d i v l d ~ L ~u~de'~l•s, poorly defined subeystunJ, ~easlm~nt and t r i m ~ l u l a t i u n are also deecrlbed in language meaningful ~o the p r a c t i c i n g ~ h y l l carol. These findinse are s ~ z ~ s s d md e u b o d t ~ in • d i q ~ n e s t i c aseesmm~t lnstrum~t d e s i r e d tu help physic£eae better add~*es. at the family sy~,tmse leveL, an l u c r e • s i n g l y pressing p r o b l t e r~*~fro~cing tbmez th*incidmes of mlorsxi• n e r n s • in a d 0 1 e s c ~ t &
THE ~ELATION OF 90DY FAT TO NENAACHE(/I) IN G/RLS MITH INSULIN OEPENOENTDIABETES HELLITUS (IDD~) by J.F. ~ r k s , J.J. ChJpmn, L.P. Fredrtckson and P. Eagan, UnI~trs|ty Qf Texas Health Science Center, Dallas, Taxis. Trm pubert~l dynamics of g i r l s ~tth l ~ were studied crosssectionally and longitudinally with 24 hour sleep studies of hormonal secretory patterns. No s t g n t f t t a n t d i f f e r e n c e f o r age or sties 0~ puberty could b8 sho~n tn 65 diabetic g i r l s In ¢omp~rdso, to a norm? centre| pope?arian f o r release o f LH. F~H, Estrddto) and Adrenal Androgens. Iithough N was delayed (13.9 yrs) f o r the diabetics. Significant difference was present f o r percent of body f a t sttetned at M. The percent o f body f a t ~n 44 pre-mensrchfl~ g i r l s was 18.41t5.17 tn cnmpartson to a percent body f i t tn 21 p o e t - N e n a ~ h / a l girls o f 27.51,4.77 (p~0,001). In 13 9 I r i s ~here sequentta] dttemJnatJons were m~de. one cou|d sho~ in ~ncreas~ in the percent body f a t with the highest perclnt body f a t being oh. as/ned at the t i m o f H rather than i t In ear~ler determination. The Neon percent of t~Ote] body f a t at H f o r the dJibettC S t r i a (27.5) was stgnIftcant?y greater than that described by Fr/sch and HcArthur f o r normls (Z3.3) (p<0.0l). There was a wide v l r f l t l o n o f diabetes control as deterutned by g|ycosolated hem091O61n | e v e ) s and t~ere was no c o r r e l a t i o n between percant bo~ f i t and glycosolited hmoglo~ln. In addition, the age of the onset o f d|abetes did not a p ~ l r to Influence the t o t a l percent o f body f a t at M, This stuc~ Indicates that there was e c l o s e ¢ o r r e l l t l o n between percent body f a t and N for g i r l s with IO(~ and tee percent body f a t at uhtch H occurs ~as higher for diabetic thin nenodlabet~¢ g i r l s . The ~ n ~ n l l bisls f o r ~his finding a t the present Is obscure.
T U tl3,ATIONSSlP OF INDEP]~D~qCg I~VEL 70 ANOM~IC EATING AI"fIIUD~ AND BULINIC TI~E)~CIZS. J.N. Hyers. K.M. Goodmen -,,,4 J,W. Greene. Dept, of I~DalCh end Physics1 F~lucsCiOn, V s n d s r b l l t U n i v e r s i t y . N a s h v i l l e , Yen~es0ae. Since n a r l y i d s n t l f / c • t l o u and t r e a d - - s t of eaorexla say Improve s u t t e e , this study sun|ha to detens~sw whether predictors of high r i s k s t a t u s f o r developing meting d i s o r d e r • (anorexia and
bulfJsio) CO~Lld be lddmt/~tad In adolescent Pestles attend~sg J u n i o r and e a s i e r hash •ebools. A t h r e e - p a r t survey we8 edmlnist a r e d t o 741 adol~.sceat f m ~ l e a (grades 7-12) i n a public echoes syscem. ~5• f i r s t p i t t il~ludad 17 Lt -m- taken f r ~ the Indepeudeuce s u s i e (A~) of Che CLliforsda Psychologi©•l l ~ v s n t o ~ (CrI) which usa-ares Independence level. The second part ,ms the P ~ t ~ Attit'"ees Test (/IAT) which amdusures anore11~ t~trvose symptomS. 1he t h i r d p a r t was a modified v e r e l o u of th e E e t i ~ Problem ~ e • t i o u ~ , t i r e dsslSued to m e u u r • h~Lldmia s y m p t ~ . C o ~ e l a t i o ~ w r e mede b e ~ e a the EAT snores end the (All s c a l e • cores (u~$89) Jmd between the 13~ scores and the i n d e p e p d s ~ s • e~le •cores (w'62L) hy ns£ul r e i r • o n ' e ?reduce C o r r e l a t t o e Co-
e f f i c i e m t . A n•letive s i l ~ i f i c s n t c o r r a l • t i c s existed betvann the EAT scores e~4 the (A~) s c a l e s c o r e s (p .c.OOl). The higher one scored ma the KAY the lobar the A ~ e p e ~ e n c e levsX. ~hie fd=din8 outsetS8 t h a t the p r o b s b / 1 / t y of one deYelopLuS e~ocexle I s 8~reeter i f a Io~ ~ • p e e d e ~ c • l e ~ l e x f ~ t • . T ~ c o r r e l • t l o ~ be~ann 11~ • c o ~ u a~d the i-~epo-~e~ce scale s c o r e s m ale0 n e l a t l v e L y s / / o l f l c a n t (p,: ,001). Yhe h l / ~ e r the /2~ k e r r tb~ lo~tz th~ 4,-4epe~e~-• level. Theun date , u y a i d i n the developmast of preYeative p r o f e s s mad e a r l y d e t e c t i o n of sb~de~t8 at rlek f o r d m l o p i o g e a t l ~ d i • o r d e r s .