- Email: [email protected]
Self image in obese adolescents
September 1983
ABSTRACTS
THE RELATIONSHIP OF SCHOOL ACTIVITIES TO PREGNANCY OUTCOME IN RURAL ADOLESCENTS. D.A. Olin, C. E d r l l , CayJor-Nlckll Hess, end Resa0~-~ fast., B i u f f t ~ , if(. Premature parenthood presents serloul educational, ~ l c , end soclsl problems for the ecloli~cant. Prfmiry proventkm h a l b ~ n h ~ p e r e d b y tha Inability tv detect the p0p~lmtlsm I t risk for ~Jriy parenth~x~d. In (mr orioles©eel pregner~y clinic, the mo}orlty ~f girls did not participate In school m l v l t i u . The P~rl~e4 of this study was to determine if mn-partlclpatlo~ In scPm~ J ~ t l v l t i e i (such e l e t h l l t l c l , ecack~¢ clubs, government, JourrmJlsm and band) wo~ld IdsnUfy girls I t high risk for pregnancy. Three groups of edolstcent girls: t h o l e • nrolled l a t h e adolescent pregnar~'y progl'a~; md0lel~emts who ehi*,.-*ted abortion; sod m c a m l ) ~ r l m group from a local high school° were glv~m I qcmsbonnalre of 1¢t1<)01e c t l v l t k s l e d the T l m n e s m Self-Concept Scale. All three groups ~ r e ~ p e r e b l e es to eg*, ~ end resldenco In rurul ~ m ~ n l t l ¢ ~ . Results° as determined b y th~ Multiple Range TeJto she)wed that thole who carried the pregnancy to t o m had significantly fewer activities 1.53 (~: 1.07) then the control grmJp 3.1~ [.~ 2.32), The number" o f school 4~:tivltMs for the l l ~ r l k ~ group wee t n t t m e d l s t e 2.11 (~. 1.81}. All three grasps were similar f0r participation In cm~munlty actlvltlls end for level of IQIf-co~capt. In s u m m e r y , the preliminary d l ~ t l u g 0 e s t e d that ~ ¢ k of school activities m y be an easily ar~.~tselble marker to Ident i f y odoh~:ent girls at high risk for premature permlth~od.
~ .
$1W~IU~SmTI~S~GH I1q "L"IIEADOI..I;SCEIrr PATIENT, g,D. Bsrbo~r and l . J . Cu~ulnl~un, I l l . , Dlvlmioo of Pmdl~trics and Adolescent ~odlclom, The CLevelaod Clinic Youndec/on, Cleveland, Obio. let~ean July 1|81 - Jmnuery 1983, e l l h t P o t i e n t s ( e l l a g-19 years) p r e e e u t i o | with blood p r e s s e r s | r a t t e r than 110 d i a s t o l i c or 160 s y s t o l i c , nmJt wlmh eeeac/~mt41d s i l ~ e and symptom. + r e studied. Dlelnoet£n mvsl~m~lon, i l e a l d~JlPnoale, sod ~ r ~ F m ~ n t ~r£11 be pre41euto4. This v l ~ l help to e p c t l l l h t the iodlcetionm f o r coaplete s t u d i e s , me Y e l l es e t i o l o | t e e which .my be found 1~ th/m a l e group, And thmrmpeutlc response. The u a ~ o r l ~ of c a l l s proved tO b41 ~ l l - d e f £ n e d . non-e8eentLel end c u r a b l e hypertension wLth etlolosiee ~L~cludl~Ji adr41nal adenmm (1), 8ort£c c o e r c t e t l o o ( I } . phmochros~cyto~s (1), 4end s e v e r e ranO~41sc~lar disease (2). 0fiSh, r e c o u r s e of the c l i n i c a l p r e s e n t a t i o n were lapre41s£ve and useful cluem which, with 41n elevated blood pressure, d e m d e d eaten:Inn end pointed to dlesnosim. The o~tco~. of these s t u d i e s clearly support the need for d e t a i l e d 4study of t h i s group of youthful p a t i e n t s . The r e s u l t s f u r t h e r i.~ply t h a t l e e s h y p e r t e n s i v e p a t i e n t s 1~ t h i s hie Stoup, e l . 160190 end above ( • 95 percentile), especially v lab associetnd s£loe end symptomS, could beoaf£t f t c ~ s e t u d y . *
~. k ~ L , X. X. ~c'J.ecS~n, El. Ix:emz-, C. ~rLndLe
mdl.e.a.1 Coat,x* and Un.iv~mity of' Ca.IL.~o~'da, San ~
,
C~.
dec~.~n-mk~g ~ - , ~ ~ y ~ e l a y pre~anoy, p m ~ : : t n g b e t o u t ~ m ~ . & ~ . ~ n ~ l y ve ac~x~t to d~tmcm~ne the ~ u m ~ o e of an £r.novt~Lve ha~lt.h e d t r . a t . l ~ p ~ At am ~cban middle n c h ~ l on cam m l ~ - ~ t ~ m and ~ . t v e )m~l~e and et~t~lea o~ A ~ of ~ g~cls. Sc~o~l counaelc=s ealec"ra4 33 I=oblam" ?th led 8th qx~de qL=Zs ~ p s . - ~ i ~ t . L c n (md:l.Jm are 13.2, ra~qe - 12-14.9 l~s~J) • ~ by a clJ~f~.al nu~m ~ - . C s l L s t cht ~ o m s ~ t e ~ o~[ 6 weekly -,,-11 ~ eau~ st~..d~;
v a l ~ I clazifLeatlon, ~'ac~.£cal d e ~ ~
~.111S, Srd the
v e ~ I ~ ve~k 6 (O=h~-~ 1).an~ ~ ~ (13 q~zlsl ~ week 7 co y a k 12 ( ( ~ o ~ 2). ~mnt~e~g~h re=Sends o~q~bs~d the P ~ s lra,~J.s 5elt-o:x-,om~ Sca.le (PHg~S) ~ • v ~ n e t t ~ t e s t o! t o z ~ m t ~ n ~n C~¢,~c 1, (I;mLL.'ad t t e s t 1~0.04) m ~ t l ~ e d t t f m pe:ulat~At~se~12. Pa~S~nc~c~m~e~.%~2. tq~duc~n~ ~ ~tex~e.t~on Ln 0cho~t ~ Only (p~.04). results sugg~ t~t this ~ has the ~ s l ee.l.~, know~ ~ ~ttJ, t u ~ J ~ dlff~r~t gz'ou~ o f m : u ~ m ~ . ~, r . J ~ l ~ ~ fo~ h e a l t ~ ~ t . t ~ ~'~ Lnmg~t~ factual ~J.~l, ~ue1~3~tal ~ , ~ t ~ 1 ~ ~k.Lt~ ~ be u N f u l J~n ~ L~e~-'y p~ven~on.
221
bo
SELP ZJ4AGEZN OKI~Z ADOL~SC~r'J~. X. JeerS, 3o DIPal~t, S. Gentle=. r~v. J~O1. Mea., ~ p t . l~ds. ~ t l~lnstein CQll. Hod,+ llx., N.Y. Recent l l t a ~ e t t ~ e ham at,rated t~st abase lndLvJLd~118 8 ~ f e ~ f~o~ d~etu-¢bsl~ce41 ~n a e l f U~ge c h ~ A c t e ~ by feelS.rigA t,hst tJ~eL¢ bodies Ece 1 c a l m And vleve~l ee dLl~usr.tng by otJ~l~8. ~ l e ~etu~ha~es o f s e l f LAag"a t=o linked to feelJ~Se o f emiL' cona¢£ouenees end ~ / ~ t d ~ i ~ 1 I~notLon. to4 ~u:e m~e ~ceq~mtl¥ easooJ~teq vlt~t tY4 oh~et ot ot:q~41~ty J.o e~Dle~cencl. ='Jl~l IL-~y ~ e undLe~t,lkkmn I:o document the F~t;u~e 4111.+If.'l~IJmlWP$ O~ d £ 1 1 ~ antes o£ Ix11£ £11qe 4u~ the lnoLdon~e of deJpraelJ.oa in obese e l a n age=w. 38 o~esa ~dolescenta (veLght~lSt a l i v e 1 ~ 1 ) ~ m centare1 group o~ 78 8L-1~entJ lwe,ight v l t h l n 201 o~ Id~.~1) were se),ed to ~Lrev ££~z'ee o f /ndULv/d~ZI o f ]0ot.h I L z ~ . Zn aa~Lt.~n, the ihlok I:'--'JPr~nelon Inventory ~1~) van adsd,.nl-te,cad to ths obeae t,4eosgera. ~beml l ~ e n t A ~ e eLg~f£olmt-~y ~ r e 14haly to 4~l~v fLg~xee vCth l a r g e ~ u t h e (Jp<,001), & finales ammocl•t4d with oral proocc~q:mt_t~o. Obese Jp~tlentm v~ce also more l i k e l y to drew £A~:ea v l t h ~uU~:e~=hed 8z~s (p<,01) (l~l~catJ.ve of dePortees©y) and £ m l e ftg~mee without I~lmekl ~ 0 S ) (emlm~Lace4 vL'r~ dlffLc~lt.J.t.a of e~l ldJuA~m6nt). ~ll~'e ~ e no m~n1~icM'~t d~Lff~&r~el ~16~ean ~ Ja~ the else of figure4 d~avn (~salle= flee=as mould havA been ~mdlcat.tve o f low me1~ e a t • • a ) . 231 of the obese p ~ l e ~ t ~ had e¢oreJ ol3 t ~ t ~t~r ~n~.catL~m of ~ & t e to wes:a de];~eee~n t.h~'e ~ 8 • ~oz~elat~oo be~-tmea tbla moaem'• o f de~='eeA~n ~md amsllex" £lgx~e 11141 On the 41~ew£nge ( ~ . 0 5 ) . ~ edmlxt~tz'at:lon Of t.hee~ ~ t.letJJ1g :l~ult~'~alelxte ~ol~Ll:IMl the ]Prelence 0£ ]both eel?lees:bin an~ dlstu~ed ~ lm~gm, .t.~cl~LtL.ng ~dJ.cat.U)n~ o f ~ n c y a~d dlffJ.cultJ.em In eax~sl edJuet=l~nt, imorq o~eaa adolescent3.
$~XlYAL ,AC'PI"VZT~, ~ICXU,I,L AS,gAUT,.~~ COKI"f~JI[I~IOH X~FFA~.Y IETAJU)~) Irl~a&LK ADOLKSCEHT8. A.S.Chsabtrlalo, ~.L.Ra~h. A . A . ? I I e e r , X.NcGreth. end K.~urket, Div~elo~ of Adolescent I~dic~m, Children's Hospital end Univermity of Cincinnati NedicAl Centers, CLncineatL, Ohlo. L ~ t t l e lnfo~llstion Is avail&hie about sex~A1 a c t i v i t y , 41ex~u11 a s s a u l t , end c o n t r a n e p t l v a use m n S l o n t e l l y retard41d adolesc e n t s . The experience In theme 41reea m n J B7 m e t a l 1 ? r e t a r d e d fs~slea tm reviewed. A11 mubJ41cca attended I w.Gti-eervlce adolescent c l i n i c with 41 l a r e s devslopImnCelly disabled p a t i e n t group. Cl~tt41 were revlm*nd end 69 p a r e n t s were Lets=viewed. Ales r e e l e d f r e e I I to 23 y e a r s (moan 16.7). Perry-one s u b j e c t s were u / I d l y r e t a r d e d ( l q ~s-6g)~, 23 veremo~etsteLy retarded (Zq &l-St) and 23 were s e v e r e l y rmtarded (ZQ l e e s train 41), ~ l f of thm mildly retarded had had s e x ~ l I n t e r c o u r s e , m proportion ©~,uperebls to the Seneca1 adolescent population. T h l r t y - t ~ o percent of the moderately r e t a r d e d 41doleecentm and nine p41rcsnt of the s e v e r e l y r e t a r d e d edolsacentA had had lntercour41A. O.e t h i r d of the m i l d l y r e t a r d e d a d o l e s c e n t s and one f o u r t h of the1 moderat411y r e t a r d e d adolescents had been victim= of rape or Incest. Continued eex~411 a c t i v i t y c o r r e l a t e d with ss~cuel abuse, but the ~ J o r i t y o[ v i c e , i s ~td no pr i or o r sub41equenc evidence of intercourse. Yorty-~v~ subjects (~SX) had used contrac41ption ec eo~a tLa~| i n t r a u t e r i n e devines and i n j e c t a b l e medroxypto|eam acste~m vFre p r e f e r r e d to o r a l c o n t r a c e p t i v e s . SLx o~ the patients ~ 3 % ; vh~ continued Jazz411 a c t i v i t y became preirruint, 41ul~metLo4 that currently a v a i l a b l e c o n t r a c e p t i o n fs not p r e y / d ins mufflcieht p r e t e r i t e s .
~ron
S~OP,T STATUNE 114 N40R[XIA NEK¥0SA (Ha), H. 14ussb41~,
H. Sonn41nbllck, 0. Baird, I.R. Shenker, K. CORn, Soh. feed., Health Sciences r~tr., State Univ. of N.Y. at Stony Stock end Long (sland Jewish-Hillside Had. Car., 0apt. of Ped., New Hyde PArk, N.Y. 110~2 The he|she records of 87 f m i A A.q patients were reviewed. 75~ ware helen the 50th Percentile In height0 4~t be|m* the 25th perc e n t l l e end I k t below the 5th percentile. The frequency of occurrence of short stature wen s i g n i f i c a n t l y greeter then the expected frequency at each of" the three percentlle levels (p£,001). No s i g n i f i c a n t differences In height were found among those patients ~,ho developed ~ 4liter the CheAt of menses ((10t of sample), those whose anorexia pre-detad mlaarche (16.4~). e~d those who had new* mr -mnstrueted (3.~4). Since u x l m i l growth occurs in the year p r i o r to ~ r c h a , the ~ i n u t r i t i o n associated with anorexia does not appear to b41 responsible.for the observed height d e f i c i t s . The me41nheight of )5 patients ( f o r ~hoe parental heights were ave|leble) woe in the Jath i:Nlrcentlhl, whlle th41 man height o f t h e i r I~rents wee In the 4$th percentile. The AN IxDtients were s | g n l f l c a n t | y shortAr then t h e i r p~rents (p (05). CT brain scans were performed on 37 patients o f ~ Jl teore belo~ the 50th height percent/lA. 21 g i r l s had ebnor~l scans and 16 were normull. Of the ebnontel group, 20($5t) were below the 50th helstlt Percentile. In co~ltrast, only one g | r l above the1 ~edlen in height had en ebonrnel scan ( p ¢ 0 5 ) : The strong asset|salon of anorexia with short stature end sbnoraNI CT scans dem~nstrlted bY these flndlnDs lends support to • Potential p r l l r y physiological Abn o r m l | t y for this disensA en~ity.
ABSTRACTS
THE RELATIONSHIP OF SCHOOL ACTIVITIES TO PREGNANCY OUTCOME IN RURAL ADOLESCENTS. D.A. Olin, C. E d r l l , CayJor-Nlckll Hess, end Resa0~-~ fast., B i u f f t ~ , if(. Premature parenthood presents serloul educational, ~ l c , end soclsl problems for the ecloli~cant. Prfmiry proventkm h a l b ~ n h ~ p e r e d b y tha Inability tv detect the p0p~lmtlsm I t risk for ~Jriy parenth~x~d. In (mr orioles©eel pregner~y clinic, the mo}orlty ~f girls did not participate In school m l v l t i u . The P~rl~e4 of this study was to determine if mn-partlclpatlo~ In scPm~ J ~ t l v l t i e i (such e l e t h l l t l c l , ecack~¢ clubs, government, JourrmJlsm and band) wo~ld IdsnUfy girls I t high risk for pregnancy. Three groups of edolstcent girls: t h o l e • nrolled l a t h e adolescent pregnar~'y progl'a~; md0lel~emts who ehi*,.-*ted abortion; sod m c a m l ) ~ r l m group from a local high school° were glv~m I qcmsbonnalre of 1¢t1<)01e c t l v l t k s l e d the T l m n e s m Self-Concept Scale. All three groups ~ r e ~ p e r e b l e es to eg*, ~ end resldenco In rurul ~ m ~ n l t l ¢ ~ . Results° as determined b y th~ Multiple Range TeJto she)wed that thole who carried the pregnancy to t o m had significantly fewer activities 1.53 (~: 1.07) then the control grmJp 3.1~ [.~ 2.32), The number" o f school 4~:tivltMs for the l l ~ r l k ~ group wee t n t t m e d l s t e 2.11 (~. 1.81}. All three grasps were similar f0r participation In cm~munlty actlvltlls end for level of IQIf-co~capt. In s u m m e r y , the preliminary d l ~ t l u g 0 e s t e d that ~ ¢ k of school activities m y be an easily ar~.~tselble marker to Ident i f y odoh~:ent girls at high risk for premature permlth~od.
~ .
$1W~IU~SmTI~S~GH I1q "L"IIEADOI..I;SCEIrr PATIENT, g,D. Bsrbo~r and l . J . Cu~ulnl~un, I l l . , Dlvlmioo of Pmdl~trics and Adolescent ~odlclom, The CLevelaod Clinic Youndec/on, Cleveland, Obio. let~ean July 1|81 - Jmnuery 1983, e l l h t P o t i e n t s ( e l l a g-19 years) p r e e e u t i o | with blood p r e s s e r s | r a t t e r than 110 d i a s t o l i c or 160 s y s t o l i c , nmJt wlmh eeeac/~mt41d s i l ~ e and symptom. + r e studied. Dlelnoet£n mvsl~m~lon, i l e a l d~JlPnoale, sod ~ r ~ F m ~ n t ~r£11 be pre41euto4. This v l ~ l help to e p c t l l l h t the iodlcetionm f o r coaplete s t u d i e s , me Y e l l es e t i o l o | t e e which .my be found 1~ th/m a l e group, And thmrmpeutlc response. The u a ~ o r l ~ of c a l l s proved tO b41 ~ l l - d e f £ n e d . non-e8eentLel end c u r a b l e hypertension wLth etlolosiee ~L~cludl~Ji adr41nal adenmm (1), 8ort£c c o e r c t e t l o o ( I } . phmochros~cyto~s (1), 4end s e v e r e ranO~41sc~lar disease (2). 0fiSh, r e c o u r s e of the c l i n i c a l p r e s e n t a t i o n were lapre41s£ve and useful cluem which, with 41n elevated blood pressure, d e m d e d eaten:Inn end pointed to dlesnosim. The o~tco~. of these s t u d i e s clearly support the need for d e t a i l e d 4study of t h i s group of youthful p a t i e n t s . The r e s u l t s f u r t h e r i.~ply t h a t l e e s h y p e r t e n s i v e p a t i e n t s 1~ t h i s hie Stoup, e l . 160190 end above ( • 95 percentile), especially v lab associetnd s£loe end symptomS, could beoaf£t f t c ~ s e t u d y . *
~. k ~ L , X. X. ~c'J.ecS~n, El. Ix:emz-, C. ~rLndLe
mdl.e.a.1 Coat,x* and Un.iv~mity of' Ca.IL.~o~'da, San ~
,
C~.
dec~.~n-mk~g ~ - , ~ ~ y ~ e l a y pre~anoy, p m ~ : : t n g b e t o u t ~ m ~ . & ~ . ~ n ~ l y ve ac~x~t to d~tmcm~ne the ~ u m ~ o e of an £r.novt~Lve ha~lt.h e d t r . a t . l ~ p ~ At am ~cban middle n c h ~ l on cam m l ~ - ~ t ~ m and ~ . t v e )m~l~e and et~t~lea o~ A ~ of ~ g~cls. Sc~o~l counaelc=s ealec"ra4 33 I=oblam" ?th led 8th qx~de qL=Zs ~ p s . - ~ i ~ t . L c n (md:l.Jm are 13.2, ra~qe - 12-14.9 l~s~J) • ~ by a clJ~f~.al nu~m ~ - . C s l L s t cht ~ o m s ~ t e ~ o~[ 6 weekly -,,-11 ~ eau~ st~..d~;
v a l ~ I clazifLeatlon, ~'ac~.£cal d e ~ ~
~.111S, Srd the
v e ~ I ~ ve~k 6 (O=h~-~ 1).an~ ~ ~ (13 q~zlsl ~ week 7 co y a k 12 ( ( ~ o ~ 2). ~mnt~e~g~h re=Sends o~q~bs~d the P ~ s lra,~J.s 5elt-o:x-,om~ Sca.le (PHg~S) ~ • v ~ n e t t ~ t e s t o! t o z ~ m t ~ n ~n C~¢,~c 1, (I;mLL.'ad t t e s t 1~0.04) m ~ t l ~ e d t t f m pe:ulat~At~se~12. Pa~S~nc~c~m~e~.%~2. tq~duc~n~ ~ ~tex~e.t~on Ln 0cho~t ~ Only (p~.04). results sugg~ t~t this ~ has the ~ s l ee.l.~, know~ ~ ~ttJ, t u ~ J ~ dlff~r~t gz'ou~ o f m : u ~ m ~ . ~, r . J ~ l ~ ~ fo~ h e a l t ~ ~ t . t ~ ~'~ Lnmg~t~ factual ~J.~l, ~ue1~3~tal ~ , ~ t ~ 1 ~ ~k.Lt~ ~ be u N f u l J~n ~ L~e~-'y p~ven~on.
221
bo
SELP ZJ4AGEZN OKI~Z ADOL~SC~r'J~. X. JeerS, 3o DIPal~t, S. Gentle=. r~v. J~O1. Mea., ~ p t . l~ds. ~ t l~lnstein CQll. Hod,+ llx., N.Y. Recent l l t a ~ e t t ~ e ham at,rated t~st abase lndLvJLd~118 8 ~ f e ~ f~o~ d~etu-¢bsl~ce41 ~n a e l f U~ge c h ~ A c t e ~ by feelS.rigA t,hst tJ~eL¢ bodies Ece 1 c a l m And vleve~l ee dLl~usr.tng by otJ~l~8. ~ l e ~etu~ha~es o f s e l f LAag"a t=o linked to feelJ~Se o f emiL' cona¢£ouenees end ~ / ~ t d ~ i ~ 1 I~notLon. to4 ~u:e m~e ~ceq~mtl¥ easooJ~teq vlt~t tY4 oh~et ot ot:q~41~ty J.o e~Dle~cencl. ='Jl~l IL-~y ~ e undLe~t,lkkmn I:o document the F~t;u~e 4111.+If.'l~IJmlWP$ O~ d £ 1 1 ~ antes o£ Ix11£ £11qe 4u~ the lnoLdon~e of deJpraelJ.oa in obese e l a n age=w. 38 o~esa ~dolescenta (veLght~lSt a l i v e 1 ~ 1 ) ~ m centare1 group o~ 78 8L-1~entJ lwe,ight v l t h l n 201 o~ Id~.~1) were se),ed to ~Lrev ££~z'ee o f /ndULv/d~ZI o f ]0ot.h I L z ~ . Zn aa~Lt.~n, the ihlok I:'--'JPr~nelon Inventory ~1~) van adsd,.nl-te,cad to ths obeae t,4eosgera. ~beml l ~ e n t A ~ e eLg~f£olmt-~y ~ r e 14haly to 4~l~v fLg~xee vCth l a r g e ~ u t h e (Jp<,001), & finales ammocl•t4d with oral proocc~q:mt_t~o. Obese Jp~tlentm v~ce also more l i k e l y to drew £A~:ea v l t h ~uU~:e~=hed 8z~s (p<,01) (l~l~catJ.ve of dePortees©y) and £ m l e ftg~mee without I~lmekl ~ 0 S ) (emlm~Lace4 vL'r~ dlffLc~lt.J.t.a of e~l ldJuA~m6nt). ~ll~'e ~ e no m~n1~icM'~t d~Lff~&r~el ~16~ean ~ Ja~ the else of figure4 d~avn (~salle= flee=as mould havA been ~mdlcat.tve o f low me1~ e a t • • a ) . 231 of the obese p ~ l e ~ t ~ had e¢oreJ ol3 t ~ t ~t~r ~n~.catL~m of ~ & t e to wes:a de];~eee~n t.h~'e ~ 8 • ~oz~elat~oo be~-tmea tbla moaem'• o f de~='eeA~n ~md amsllex" £lgx~e 11141 On the 41~ew£nge ( ~ . 0 5 ) . ~ edmlxt~tz'at:lon Of t.hee~ ~ t.letJJ1g :l~ult~'~alelxte ~ol~Ll:IMl the ]Prelence 0£ ]both eel?lees:bin an~ dlstu~ed ~ lm~gm, .t.~cl~LtL.ng ~dJ.cat.U)n~ o f ~ n c y a~d dlffJ.cultJ.em In eax~sl edJuet=l~nt, imorq o~eaa adolescent3.
$~XlYAL ,AC'PI"VZT~, ~ICXU,I,L AS,gAUT,.~~ COKI"f~JI[I~IOH X~FFA~.Y IETAJU)~) Irl~a&LK ADOLKSCEHT8. A.S.Chsabtrlalo, ~.L.Ra~h. A . A . ? I I e e r , X.NcGreth. end K.~urket, Div~elo~ of Adolescent I~dic~m, Children's Hospital end Univermity of Cincinnati NedicAl Centers, CLncineatL, Ohlo. L ~ t t l e lnfo~llstion Is avail&hie about sex~A1 a c t i v i t y , 41ex~u11 a s s a u l t , end c o n t r a n e p t l v a use m n S l o n t e l l y retard41d adolesc e n t s . The experience In theme 41reea m n J B7 m e t a l 1 ? r e t a r d e d fs~slea tm reviewed. A11 mubJ41cca attended I w.Gti-eervlce adolescent c l i n i c with 41 l a r e s devslopImnCelly disabled p a t i e n t group. Cl~tt41 were revlm*nd end 69 p a r e n t s were Lets=viewed. Ales r e e l e d f r e e I I to 23 y e a r s (moan 16.7). Perry-one s u b j e c t s were u / I d l y r e t a r d e d ( l q ~s-6g)~, 23 veremo~etsteLy retarded (Zq &l-St) and 23 were s e v e r e l y rmtarded (ZQ l e e s train 41), ~ l f of thm mildly retarded had had s e x ~ l I n t e r c o u r s e , m proportion ©~,uperebls to the Seneca1 adolescent population. T h l r t y - t ~ o percent of the moderately r e t a r d e d 41doleecentm and nine p41rcsnt of the s e v e r e l y r e t a r d e d edolsacentA had had lntercour41A. O.e t h i r d of the m i l d l y r e t a r d e d a d o l e s c e n t s and one f o u r t h of the1 moderat411y r e t a r d e d adolescents had been victim= of rape or Incest. Continued eex~411 a c t i v i t y c o r r e l a t e d with ss~cuel abuse, but the ~ J o r i t y o[ v i c e , i s ~td no pr i or o r sub41equenc evidence of intercourse. Yorty-~v~ subjects (~SX) had used contrac41ption ec eo~a tLa~| i n t r a u t e r i n e devines and i n j e c t a b l e medroxypto|eam acste~m vFre p r e f e r r e d to o r a l c o n t r a c e p t i v e s . SLx o~ the patients ~ 3 % ; vh~ continued Jazz411 a c t i v i t y became preirruint, 41ul~metLo4 that currently a v a i l a b l e c o n t r a c e p t i o n fs not p r e y / d ins mufflcieht p r e t e r i t e s .
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S~OP,T STATUNE 114 N40R[XIA NEK¥0SA (Ha), H. 14ussb41~,
H. Sonn41nbllck, 0. Baird, I.R. Shenker, K. CORn, Soh. feed., Health Sciences r~tr., State Univ. of N.Y. at Stony Stock end Long (sland Jewish-Hillside Had. Car., 0apt. of Ped., New Hyde PArk, N.Y. 110~2 The he|she records of 87 f m i A A.q patients were reviewed. 75~ ware helen the 50th Percentile In height0 4~t be|m* the 25th perc e n t l l e end I k t below the 5th percentile. The frequency of occurrence of short stature wen s i g n i f i c a n t l y greeter then the expected frequency at each of" the three percentlle levels (p£,001). No s i g n i f i c a n t differences In height were found among those patients ~,ho developed ~ 4liter the CheAt of menses ((10t of sample), those whose anorexia pre-detad mlaarche (16.4~). e~d those who had new* mr -mnstrueted (3.~4). Since u x l m i l growth occurs in the year p r i o r to ~ r c h a , the ~ i n u t r i t i o n associated with anorexia does not appear to b41 responsible.for the observed height d e f i c i t s . The me41nheight of )5 patients ( f o r ~hoe parental heights were ave|leble) woe in the Jath i:Nlrcentlhl, whlle th41 man height o f t h e i r I~rents wee In the 4$th percentile. The AN IxDtients were s | g n l f l c a n t | y shortAr then t h e i r p~rents (p (05). CT brain scans were performed on 37 patients o f ~ Jl teore belo~ the 50th height percent/lA. 21 g i r l s had ebnor~l scans and 16 were normull. Of the ebnontel group, 20($5t) were below the 50th helstlt Percentile. In co~ltrast, only one g | r l above the1 ~edlen in height had en ebonrnel scan ( p ¢ 0 5 ) : The strong asset|salon of anorexia with short stature end sbnoraNI CT scans dem~nstrlted bY these flndlnDs lends support to • Potential p r l l r y physiological Abn o r m l | t y for this disensA en~ity.