Changes in bone mineral density of adolescent mothers during the 12-month postpartum period

Objective: Bone mineral density (BMD) loss has been described in adult women in the 12-month postpartum period. However, little is known about the precise BMD pattern in adolescent mothers. The present study aimed to evaluate BMD in Argentinean adolescent mothers followed up during the 12-month post...

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Autores principales: Malpeli, Agustina, Mansur, José Luis, De Santiago, Soledad, Villalobos, Rosa, Armanini, Alicia, Apezteguía, María del Carmen, González, Horacio Federico
Formato: Articulo
Lenguaje:Inglés
Publicado: 2010
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Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/152008
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id I19-R120-10915-152008
record_format dspace
spelling I19-R120-10915-1520082023-04-24T20:08:28Z http://sedici.unlp.edu.ar/handle/10915/152008 issn:1368-9800 issn:1475-2727 Changes in bone mineral density of adolescent mothers during the 12-month postpartum period Malpeli, Agustina Mansur, José Luis De Santiago, Soledad Villalobos, Rosa Armanini, Alicia Apezteguía, María del Carmen González, Horacio Federico 2010-10 2023-04-24T14:01:00Z en Medicina bone mineral density body composition lactation adolescence Objective: Bone mineral density (BMD) loss has been described in adult women in the 12-month postpartum period. However, little is known about the precise BMD pattern in adolescent mothers. The present study aimed to evaluate BMD in Argentinean adolescent mothers followed up during the 12-month postpartum period. Design: Analytical, prospective clinical trial. BMD and body composition were determined by dual-energy X-ray absorptiometry; bone mineral content (BMC) and BMD were measured in the lumbar spine (L2–L4), femoral neck (FN), femur trochanter (TR), total hip (TH) and total body. Changes in BMD and BMC were analysed using ANOVA for pairwise comparisons. Other comparisons were performed with the paired-sample t test and Wilcoxon test; Pearson’s correlation coefficient was used to analyse the relationship among continuous variables. Setting: La Plata, Argentina. Subjects: Adolescent mothers (n 35; 17 years old or less) were recruited within 15 d after delivery. Studies and follow-up were performed at 15 d and 3, 6 and 12 months postpartum. Results: BMD and BMC losses at 3 and 6 months and recovery at 12 months fitted a quadratic curve (ANOVA) at the three sites studied (FN, TH, TR), in total-body BMD (P=0·000) and BMC (P=0·038). At hip sites, BMD loss occurred at 3 months (FN, P=0·000; TR, P=0·000; TH, P=0·000) and 6 months (FN, P=0·000; TR, P=0·000; TH, P=0·000) compared with basal values. Percentage BMD loss immediately after delivery up to 6 months was about 5%. Conclusions: Adolescents showed significant BMD and BMC losses at 6 months postpartum, with an almost total recovery at 12 months in all sites studied. Facultad de Ciencias Médicas Articulo Articulo http://creativecommons.org/licenses/by-nc-sa/4.0/ Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) application/pdf 1522-1527
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Medicina
bone mineral density
body composition
lactation
adolescence
spellingShingle Medicina
bone mineral density
body composition
lactation
adolescence
Malpeli, Agustina
Mansur, José Luis
De Santiago, Soledad
Villalobos, Rosa
Armanini, Alicia
Apezteguía, María del Carmen
González, Horacio Federico
Changes in bone mineral density of adolescent mothers during the 12-month postpartum period
topic_facet Medicina
bone mineral density
body composition
lactation
adolescence
description Objective: Bone mineral density (BMD) loss has been described in adult women in the 12-month postpartum period. However, little is known about the precise BMD pattern in adolescent mothers. The present study aimed to evaluate BMD in Argentinean adolescent mothers followed up during the 12-month postpartum period. Design: Analytical, prospective clinical trial. BMD and body composition were determined by dual-energy X-ray absorptiometry; bone mineral content (BMC) and BMD were measured in the lumbar spine (L2–L4), femoral neck (FN), femur trochanter (TR), total hip (TH) and total body. Changes in BMD and BMC were analysed using ANOVA for pairwise comparisons. Other comparisons were performed with the paired-sample t test and Wilcoxon test; Pearson’s correlation coefficient was used to analyse the relationship among continuous variables. Setting: La Plata, Argentina. Subjects: Adolescent mothers (n 35; 17 years old or less) were recruited within 15 d after delivery. Studies and follow-up were performed at 15 d and 3, 6 and 12 months postpartum. Results: BMD and BMC losses at 3 and 6 months and recovery at 12 months fitted a quadratic curve (ANOVA) at the three sites studied (FN, TH, TR), in total-body BMD (P=0·000) and BMC (P=0·038). At hip sites, BMD loss occurred at 3 months (FN, P=0·000; TR, P=0·000; TH, P=0·000) and 6 months (FN, P=0·000; TR, P=0·000; TH, P=0·000) compared with basal values. Percentage BMD loss immediately after delivery up to 6 months was about 5%. Conclusions: Adolescents showed significant BMD and BMC losses at 6 months postpartum, with an almost total recovery at 12 months in all sites studied.
format Articulo
Articulo
author Malpeli, Agustina
Mansur, José Luis
De Santiago, Soledad
Villalobos, Rosa
Armanini, Alicia
Apezteguía, María del Carmen
González, Horacio Federico
author_facet Malpeli, Agustina
Mansur, José Luis
De Santiago, Soledad
Villalobos, Rosa
Armanini, Alicia
Apezteguía, María del Carmen
González, Horacio Federico
author_sort Malpeli, Agustina
title Changes in bone mineral density of adolescent mothers during the 12-month postpartum period
title_short Changes in bone mineral density of adolescent mothers during the 12-month postpartum period
title_full Changes in bone mineral density of adolescent mothers during the 12-month postpartum period
title_fullStr Changes in bone mineral density of adolescent mothers during the 12-month postpartum period
title_full_unstemmed Changes in bone mineral density of adolescent mothers during the 12-month postpartum period
title_sort changes in bone mineral density of adolescent mothers during the 12-month postpartum period
publishDate 2010
url http://sedici.unlp.edu.ar/handle/10915/152008
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