Restrained eating and ovulatory disturbances: possible implications for bone health

• Published in: The American journal of clinical nutrition Vol. 59; no. 1; pp. 92 - 97
• Main Authors: Barr, SI, Prior, JC, Vigna, YM
• Format: Journal Article
• Language: English
• Published: Bethesda, MD Elsevier Inc 01.01.1994; American Society for Clinical Nutrition; American Society for Clinical Nutrition, Inc
• Subjects: Adult; Anthropometry; Biological and medical sciences; bone density; Bone Density - physiology; Bone mineral density; Bones; CICLO ESTRAL; CONTENIDO DE CENIZA; CYCLE OESTRAL; DENSIDAD; DENSITE; Diet; Energy Intake; Feeding and Eating Disorders; Feeding and Eating Disorders - physiopathology; Feeding Behavior; Female; Female genital diseases; FEMME; Gynecology. Andrology. Obstetrics; HUESOS; Humans; INANICION; INANITION; INGESTION DE NUTRIENTES; INGESTION DE SUBSTANCES NUTRITIVES; Longitudinal studies; luteal phase; Medical research; Medical sciences; menstrual cycle; Menstrual Cycle - physiology; Menstruation; MUJERES; Non tumoral diseases; nutrient intake; physiology; physiopathology; Restrained eating; Surveys and Questionnaires; TENEUR EN CENDRES; Women; bone mineral density; Restrained eating; luteal phase; Human; Female; Bone; Menstrual cycle; Restricted diet; Density
• ISSN: 0002-9165; 1938-3207
• DOI: 10.1093/ajcn/59.1.92

We assessed the relationship between dietary restraint and menstrual cycle characteristics in 27 ovulatory women, previous participants in a longitudinal study of spinal cancellous bone mineral density (BMD). Subjects completed the restraint scale of the Three Factor Eating Questionnaire, recorded basal temperature and exercise for at least three menstrual cycles, and completed a 3-d food record. Cycle lengths of women in the upper and lower tertiles of scores for restraint were similar [27.8 ± 1.0 (x̄ ± SE) vs 27.6 ± 0.8 d], but luteal phase length was shorter in the former group (8.6 ± 0.9 vs 10.8 ± 0.5 d, P < 0.05). Age, body mass index, percent body fat, waist-hip ratio, reported energy intake, and activity were similar between groups. Because the previous longitudinal study found associations between ovulatory disturbances and bone loss, we assessed spinal BMD using dual-energy x-ray absorptiometry (DXA) and quantitative computed tomography (QCT). BMD of women in upper and lower restraint tertiles, respectively, did not differ: DXA, 1.15 ± 0.05 vs 1.20 ± 0.06 g/cm2; and QCT, 140 ± 7 vs 133 ± 7 mg/cm3. Additional prospective studies, however, appear warranted. In conclusion, this study's results provide evidence that high dietary restraint is associated with a shortened luteal phase length.