ArticleThe International journal of eating disorders2021
Clinician practices assessing hypothalamic-pituitary-gonadal axis suppression in adolescents with an eating disorder.
Article in The International journal of eating disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Emotion Regulation as a Predictor of Disordered Eating Symptoms in Young Female University Students.European journal of investigation in health, psychology and education · 2025Article
- Unique considerations for the medical care of restrictive eating disorders in children and young adolescents.Journal of eating disorders · 2023Review
- Clinician confidence and practices for evaluating bone health in male and female adolescents and young adults with an eating disorder.Eating disordersArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveAlthough extensive literature exists on hypothalamic-pituitary-gonadal (HPG) axis suppression in females with an eating disorder, there are few studies in males. Our study aimed to determine clinician practices for the assessment of HPG axis suppression and to identify differences in practice based on the sex of the patient.
methodOur 31-item survey queried clinicians about confidence level and practices for assessing HPG suppression in male compared to female patients.
resultsFindings showed that clinicians (n = 104) were less likely to evaluate HPG suppression in males compared to females, including assessment of sexual maturity rating (p < .050), screening of decreased libido compared to amenorrhea (p < .001) and lab assessment (luteinizing hormone and follicular-stimulating hormone: p < .001; estradiol/testosterone: p < .010; TSH: p < .050). Participants also felt less confident evaluating male patients (p < .001) and requested better screening tools for males (p < .001). DISCUSSION: Our data suggest that clinician practices differ based on patient sex and that clinicians request tools for HPG suppression assessment in males. This is the first study examining specific practices and comfort levels of clinicians when assessing HPG axis suppression. Findings suggest that more guidance on the management of male patients may be needed to standardize care and to prevent short and long-term sequela of malnutrition.
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