Young women who are constitutionally thin, or naturally severely thin, may have impaired bone quality and be at increased risk for osteoporosis, according to a new study. Constitutional thinness refers to young women with no identified eating disorder who have a low body mass index (<16.5 kg/mē) yet continue to have a close-to-normal fat mass percentage, normal physiological menstrual cycles, and normal energy metabolism. Almost fifty percent of anorexic patients present with a decreased bone mass and a very increased fracture risk, explained by the multiple hormonal and nutritional abnormalities.
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