| Id |
Subject |
Object |
Predicate |
Lexical cue |
| T1 |
0-134 |
Sentence |
denotes |
A cross-sectional evaluation of the effect of risperidone and selective serotonin reuptake inhibitors on bone mineral density in boys. |
| T2 |
135-145 |
Sentence |
denotes |
OBJECTIVE: |
| T3 |
146-316 |
Sentence |
denotes |
The aim of the present study was to investigate the effect of risperidone-induced hyperprolactinemia on trabecular bone mineral density (BMD) in children and adolescents. |
| T4 |
317-324 |
Sentence |
denotes |
METHOD: |
| T5 |
325-558 |
Sentence |
denotes |
Medically healthy 7- to 17-year-old males chronically treated, in a naturalistic setting, with risperidone were recruited for this cross-sectional study through child psychiatry outpatient clinics between November 2005 and June 2007. |
| T6 |
559-625 |
Sentence |
denotes |
Anthropometric measurements and laboratory testing were conducted. |
| T7 |
626-754 |
Sentence |
denotes |
The clinical diagnoses were based on chart review, and developmental and treatment history was obtained from the medical record. |
| T8 |
755-947 |
Sentence |
denotes |
Volumetric BMD of the ultradistal radius was measured using peripheral quantitative computed tomography, and areal BMD of the lumbar spine was estimated using dual-energy x-ray absorptiometry. |
| T9 |
948-956 |
Sentence |
denotes |
RESULTS: |
| T10 |
957-1064 |
Sentence |
denotes |
Hyperprolactinemia was present in 49% of 83 boys (n = 41) treated with risperidone for a mean of 2.9 years. |
| T11 |
1065-1172 |
Sentence |
denotes |
Serum testosterone concentration increased with pubertal status but was not affected by hyperprolactinemia. |
| T12 |
1173-1246 |
Sentence |
denotes |
As expected, bone mineral content and BMD increased with sexual maturity. |
| T13 |
1247-1437 |
Sentence |
denotes |
After adjusting for the stage of sexual development and height and BMI z scores, serum prolactin was negatively associated with trabecular volumetric BMD at the ultradistal radius (P < .03). |
| T14 |
1438-1665 |
Sentence |
denotes |
Controlling for relevant covariates, we also found treatment with selective serotonin reuptake inhibitors (SSRIs) to be associated with lower trabecular BMD at the radius (P = .03) and BMD z score at the lumbar spine (P < .05). |
| T15 |
1666-1764 |
Sentence |
denotes |
These findings became more marked when the analysis was restricted to non-Hispanic white patients. |
| T16 |
1765-1900 |
Sentence |
denotes |
Of 13 documented fractures, 3 occurred after risperidone and SSRIs were started, and none occurred in patients with hyperprolactinemia. |
| T17 |
1901-1913 |
Sentence |
denotes |
CONCLUSIONS: |
| T18 |
1914-2045 |
Sentence |
denotes |
This is the first study to link risperidone-induced hyperprolactinemia and SSRI treatment to lower BMD in children and adolescents. |
| T19 |
2046-2202 |
Sentence |
denotes |
Future research should evaluate the longitudinal course of this adverse event to determine its temporal stability and whether a higher fracture rate ensues. |