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 * FEMALE ATHLETE TRIAD
   
   
   THE FEMALE ATHLETE TRIAD IS A MEDICAL CONDITION COMMONLY OBSERVED IN
   PHYSICALLY ACTIVE FEMALES.
   
   Our approach
   Our solutions
   

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Homenutrition-edu2019-11-11T16:13:07+00:00


FEMALE ATHLETE TRIAD




The female athlete triad is a medical condition commonly observed in physically
active females involving three components:

 * Low Energy – available and/or being consumed with or without disordered
   eating

 * Menstrual – dysfunction

 * Low – bone density




An individual may not need to show clinical manifestations of all three
components of the female athlete triad at the same time to be affected by the
condition (1).



Our approach




CONSEQUENCES:

The consequences of these clinical conditions may not be entirely reversible,
that being said, prevention, early diagnosis, and intervention are critical (1).

The consequences of lost bone mineral density can be devastating for the female
athlete. Premature osteoporotic fractures can occur, and lost bone mineral
density may never be regained (4).

Not only does this affect bone health but long-term affects on menstruation is
prevalent as well, leading to amenorrhea and other conditions.






THE SOCIETAL IMPORTANCE AND PREVALENCE:




The female athlete triad is a combination of three interrelated conditions:
disordered eating, amenorrhea, and osteoporosis. When it comes to disordered
eating, patients may engage in a wide range of behaviors, this could include
restriction and binging/purging, with the intention to lose weight or maintain a
thin physique (4). While athletes do not need to meet the strict criteria for
anorexia or bulimia , female athlete triad can often lead to the development of
an eating disorder if left without treatment, depending on the athlete.

Although the prevalence of the female athlete triad is unknown, many studies
have shown that there is disordered eating behavior in 15 to 62 percent of
female college athletes (4).

Amenorrhea occurs in 3.4 to 66 percent of female athletes, compared to only 2 to
5 percent of women in general (4).









DIAGNOSIS AND SCREENING:




The obstetrician–gynecologist has the opportunity to screen athletes for
components of the female athlete triad at comprehensive visits for preventive
care. Screening also should be done at the time of preparticipation sports
physicals for all female athletes. The American College of Sports Medicine and
the American Medical Society for Sports Medicine recommend that clinicians
screen for a history of critical comments about eating or weight from parents,
coaches, or teammates (3).








SIGNS AND SYMPTOMS:

Female athlete triad can often be hard to detect, many common symptoms that have
been reported are:

 * Poor self-image
 * Pathogenic weight control behaviors.
 * Social isolation due to involvement in sports
 * Obsession with low body weight
 * Food restriction and excessive activity.
 * Fatigue (extreme)
 * Possible common signs of anorexia nervosa or bulimia.
 * Frequent injury.
 * Lack of menstruation for extended period of time.




DIAGNOSIS AND SCREENING CONTINUED…

The athlete should be questioned about her weight (maximum, minimum, and ideal),
menstrual history and pattern, satisfaction with how she looks (body image),
exercise regime, current and past medications, eating habits, diet history,
history of eating disorders, laxative or diet pill use, sexual history,
substance abuse, and symptoms of depression (3).





References and Sources:

1. Female athlete triad. Committee Opinion No. 702. American College of
Obstetricians and Gynecologists. Obstet Gynecol 2017;129:e160–7.

2. Menstruation in girls and adolescents: using the menstrual cycle as a vital
sign. Committee Opinion No. 651. American College of Obstetricians and
Gynecologists. Obstet Gynecol 2015;126:e143–6. [PubMed] [Obstetrics &
Gynecology]

3. Nazem TG, Ackerman KE. The female athlete triad. Sports Health 2012;4:302–11.
[PubMed] [Full Text].        

4. JULIE A. HOBART, M.D., and DOUGLAS R. SMUCKER, M.D., M.P.H., University of
Cincinnati College of Medicine, Cincinnati, Ohio

Am Fam Physician. 2000 Jun 1;61(11):3357-3364. 



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