Gidwani G P
Department of Gynecology-Obstetrics, Cleveland Clinic, OH 44106, USA.
Adolesc Med. 1999 Jun;10(2):275-90, vii.
Amenorrhea in the athlete is commonly encountered in clinical practice. The work-up of an athlete with amenorrhea should include consideration of all the physiological and pathological conditions that give rise to amenorrhea in any adolescent. Delay or failure to recognize and manage these patients may result in the emergence of athletic triad with potential serious consequences of increased stress fractures, scoliosis, and thin body mass. This article reviews amenorrhea in the adolescent athlete with respect to body composition, disordered eating, osteoporosis, psychological factors, warning signs, treatment, and outcomes. Need for further strategies specific to prevention, surveillance, research, health consequences, medical care, and public and professional education is addressed.
运动员闭经在临床实践中较为常见。对闭经运动员的检查应包括考虑所有导致任何青少年闭经的生理和病理状况。延误或未能识别和处理这些患者可能会导致运动三联征的出现，增加应力性骨折、脊柱侧弯和低体重等潜在严重后果。本文就身体成分、饮食失调、骨质疏松症、心理因素、警示信号、治疗及预后等方面对青少年运动员闭经进行综述。文中还探讨了针对预防、监测、研究、健康后果、医疗护理以及公众和专业教育等方面进一步策略的必要性。
