Ivković A, Bojanić I, Ivković M
Pliva zdravlje Marketing, Pliva d.d., Zagreb.
Lijec Vjesn. 2001 Jul-Aug;123(7-8):200-6.
This review offers some basic information on a syndrome described in 1992 as the female athlete triad. The increasing participation of women in competitive sports has led to significant accumulation of knowledge about potential pathological conditions due to strenuous exercise. Participation in sports that emphasize specific body image, psychological constitution of young female athletes and significantly lower daily calory intake cause the development of disordered eating, especially anorexia nervosa. Anorexia in combination with intensive training induces menstrual disorders, exercise-associated amenorrhea being the most important one. Low serum estrogen concentrations, as well as insufficient daily calcium intake have negative influence on bone mineral density, and the athletes have greater risk of developing osteoporosis and stress fractures. We described the diagnostic and therapeutic procedures necessary to detect and treat this syndrome. Education of physicians, female athletes and their coaches, as well as the screening during the annual examination, remain the most important measures of prevention.
本综述提供了一些关于1992年被描述为女性运动员三联征的综合征的基本信息。女性参与竞技运动的人数不断增加，导致人们对剧烈运动引起的潜在病理状况积累了大量知识。参与强调特定身体形象的运动、年轻女性运动员的心理构成以及每日热量摄入显著降低会导致饮食失调，尤其是神经性厌食症。厌食症与高强度训练相结合会引发月经紊乱，其中运动性闭经最为重要。血清雌激素浓度低以及每日钙摄入量不足会对骨矿物质密度产生负面影响，运动员患骨质疏松症和应力性骨折的风险更高。我们描述了检测和治疗该综合征所需的诊断和治疗程序。对医生、女运动员及其教练进行教育，以及在年度体检时进行筛查，仍然是最重要的预防措施。
