Waldrop Julee
School of Nursing, University of North Carolina, Chapel Hill, NC 27599, USA.
J Pediatr Health Care. 2005 Jul-Aug;19(4):213-20. doi: 10.1016/j.pedhc.2005.02.008.
The diagnosis of female athlete triad is based on three criteria: (a) disordered eating, (b) amenorrhea, and (c) osteopenia. Prevention involves increasing awareness of this problem in athletes, parents, and coaches. Routine and opportunistic screening for risk factors by health care providers will increase early detection in athletes. Appropriate evaluation and treatment will decrease the consequences of this disorder. Consequences include stress fractures, development of eating disorders, and lower peak bone mass resulting in increased risk of osteoporosis later in life. A primary care case manager who provides motivation and support along with a multidisciplinary approach to treatment is recommended. This approach includes nutritional, exercise, and psychological therapies and possibly supplements and medication for optimal results.
（a）饮食紊乱，（b）闭经，以及（c）骨质减少。预防措施包括提高运动员、家长和教练对这一问题的认识。医疗保健人员对风险因素进行常规和机会性筛查将提高对运动员的早期发现。适当的评估和治疗将减少这种疾病的后果。后果包括应力性骨折、饮食失调的发展以及较低的峰值骨量，从而导致日后患骨质疏松症的风险增加。建议由一名初级保健病例经理提供激励和支持，并采用多学科治疗方法。这种方法包括营养、运动和心理治疗，可能还包括补充剂和药物治疗以达到最佳效果。
