Wilmore J H
Department of Kinesiology and Health Education, University of Texas, Austin 78712.
Int J Sport Nutr. 1991 Jun;1(2):104-17. doi: 10.1123/ijsn.1.2.104.
This paper presents an overview of eating disorders, including definitions, clinical criteria for appropriate diagnosis, and a discussion of the potential for increased risk for eating disorders in special populations of female athletes. This is followed by a discussion of the prevalence of eating disorders in normal and athletic populations. From this discussion, it seems clear that female athletes in endurance or appearance sports are at an increased risk for disordered eating. Finally, the paper focuses on related disorders--a triad associating eating disorders, menstrual dysfunction, and bone mineral disorders. It is clear that secondary amenorrhea is associated with malnutrition and disordered eating. Further, bone mineral disorders are related to menstrual dysfunction. Disordered eating may represent the initiating factor of this triad.
本文概述了饮食失调症,包括定义、正确诊断的临床标准,以及对女性运动员特殊群体中饮食失调症风险增加可能性的讨论。接下来讨论了正常人群和运动员群体中饮食失调症的患病率。从这次讨论中可以明显看出,从事耐力运动或注重外表运动的女性运动员出现饮食紊乱的风险增加。最后,本文重点关注相关病症——饮食失调症、月经功能紊乱和骨矿物质紊乱这三者之间的关联。很明显,继发性闭经与营养不良和饮食紊乱有关。此外,骨矿物质紊乱与月经功能紊乱有关。饮食紊乱可能是这三者关联的起始因素。