Nutrition Institute, Rio de Janeiro State University, Maracanã, Rio de Janeiro, RJ 20550-900, Brazil.
Appetite. 2013 May;64:39-47. doi: 10.1016/j.appet.2013.01.001. Epub 2013 Jan 11.
The aim of this study was to estimate the prevalence of disordered eating and possible health consequences in adolescent female tennis players. This cross-sectional controlled study investigated the pubertal development (Tanner stages); body composition (dual energy X-ray absorptiometry-DXA); dietary intake (food record); presence of disordered eating (EAT-26, BITE and BSQ); menstrual status (questionnaire) and bone mineral density (DXA). The Female Athlete Triad (FAT) was divided into two severity stages. The study included 45 adolescents (24 athletes and 21 controls) at some pubertal developmental stage. The athletes exhibited better body composition profiles. We found that 91.7%, 33.3% and 25% of athletes and 71.4%, 9.5% and 33.3% of controls met criteria for disordered eating and/or low energy availability, menstrual irregularities and low bone mass, respectively. A greater percentage of athletes than controls presented with 1 and 2 FAT components (stage I), and 4.2% presented with the full syndrome. In conclusion, tennis players appear to present with more severe disorders than controls and should be monitored to avoid damage to their performance and health.
本研究旨在评估青春期女性网球运动员中饮食失调的流行情况及其可能的健康后果。本横断面对照研究调查了青春期发育（Tanner 分期）；身体成分（双能 X 线吸收法-DXA）；饮食摄入（饮食记录）；饮食失调的存在（EAT-26、BITE 和 BSQ）；月经状况（问卷调查）和骨矿物质密度（DXA）。女性运动员三联征（FAT）分为两个严重程度阶段。研究纳入了处于青春期不同发育阶段的 45 名青少年（24 名运动员和 21 名对照组）。运动员表现出更好的身体成分特征。我们发现，91.7%、33.3%和 25%的运动员和 71.4%、9.5%和 33.3%的对照组分别符合饮食失调和/或能量供应不足、月经不规律和低骨量的标准。与对照组相比，更多的运动员出现了 1 个和 2 个 FAT 成分（I 期），4.2%的运动员出现了完全综合征。总之，网球运动员似乎比对照组表现出更严重的障碍，应进行监测，以避免对其运动表现和健康造成损害。
