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2014 年女性运动员三项目联盟共识声明:关于女性运动员三项目的治疗和重返赛场,第一届国际会议于 2012 年 5 月在美国加利福尼亚州旧金山举行,第二届国际会议于 2013 年 5 月在美国印第安纳州印第安纳波利斯举行。

2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013.

机构信息

Department of Kinesiology, Penn State University, , University Park, Pennsylvania, USA.

出版信息

Br J Sports Med. 2014 Feb;48(4):289. doi: 10.1136/bjsports-2013-093218.

Abstract

The Female Athlete Triad is a medical condition often observed in physically active girls and women, and involves three components: (1) low energy availability with or without disordered eating, (2) menstrual dysfunction and (3) low bone mineral density. Female athletes often present with one or more of the three Triad components, and an early intervention is essential to prevent its progression to serious endpoints that include clinical eating disorders, amenorrhoea and osteoporosis. This consensus statement represents a set of recommendations developed following the 1st (San Francisco, California, USA) and 2nd (Indianapolis, Indiana, USA) International Symposia on the Female Athlete Triad. It is intended to provide clinical guidelines for physicians, athletic trainers and other healthcare providers for the screening, diagnosis and treatment of the Female Athlete Triad and to provide clear recommendations for return to play. The 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad expert panel has proposed a risk stratification point system that takes into account magnitude of risk to assist the physician in decision-making regarding sport participation, clearance and return to play. Guidelines are offered for clearance categories, management by a multidisciplinary team and implementation of treatment contracts. This consensus paper has been endorsed by the Female Athlete Triad Coalition, an International Consortium of leading Triad researchers, physicians and other healthcare professionals, the American College of Sports Medicine and the American Medical Society for Sports Medicine.

摘要

女性运动员三联征是一种常见于活跃的女孩和妇女中的医学病症,涉及三个组成部分:(1)能量供应不足,伴有或不伴有饮食紊乱;(2)月经功能障碍;(3)骨矿物质密度降低。女性运动员经常出现三联征的一个或多个组成部分,早期干预对于防止其进展为严重终点至关重要,这些终点包括临床进食障碍、闭经和骨质疏松症。本共识声明代表了在第 1 届(美国加利福尼亚州旧金山)和第 2 届(美国印第安纳州印第安纳波利斯)国际女性运动员三联征研讨会上制定的一组建议。它旨在为医生、运动训练师和其他医疗保健提供者提供筛查、诊断和治疗女性运动员三联征的临床指南,并为重返赛场提供明确的建议。2014 年女性运动员三联征联盟治疗和重返赛场共识声明专家组提出了一种风险分层点系统,该系统考虑了风险的大小,以帮助医生在运动参与、许可和重返赛场方面做出决策。提供了许可类别、多学科团队管理和治疗合同执行的指南。本共识文件得到了女性运动员三联征联盟、一个由领先的三联征研究人员、医生和其他医疗保健专业人员组成的国际联合会、美国运动医学学院和美国运动医学学会的认可。

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