Jacot-Guillarmod Martine, Diserens Cécile
Service de gynécologie, Département femme-mère-enfant, CHUV, 1011 Lausanne.
Rev Med Suisse. 2017 Oct 25;13(580):1838-1842.
The female athletic triad refers to the interaction between menstrual function, energy availability and bone density. When an imbalance appears between energy input and output, the global health of the athletic teenager is at risk of somatic and/or psychological complications as defined by the RED-S (Relative Energy Deficiency in Sports). In athletic girls menstrual disorder should be seen as an alert. It may be difficult to distinguish it from menstrual irregularity due to immature hypothalamic-hyphophysic-gonadal axis, which can be physiological at that age. A multidisciplinary approach is needed. The challenge is to find a balance between sport practice and prevention of complications due to lack of estrogens.
女性运动三联征指月经功能、能量供应和骨密度之间的相互作用。当能量输入与输出出现失衡时，根据“运动相关相对能量缺乏”（RED-S）的定义，运动青少年的整体健康面临躯体和/或心理并发症的风险。在运动女孩中，月经紊乱应被视为一种警示信号。由于下丘脑-垂体-性腺轴不成熟导致的月经不规律在这个年龄段可能是生理性的，因此可能难以将其与月经紊乱区分开来。这需要多学科方法。挑战在于在运动锻炼与预防因雌激素缺乏引起的并发症之间找到平衡。
