Mesaki N, Sasaki J, Shoji M, Iwasaki H, Asano K, Eda M
Nihon Sanka Fujinka Gakkai Zasshi. 1987 Jan;39(1):63-9.
Recently, the number of women who participate in strenuous exercise has increased significantly. The relationship between delayed menarche and early onset of sports training, and increased incidence of menstrual dysfunction related to athletic activity had led to increased interest. Five basketball players who are among the best players in Japan were subjected to an investigation of endocrinological responses effected by 60 minutes continuous exercise cycle ergometer. The VO2max value was previously examined. Then, the level of load during exercise was established at 60% VO2max in this study. The serum level of estradiol increased significantly in the luteal phase but not so significantly in the follicular phase. Progesterone did not show a significant change during exercise. FSH increased slightly in both phases. However, LH showed a slight increase in the follicular phase and a slight decrease in the luteal phase. On the other hand, prolactin showed a continuous significant increase during exercise in both phases. These data suggested that strenuous daily training leads to a frequent significant increase in prolactin in athletic women and this frequent increase in prolactin may be one of the major factors causing menstrual dysfunction in athletic women. The specialized physician should be more concerned about the managing of athletes who are suffering from menstrual dysfunction.
最近,参加剧烈运动的女性人数显著增加。初潮延迟与运动训练开始时间过早之间的关系,以及与体育活动相关的月经功能障碍发病率上升,引发了越来越多的关注。对日本最优秀的五名篮球运动员进行了一项研究,调查他们在连续60分钟的自行车测力计运动中产生的内分泌反应。此前已检测过她们的最大摄氧量(VO2max)值。在本研究中,运动强度设定为最大摄氧量的60%。雌二醇的血清水平在黄体期显著升高,但在卵泡期升高不显著。运动期间孕酮没有显著变化。促卵泡生成素(FSH)在两个阶段均略有升高。然而,促黄体生成素(LH)在卵泡期略有升高,在黄体期略有下降。另一方面,催乳素在两个阶段的运动过程中均持续显著升高。这些数据表明,高强度的日常训练导致运动女性的催乳素频繁显著升高,而这种催乳素的频繁升高可能是导致运动女性月经功能障碍的主要因素之一。专科医生应更加关注患有月经功能障碍的运动员的管理。