Department of Kinesiology, Faculty of Sport Studies, Masaryk University, 62500 Brno, Czech Republic.
Incubator of Kinanthropological Research, Faculty of Sport Studies, Masaryk University, 62500 Brno, Czech Republic.
Int J Environ Res Public Health. 2022 Oct 31;19(21):14243. doi: 10.3390/ijerph192114243.
The aim of this study was to rapidly review the literature on the prevalence of menstrual disorders in female athletes from different sports modalities. Articles were searched in the Web of Science and PubMed database in May 2022. A total of 1309 records were identified, and 48 studies were included in the final stage. The menstrual disorders described in the included studies were primary (in 33% of included studies) and secondary amenorrhea (in 73% of included studies) and oligomenorrhea (in 69% of included studies). The prevalence of menstrual disorders among the studies ranged from 0 to 61%. When data were pooled according to discipline (mean calculation), the highest prevalence of primary amenorrhea was found in rhythmic gymnastics (25%), soccer (20%) and swimming (19%); for secondary amenorrhea in cycling (56%), triathlon (40%) and rhythmic gymnastics (31%); and oligomenorrhea in boxing (55%), rhythmic gymnastics (44%) and artistic gymnastics (32%). Based on the results of this review, the study supports the literature of the higher prevalence of menstrual disorders in gymnastics and endurance disciplines. However, team sports modalities such as volleyball and soccer also presented a considerable percentage of menstrual disorders compared to the general population. It reinforces the importance of coaches and physicians paying attention to athletes' menstrual cycle as the occurrence of menstrual disorders can be associated with impairment on some health components.
本研究旨在快速回顾不同运动项目女性运动员月经失调的文献。2022 年 5 月在 Web of Science 和 PubMed 数据库中进行了文献检索。共确定了 1309 条记录,最终有 48 项研究纳入了最终阶段。纳入研究中描述的月经失调包括原发性(在 33%的纳入研究中)和继发性闭经(在 73%的纳入研究中)和稀发排卵(在 69%的纳入研究中)。研究中月经失调的患病率范围为 0 至 61%。根据学科(均值计算)汇总数据时,原发性闭经的最高患病率出现在艺术体操(25%)、足球(20%)和游泳(19%);继发性闭经在自行车(56%)、三项全能(40%)和艺术体操(31%)中最高;稀发排卵在拳击(55%)、艺术体操(44%)和艺术体操(32%)中最高。基于本综述的结果,研究支持了文献中关于体操和耐力项目月经失调发生率较高的观点。然而,与一般人群相比,排球和足球等团队运动项目也出现了相当比例的月经失调。这强调了教练和医生关注运动员月经周期的重要性,因为月经失调的发生可能与某些健康因素的受损有关。