Puffer J C
Division of Family Medicine, School of Medicine, University of California at Los Angeles.
Bull Rheum Dis. 1994 Aug;43(5):5-6.
Athletic amenorrhea is seen frequently in competitive athletes and is strongly associated with diminished bone mineral density and disordered eating behavior. It is important, however, to note that most of the studies performed to date have been influenced significantly by selection bias. A recent Scandinavian study has shown that the great majority of women who exercise at regular and moderate levels are not at significant risk for athletic amenorrhea and its adverse effect on bone mineral density. Nevertheless, athletic amenorrhea should never be minimized when detected, and appropriate evaluation should be undertaken to prevent the adverse effects of prolonged amenorrhea on skeletal integrity.
运动性闭经在竞技运动员中很常见，并且与骨矿物质密度降低和饮食行为紊乱密切相关。然而，需要注意的是，迄今为止进行的大多数研究都受到了显著的选择偏倚影响。最近一项斯堪的纳维亚的研究表明，绝大多数经常进行适度运动的女性不存在运动性闭经及其对骨矿物质密度产生不良影响的重大风险。尽管如此，一旦发现运动性闭经，绝不应轻视，而应进行适当评估，以防止长期闭经对骨骼完整性产生不良影响。
