文献类型： 会议论文

第一作者： Irene Lambrinoudaki

作者： Irene Lambrinoudaki ¹ ; Dimitra Papadimitriou ¹ ;

作者机构： 1.Second Department of Obstetrics and Gynecology, University of Athens, Aretaieio Hospital, Athens Greece

关键词： low bone mass;female athletes;osteoporosis;eating disorders;amenorrhea

会议名称： Athens Congress on Women's Health and Disease

主办单位：

页码： 45-50

摘要： Low bone mass is frequent among female athletes. The "female athlete triad" is a term that describes the interaction among energy availability, menstrual function, and bone metabolism that may lead to amenorrhea and osteopenia or osteoporosis. The main pathophysiologic mechanisms that lead to low bone mass in female athletes are low energy availability and functional hypothalamic amenorrhea. Increased energy expenditure and/or decreased energy intake, as well as the presence of eating disorders, are associated with low bone mass. In addition, menstrual dysfunction is quite common, especially among athletes competing in sports favoring leanness, and also associates with low bone mass. Screening for bone loss in female athletes should take place in the presence of amenorrhea or body mass index <18 kg/m2. Management of low bone mass aims to restore normal energy availability and nutritional habits. Hormone replacement therapy has no effect in abnormally underweight patients unless normal eating behaviors are restored.

分类号： R173-532