Clinical manifestations of the female athlete triad among some Iranian athletes.
Clinical manifestations of the female athlete triad among some Iranian athletes.
复制标题
部分伊朗运动员中女运动员三联征的临床表现。
DOI：
10.1249/mss.0b013e31823bd057
复制
发表时间：
2012
影响因子：
4.1
通讯作者：
F. Davatchi
中科院分区：
文献类型：
--
作者：
S. Movaseghi;H. Dadgostar;Saeideh Dahaghin;N. Chimeh;T. Alenabi;E. Dadgostar;F. Davatchi
目的
这项研究的目的是评估伊朗一些优秀运动员中女运动员三合会的临床表现。
方法
这项横断面研究分三个阶段进行：1)筛查月经不规律(月经过少/闭经)和/或应激性骨折和减肥药物，2)双能X射线骨密度仪测量骨密度，3)临床访谈诊断进食障碍。第二阶段和第三阶段是在报告月经不规律和/或应力性骨折和减肥药的运动员身上进行的。
结果
我们共评估了786名运动员(94%)，他们的平均年龄为21.1±4.5岁。72名(9.2%)运动员报告月经不规律，其中11名(1.4%)有多囊卵巢综合征。只有3名运动员(0.4%)有三种常见的三联症临床表现(进食障碍、月经不规律和低骨密度)。这些障碍与体重指数或运动类型之间没有关联。共有17人(2%)报告了应力性骨折，其中14人也报告了应力性骨折的病史，没有任何月经不规律。参加高风险运动(耐力性运动、重量级运动和需要瘦身材的运动)的运动员比参加其他类型的运动员有更多的应力性骨折(优势比=3.35，95%可信区间=1.22~9.15)。
结论
尽管临床功能性下丘脑月经紊乱和应力性骨折的发生率低于其他一些国家的报道，但高风险组运动员的应力性骨折明显多于低风险组。未来的研究应该集中在筛查、诊断、预防和治疗新定义的三合会的所有组成部分，特别是在伊朗的高危运动中。
PURPOSE
The study's purpose was to evaluate clinical manifestations of the female athlete triad among some elite Iranian athletes.
METHODS
This cross-sectional study was conducted in three phases: 1) screening for menstrual irregularity (oligomenorrhea/amenorrhea) and/or stress fracture and weight-reducing drugs, 2) measurement of bone mineral density by dual-energy x-ray absorptiometry, and 3) a clinical interview to diagnose eating disorders. Phases 2 and 3 were conducted in athletes who reported menstrual irregularity and/or stress fracture and weight-reducing drugs.
RESULTS
We evaluated a total of 786 athletes (94%) with a mean age of 21.1 ± 4.5 yr old. Seventy-two (9.2%) athletes reported menstrual irregularity, 11 (1.4%) of whom had polycystic ovary syndrome. Only three athletes (0.4%) had all three common clinical manifestations of the Triad (eating disorders, menstrual irregularity, and low bone mineral density). There was no association between these disorders and body mass index or type of sport. A total of 17 (2%) reported stress fracture, 14 of whom also reported a history of stress fracture without any menstrual irregularity. The athletes who competed in high-risk sports (endurance sports, weight class sports, and sports requiring a lean build) had significantly more stress fractures than those participating in other types (odds ratio = 3.35, 95% confidence interval = 1.22-9.15).
CONCLUSIONS
Although the prevalences of clinical functional hypothalamic menstrual disorders and stress fracture were less than those reported in some other countries, athletes in the high-risk group had significantly more stress fractures than those in the low-risk group. Future studies should focus on screening, diagnosing, preventing, and treating all components of the newly defined Triad, especially in high-risk sports in Iran.
下丘脑闭经女性骨质减少：一项前瞻性研究。
影响因子：
7.2
作者：
Biller,BM;Coughlin,JF;Saxe,V;Schoenfeld,D;Spratt,DI;Klibanski,A
通讯作者：
Klibanski,A