Filed under: Athletes
The Female Athlete Triad is a condition that commonly affects physically active girls and women, especially those involved in activities such as dance or gymnastics that have a heavy emphasis on weight and physical appearance. The Triad is characterized by energy deficiency, amenorrhea (menstrual disturbances), and osteoporosis (bone loss). Poor eating habits combined with high-intensity exercise can cause energy deficiency, although energy deficiency can occur even without disordered eating. Over time, estrogen decreases and causes menstrual cycles to become irregular or stop completely. However, estrogen is also important for building strong bones, so when estrogen levels drop, bones become weaker and osteoporosis can develop.
Female Warfighters can be at risk for developing the Triad if they don’t get enough calories and if training is too intense. In the short term, lack of energy will lead to fatigue and difficulty concentrating—an equation for poor performance. Continued energy deficiency, though, can lead to muscle loss and decreased strength, putting you at higher risk for injury. Then, even when you’re training hard, your performance may fail to improve or actually worsen.
You can prevent the Female Athlete Triad easily by focusing on your overall health and nutrition rather than your weight. Food is the fuel that helps you to perform at your best.
Are your high-school students gearing up to play a team sport? You might want to consider the pre-participation screening requirements and what’s on the horizon for future changes. The electrocardiogram—a test used to examine electrical impulses of the heart—has been used as a screening tool to identify cardiac problems. At the American Medical Society’s annual meeting, Dr. Francis O’Connor (Medical Director for the Consortium for Health and Military Performance, HPRC’s parent organization) recently presented an evaluation of recent recommendations from the European Society of Cardiology for physicians interpreting ECG test results of athletes. The accuracy of the interpretation is under scrutiny, as the results of ECGs can be tricky to interpret.
In the United States, athletes aren’t required to have an ECG screening prior to sports participation—but that might change in the future if it’s deemed that accurate readings of such screenings are reliable and might identify underlying heart abnormalities. For now, however, Dr. O’Connor noted, “identifying abnormal from normal is not as easy as it may seem.”