APR 25, 2019 8:35 AM PDT

The Female Athlete Triad

WRITTEN BY: Abbie Arce

The Female Athlete Triad is a combination of three interconnected health issues. The three components are energy deficiency, menstrual disturbances (amenorrhea), and bone loss. The syndrome is common in athletic girls and woman, who may be over-exercising and not eating enough to fuel their lifestyle.

The term Female Athlete Triad was first coined in 1992 by The College of American Sports Medicine after experts in sports science noticed a pattern among female athletes. Despite having been named over 25 years ago, there still a lot to learn about the syndrome and how to best manage it. 

For women who participate in sports that emphasize leanness, the likelihood of developing secondary amenorrhea (amenorrhea with onset anytime after normal initial menstruation) jumps as high as 69% compared with 2-3% in the general population. The specific type, functional hypothalamic amenorrhea, is most commonly associated with stress and exercise both of which are significantly increased for athletes.

The second component of the triad, energy deficiency, may or may not occur in the presence of disordered eating. That said, most athletes compete within a specified weight class and use disordered eating to drop weight strategically in preparation for a sporting event. This under-eating coupled with the extreme physical demands placed on athletes combines to produce an energy-deficient state.

Bone loss is generally thought of as a problem for older adults. Typically, bone density reaches about 92% in females by age 18, and 99% by age 26. Losses in bone mineral density during this time in an athlete’s development can have long-lasting consequences. Although an athlete may engage in regular weight training, which would generally improve bone density, in athletes with the triad compromises in bone strength, may occur much earlier. This can lead to a higher likelihood of fracture due to bone fragility.

The challenges associated with treating this condition start with screening and diagnosis. Typically, players are diagnosed at pre-participation or annual health screenings. For doctors of athletes, it is essential to follow-up if one symptom is present in search of the associated symptoms to make a diagnosis.

Components of proper screening should include an extensive questionnaire with questions about physical activity, injury history, typical eating behaviors, and menstrual history. It is possible during the screening to uncover disordered eating habits or body image issues. Athletes, in this case, should be referred to a mental health professional as part of their treatment. Physical exams would ideally include a wide range of tests including a complete blood count. Other tests would help rule-out alternative causes for symptoms, like some chronic illnesses.

When it comes to treating the female athlete triad, a multifaceted approach is generally required. This may take a team of providers including primary care, nutritionist, and mental health specialists. The main goal of treatment is to restore an athletes menstrual cycle and improve bone mineral density. Firstly, this requires a change to diet and activity level. After that careful monitoring of diet, activity level, and psychological challenges will be necessary until normal functioning has been restored.   

 

 

Sources: The American College of Sports MedicineNational Institutes of Health

About the Author
  • Abbie is an AFAA certified personal trainer and fitness instructor with an interest in all things health-science. She has recently graduated with her BS in Applied Sport and Exercise Science from Barry University in Miami. Next, she intends to earn an MPH with a focus in Epidemiology.
You May Also Like
JUL 23, 2020
Cardiology
Protecting the Heart After a Heart Attack
JUL 23, 2020
Protecting the Heart After a Heart Attack
Cardiovascular disease accounts for thirty percent of mortalities around the world. These diseases start small and slowl ...
JUL 30, 2020
Cardiology
Protecting the Heart Against Cardiotoxicity
JUL 30, 2020
Protecting the Heart Against Cardiotoxicity
Doxorubicin is a potent chemotherapy drug used for many different cancers. Unfortunately, like all chemotherapies, doxor ...
SEP 12, 2020
Cardiology
Is Hyperuricemia an Indicator of Aortic Disease?
SEP 12, 2020
Is Hyperuricemia an Indicator of Aortic Disease?
Living in a culture of excess can have its benefits, but also its drawbacks. Diabetes is a common disease that is gettin ...
SEP 22, 2020
Cardiology
Mosquito-Borne Illnesses are Linked to Stroke
SEP 22, 2020
Mosquito-Borne Illnesses are Linked to Stroke
Mosquitoes are major disease vectors; they are considered the world's deadliest animal because they kill so many people.
OCT 20, 2020
Cardiology
Investigating a New Method in Heart Repair
OCT 20, 2020
Investigating a New Method in Heart Repair
Cardiovascular disease is a widespread issue that affects millions across the world. One of the most common of these dis ...
NOV 10, 2020
Cardiology
Liposomal Delivery Could Help Prevent Doxorubicin Cardiotoxicity
NOV 10, 2020
Liposomal Delivery Could Help Prevent Doxorubicin Cardiotoxicity
One of the greatest failures of modern cancer therapies is the rather substantial off-target toxic effects many radio-, ...
Loading Comments...