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Updated September 27, 2001

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The Female Athlete Triad: A New Health Threat to Young Female Athletes

    Female sports has steadily grown in popularity throughout the last decade.  Just like everything else there is more and more pressure to perform well at all costs.  A new threat to the health of young girls everywhere has become more common and parents and their children should start becoming aware.  It is called the female athlete triad and has been reported on HBO's Real Sports and in Columbus Monthly magazine, in the past several months.
    The female athlete triad is something that is relatively new to the public, but has existed for years.  It consists of three elements that are linked together, yet separate.  They are disordered eating habits, amenorrhea, and osteoporosis.  It has been just recently discovered that all three of these factors contribute to the triad.  It is recommended that if one of the items is discovered, then the female should be tested for the other two. 
    Female athletes have been cutting calories for years to try and stay thin and small, especially in sports like gymnastics and running.  Athletes, though, due to their rigorous workouts, need more calories than the average person.  But, to most females, extra calories means extra weight which means extra fat.  What they seem to forget is that muscle weighs more than fat, so most of the time additional weight gain is due to muscle increase.  To increase awareness, coaches and doctors are trying to educate the athletes better on nutrition and eating right.  Hoping to prevent the beginning stages of triad before it develops.
    The decrease in calories leads to amenorrhea, the absence of the menstrual cycle.  This is much more common in female athletes then in the general population.  When the bodies caloric intake is reduced and the athlete is expending an enormous amount of energy for training, it produces a caloric deficit in the body. If the body doesn’t receive the minimum amount of calories it needs to function normally, it starts shutting down the functions that aren’t necessary for basic survival. One of those functions is the menstrual cycle. Some female athletes have gone months without ever getting a period. This is considered the first warning sign of the female athlete triad.
    Another consequence of amenorrhea is the hormonal changes that occur, specifically the loss of estrogen. Estrogen helps carry calcium to the bones and this loss of estrogen contributes to the decreased bone density. This, in turn, leads to the beginning of osteoporosis, a condition characterized by weak and brittle bones usually occurring with the elderly. The teenage years for females are really crucial to developing bone density. You hit your peak bone mass between the ages of 20 and 30. If you don’t develop it properly, it is very hard to correct. Repeated stress fractures are a good indicator of osteoporosis. If this recurs with the female, she should get a bone density test immediately. The sooner it is caught the better the chances of regaining bone loss.
    Female athlete triad is something that shouldn’t be taken lightly. The damage that can be had with this illness can be irreparable. A little education and some concern can help save the athlete from a lifetime of pain.(Columbus Monthly, Sept. 2001)

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