Exercise-Induced Amenorrhea and Bone Health in the Adolescent Athlete

Female participation in high school athletics has increased 800% in the last 30 years. The problem of exercise‐induced amenorrhea was initially thought to be analogous to hypoestrogenism, but recent studies suggest that nutritional issues underlie most of the pathophysiology and that the mechanism i...

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Bibliographic Details
Published in:Annals of the New York Academy of Sciences 2008-06, Vol.1135 (1), p.244-252
Main Authors: Warren, Michelle P., Chua, Abigail T.
Format: Article
Language:English
Subjects:
Adolescent
amenorrhea
Amenorrhea - etiology
Amenorrhea - physiopathology
Bone Density
bone turnover marker
eating disorder
Exercise
Feeding and Eating Disorders - complications
Female
female athlete triad
Humans
hypothalamic amenorrhea
Sports
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Summary:Female participation in high school athletics has increased 800% in the last 30 years. The problem of exercise‐induced amenorrhea was initially thought to be analogous to hypoestrogenism, but recent studies suggest that nutritional issues underlie most of the pathophysiology and that the mechanism is different from that seen in the primary hypogonadal state. Exercise‐induced amenorrhea can be an indicator of an energy drain, and the presence of the other components of the female athlete triad—bone density loss and eating disorders—must be determined as well. Addressing skeletal problems related to nutritional and hormonal deficiencies in this population is of very high priority.
ISSN:0077-8923
1749-6632
DOI:10.1196/annals.1429.025