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Athletic amenorrhea and endothelial dysfunction.

Anne Z Hoch1, Jason W Jurva, Megan A Staton

  • 1Department of Orthopaedic Surgery/Cardiovascular Center, 9200 W Wisconsin Ave, Medical College of Wisconsin, Milwaukee 53226, USA. azeni@mcw.edu

WMJ : Official Publication of the State Medical Society of Wisconsin
|November 1, 2007
PubMed
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Athletic amenorrhea in college runners often resolves, leading to improved brachial artery dilation. This suggests that restoring menstrual function positively impacts vascular health in these athletes.

Area of Science:

  • Exercise Physiology
  • Cardiovascular Health
  • Reproductive Endocrinology

Background:

  • Athletic amenorrhea is common in female runners and can affect reproductive health.
  • Endothelial function, assessed by brachial artery flow-mediated dilation, is a marker of cardiovascular health.
  • The long-term impact of resolving athletic amenorrhea on vascular function is not well understood.

Purpose of the Study:

  • To investigate changes in menstrual status in college runners with athletic amenorrhea over a 2-year period.
  • To determine the effect of altered menstrual status on brachial artery flow-mediated dilation.

Main Methods:

  • Follow-up study of 18 female athletes (9 amenorrheic, 9 eumenorrheic/control) 2 years after baseline measurements.
  • Menstrual status determined via questionnaires, interviews, and blood draws.

Related Experiment Videos

  • Brachial artery flow-mediated dilation measured using non-invasive ultrasound.
  • Main Results:

    • Menstrual status normalized in 7 of 9 original amenorrheic subjects.
    • Brachial artery flow-mediated dilation significantly improved in the previously amenorrheic group (1.1% to 5.6%, P=0.01).
    • No significant change in flow-mediated dilation was observed in the eumenorrheic/control group (6.3% to 8.0%, P=0.42).

    Conclusions:

    • Menstrual status changes were observed in a majority of amenorrheic athletes.
    • Restoration of menstrual function was associated with improved endothelial-dependent brachial artery dilation.
    • These findings highlight the link between reproductive health and cardiovascular function in female athletes.