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Related Experiment Videos

Amenorrhea in Olympic marathon runners.

A R Glass1, P A Deuster, S B Kyle

  • 1Department of Medicine, Uniformed Services University of Health Sciences, Bethesda, Maryland.

Fertility and Sterility
|November 1, 1987
PubMed
Summary

Heavy exercise can cause secondary amenorrhea in women. This study found that elite marathon runners had a lower incidence of amenorrhea than previously predicted, suggesting training intensity may have less impact than thought.

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Area of Science:

  • Sports Medicine
  • Exercise Physiology
  • Reproductive Health

Background:

  • Secondary amenorrhea is a known risk for women engaging in strenuous physical activity.
  • The exact mechanisms behind "runner's amenorrhea" remain unclear.
  • Understanding amenorrhea in elite athletes is crucial for their health and performance.

Purpose of the Study:

  • To investigate the prevalence of amenorrhea in a high-level group of female marathon runners.
  • To compare physiological and training characteristics of amenorrheic versus eumenorrheic elite runners.
  • To assess the relationship between training intensity and amenorrhea in national-caliber athletes.

Main Methods:

  • Studied female runners participating in the 1984 U.S. Olympic Marathon trials (average 70 miles/week).

Related Experiment Videos

  • Compared amenorrheic runners with eumenorrheic marathon runners.
  • Analyzed age, body weight, body fat percentage, training mileage, race performance, and serum hormone levels (prolactin and cortisol).
  • Main Results:

    • 19% of the elite female marathon runners experienced amenorrhea.
    • Amenorrheic runners were significantly younger, lighter, and leaner than their eumenorrheic counterparts.
    • No significant differences were found in training mileage, race completion, or post-race prolactin levels; basal cortisol was slightly higher in the amenorrheic group.

    Conclusions:

    • Training intensity above a certain threshold appears to have minimal impact on the development of runner's amenorrhea.
    • Elite national-caliber marathon runners may have a lower incidence of amenorrhea than previously estimated.
    • Younger, lighter, and leaner body composition are associated with amenorrhea in this elite running population.