女运动员的荷尔蒙避孕药具有特殊的需求和担忧
Liron Seidman1, Daniel S Seidman2, Naama W Constantini3
1Soroka Medical School, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
概括
口服避孕药 (OCs) 被女性运动员广泛使用. 研究表明,OCs不会对运动表现,骨健康或受伤风险产生负面影响,甚至可能减少前十字带 (ACL) 损伤.
科学领域:
- 运动医学 运动医学
- 运动生理学 运动生理学
- 妇女健康 妇女健康
背景情况:
- 口服避孕药 (OCs) 经常被女性运动员使用,这促使对其生理效应进行调查.
- 人们担心对运动表现,骨密度和受伤率的潜在不利影响.
研究的目的:
- 审查当前关于OCs对身体活跃女性生理影响的文献.
- 评估OCs对运动表现,肌肉骨损伤和骨健康的影响.
主要方法:
- 在PubMed和谷歌学者数据库 (2002-2022) 中进行全面的文献搜索.
- 从最初的344篇文章中,包括了54项临床研究.
- 从符合条件的研究中审查参考清单.
主要成果:
- 约三分之二的女运动员使用OC.
- 目前的证据表明,OCs对耐力表现和肌肉力量的影响最小.
- OCs似乎不会显著损害骨健康或增加一般体育伤害风险.
- 新出现的数据表明,OCs可能会显著降低前十字带 (ACL) 损伤的风险.
结论:
- 口服避孕药可以安全地被女性运动员使用,提供诸如月经周期调节等好处.
- 在ACL受伤时,OCs具有显著的保护作用.
- 建议根据运动员的偏好和经验对OC使用进行个性化考虑.
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