超越月经功能障碍:由有问题的低能量可用性引起的内分泌功能变化是否会损害女性运动员的健康和体育表现?
Johanna K Ihalainen1,2, Ritva S Mikkonen3,4, Kathryn E Ackerman5,6
1Biology of Physical Activity, Faculty of Sport and Health Sciences, University of Jyväskylä, PO Box 35, 40014, Jyväskylä, Finland. johanna.k.ihalainen@jyu.fi.
Sports medicine (Auckland, N.Z.)
|July 12, 2024
概括
运动员的低能量可用性会破坏内分泌功能,导致月经功能障碍,影响骨健康,新陈代谢和表现. 了解这些荷尔蒙变化对于运动员的福祉和最佳的训练适应至关重要.
科学领域:
- 运动医学 运动医学
- 内分泌学 在内分泌学.
- 运动生理学 运动生理学
背景情况:
- 低能量的可用性 (LEA) 对运动员的健康和体育表现产生负面影响.
- 内分泌功能障碍与性能/训练适应能力受损之间的联系尚未完全理解.
- 运动中的相对能量缺乏 (RED-S) 包含了这些健康问题.
研究的目的:
- 描述LEA诱导的内分泌变化如何影响运动员的健康和表现.
- 突出性激素干扰和更广泛的内分泌轴功能障碍的作用.
- 强调需要进一步研究 LEA 对绩效的机制.
主要方法:
- 关于LEA和运动员内分泌功能的科学文献的综述.
- 影响LEA.的荷尔蒙通路的描述.
- 对健康和绩效影响的分析.
主要成果:
- LEA导致性激素功能障碍,表现为月经功能障碍.
- 同时发生其他内分泌轴 (例如,HPO轴) 的功能障碍.
- 不良结果包括负面的骨健康,代谢受损,身体组成变化,免疫问题,心血管问题,缺铁和耐力/力量降低.
结论:
- 月经功能障碍标志着下丘脑-垂体-卵巢轴问题,但其他荷尔蒙轴障碍也很重要.
- 了解内分泌干扰的全谱对于运动员的健康和表现至关重要.
- 需要进一步的研究来阐明LEA,内分泌学和受损训练适应之间的机制.
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