低骨矿物质密度在女性精英运动员与月经功能障碍从混合体育运动
Ida Stangerup1, Anna K Melin2, Mia Lichtenstein3
1Department of Clinical Biochemistry, Copenhagen University Hospital, Bispebjerg-Frederiksberg, Copenhagen, Denmark.
Translational sports medicine
|January 16, 2025
概括
女运动员的月经功能障碍 (MD) 与体育运动中的相对能量缺乏 (REDs) 有关,显示骨矿物质密度较低和荷尔蒙水平发生变化. 早期对MD进行查对于识别有风险的运动员至关重要.
科学领域:
- 运动医学 运动医学
- 内分泌学 在内分泌学.
- 骨健康 骨健康 骨健康
背景情况:
- 女运动员的月经功能障碍 (MD) 可以表明体育运动中的相对能量缺乏 (REDs).
- 红色红色与骨健康受损,损伤风险增加和表现下降有关.
- 对RED,骨矿物质密度 (BMD) 和生物标志物的客观指标对于评估至关重要.
研究的目的:
- 调查客观REDs指标,BMD和血液生物标志物的差异.
- 为了比较女性精英运动员与自我报告的MD与eumenorrhoea (CON).
主要方法:
- 双能X射线吸收计 (DXA) 用于身体组成和骨质量评估.
- 禁食血液采样用于骨和内分泌状态生物标志物.
- 招募有<9次月经出血/年 (MD) 的运动员或患有尿的运动员 (CON).
主要成果:
- 与CON相比,MD运动员在多个地点表现出较低的BMDZ分数.
- 两组之间没有观察到骨循环生物标志物的显著差异.
- MD与较低的白质化激素,益乳素和自由T3.3的血度有关.
结论:
- 目前女性精英运动员的MD与骨健康和内分泌平衡受损有关.
- 在这个人群中,MD 作为 RED 的潜在指标.
- 建议定期查和增加运动员,教练和医疗人员的教育.
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