[当代对运动性 amenorrhea 的看法及其纠正方法. (文献综述) ],这是一个很好的方法
E A Tenyaeva1, E A Turova1,2, V A Badtieva1,2,3
1S.I. Spasokukotsky Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russia.
概括
女运动员经历运动员三位一体,以饮食障碍,月经障碍和低骨密度为特征,受到体育 (RED-S) 相对能量缺乏的影响. 早期诊断和多学科治疗对于康复和预防长期健康问题至关重要.
科学领域:
- 运动医学 运动医学
- 内分泌学 在内分泌学.
- 运动营养 运动营养
背景情况:
- 女运动员的缺血是"运动员三位一体"的一部分,包括饮食障碍,月经功能障碍和低骨密度.
- 这种综合症是体育 (RED-S) 中相对能量缺乏的表现.
- 俄罗斯有限的文献强调了运动员和教练对这种病理及其并发症的认识较低.
研究的目的:
- 分析现有的关于体育中的相对能量缺乏 (RED-S) 问题的研究,特别是女性运动员.
主要方法:
- 对来自PubMed和RSCI数据库的52个文献来源进行了全面的审查.
- 分析了专注于"运动员女性三位一体"和运动性缺血症的研究.
- 关于RED-S的共识协议也被纳入了审查中.
主要成果:
- 治疗需要一个多学科的团队,包括妇科医生,内分泌学家,教练和营养学家.
- 关键干预措施包括增加热量摄入量,纠正饮食障碍,减少体力运动,量身定制的训练计划以及针对骨和肌肉质量的有针对性的炼.
- 药物治疗仅在医学上必要且符合反兴奋剂法规时才被考虑.
结论:
- 运动员和教练及时诊断和遵守医疗建议会带来积极的结果,包括改善心理健康,内分泌功能和新陈代谢.
- 预防策略包括对女运动员进行全面的医疗检查和定期健康检查.
- 解决RED-S对于女性运动员的长期健康和表现至关重要.
相关概念视频
01:24Muscle Recovery and Fatigue
Muscle fatigue refers to the decline in a muscle's ability to maintain the force of contraction after prolonged activity. It primarily stems from changes within muscle fibers. Even before experiencing muscle fatigue, one may feel tired and have the urge to stop the activity. This response, known as central fatigue, occurs due to changes in the central nervous system, namely the brain and spinal cord. While there is no single mechanism that induces fatigue, it may serve as a protective response...
01:27Exercise and Muscle Performance
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Endurance exercises
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Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
01:20Exercise and Cardiovascular Response
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Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
01:22Hormonal Regulation of the Menstrual Cycle
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH release.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH release.
01:30Hormonal Control of the Ovarian Cycle
The ovarian cycle is meticulously regulated by the hypothalamic-pituitary-gonadal axis. This cycle orchestrates the release of a mature oocyte, essential for reproduction.
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01:28Menopause
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...