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Analysis: The Female Athlete Triad

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The first use of the term ‘Female Athlete Triad’ was in 1992. Since then a new term was developed to replace the Female Athlete Triad. Relative Energy Deficiency in Sport (RED-S) was published as a consensus of the International Olympic Committee in 20141. The IOC concluded that the Female Athlete Triad is an outdated and a gender-specific term1.It has been found that male athletes also show signs of some of the components of the female athlete triad, such as the energy insufficiency and low bone mineral density1. The term, RED-S, includes recreational athletes and dancers that may not consider themselves athletes but experience energy deficiency and its related components, whereas the Female Athlete Triad did not include these populations1. …show more content…
From the population surveyed, 1.1% of female athletes met the criteria to be diagnosed with bulimia nervosa, and none of the athletes met the criteria to be diagnosed with anorexia nervosa. However, the study reported that 9.2% of female athletes were found to have “clinically significant problems with bulimia nervosa” and 2.85% of female athletes were found to have “clinically significant problems with anorexia nervosa”. Additionally, 10% of the female athletes reported binge eating on a weekly basis, and 5.5% of female athletes reported purging by taking laxatives or diuretics or vomiting on a weekly or greater basis21. This study displays the significance and requirement for the future study of RED-S in athletes at the collegiate …show more content…
These can occur for a variety of reasons including menstrual dysfunction, excessive exercise, inadequate intake, poor bone health, and a low body mass index. Energy deficiency can cause the body to conserve energy and neglect certain body functions. In females, energy deficiency can lead to a loss in menstrual function also known as amenorrhea when the cycle stops for 3 months or longer. In connection with amenorrhea, these female athletes have low levels of estrogen, which inhibits the formation of adequate bone density23. Estrogen is a hormone that promotes bone density and is found to be decreased in women that are energy deficient24. Low levels of estrogen have been linked with a decrease in osteoblast activity and an increase in bone turnover24. Additional to estrogen, cortisol plays a role in bone health also. Cortisol is a stress hormone, and has been associated with bone resorption when an individual in an energy deficiency needs to use amino acids to produce supplemental energy through gluconeogenesis25. Cortisol blocks the bone from absorbing calcium which leads to a decrease in bone formation26. Disruption in calcium homeostasis leads to a reduction in bone mineral density27. Cortisol levels can increase due to physiological and psychological factors25. Cortisol levels are thought to increase when athletes are completing

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