女运动员三联征循证研究进展

Evidence-based Study for Female Athlete Triad

"女运动员三联征"是指女性运动员在能量供应不足、月经功能异常和骨密度低下三者之间的相互关系,包括进食障碍、下丘脑功能性闭经、骨质疏松。1992年美国运动医学会(ACSM)首先提出"女运动员三联征"这一概念。1997年ACSM首次颁布了女运动员三联征立场声明;2005年11月,国际奥委会(IOC)一致通过了由医学委员会(IOC-MC)提出的关于防治女运动员三联征的提案,坚持把保护运动员的健康作为国际奥委会医学委员会的首要任务;2007年ACSM对1997年版的女运动员三联征立场声明进行了更新,并提出新的建议用于女运动员三联征的筛查、诊断、预防和治疗。在ACSM和IOCMC关于女运动员三联征立场声明的基础上,对女运动员三联征的循证研究进展进行综述,为保护女运动员的健康提供最新的循证研究证据,为建立适合我国国情的女运动员三联征干预体系提供参考。

The female athlete triad refers to the interrelationships among energy availability, menstrual function, and bone min- eral density, which may have clinical manifestations including eating disorders, functional hypothalamie amenorrhea, and oste- oporosis. These 3 conditions are intricately related to each other and combined to influence the health and competitive perform- ance of female athletes, especially in those athletes engaging in the sports rely on low weight or low body fat percent. The fe- male athlete triad was proposed by ACSM in 1992, and first position statement on female athlete triad was proposed in 1997. ACSM updated the 1997 position statement in 2007 and provided an evidence - based intervention guideline for female ath- letes＇ healthcares. In Nov 2005, IOCMC also proposed a position statement on female athlete triad and persisted in protecting athletes health as their most important task. This paper reviews the ACSM and IOCMC postion statement on female athlete tri- ad, and aims to promote an intervention system on female athlete triad in China.