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Female athlete triad syndrome

New criteria for female athlete triad syndrome?

K M Khan¹, T Liu-Ambrose¹, M M Sran², M C Ashe¹, M G Donaldson¹, J D Wark³

¹ University of British Columbia, Bone Health Research Group, Departments of Family Practice and Human Kinetics, University of British Columbia, Vancouver, Canada
² Osteoporosis Program, BC Women's Hospital and Health Centre, Vancouver, Canada
³ Department of Medicine, University of Melbourne, Royal Melbourne Hospital, Melbourne, Australia

Correspondence to:
Correspondence to:
Dr Khan, James Mather Building, 5084 Fairview Avenue, Vancouver V6T 1Z3, Canada;
kkhan@interchange.ubc.ca

Keywords: osteoporosis; osteopenia; bone; female athlete triad syndrome

The American College of Sports Medicine (ACSM) has provided a great deal of impetus to educating healthcare providers, athletes, and the general public about the potential harm of a "serious syndrome consisting of disordered eating, amenorrhoea and osteoporosis".¹ We recognise and respect the importance of research and attention to this clinical problem and commend the ACSM on its contribution to date.² To their credit, the authors of the most recent position stand acknowledged that there were no data reporting prevalence on this condition,³ and they encouraged further research. Since then, Mayo Clinic physiatrist Tamara Lauder⁴ has published two important papers showing a 0% prevalence of the female athlete triad (as defined by ACSM) despite 34% of this military population being at risk of disordered eating. Therefore we re-examined the prevalence of one component of the female athlete triad, osteoporosis, in studies of athletic women with menstrual . . . [Full text of this article]

A Nattiv

UCLA Department of Family Medicine, Division of Sports Medicine and Department of Orthopaedic Surgery; Director, UCLA Osteoporosis Center, Los Angeles, California USA; anattive@mednet.ucla.edu

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