11-12. Female Athlete Triad Flashcards
(33 cards)
What is Wolff’s Law for bone?
Bone undergoes local, specific remodeling according to the forces it experiences
What does DEXA stand for?
Dual Emission Xray Absorptiometry
What effect do oral contraceptives and external hormones play in treating the female athlete triad?
None w/o change in diet and exercise regimen
What are the treatment options for osteoporosis?
- Vitamin D, sunlight
- Calcium
- Bisphosphates
- Calcitonin
- Fluoride
What is the “secret ingredient” of osteoporosis treatment? How does it work?
Loading exercise both drives and directs bone disposition where it is needed
When do most peeps achieve peak bone mineral?
25 years old
How does the life-span time course of bone mineral density change after age 35?
Start to lose bone
What effect do pharmaceutical treatments for osteoporosis have in older age? What age?
After age 40, rarely adds significantly (3%) to bone mass
What hormonal problem afflicts both young women w/ the athletic triad and post-menopausal women?
Decreased estrogen
What is primary amenorrhea?
No menstrual periods by age 16
What is secondary amenorrhea?
Absence of 3-6 consecutive cycles or less than 3 cycles/year after onset of established cyclic menstruation
Define menopause.
Natural decline of reproductive hormones that occurs in women starting in their 40s-50s
What makes up the female athletic triad?
- Disordered eating
- Amenorrhea
- Osteoporosis
What is EDNOS?
Eating Disorders Not Otherwise Specified = peeps who don’t meet the exact criteria for anorexia or bulimia, but exhibit the behavior
What are the characteristics of anorexia nervosa?
- Weight 15% below expected (less than 85% IBW)
- Morbid fear of fatness or weight gain
- Feel and look “fat” when actually thin
- Amenorrhea
What are the characteristics of bulimia nervosa?
- Recurrent episodes of binge eating and purge behaviors w/o restriction
- Behaviors occurring at least 2x/week for at least 3 months
- Self esteem influenced by body image
- Can occur w/ or w/o menstrual irregularity
What are the characteristics of EDNOS?
- Intermittent episodes of binge eating OR food restriction
- Intermittent inappropriate purge behaviors
- Episodes that are less frequent or result in differential weight or menses changes
Define osteoporosis.
Low bone mass and deterioration of bone tissue micro-architecture leading to enhanced skeletal fragility and increased risk of fracture
When do older males develop their osteoporosis relative to women?
- Males: later
- Females: earlier
What is the prevalence of eating disorders in the general population?
1-4%
What is the prevalence of amenorrhea in the general population vs. female athletes?
- G pop = 2-5%
- Athletes = 44%
What is the mortality rate of eating disorders?
10-18%
What medical probs are eating disorders associated w/?
- Electrolyte disturbances
- Cardiac dysfunction
What psychological probs are eating disorders associated w/?
- Depression
- Suicide
