Female Triad ๐Ÿ”บ Flashcards

1
Q

As the diet becomes more restrictive, energy availability is too low, mechanisms reduce the amount of ATP for cell function, thermoregulation, growth, and reproduction. THIS LEADS TO:

A

survival mode to conserve energy

but impairs health๐Ÿ˜ท

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2
Q

What T-score would indicated โ€œlow bone massโ€

A

1-2.5 SD below the mean

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3
Q

What is the normal energy availability from dietary intake

A

45 kcal/kg FFM/day

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4
Q

decreased levels of ovarian estrogen from amenorrhea can lead to

A

decreased bone mineral density

osteoporosis

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5
Q

what affect does chronic increased cortisol have on bones

A

increased resorption

WEAK ASS BONES

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6
Q

What is the threshold of energy availability from dietary intake where things begin to go wrong?

A

30 kcal/kg FFM/day

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7
Q

Oligomenorrhea is a period of ____ days or more between cycles

A

35

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8
Q

Amenorrhea is the absence of menstrual cycle lasting more than

A

90 days

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9
Q

Menstrual dysfunction can predict for future:

A

low BMD

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10
Q

At what energy availability from dietary intake do amplitudes of LH decrease but frequency does not change

A

30 kcal/kg FFM/day

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11
Q

Reducing energy intake is associated with ____ LH amplitude but _____ pulse frequency

A

โฌ†๏ธincreased LH amplitude

โฌ‡๏ธreduced pulse frequency

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12
Q

Increased risk in developing amenorrhea can lead to increased production of

A

ovarian estrogen

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13
Q

Does menstruation occur in anovulation?

A

Yes but no ovulation

impaired follicular development

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14
Q

What Z-score is considered below the expected range for age

A

2 SD below the mean

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15
Q

What causes the physiological disturbance in the endocrine control of the menstrual cycle

A

high training volume + low energy intake

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16
Q

When energy availability decreases:

glucose (increase/decrease)
ketone body formation (increase/decrease)

A

โฌ‡๏ธglucose decreases

โฌ†๏ธketone body formation increases

17
Q

What are the BEHAVIORS associated with low energy availability with or without an eating disorder

A

eating too little to offset exercise cost

food restriction, laxatives๐Ÿ’ฉ, diuretics, enemas, skipping meals

binge eating and purging๐Ÿคฎ

18
Q

low energy availability impairs bone health _______

A

INDIRECTLY

by inducing amenorrhea and removing estrogenโ€™s effect on bone formation

19
Q

The pathophysiological basis of the triad is a __________ issue, NOT ______

A

NUTRITIONAL ๐Ÿฅ—๐ŸŒฝ๐Ÿฅฆ๐Ÿฅ•๐Ÿฅ’๐Ÿฅฌ๐Ÿฅ‘

not mental health

20
Q

When energy availability decreases:

Cortisol (increase/decrease)
insulin (increase/decrease)

A

โฌ†๏ธcortisol increases

โฌ‡๏ธinsulin decreases

21
Q

How quickly is LH/FSH pulsatility decreased when energy availability falls from 45 kcal/kg FFM/day to 30 kcal/kg FFM/day

A

5 days

22
Q

Athletes that are more at risk for the triad are

individual sport athletes or team sport athletes?

A

individual sport

socially isolated

23
Q

What T-score would indicate osteoporosis

A

2.5 SD below the mean

24
Q

When energy availability decreases:

Growth hormone (increase/decrease)
IGF-1 (increase/decrease)
A

โฌ†๏ธGH increases (not for growth reasons! metabolic!)

โฌ‡๏ธIGF-1 decreases

25
Q

T-score is based on:

Z-score is based on:

A

T score = compared to a healthy 30-year-old of the same sex and ethnicity

Z score = age-matched same sex and ethnicity

26
Q

At what energy availability from dietary intake do amplitudes increase and frequency decreases

What does this mean?

A

10-20 kcal/kg FFM/day

less estrogen production

27
Q

Progression from Eumenorrhea to amenorrhea

A

luteal phase defect (LPD) โžก๏ธ
Anovulation โžก๏ธ
Oligomenorrhea โžก๏ธ
Amenorrhea โžก๏ธ

28
Q

The pressure to perform at optimal levels and perceived requirement to maintain a low body mass leads to

A

high training volume + low energy intake

29
Q

What is the initiation of the triad

A

emotional stressors ๐Ÿคฏ

(death of a coach/family member, growth spurt, illness that prevents training, moving to a university setting, pressure, difficult standards)

30
Q

Luteal Phase Defect (LPD) is a menstrual cucle with a luteal phase less than _____ days or with low _____

A

10 days

low progesterone

31
Q

When energy availability decreases:

Thyroid hormone (increase/decrease)
Leptin  (increase/decrease)
A

โฌ‡๏ธThyroid hormone decreases

โฌ‡๏ธLeptin decreases

32
Q

female athletes most at risk for the triad are those that participates in sports with what two components

A

aesthetic (gymnastics๐Ÿคธ๐Ÿผโ€โ™€๏ธ figure skating โ›ธ ballet ๐Ÿ‘ฏโ€โ™‚๏ธ diving๐ŸŠ๐Ÿผโ€โ™€๏ธ dancing๐Ÿ’ƒ๐Ÿผ)
weight (tae kwon do๐Ÿฅ‹ judo๐ŸฅŠ wrestling ๐Ÿคผโ€โ™€๏ธ long distance running๐Ÿƒ๐Ÿผโ€โ™€๏ธ)

33
Q

How does disrupted pulsatility of LH/FSH lead to a decrease in bone mineral density

A

decreased E2 production, accelerating bone resorption