Skip to main content
Log in

Frau und Sport

Geschlechtsspezifische Unterschiede

Women and sport

Gender-specific differences

  • Leitthema
  • Published:
Gynäkologische Endokrinologie Aims and scope

Zusammenfassung

Bedingt durch besondere konstitutionelle antropomorphe Besonderheiten mit geringerer muskulärer Ausstattung und höherem Körperfettgehalt ist die gesamte Leistungsfähigkeit von Frauen gegenüber Männern in den athletischen Sportdisziplinen niedriger. Zusätzlich zeigen Frauen eine generelle Vorliebe für die ästhetischen Disziplinen. Im Frauenleistungssport können durch den hohen Energieverbrauch bei gleichzeitiger Minderung der Energiezufuhr erhebliche Störungen von Reifung (verspätete Pubertät und Spätmenarche) sowie Zyklusfunktion (Oligo-/Amenorrhö) auftreten. Die wesentlichen Ursachen für diese gravierenden Störungen sind die Minderung der verfügbaren Energie von <30 kcal/kg Magermasse sowie der chronische, psychische und physische Stress. Die langfristigen Auswirkungen derartiger Störungen sind neben der Sterilität Osteopenie, Osteoporose mit Stressfrakturen und Skoliose sowie Depressivität. Der allgemeine regenerationsfördernde Frauensport von 3,5–4 h pro Woche reduziert nicht nur koronare Herzerkrankungen und Schlaganfallinzidenz, sondern bietet einen biologischen Malignomschutz mit Reduzierung des Mammakarzinomrisikos um mehr als 15%.

Abstract

Due to special constitutional anthropomorphic features with less muscular development and higher body fat content, the capability of women in athletic sport disciplines is lower compared to men. In addition, women show a general preference for the aesthetic disciplines. In competitive sports women may develop significant disturbances of maturation (delayed puberty and late menarche) and dysfunction of the menstrual cycle (oligomenorrhea or amenorrhea) by high energy consumption while reducing energy intake. The main causes for these serious disorders are reduction of the available energy of <30 kcal/kg lean body mass and chronic mental and physical stress. The long-term effects of such disorders are infertility, osteopenia, osteoporosis, stress fractures and scoliosis, as well as depression. The general recreational regeneration promoting women’s sport of 3.5–4 h per week not only reduces coronary heart disease and stroke incidence but also provides a biological malignancy protection with reduction of breast cancer by more than 15%.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4

Literatur

  1. Cumming DC, Vickovic NN, Wal SR, Fluker MR (1985) Defects in pulsatile LH release in normally menstruating runners. J Clin Endocrinol Metab 60:810–812

    Article  CAS  PubMed  Google Scholar 

  2. Drinkwater BL, Nilson K, Chesnut CH 3rd et al (1984) Bone mineral content of amenorrheic and eumenorrheic athletes. N Engl J Med 311:277–281

    Article  CAS  PubMed  Google Scholar 

  3. Feingold D, Hame SL (2006) Female athlete triad and stress fractures. Orthop Clin North Am 37:575–583

    Article  PubMed  Google Scholar 

  4. Greydanus DE, Omar H, Pratt HD (2010) The adolescent female athlete: current concepts and conundrums. Pediatr Clin North Am 57:697–718

    Article  PubMed  Google Scholar 

  5. Haennel RG, Lemire F (2002) Physical activity to prevent cardiovascular disease. How much is enough? Can Fam Physician 48:65–71

    PubMed  Google Scholar 

  6. Hettinger T (1988) Sportmedizinische Probleme der „Kraftleitung“ der Frau. In: Prokop L (Hrsg) Frauensportmedizin. Überreuter Wissenschaft Wien, Berlin, S 145–159

  7. Hollmann W, Hettinger T (2000): Sportmedizin. Grundlagen für Arbeit, Training und Präventivmedizin. Schattauer, Stuttgart New York

  8. Hollmann W, Strüder HK, Predel HG, Tagarakis CVM (Hrsg) (2002) Spiroergometrie. Kardiopulmonale Leistungsdiagnostik des Gesunden und Kranken. Schattauer, Stuttgart New York

  9. Jonnavithula S, Warren MP, Fox RP, Lazaro MI (1993) Bone density is compromised in amenorrheic women despite return of menses: a 2-year study. Obstet Gynecol 81:669–674

    CAS  PubMed  Google Scholar 

  10. Lindholm C, Hagenfeldt K, Ringertz H (1995) Bone mineral content of young female former gymnasts. Acta Paediatr 84:1109–1112

    Article  CAS  PubMed  Google Scholar 

  11. Loucks AB, Verdun M, Heath EM (1998) Low energy availability, not stress of exercise, alters LH pulsatility in exercising women. J Appl Physiol 84:37–46

    CAS  PubMed  Google Scholar 

  12. Loucks AB, Heath EM (1994) Dietary restriction reduces luteinizing hormone (LH) pulse frequency during waking hours and increases LH pulse amplitude during sleep in young menstruating women. J Clin Endocrinol Metab 78:910–915

    Article  CAS  PubMed  Google Scholar 

  13. Loucks AB, Thuma JR (2003) Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women. J Clin Endocrinol Metab 88:297–311

    Article  CAS  PubMed  Google Scholar 

  14. Loucks AB (2004) Energy balance and body composition in sports and exercise. J Sports Sci 22:1–14

    Article  PubMed  Google Scholar 

  15. Marx K (1996) Sportrisiko für die endokrine Entwicklung von Adoleszentinnen. In: Clasing D, Damm F, Marx K, Platen P (Hrsg) Die eßgestörte Athletin. Sport und Buch, Strauß, Köln. S 79–88

  16. McArdle W, Katch F, Katch V (2001) Exercise physiology: energy nutrition and performance, 5. Aufl. Lipidcord Vilcins, Philadelphia

  17. Nattiv A, Agostini R, Drinkwater B, Yeager KK (1994) The female athlete triad. The inter-relatedness of disordered eating, amenorrhea and osteoporosis. Clin Sports Med 13:405–418

    CAS  PubMed  Google Scholar 

  18. Nattiv A, Loucks AB, Manore MM et al (2007) American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc 39:1867–1882

    Article  PubMed  Google Scholar 

  19. Prokop L (Hrsg) (1988) Frauensportmedizin. Überreuter Wissenschaft Wien, Berlin

  20. Redman LM, Loucks AB (2005) Menstrual disorders in athletes. Sports Med 35:747–755

    Article  PubMed  Google Scholar 

  21. Sheffield-Moore M, Urban RJ (2002) Androgens and lean body mass in the aging male. In: Lunenfeld B, Gooren L (Hrsg) Textbook of men’s health. The Parthenon Publishing Group, Boca Raton London New York Washington DC, S 241–255

  22. Theintz G, Buchs B, Rizzoli R et al (1992) Longitudinal monitoring of bone mass accumulation in healthy adolescents: evidence for a mared reduction after 16 years of age at the levels of lumbar spine and femoral neck in female subjects. J Clin Endocrinol Metab 75:1060–1065

    Article  CAS  PubMed  Google Scholar 

  23. Thune I, Brenn T, Lund E, Gaard M (1997) Physical activity and the risk of breast cancer. N Engl J Med 336:1269–1275

    Article  CAS  PubMed  Google Scholar 

  24. McTiernan A, Kooperberg C, White E et al (2003) Recreational physical activity and the risk of breast cancer in postmenopausal women: the Women’s Health Initiative Cohort Study. JAMA 290:1331–1336

    Article  CAS  PubMed  Google Scholar 

  25. Wade GN, Schneider JE (1992) Metabolic fules and reproductive function in female mammals. Neurosci Biobehav Rev 16:235–272

    Article  CAS  PubMed  Google Scholar 

  26. Warren MP, Brooks-Gunn J, Hamilton LH et al (1986) Scoliosis and fractures in young ballet dancers. Relation to delayed menarche and secondary amenorrhea. N Engl J Med. 314:1348–1353

    Google Scholar 

  27. Winterer J, CutlerJr GB, Loriaux DL (1984) Caloric balance, brain to body ratio, and the timing of menarche. Med Hypotheses 15:87–91

    Article  CAS  PubMed  Google Scholar 

  28. Wolf A (2007) Chronischer Stress. Pathophysiologie und neurobiologische Folgen. J Preventive Med 3:170–178

    Google Scholar 

  29. Wolf AS, Sterzik K (1998) Leistungssport und Reproduktion. Reproduktionsmedizin 14:181–186

    Article  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A. Wolf.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wolf, A. Frau und Sport. Gynäkologische Endokrinologie 8, 240–247 (2010). https://doi.org/10.1007/s10304-010-0370-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10304-010-0370-1

Schlüsselwörter

Keywords

Navigation