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The Female Athlete

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Essential Sports Medicine

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Abstract

The female athlete may present with unique gender-related sport-related problems. Commonly known as the female athlete triad, now described as relative energy deficiency state in sports or REDs is a syndrome more common in females involving low energy availability, menstrual dysfunction, and poor bone health. This is a syndrome that must be recognized early and approached with a multidisciplinary team. Acute injuries like ACL tears are more common in the female athlete; therefore focus should be established on preventive programs and adequate rehabilitation protocols that take into account intrinsic factors commonly found in women. Lastly, controversies regarding the safety of exercise during and post pregnancy exist, but the evidence is clear in that exercise provides many health benefits not only to the mother but also to the baby; therefore specific considerations must be undertaken, but exercise should be prescribed in this population.

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References

  1. De Souza MJ, Nattiv A, Joy E, et al. Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013. Br J Sports Med. 2014;48:289.

    Article  Google Scholar 

  2. Daily JP, Stumbo JR. Female athlete triad. Prim Care. 2018;45(4):615–24.

    Article  Google Scholar 

  3. Mountjoy M, Sundgot-Borgen JK, Burke LM, et al. IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update. Br J Sports Med. 2018;52:687–97.

    Article  Google Scholar 

  4. De Souza MJ, Koltun KJ, Etter CV, Southmayd ED. Current status of the female athlete triad: update and future directions. Curr Osteoporos Rep. 2017;15:577–87.

    Article  Google Scholar 

  5. Torstveit MK, Rosenvinge JH, Sundgot-Borgen J. Prevalence of eating disorders and the predictive power of risk models in female elite athletes: a controlled study. Scand J Med Sci Sports. 2008;18(1):108–18.

    Article  CAS  Google Scholar 

  6. Sundgot-Borgen J, Torstveit MK. Prevalence of eating disorders in elite athletes is higher than in the general population. Clin J Sport Med. 2004;14(1):25–32.

    Article  Google Scholar 

  7. Ackerman K, Madhusmita M. Functional hypothalamic amenorrhea: evaluation and management. UpToDate. Waltham, MA: UpToDate Inc. Accessed Feb 2019.

    Google Scholar 

  8. Nattiv A. Stress fractures and bone health in track and field athletes. J Sci Med Sport. 2000;3(3):268–79.

    Article  CAS  Google Scholar 

  9. Markolf KL, Mensch JS, Amstutz HC. Stiffness and laxity of the knee–the contributions of the supporting structures. A quantitative in vitro study. J Bone Joint Surg Am. 1976;58:583.

    Article  CAS  Google Scholar 

  10. Boden BP, Sheehan FT, Torg JS, Hewett TE. Non-contact ACL injuries: mechanisms and risk factors. J Am Acad Orthop Surg. 2010;18:520–7.

    Article  Google Scholar 

  11. Yu B, Garrett WE. Mechanisms of non-contact ACL injuries. Br J Sports Med. 2007;41 Suppl1:i47–51.

    Article  Google Scholar 

  12. Arendt EA, Agel J, Dick R. Anterior cruciate ligament injury patterns among collegiate men and women. J Athl Train. 1999;34:86–92.

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Hungerford DS, Barry M. Biomechanics of the patellofemoral joint. Clin Orthop Relat Res. 1979;144:9–15.

    Google Scholar 

  14. Shambaugh JP, Klein A, Herbert JH. Structural measures as predictors of injury in basketball players. Med Sci Sports Exerc. 1991;23:522–7.

    Article  CAS  Google Scholar 

  15. Anderson A, Dome DC, Gautam S, et al. Correlation of anthropometric measurements, strength, anterior cruciate ligament size, and intercondylar notch characteristics to sex differences in anterior cruciate ligament tear rates. Am J Sports Med. 2001;29(1):58–66.

    Article  CAS  Google Scholar 

  16. Chandrashekar N, Slauterbeck J, Hashemi J. Sex-based differences in the anthropometric characteristics of the anterior cruciate ligament and its relation to intercondylar notch geometry: a cadaveric study. Am J Sports Med. 2005;33(10):1492–8.

    Article  Google Scholar 

  17. Huston LJ, Wojtys EM. Neuromuscular performance characteristics in elite female athletes. Am J Sports Med. 1996;24(4):427–36.

    Article  CAS  Google Scholar 

  18. Wojtys EM, Huston LJ, Taylor PD, Bastian SD. Neuromuscular adaptations in isokinetic, isotonic, and agility training programs. Am J Sports Med. 1996;24(2):187–92.

    Article  CAS  Google Scholar 

  19. Myer GD, Ford KR, Barber Foss KD, Liu C, Nick TG, Hewett TE. The relationship of hamstrings and quadriceps strength to anterior cruciate ligament injury in female athletes. Clin J Sport Med. 2009;19(1):3.

    Article  Google Scholar 

  20. Liederbach M, Dilgen FE, Rose DJ. Incidence of anterior cruciate ligament injuries among elite ballet and modern dancers: a 5-year prospective study. Am J Sports Med. 2008;36(9):1779–88.

    Article  Google Scholar 

  21. Hewett TE, Myer GD, Ford KR. Anterior cruciate ligament injuries in female athletes: part 1, mechanisms and risk factors. Am J Sports Med. 2006;34(2):299.

    Article  Google Scholar 

  22. Bø K, Artal R, Barakat R, Brown W, Davies GAL, Dooley M, et al. Exercise and pregnancy in recreational and elite athletes: 2016 evidence summary from the IOC expert group meeting, Lausanne. Part 1-exercise in women planning pregnancy and those who are pregnant. Br J Sports Med. 2016;50(10):571–89.

    Article  Google Scholar 

  23. Bø K, Artal R, Barakat R, Brown W, Dooley M, Evenson KR, et al. Exercise and pregnancy in recreational and elite athletes: 2016 evidence summary from the IOC expert group meeting, Lausanne. Part 2-the effect of exercise on the fetus, labour and birth. Br J Sports Med. 2016;50(21):1297–305.

    Article  Google Scholar 

  24. Bø K, Artal R, Barakat R, Brown WJ, Davies GAL, Dooley M, et al. Exercise and pregnancy in recreational and elite athletes: 2016/17 evidence summary from the IOC Expert Group Meeting, Lausanne. Part 3-exercise in the postpartum period. Br J Sports Med. 2017;51(21):1516–25.

    Article  Google Scholar 

  25. WHO. Infant and young child feeding. Secondary infant and young child feeding; 2016.

    Google Scholar 

  26. Hytten F, Chamberlain G, Hytten F. Weight gain in pregnancy. In: Hytten F, Chamberlain G, editors. Clinical physiology in obstetrics. Oxford: Blackwell Scientific Publications; 1991. p. 173–203.

    Google Scholar 

  27. Butte NF, King JC. Energy requirements during pregnancy and lactation. Public Health Nutr \;8:1010–1027.

    Google Scholar 

  28. ACOG Committee Opinion No, 650: physical activity and exercise during pregnancy and the postpartum period. Obstet Gynecol. 2015;126:e135–42.

    Google Scholar 

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Authors and Affiliations

  1. Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Eliana Cardozo & Ariana Gluck

Authors
  1. Eliana Cardozo
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  2. Ariana Gluck
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Correspondence to Eliana Cardozo .

Editor information

Editors and Affiliations

  1. Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Gerardo Miranda-Comas

  2. Princeton Spine and Joint Center, Princeton, NJ, USA

    Grant Cooper

  3. Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Joseph Herrera

  4. Princeton Spine and Joint Center, Princeton, NJ, USA

    Scott Curtis

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Cardozo, E., Gluck, A. (2021). The Female Athlete. In: Miranda-Comas, G., Cooper, G., Herrera, J., Curtis, S. (eds) Essential Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-64316-4_20

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  • DOI: https://doi.org/10.1007/978-3-030-64316-4_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-64315-7

  • Online ISBN: 978-3-030-64316-4

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