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Female Athlete Triad

Reviewed 06/2018
 


BASICS

Syndrome of three interrelated clinical entities: low energy availability (EA) (with or without disordered eating [DE]), menstrual dysfunction (MD), and low bone mineral density (BMD) (1

DESCRIPTION

DIAGNOSIS

  • The female athlete triad is a clinical diagnosis based primarily on patient history; screening for the female athlete triad at annual sports physicals or during routine exams and acute visit...

TREATMENT

  • The goal is to optimize nutritional status and treat maladaptive behavioral disorders (1,3)[A].

  • A multidisciplinary team includes a physician, registered dietitian, and behavioral health prov...

ONGOING CARE

  • Patients should have regular follow-up with a multidisciplinary treatment team (6)[A].

  • Cognitive-behavioral therapy (CBT) is effective for exercising women with ED and may be more benefici...

REFERENCES

1
1 De Souza MJ, Nattiv A, Joy E, et al. 2014 Female Athlete Triad Coalition consensus statement on treatment and return to play of the female athlete triad: 1st International Conference hel...

ADDITIONAL READING

Nattiv A, Loucks AB, Manore MM, et al. American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc.  2007;39(10):1867–1882. {L-End} {L-...

SEE ALSO

Algorithms: Amenorrhea, Primary (Absence of Menarche by Age 16); Amenorrhea, Secondary; Weight Loss, Unintentional 

CODES

ICD10

  • F50.9 Eating disorder, unspecified

  • N91.2 Amenorrhea, unspecified

  • R53.83 Other fatigue

  • M81.8 Other osteoporosis without current pathological fracture

  • M85.9 Disorder of bone density and structure...

CLINICAL PEARLS

  • The female athlete triad consists of low EA (with or without DE), MD, and low BMD. Athletes may exhibit varying degrees of dysfunction in any of these three areas.

  • Screen at-risk women ...

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