Archive for the 'Sports Medicine' Category

The Dangers of The Female Athlete Triad

Female Athlete Triad TriangleThe Female Athlete Triad is a health concern for active females who are driven to excel in sports.  It involves three distinct and interrelated conditions:[1] energy deficiency, amenorrhea (irregular or missed menstrual cycles), and osteoporosis (weak bones) causing fractures and density irregularities1. While having just one of these components is bad enough, these conditions can often lead to a domino effect of health concerns.

tired woman runner taking a rest after running hard on city road

Women often face social and coaching pressures to stay skinny and lean for their sport, in addition to the unspoken competitiveness’ that adds pressure to be thin. This has been shown to be a major factor in the development of an eating disorder2. Eating disorders are chronic physical and psychological illnesses that require immediate attention. Anorexia and bulimia can cause death resulting from heart attack, blood electrolyte disorders, suicide, and many other conditions resulting from not eating2.

While most athletes do not fit the exact definition of an eating disorder, many follow the same habits. Binge eating and purging, starvation, and the use of diet pills will cause the person to worsen the energy deficiency condition. Participating in these deadly practices does not leave your body with enough energy to perform its normal functions, including menstruation. Any female who has missed three consecutive cycles should be evaluated immediately2. Leaving a condition like this unattended can cause infertility. It has been shown that menstruating athletes gain about 2 – 4% of bone mass per year, whereas amenorrheic athletes can lose 2% of their bone mass4. Low estrogen levels, a direct result of amenorrhea (menstrual abnormalities), can cause the deterioration of bone structure (osteoporosis)2. This comes as a direct result of lack of menses. A women in her early 20’s suffering from this condition can have a bone structure equivalent to that of a 70 year old women2.Ostheoperosis

Possibly the biggest problems physicians and specialists face when dealing with the female athlete triad is the initial diagnosis of the condition3. Ideally, screening for elements of the female athlete triad should happen at annual check ups or preparticipation screenings. It is important for female athletes to be knowledgeable about the causes and symptoms relating to the condition. Be sure to consult a primary care physician and a registered dietitian that incorporates body composition analysis into their assessment. Analyzers such as the mBCA 514 and mBCA 525 have been proven to give  precise body composition measurements that will aid healthcare professionals by providing an in-depth assessment. Parameters such a body fat, visceral adipose tissue (VAT), skeletal muscle mass and body water can be evaluated and monitored to assure that the best dietary game plan is in place.  While there may be some reluctance to seek care, it’s important to remind the athlete that medical advice and proper nutrition may enhance performance and their overall well-being.

[1]Emily Southmayd. The Female Athlete Triad. Salt Lake City: Emily Southmayd, n.d. Print.

2Annie Spencer. ACSM Information On… The Female Athlete Triad. Indianapolis: Annie Spencer, n.d. Print

3Nazem, Taraneh G., and Kathryn E. Ackerman. “The Female Athlete Triad.” Sports Health 4 July 2012: 302-11. Print.

4Gottschlich, Laura M. “Female Athlete Triad.” MedScape. Ed. Craig C. Young. WebMD LLC, 17 Dec. 2014. Web. 8 Aug. 2016.


Can it be Possible to be Fit but Unhealthy?

The words “fit” and “healthy” are usually synonymous. When you think of someone who is fit, most people picture someone who is healthy and vice versa. However, this is not always the case. Remember Ryan Shay? For those who don’t, Ryan was an Olympic marathon runner who passed away during the U.S. Olympic Marathon trial1. He died at age 28 from a heart attack1. In order to prevent such untimely and tragic occurrences you must first understand why “fit” and “healthy” are not always indicative of the other.

Being fit is the ability of our body to perform based on things like strength, stamina, and body composition2. The basic definition of good health is the absence of disease2. However, it has come to mean more than that. It now includes Fit But Unhealthy Picyour ability to handle stress and your psychological well-being2. Pushing your body passed an appropriate physical stress level can often cause poor health. Symptoms include but are not limited to Bradycardia, autonomic imbalance, thyroid disease, adrenal disease, hypertension, inflammation, malnutrition, increased oxidative damage, and anemia3. All of these ailments can hide just below the surface of a seemingly healthy individual.

All is not lost, there are things you can do to check and alleviate these potential problems. The first step is start by monitoring your body composition using seca mBCA 514 or seca mBCA 525. Many of the aforementioned symptoms can be spotted when you get routine assessments from these devices. Second, many diseases stem from stress, both physical and mental. So just relax! Overtraining and mental fatigue will lower your body’s ability to fight off harmful bacteria. Lastly, remove highly processed foods from your diet. Doing so will help you achieve optimal fat oxidation and keep you both fit and healthy4.


[1]Maffetone, Philip. Athletes: 
 Unhealthy Is 
 Game? Publication. Dr. Philip Maffetone, 2008. Web. 28 July 2016. (1)

[2]Lee, Lexa W. “Can a Person Be Physically Fit and Still Unhealthy?” Chron 2016 (2)

[3]Maffetone, Philip B., and Paul B. Laursen. “Athletes: Fit but Unhealthy?” SpringerOpen. Springer International Publishing Ltd, 26 May 2016 (3)

[4]Maffetone, Philip B., and Paul B. Laursen. “Can an Athlete Be Fit but Unhealthy?” Competitor Group Inc., 27 May 2016. (4)