title: Is there energy conservation in amenorrheic compared with eumenorrheic distance runners?
abstract: The female distance runner is considered at high risk for secondary amenorrhea and reduced spinal bone mineral, and recent studies have suggested that these disturbances might be nutritionally or metabolically linked. The present study investigated 1) whether there is a physiological basis by which the amenorrheic runner might maintain weight at a lower than expected caloric intake, i.e., conservation of energy, and 2) the potential interactions of reduced energy intake, secondary amenorrhea, and reductions in bone density. Subjects included 13 elite female distance runners, 8 amenorrheic and 5 eumenorrheic, and 5 untrained female controls. Body composition by hydrostatic weighing, bone density and mineral content by dual-photon absorptiometry, and blood samples for hormonal analyses (once per week for 4 wk) were obtained, as were duplicate measures for resting metabolic rate, thermic effect of a meal, and the energy cost of specific (treadmill) and nonspecific (cycle ergometer) physical activity. Energy intake and energy expenditure were estimated by 3-day logs. Energy intakes did not differ (1,781, 1,690, and 1,763 kcal), nor did energy expenditures (2,480, 2,314, and 2,268 kcal), for the amenorrheic and eumenorrheic runner and control groups, respectively. The difference between reported energy intake and estimated energy expenditure of 500-700 kcal was likely due to underreporting or restricting intake, inasmuch as there was no evidence of energy conservation. A possible link was suggested between disordered eating, secondary amenorrhea, and bone mineral loss.
authors.affiliation: Department of Kinesiology and Health Education, University of Texas, Austin 78712.
authors.forename: J H
authors.initials: JH
authors.lastname: Wilmore
authors.forename: K C
authors.initials: KC
authors.lastname: Wambsgans
authors.forename: M
authors.initials: M
authors.lastname: Brenner
authors.forename: C E
authors.initials: CE
authors.lastname: Broeder
authors.forename: I
authors.initials: I
authors.lastname: Paijmans
authors.forename: J A
authors.initials: JA
authors.lastname: Volpe
authors.forename: K M
authors.initials: KM
authors.lastname: Wilmore
mesh_terms: D000222:Adaptation, Physiological; D000328:Adult; D000568:Amenorrhea / Q000150:complications / Q000503:physiopathology*; D001823:Body Composition; D015519:Bone Density / Q000502:physiology; D002149:Energy Intake; D004734:Energy Metabolism / Q000502:physiology*; D015444:Exercise / Q000502:physiology*; D001068:Feeding and Eating Disorders / Q000150:complications / Q000503:physiopathology; D005260:Female; D006801:Humans; D010101:Oxygen Consumption / Q000502:physiology; D010806:Physical Education and Training; D012420:Running