title: Female athlete triad.
abstract: OBJECTIVE
  To describe the components of female athlete triad, the proposed mechanisms that may relate to its causation, and some screening and treatment options that may be used by the clinician who encounters this clinical entity in patients.
  
  
  METHODS
  A qualitative review of the literature was performed.
  
  
  RESULTS
  This article provides the clinician with current information relevant to understanding and recognizing female athlete triad in at-risk patients. The components of the triad-amenorrhea, disordered eating, and osteoporosis-are interrelated in multifactorial etiology, pathogenesis, and consequences. Proposed causal factors include inadequate nutrition, menstrual status, training intensity and frequency, body size and composition, and psychological and physiological stress. There should be a high index of suspicion in all females athletes for the presence of and/or increased risk for female athlete triad. An increased awareness of the existence of the problem and its presenting signs and symptoms is the key to screening for this syndrome. The most efficacious treatment lies in its prevention.
  
  
  CONCLUSIONS
  Female athlete triad is an interrelated, multifactorial syndrome comprised of disordered eating, amenorrhea, and osteoporosis. It is a common entity among female athletes. Prevention, early detection, and early treatment are absolutely essential to maintain the athletes health into maturity and to prevent the serious consequences of this triad. The long-term effects of some triad components are still unknown.
authors.affiliation: Professor and Chair, Department of Chiropractic Procedures, Southern California University of Health Sciences, Whittier, CA.
authors.forename: A Paige
authors.initials: AP
authors.lastname: Morgenthal
references.citation: J Endocrinol. 2001 Jul;170(1):3-11
references.pmid: 11431132
references.citation: Med Sci Sports Exerc. 1986 Aug;18(4):374-9
references.pmid: 3747798
references.citation: Orthop Clin North Am. 1995 Jul;26(3):443-51
references.pmid: 7609959
references.citation: Am J Clin Nutr. 1986 Jun;43(6):910-6
references.pmid: 3717065
references.citation: Sports Med. 2000 Oct;30(4):281-300
references.pmid: 11048775
references.citation: Exerc Sport Sci Rev. 2000 Jan;28(1):19-23
references.pmid: 11131683
references.citation: Ann Intern Med. 1985 Feb;102(2):158-63
references.pmid: 3966752
references.citation: N Engl J Med. 1984 Aug 2;311(5):277-81
references.pmid: 6738640
references.citation: Am J Obstet Gynecol. 1982 Aug 15;143(8):859-61
references.pmid: 7102760
references.citation: Med Sci Sports Exerc. 1991 Sep;23(9):995-1007
references.pmid: 1943636
references.citation: Br J Sports Med. 1992 Sep;26(3):145-50
references.pmid: 1422649
references.citation: J Am Diet Assoc. 1989 Jan;89(1):58-63
references.pmid: 2909593
references.citation: Br J Sports Med. 1998 Jun;32(2):167-71
references.pmid: 9631227
references.citation: J Appl Physiol (1985). 1992 Jan;72(1):15-22
references.pmid: 1537709
references.citation: Am J Sports Med. 1992 Jul-Aug;20(4):445-9
references.pmid: 1357994
references.citation: Med Sci Sports Exerc. 1983;15(3):215-7
references.pmid: 6621308
references.citation: Sports Med. 1989 Feb;7(2):82-108
references.pmid: 2646673
references.citation: Med Sci Sports Exerc. 1987 Dec;19(6):546-56
references.pmid: 3323766
references.citation: Med Sci Sports Exerc. 1993 Nov;25(11):1197-202
references.pmid: 8289605
references.citation: N Engl J Med. 1985 May 23;312(21):1349-53
references.pmid: 3990734
references.citation: Clin Sports Med. 1994 Apr;13(2):405-18
references.pmid: 8013041
references.citation: JAMA. 1986 Jul 18;256(3):380-2
references.pmid: 3723725
references.citation: Clin Sports Med. 1995 Jul;14(3):687-707
references.pmid: 7553928
references.citation: Med Sci Sports Exerc. 1989 Apr;21(2):120-5
references.pmid: 2709975
references.citation: Br J Rheumatol. 1994 May;33(5):480-1
references.pmid: 8173855
references.citation: Med Sci Sports Exerc. 1995 Oct;27(10):1390-8
references.pmid: 8531610
references.citation: Int J Sport Nutr. 1996 Jun;6(2):165-90
references.pmid: 8744788
references.citation: Int J Sport Nutr. 1996 Jun;6(2):134-45
references.pmid: 8744786
references.citation: Clin Sports Med. 1994 Apr;13(2):371-87
references.pmid: 8013039
references.citation: JAMA. 1996 Jul 17;276(3):238-40
references.pmid: 8667570
references.citation: J Appl Physiol (1985). 1998 Jan;84(1):37-46
references.pmid: 9451615
references.citation: Med Sci Sports Exerc. 1987 Jun;19(3):207-12
references.pmid: 3600234
references.citation: Arch Intern Med. 1996 Oct 28;156(19):2193-5
references.pmid: 8885817
references.citation: N Engl J Med. 1986 May 22;314(21):1348-53
references.pmid: 3451741
references.citation: Am J Sports Med. 1996;24(6 Suppl):S33-5
references.pmid: 8947423
references.citation: Med Sci Sports Exerc. 1987 Jun;19(3):213-7
references.pmid: 3600235
references.citation: Br J Sports Med. 1999 Dec;33(6):434
references.pmid: 10597857
references.citation: Med Sci Sports Exerc. 1997 May;29(5):i-ix
references.pmid: 9140913
references.citation: Int J Sport Nutr Exerc Metab. 2000 Jun;10(2):128-43
references.pmid: 10861334
references.citation: Med Sci Sports Exerc. 1994 Apr;26(4):414-9
references.pmid: 8201895
references.citation: Clin Sports Med. 2000 Apr;19(2):199-213
references.pmid: 10740755
references.citation: JAMA. 1990 Jan 26;263(4):545-8
references.pmid: 2294327
references.citation: Med Sci Sports Exerc. 1991 Jan;23(1):15-22
references.pmid: 1997808
references.citation: Psychol Med. 1994 Nov;24(4):957-67
references.pmid: 7892363
references.citation: Med Sci Sports Exerc. 1990 Jun;22(3):275-80
references.pmid: 2199748
references.citation: Int J Sport Nutr. 1999 Mar;9(1):70-88
references.pmid: 10200061
references.citation: JAMA. 1984 Feb 3;251(5):626-9
references.pmid: 6690836
references.citation: Clin Sports Med. 1999 Jul;18(3):549-63
references.pmid: 10410841
references.citation: Phys Sportsmed. 1983 Feb;11(2):86-97
references.pmid: 27463163
references.citation: Phys Sportsmed. 1995 Sep;23(9):33-42
references.pmid: 29272181
references.citation: Clin Sports Med. 1994 Apr;13(2):389-404
references.pmid: 8013040
references.citation: J Orthop Sports Phys Ther. 1996 Feb;23(2):134-48
references.pmid: 8808516
references.citation: Int J Sport Nutr. 1996 Mar;6(1):24-40
references.pmid: 8653102
references.citation: Am J Sports Med. 1996 Nov-Dec;24(6):810-8
references.pmid: 8947404
references.citation: Phys Sportsmed. 1982 Sep;10(9):60-72
references.pmid: 29283862
references.citation: Med Sci Sports Exerc. 1993 Jul;25(7):775-7
references.pmid: 8350697
references.citation: Ann Intern Med. 1990 Nov 15;113(10):754-9
references.pmid: 1978620
references.citation: N Engl J Med. 1980 Jul 3;303(1):17-9
references.pmid: 7374730
references.citation: Br J Sports Med. 1999 Aug;33(4):231-8
references.pmid: 10450476
references.citation: JAMA. 1990 Mar 23-30;263(12):1665-9
references.pmid: 2407876
references.citation: J Clin Endocrinol Metab. 1999 Jun;84(6):1892-6
references.pmid: 10372682
references.citation: Int J Sport Nutr. 1994 Jun;4(2):175-95
references.pmid: 8054962