UPDATE .Buy Quality Materials!
3 components of triad
low energy, amenorrhea, low bone density
when was first return to play published
2014
what is low bone mineral density in terms of z score?
<-1.0 z score
how long to get period back with REDS
several months-1 year
what are IGF 1 levels in low BMD exercising athlete
low
when prevented from return to play for sure?
AN with BMI <16 and BN with purging over 4x/day
how many kcal per kg FFM equates energy balance for most adults?
45 kcal/kg FFM
what is primary amenorrhea?
no menarche by age 15
what is secondary amenorrhea?
absence of 3 consecutive cycles post menarche
what is oligomenorrhea?
cycles longer than 45 days
when does peak bone mass occur in women and men?
19 in women; 20.5 in men
what does progesterone do?
helps oestrogen facilitate uptake of calcium into bone
what is the gold standard for dx EDs
Eating Disorder Examination Interview
when to redo DXA for athletes at risk?
every 12 month adult; 6 month adolescent
what is the z score for osteoporosis?
< -2.0
vit D and calcium recommendations for at risk REDS
1500 mg calcium; 1500-2000 mg vit D
what are the 3 steps of return to play model?
evaluation of health status, eval participant risk, eval decision modification
Step 2: evaluation of participant risk (specific sport, position, etc)
Step 3: decision modification (coach, desire to play, season, etc)
what part of menstrual cycle could cause an increase in energy needs
luteal
what part of menstrual cycle could cause a decrease in energy needs
follicular
TEE=