女运动员三联征现状机制及干预体系探讨课件.ppt

1、女运动员三联征现状机制及干预体系探讨 HypothalamusPituitaryOvaryPulsatile GnRH FSHLHEstrogen ProgesteroneNegative Energy BalanceNormal Energy BalanceReduced LH pulse frequency or amplitudeDecreased estrogen production and poestrogenemiaHypothalamic-Pituitary-Ovary Axis 瘦体重依赖组（lean-sport athlete）非瘦体重依赖组（non-lean-sport

2、athlete）Comparing to Nonathletes,*:p0.05Comparing to Non-lean-sport athletes,#:p0.05,1112131415Allathletes(n=424)Nonathletes(n=441)Lean-SportAthletes(n=286)Non-Lean-SportAthletes(n=138)Age of Menarche(year)Comparing to Nonathletes,*:p0.05Comparing to Non-lean-sport athletes,#:p0.05,Comparing to Nona

3、thletes,*:p0.05Comparing to Non-lean-sport athletes,#:p0.05,Comparing to Nonathletes,*:p0.05Comparing to Non-lean-sport athletes,#:p0.05,Comparing to Nonathletes,*:p0.05Comparing to Non-lean-sport athletes,#:p0.05,Comparing to Nonathletes,*:p0.05Actual Value vs Desired Value，Paired Sample t-test，P0.

4、001非理性的控体重期望！69.1%首选17.6%首选11.8%首选仅1人首选32.4%表示赞同55.2%Triad中长跑运动员血清皮质醇含量显著低于对照组摔跤、中长跑运动员血清DHEAS含量显著低于对照组Comparing to Nonathletes*:p0.05Comparing to Nonathletes*:p0.05中长跑运动员血清胰岛素含量显著低于对照组中长跑运动员血清IGF-1含量显著低于对照组中长跑运动员血清GHRELIN含量显著低于对照组Comparing to Nonathletes *:p0.05能量负平衡低体重/低体脂心理压力进食障碍/过分减控体重健康认知不足运动员教练员项目特点频繁的比赛月经紊乱/闭经骨密度低下缺乏监控机制神经内分泌机制高强度的训练能量消 耗过多识别能力不足运动员健康受损运动成绩下降寒冷等物理刺激完美期望症状开始筛检症状诊断结局领先时间接受筛检的人群阴性者患病或具备危险因素未患病或不具备危险因素治疗或干预定期再筛查各种诊断方法定期再筛查阳性者健康干预健康干预