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To obtain maximum benefit, fitness programs designed to reduce atherosclerotic risk factors must result in a reduction in obesity. Prevention of athletic injuries may require more aggressive year-round training programs with special attention given to improving quadriceps and hamstring function. Adolescent female athletes are especially at risk for iron and calcium deficiency in their diets. Evaluation of iron status in endurance athletes should include a serum iron and iron-binding capacity. Adolescent athletes should receive nutritional counseling regarding a balanced diet and appropriate weight control technigues. With increased intensity of exercise training, many women experience menstrual irregularities. Failure to achieve menarche by 16 years of age or secondary amenorrhea should be evaluated to rule out underlying pathologic conditions. Athletes with low levels of progesterone may be at risk for endometrial hyperplasia; athletes with hypoestrogenemia may be at risk for decreased bone density.
Female Athletes
Deborah L. Squire MD1
1 Associate in the Division of General Pediatrics in the Department of Pediatrics at Duke University Medical Center and director of the Pediatric Sportsmedicine Clinic
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