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Female Triad

This document discusses the importance of proper nutrition for athletes and the female athlete triad condition. It defines the triad as the relationship between low energy availability, menstrual dysfunction, and decreased bone mineral density. While all three symptoms do not need to be present, low calorie intake over time can lead to the other issues. The document outlines recommendations for macronutrient and calorie intake for athletes and gives strategies athletic trainers can use to educate athletes and prevent/treat the female athlete triad.

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0% found this document useful (0 votes)
69 views11 pages

Female Triad

This document discusses the importance of proper nutrition for athletes and the female athlete triad condition. It defines the triad as the relationship between low energy availability, menstrual dysfunction, and decreased bone mineral density. While all three symptoms do not need to be present, low calorie intake over time can lead to the other issues. The document outlines recommendations for macronutrient and calorie intake for athletes and gives strategies athletic trainers can use to educate athletes and prevent/treat the female athlete triad.

Uploaded by

api-457922767
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We take content rights seriously. If you suspect this is your content, claim it here.
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Nutrition in Athletic

Training: Female Athlete


Triad
Kayla Brockway
Importance of Nutrition
•  For athletes to optimally perform, a
healthy diet is crucial and can be a tool to
decrease susceptibility to injury.

•  A restorative meal plan for an athlete


should provide adequate calories to
achieve a realistic body weight goal, supply
essential nutrients, and maintain
hydration.

•  Having a sufficient amount of


macronutrients and micronutrients can
increase the strength and stability of bones
and muscles in athletes.
Turocy et al, 2011.
Macronutrients
•  Carbohydrates (55-70%)
•  Primary source of energy for working muscles
•  Intake should be increased based on the
amount of aerobic exercise an athlete does
each day.

•  Protein (15-25%)
•  Only provides about 8-10% of the body’s total
needs
•  Intake should increase for strength athletes
•  Excessive protein can lead to organ damage at
the liver and kidneys, and can be stored as fat.

•  Fat (20-30%)
•  Source of energy Turocy et al, 2011.

Calculating Calories

•  BMR- Basal Metabolic Rate


•  Calories needed on a daily basis without activity

•  655 + (4.35 x weight in lbs) + (4.7 x height in inches) – (4.7 x age in yr)
=
•  655 + (4.35 x 150) + (4.7 x 68) – (4.7 x 20) =
•  655 + 652.5 + 319.6 – 94 = BMR

•  BMR = 1533 calories

•  BMR X activity level = daily caloric needs to maintain current weight

•  1533 x 1.725 = 2644 calories to maintain current weight


Female Athlete Triad
•  Defined as the relationship between low energy
availability usually related to disordered eating
(DE), menstrual dysfunction, and decreased
bone mineral density (BMD). Kransdorf L et al, 2013.

•  Important to note that all three of these


symptoms do not have to be occurring
simultaneously for an athlete to be suffering
from this condition. Lookuta A, 2017.

•  Decrease in caloric intake decreases energy


availability. Lookuta A, 2017.

•  If an athlete goes long enough with a low energy


availability, this is what can lead to menstrual
dysfunction and decreased BMD. Kransdorf L et al, 2013.
Lookuta A, 2017.
Psychological Reasoning
behind ED
•  Participation in sports that emphasize
leanness or involve frequent weight
regulation Lookuta A, 2017.

•  Belief that losing weight may optimize


their performance

•  Desire to have the physique non athletes


have that the media portrays as superior

•  Bullying from other athletes, coaches, or


even parents

•  Desire to fit in and feel accepted


Hungry for Gold
•  https://www.youtube.com/watch?v=Pl2P9VVv6oE
AT’s Preventing Female
Athlete Triad
•  Have a talk with the team and also on an
individual basis about the importance of
nutrition for optimal performance and
allow the opportunity for questions

•  Ensure your athletes that you are their


advocate and not only there for their
orthopedic needs, but also as someone to
lean on and talk to about any issues they
may have

•  Be aware of different signs and red flags


that your athletes may show if he or she
has an ED Bonci CM et al, 2008


AT’s Protocol Regarding
ED
•  Always be aware of your scope of
limitations and how much you can
handle as an AT

•  Once an eating disorder is confirmed, it


is the AT’s job to be an advocate for the
athlete, but refer him or her to a
nutritionist and a psychologist

•  The AT must communicate with the


different health care providers to ensure
the athlete is complying with the
treatment plan given.

Bonci CM et al, 2008



Conclusion

Any
Questions?
Citations

•  Bonci CM, Bonci LJ, Granger LR, et al. National Athletic Trainers’ Association
Position Statement: Preventing, Detecting, and Managing Disordered Eating in
Athletes. Journal of Athletic Training. 2008; 43(1):80-108

•  Lookuta A. The Female Athlete Triad, Relative Energy Deficiency in Sport.
Today’s Dietician. February 2017;19(2):46-50

•  Kransdorf L, Vegunta S, Files J. Everything in Moderation: What the Female


Athlete Triad Teaches Us About Energy Balance. Journal of Women’s Health.
September 2013;22(9): 790-792

•  Turocy PS, DePalma BF, Horswill CA, et al. National Athletic Trainers’
Association Position Statement: Safe Weight Loss and Maintenance Practices in
Sport and Exercise. Journal of Athletic Training. 2011;46(3):322-336

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