The Prevalence of Menstrual Cycle Disorders in Female Athletes from Different Sports Disciplines: A Rapid Review

. 2022 Oct 31 ; 19 (21) : . [epub] 20221031

Jazyk angličtina Země Švýcarsko Médium electronic

Typ dokumentu časopisecké články, přehledy, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid36361122

The aim of this study was to rapidly review the literature on the prevalence of menstrual disorders in female athletes from different sports modalities. Articles were searched in the Web of Science and PubMed database in May 2022. A total of 1309 records were identified, and 48 studies were included in the final stage. The menstrual disorders described in the included studies were primary (in 33% of included studies) and secondary amenorrhea (in 73% of included studies) and oligomenorrhea (in 69% of included studies). The prevalence of menstrual disorders among the studies ranged from 0 to 61%. When data were pooled according to discipline (mean calculation), the highest prevalence of primary amenorrhea was found in rhythmic gymnastics (25%), soccer (20%) and swimming (19%); for secondary amenorrhea in cycling (56%), triathlon (40%) and rhythmic gymnastics (31%); and oligomenorrhea in boxing (55%), rhythmic gymnastics (44%) and artistic gymnastics (32%). Based on the results of this review, the study supports the literature of the higher prevalence of menstrual disorders in gymnastics and endurance disciplines. However, team sports modalities such as volleyball and soccer also presented a considerable percentage of menstrual disorders compared to the general population. It reinforces the importance of coaches and physicians paying attention to athletes' menstrual cycle as the occurrence of menstrual disorders can be associated with impairment on some health components.

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de Souza M.J., Toombs R.J., Scheid J.L., O’Donnell E., West S.L., Williams N.I. High Prevalence of Subtle and Severe Menstrual Disturbances in Exercising Women: Confirmation Using Daily Hormone Measures. Hum. Reprod. 2010;25:491–503. doi: 10.1093/humrep/dep411. PubMed DOI

Redman L.M., Loucks A.B. Menstrual Disorders in Athletes. Sport. Med. 2005;35:747–755. doi: 10.2165/00007256-200535090-00002. PubMed DOI

Loucks A.B., Thuma J.R. Luteinizing Hormone Pulsatility Is Disrupted at a Threshold of Energy Availability in Regularly Menstruating Women. J. Clin. Endocrinol. Metab. 2003;88:297–311. doi: 10.1210/jc.2002-020369. PubMed DOI

Ackerman K.E., Misra M. Amenorrhoea in Adolescent Female Athletes. Lancet Child Adolesc. Health. 2018;2:677–688. doi: 10.1016/S2352-4642(18)30145-7. PubMed DOI

Rickenlund A., Eriksson M.J., Schenck-Gustafsson K., Hirschberg A.L. Amenorrhea in Female Athletes Is Associated with Endothelial Dysfunction and Unfavorable Lipid Profile. J. Clin. Endocrinol. Metab. 2005;90:1354–1359. doi: 10.1210/jc.2004-1286. PubMed DOI

Gasner A., Rehman A. Primary Amenorrhea. StatPearls Publishing; Treasure Island, FL, USA: 2022. StatPearls [Internet] PubMed

Rebar R. Evaluation of Amenorrhea, Anovulation, and Abnormal Bleeding. MDText.com, Inc.; South Dartmouth, MA, USA: 2000. PubMed

Klein D.A., Poth M.A. Amenorrhea: An Approach to Diagnosis and Management. Am. Fam. Physician. 2013;87:781–788. PubMed

Gordon C.M. Clinical Practice Functional Hypothalamic Amenorrhea. N. Engl. J. Med. 2010;363:365–371. doi: 10.1056/NEJMcp0912024. PubMed DOI

Stárka L., Dušková M. Functional Hypothalamic Amenorrhea. Vnitřní Lékařství. 2015;61:882–885. doi: 10.36290/vnl.2015.184. PubMed DOI

Shufelt C., Torbati T., Dutra E. Hypothalamic Amenorrhea and the Long-Term Health Consequences. Semin. Reprod. Med. 2017;35:256–262. doi: 10.1055/s-0037-1603581. PubMed DOI PMC

Gordon C.M., Ackerman K.E., Berga S.L., Kaplan J.R., Mastorakos G., Misra M., Murad M.H., Santoro N.F., Warren M.P. Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline. J. Clin. Endocrinol. Metab. 2017;102:1413–1439. doi: 10.1210/jc.2017-00131. PubMed DOI

Roberts R.E., Farahani L., Webber L., Jayasena C. Current Understanding of Hypothalamic Amenorrhoea. Ther. Adv. Endocrinol. Metab. 2020;11:204201882094585. doi: 10.1177/2042018820945854. PubMed DOI PMC

Begum M., Das S., Sharma H.K. Menstrual Disorders: Causes and Natural Remedies. J. Pharm. Chem. Biol. Sci. 2016;4:307–320.

He Y., Zheng D., Shang W., Wang X., Zhao S., Wei Z., Song X., Shi X., Zhu Y., Wang S., et al. Prevalence of Oligomenorrhea among Women of Childbearing Age in China: A Large Community-Based Study. Women’s Health. 2020;16:174550652092861. doi: 10.1177/1745506520928617. PubMed DOI PMC

Yavari M., Khodabandeh F., Tansaz M., Rouholamin S., Rouholamin Beheshti S. A Neuropsychiatric Complication of Oligomenorrhea According to Iranian Traditional Medicine. Iran. J. Reprod. Med. 2014;12:453–458. PubMed PMC

Reardon C.L., Hainline B., Aron C.M., Baron D., Baum A.L., Bindra A., Budgett R., Campriani N., Castaldelli-Maia J.M., Currie A., et al. Mental Health in Elite Athletes: International Olympic Committee Consensus Statement (2019) Br. J. Sport. Med. 2019;53:667–699. doi: 10.1136/bjsports-2019-100715. PubMed DOI

Logue D., Madigan S.M., Delahunt E., Heinen M., Mc Donnell S.J., Corish C.A. Low Energy Availability in Athletes: A Review of Prevalence, Dietary Patterns, Physiological Health, and Sports Performance. Sport. Med. 2018;48:73–96. doi: 10.1007/s40279-017-0790-3. PubMed DOI

Byrne S., McLean N. Elite Athletes: Effects of the Pressure to Be Thin. J. Sci. Med. Sport. 2002;5:80–94. doi: 10.1016/S1440-2440(02)80029-9. PubMed DOI

Garritty C., Gartlehner G., Nussbaumer-Streit B., King V.J., Hamel C., Kamel C., Affengruber L., Stevens A. Cochrane Rapid Reviews Methods Group Offers Evidence-Informed Guidance to Conduct Rapid Reviews. J. Clin. Epidemiol. 2021;130:13–22. doi: 10.1016/j.jclinepi.2020.10.007. PubMed DOI PMC

Haby M.M., Chapman E., Clark R., Barreto J., Reveiz L., Lavis J.N. What Are the Best Methodologies for Rapid Reviews of the Research Evidence for Evidence-Informed Decision Making in Health Policy and Practice: A Rapid Review. Health Res. Policy Syst. 2016;14:83. doi: 10.1186/s12961-016-0155-7. PubMed DOI PMC

Page M.J., McKenzie J.E., Bossuyt P.M., Boutron I., Hoffmann T.C., Mulrow C.D., Shamseer L., Tetzlaff J.M., Akl E.A., Brennan S.E., et al. The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews. BMJ. 2021;372:n71. doi: 10.1136/bmj.n71. PubMed DOI PMC

Olympic Games List of Sports. 2022. [(accessed on 21 September 2022)]. Available online: https://olympics.com/en/sports/

Ouzzani M., Hammady H., Fedorowicz Z., Elmagarmid A. Rayyan—A Web and Mobile App for Systematic Reviews. Syst. Rev. 2016;5:210. doi: 10.1186/s13643-016-0384-4. PubMed DOI PMC

Downs S.H., Black N. The Feasibility of Creating a Checklist for the Assessment of the Methodological Quality Both of Randomised and Non-Randomised Studies of Health Care Interventions. J. Epidemiol. Community Health. 1998;52:377–384. doi: 10.1136/jech.52.6.377. PubMed DOI PMC

Meignié A., Duclos M., Carling C., Orhant E., Provost P., Toussaint J.F., Antero J. The Effects of Menstrual Cycle Phase on Elite Athlete Performance: A Critical and Systematic Review. Front. Physiol. 2021;12:654585. doi: 10.3389/fphys.2021.654585. PubMed DOI PMC

McNulty K.L., Elliott-Sale K.J., Dolan E., Swinton P.A., Ansdell P., Goodall S., Thomas K., Hicks K.M. The Effects of Menstrual Cycle Phase on Exercise Performance in Eumenorrheic Women: A Systematic Review and Meta-Analysis. Sport. Med. 2020;50:1813–1827. doi: 10.1007/s40279-020-01319-3. PubMed DOI PMC

Elliott-Sale K.J., McNulty K.L., Ansdell P., Goosdall S., Hicks K.M., Thomas K., Swinton P.A., Dolan E. The Effects of Oral Contraceptives on Exercise Performance in Women: A Systematic Review and Meta-analysis. Sport. Med. 2020;50:1785–1812. doi: 10.1007/s40279-020-01317-5. PubMed DOI PMC

Camomilla V., Bergamini E., Fantozzi S., Vannozzi G. Trends Supporting the In-Field Use of wearable Inertial Sensors for Sport Performance Evaluation: A Systematic Review. Sensors. 2018;18:873. doi: 10.3390/s18030873. PubMed DOI PMC

Klinkowski N., Korte A., Pfeiffer E., Lehmkuhl U., Salbach-Andrae H. Psychopathology in Elite Rhythmic Gymnasts and Anorexia Nervosa Patients. Eur. Child Adolesc. Psychiatry. 2008;17:108–113. doi: 10.1007/s00787-007-0643-y. PubMed DOI

Klentrou P., Plyley M. Onset of Puberty, Menstrual Frequency, and Body Fat in Elite Rhythmic Gymnasts Compared with Normal Controls. Br. J. Sport. Med. 2003;37:490–494. doi: 10.1136/bjsm.37.6.490. PubMed DOI PMC

Pollock N., Grogan C., Perry M., Pedlar C., Cooke K., Morrissey D., Dimitriou L. Bone-Mineral Density and Other Features of the Female Athlete Triad in Elite Endurance Runners: A Longitudinal and Cross-Sectional Observational Study. Int. J. Sport Nutr. Exerc. Metab. 2010;20:418–426. doi: 10.1123/ijsnem.20.5.418. PubMed DOI

Tenforde A.S., Carlson J.L., Chang A., Sainani K.L., Shultz R., Kim J.H., Cutti P., Golden N.H., Fredericson M. Association of the Female Athlete Triad Risk Assessment Stratification to the Development of Bone Stress Injuries in Collegiate Athletes. Am. J. Sport. Med. 2017;45:302–310. doi: 10.1177/0363546516676262. PubMed DOI

Mudd L.M., Fornetti W., Pivarnik J.M. Bone Mineral Density in Collegiate Female Athletes: Comparisons Among Sports. J. Athl. Train. 2007;42:403–408. PubMed PMC

Meng K., Qiu J., Benardot D., Carr A., Yi L., Wang J., Liang Y. The Risk of Low Energy Availability in Chinese Elite and Recreational Female Aesthetic Sports Athletes. J. Int. Soc. Sport. Nutr. 2020;17:13. doi: 10.1186/s12970-020-00344-x. PubMed DOI PMC

di Cagno A., Marchetti M., Battaglia C., Giombini A., Calcagno G., Fiorilli G., Piazza M., Pigozzi F., Borrione P. Is Menstrual Delay a Serious Problem for Elite Rhythmic Gymnasts? J. Sport. Med. Phys. Fit. 2012;52:647–653. PubMed

Egan E., Reilly T., Whyte G., Giacomoni M., Cable N.T. Disorders of the Menstrual Cycle in Elite Female Ice Hockey Players and Figure Skaters. Biol. Rhythm Res. 2003;34:251–264. doi: 10.1076/brhm.34.3.251.18806. DOI

Ramsay R. Are Synchronised Swimmers at Risk of Amenorrhoea? Br. J. Sport. Med. 2001;35:242–244. doi: 10.1136/bjsm.35.4.242. PubMed DOI PMC

Dusek T. Influence of High Intensity Training on Menstrual Cycle Disorders in Athletes. Croat. Med. J. 2001;42:79–82. PubMed

Prather H., Hunt D., McKeon K., Simpson S., Meyer E.B., Yemm T., Brophy R. Are Elite Female Soccer Athletes at Risk for Disordered Eating Attitudes, Menstrual Dysfunction, and Stress Fractures? PMR. 2016;8:208–213. doi: 10.1016/j.pmrj.2015.07.003. PubMed DOI PMC

Nattiv A., Kennedy G., Barrack M.T., Abdelkerim A., Goolsby M.A., Arends J.C., Seeger L.L. Correlation of MRI Grading of Bone Stress Injuries with Clinical Risk Factors and Return to Play: A 5-Year Prospective Study in Collegiate Track and Field Athletes. Am. J. Sport. Med. 2013;41:1930–1941. doi: 10.1177/0363546513490645. PubMed DOI PMC

Jesus F., Castela I., Silva A.M., Branco P.A., Sousa M. Risk of Low Energy Availability among Female and Male Elite Runners Competing at the 26th European Cross-Country Championships. Nutrients. 2021;13:873. doi: 10.3390/nu13030873. PubMed DOI PMC

Schtscherbyna A., Soares E.A., de Oliveira F.P., Ribeiro B.G. Female Athlete Triad in Elite Swimmers of the City of Rio de Janeiro, Brazil. Nutrition. 2009;25:634–639. doi: 10.1016/j.nut.2008.11.029. PubMed DOI

Gibson J.H., Harries M., Mitchell A., Godfrey R., Lunt M., Reeve J. Determinants of Bone Density and Prevalence of Osteopenia among Female Runners in Their Second to Seventh Decades of Age. Bone. 2000;26:591–598. doi: 10.1016/S8756-3282(00)00274-X. PubMed DOI

Dimitriou L., Weiler R., Lloyd-Smith R., Turner A., Heath L., James N., Reid A. Bone Mineral Density, Rib Pain and Other Features of the Female Athlete Triad in Elite Lightweight Rowers. BMJ Open. 2014;4:4369. doi: 10.1136/bmjopen-2013-004369. PubMed DOI PMC

Haakonssen E.C., Martin D.T., Jenkins D.G., Burke L.M. Race Weight: Perceptions of Elite Female Road Cyclists. Int. J. Sport. Physiol. Perform. 2015;10:311–317. doi: 10.1123/ijspp.2014-0070. PubMed DOI

Duckham R.L., Brooke-Wavell K., Summers G.D., Cameron N., Peirce N. Stress Fracture Injury in Female Endurance Athletes in the United Kingdom: A 12-Month Prospective Study. Scand. J. Med. Sci. Sport. 2015;25:854–859. doi: 10.1111/sms.12453. PubMed DOI

Thompson S.H. Characteristics of the Female Athlete Triad in Collegiate Cross-Country Runners. J. Am. Coll. Health. 2007;56:129–136. doi: 10.3200/JACH.56.2.129-136. PubMed DOI

Barrack M.T., Rauh M.J., Nichols J.F. Prevalence of and Traits Associated with Low BMD among Female Adolescent Runners. Med. Sci. Sport. Exerc. 2008;40:2015–2021. doi: 10.1249/MSS.0b013e3181822ea0. PubMed DOI

Barrack M.T., van Loan M.D., Rauh M.J., Nichols J.F. Physiologic and Behavioral Indicators of Energy Deficiency in Female Adolescent Runners with Elevated Bone Turnover. Am. J. Clin. Nutr. 2010;92:652–659. doi: 10.3945/ajcn.2009.28926. PubMed DOI

Hutson M.J., O’Donnell E., Petherick E., Brooke-Wavell K., Blagrove R.C. Incidence of Bone Stress Injury Is Greater in Competitive Female Distance Runners with Menstrual Disturbances Independent of Participation in Plyometric Training. J. Sport. Sci. 2021;39:2558–2566. doi: 10.1080/02640414.2021.1945184. PubMed DOI

Muia E.N., Wright H.H., Onywera V.O., Kuria E.N. Adolescent Elite Kenyan Runners Are at Risk for Energy Deficiency, Menstrual Dysfunction and Disordered Eating. J. Sport. Sci. 2016;34:598–606. doi: 10.1080/02640414.2015.1065340. PubMed DOI

Beckvid Henriksson G., Schnell C., Lindén Hirschberg A. Women Endurance Runners with Menstrual Dysfunction Have Prolonged Interruption of Training Due to Injury. Gynecol. Obstet. Investig. 2000;49:41–46. doi: 10.1159/000010211. PubMed DOI

Burrows M., Nevill A.M., Bird S. Physiological Factors Associated with Low Bone Mineral Density in Female Endurance Runners. Br. J. Sport. Med. 2003;37:67–71. doi: 10.1136/bjsm.37.1.67. PubMed DOI PMC

Cobb K.L., Bachrach L.K., Greendale G., Marcus R., Neer R.M., Nieves J., Sowers M.F., Brown B.W., Gopalakrishnan G., Luetters C., et al. Disordered Eating, Menstrual Irregularity, and Bone Mineral Density in Female Runners. Med. Sci. Sport. Exerc. 2003;35:711–719. doi: 10.1249/01.MSS.0000064935.68277.E7. PubMed DOI

Tenforde A.S., Fredericson M., Sayres L.C., Cutti P., Sainani K.L. Identifying Sex-Specific Risk Factors for Low Bone Mineral Density in Adolescent Runners. Am. J. Sport. Med. 2015;43:1494–1504. doi: 10.1177/0363546515572142. PubMed DOI

Rauh M.J., Barrack M., Nichols J.F. Associations between the Female Athlete Triad and Injury among High School Runners. Int. J. Sport. Phys. Ther. 2014;9:948–958. PubMed PMC

Walsh M., Crowell N., Merenstein D. Exploring Health Demographics of Female Collegiate Rowers. J. Athl. Train. 2020;55:636–643. doi: 10.4085/1062-6050-132-19. PubMed DOI PMC

Coste O., Paris F., Galtier F., Letois F., Maïmoun L., Sultan C. Polycystic Ovary–like Syndrome in Adolescent Competitive Swimmers. Fertil. Steril. 2011;96:1037–1042. doi: 10.1016/j.fertnstert.2011.07.006. PubMed DOI

Tsukahara Y., Torii S., Yamasawa F., Iwamoto J., Otsuka T., Goto H., Kusakabe T., Matsumoto H., Akama T. Bone Parameters of Elite Athletes with Oligomenorrhea and Prevalence Seeking Medical Attention: A Cross-Sectional Study. J. Bone Miner. Metab. 2021;39:1009–1018. doi: 10.1007/s00774-021-01234-1. PubMed DOI

Sygo J., Coates A.M., Sesbreno E., Mountjoy M.L., Burr J.F. Prevalence of Indicators of Low Energy Availability in Elite Female Sprinters. Int. J. Sport Nutr. Exerc. Metab. 2018;28:490–496. doi: 10.1123/ijsnem.2017-0397. PubMed DOI

Robbeson J.G., Havemann-Nel L., Wright H.H. The Female Athlete Triad in Student Track and Field Athletes. S. Afr. J. Clin. Nutr. 2013;26:19–24. doi: 10.1080/16070658.2013.11734446. DOI

Feldmann J.M., Belsha J.P., Eissa M.A., Middleman A.B. Female Adolescent Athletes’ Awareness of the Connection between Menstrual Status and Bone Health. J. Pediatr. Adolesc. Gynecol. 2011;24:311–314. doi: 10.1016/j.jpag.2011.05.011. PubMed DOI

Hoch A.Z., Stavrakos J.E., Schimke J.E. Prevalence of Female Athlete Triad Characteristics in a Club Triathlon Team. Arch. Phys. Med. Rehabil. 2007;88:681–682. doi: 10.1016/j.apmr.2007.02.035. PubMed DOI

Duckham R.L., Peirce N., Bailey C.A., Summers G., Cameron N., Brooke-Wavell K. Bone Geometry According to Menstrual Function in Female Endurance Athletes. Calcif. Tissue Int. 2013;92:444–450. doi: 10.1007/s00223-013-9700-3. PubMed DOI

Raymond-Barker P., Petroczi A., Quested E. Assessment of Nutritional Knowledge in Female Athletes Susceptible to the Female Athlete Triad Syndrome. J. Occup. Med. Toxicol. 2007;2:10. doi: 10.1186/1745-6673-2-10. PubMed DOI PMC

Maïmoun L., Coste O., Georgopoulos N.A., Roupas N.D., Mahadea K.K., Tsouka A., Mura T., Philibert P., Gaspari L., Mariano-Goulart D., et al. Despite a High Prevalence of Menstrual Disorders, Bone Health Is Improved at a Weight-Bearing Bone Site in World-Class Female Rhythmic Gymnasts. J. Clin. Endocrinol. Metab. 2013;98:4961–4969. doi: 10.1210/jc.2013-2794. PubMed DOI

Roupas N.D., Maïmoun L., Mamali I., Coste O., Tsouka A., Mahadea K.K., Mura T., Philibert P., Gaspari L., Mariano-Goulart D., et al. Salivary Adiponectin Levels Are Associated with Training Intensity but Not with Bone Mass or Reproductive Function in Elite Rhythmic Gymnasts. Peptides. 2014;51:80–85. doi: 10.1016/j.peptides.2013.11.003. PubMed DOI

Salbach H., Klinkowski N., Pfeiffer E., Lehmkuhl U., Korte A. Body Image and Attitudinal Aspects of Eating Disorders in Rhythmic Gymnasts. Psychopathology. 2007;40:388–393. doi: 10.1159/000106469. PubMed DOI

Muñoz Calvo M.T., de la Piedra C., Barrios V., Garrido G., Argente J. Changes in Bone Density and Bone Markers in Rhythmic Gymnasts and Ballet Dancers: Implications for Puberty and Leptin Levels. Eur. J. Endocrinol. 2004;151:491–496. doi: 10.1530/eje.0.1510491. PubMed DOI

Czajkowska M., Plinta R., Rutkowska M., Brzęk A., Skrzypulec-Plinta V., Drosdzol-Cop A. Menstrual Cycle Disorders in Professional Female Rhythmic Gymnasts. Int. J. Environ. Res. Public Health. 2019;16:1470. doi: 10.3390/ijerph16081470. PubMed DOI PMC

Helge W.E., Kanstrup I. Bone Density in Female Elite Gymnasts: Impact of Muscle Strength and Sex Hormones. Med. Sci. Sport. Exerc. 2002;34:174–180. doi: 10.1097/00005768-200201000-00026. PubMed DOI

Corujeira S., Vieira T., Dias C. Gymnastics and the Female Athlete Triad: Reality or Myth? Sci. Gymnast. J. 2012;4:5–13.

Trutschnigg B., Chong C., Habermayerova L., Karelis A.D., Komorowski J. Female Boxers Have High Bone Mineral Density despite Low Body Fat Mass, High Energy Expenditure, and a High Incidence of Oligomenorrhea. Appl. Physiol. Nutr. Metab. 2008;33:863–869. doi: 10.1139/H08-071. PubMed DOI

de Oliveira Coelho G.M., de Farias M.L.F., de Mendonça L.M.C., de Mello D.B., Lanzillotti H.S., Ribeiro B.G., de Abreu Soares E. The Prevalence of Disordered Eating and Possible Health Consequences in Adolescent Female Tennis Players from Rio de Janeiro, Brazil. Appetite. 2013;64:39–47. doi: 10.1016/j.appet.2013.01.001. PubMed DOI

Meyer N.L., Shaw J.M., Manore M.M., Dolan S.H., Subudhi A.W., Shultz B.B., Walker J.A. Bone Mineral Density of Olympic-Level Female Winter Sport Athletes. Med. Sci. Sport. Exerc. 2004;36:1594–1601. doi: 10.1249/01.MSS.0000139799.20380.DA. PubMed DOI

Czajkowska M., Drosdzol-Cop A., Gałazka I., Naworska B., Skrzypulec-Plinta V. Menstrual Cycle and the Prevalence of Premenstrual Syndrome/Premenstrual Dysphoric Disorder in Adolescent Athletes. J. Pediatr. Adolesc. Gynecol. 2015;28:492–498. doi: 10.1016/j.jpag.2015.02.113. PubMed DOI

Calthorpe L., Brage S., Ong K.K. Systematic review and meta-analysis of the association between childhood physical activity and age at menarche. Acta Paediatr. 2018;108:1008–1015. doi: 10.1111/apa.14711. PubMed DOI PMC

Wodarska M., Witkoś J., Drosdzol-Cop A., Dąbrowska J., Dąbrowska-Galas M., Hartman M., Plinta R., Skrzypulec-Plinta V. Menstrual Cycle Disorders in Female Volleyball Players. J. Obstet. Gynaecol. 2013;33:484–488. doi: 10.3109/01443615.2013.790885. PubMed DOI

Roupas N.D., Georgopoulos N.A. Menstrual Function in Sports. Hormones. 2011;10:104–116. doi: 10.14310/horm.2002.1300. PubMed DOI

Theodoropoulou A., Markou K.B., Vagenakis G.A., Benardot D., Leglise M., Kourounis G., Vagenakis A.G., Georgopoulos N.A. Delayed but Normally Progressed Puberty Is More Pronounced in Artistic Compared with Rhythmic Elite Gymnasts Due to the Intensity of Training. J. Clin. Endocrinol. Metab. 2005;90:6022–6027. doi: 10.1210/jc.2005-1762. PubMed DOI

Carmina E. Mild androgen phenotypes. Best Pract. Res. Clin. Endocrinol. Metab. 2006;20:207–220. doi: 10.1016/j.beem.2006.02.001. PubMed DOI

Zafar M., Sadeeqa S., Latif S., Afzal H. Pattern and Prevalance of Menstrual Disoreders in Adolescents. Int. J. Pharm. Sci. Res. 2018;9:2088–2099. doi: 10.13040/IJPSR.0975-8232.9(5).2088-99. DOI

Warren M.P., Ramos R.H., Bronson E.M. Exercise-Associated Amenorrhea. Physician Sport. Med. 2002;30:41–46. doi: 10.3810/psm.2002.10.495. PubMed DOI

Otis C.L., Drinkwater B., Johnson M., Loucks A., Wilmore J. ACSM Position Stand: The Female Athlete Triad. Med. Sci. Sport. Exerc. 1997;29:i–ix. doi: 10.1097/00005768-199705000-00037. PubMed DOI

Nooh A.M., Abdul-Hady A., El-Attar N. Nature and Prevalence of Menstrual Disorders among Teenage Female Students at Zagazig University, Zagazig, Egypt. J. Pediatr. Adolesc. Gynecol. 2016;29:137–142. doi: 10.1016/j.jpag.2015.08.008. PubMed DOI

Omani Samani R., Almasi Hashiani A., Razavi M., Vesali S., Rezaeinejad M., Maroufizadeh S., Sepidarkish M. The Prevalence of Menstrual Disorders in Iran: A Systematic Review and Meta-Analysis. Int. J. Reprod. Biomed. 2018;16:665–678. PubMed PMC

de Souza M.J., Nattiv A., Joy E., Misra M., Williams N.I., Mallinson R.J., Gibbs J.C., Olmsted M., Goolsby M., Matheson G. 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference Held in San Francisco, California, May 2012 and 2nd International Conference Held in Indianapolis, Indiana, May 2013. Br. J. Sport. Med. 2014;48:289. doi: 10.1136/bjsports-2013-093218. PubMed DOI

Trompeter K., Fett D., Platen P. Prevalence of Back Pain in Sports: A Systematic Review of the Literature. Sport. Med. 2017;47:1183–1207. doi: 10.1007/s40279-016-0645-3. PubMed DOI PMC

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