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British Journal of Sports Medicine· 2014Q1· Guideline

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

Mary Jane De Souza, Aurelia Nattiv, Elizabeth A. Joy, Madhusmita Misra et al.

Short summary

A new consensus statement provides clinical guidelines for screening, diagnosing, and treating the Female Athlete Triad (low energy availability, menstrual dysfunction, low bone density) and offers recommendations for return to play.

AI-generated from the title and abstract; the full text is not read.

Key points

  • The Female Athlete Triad comprises low energy availability, menstrual dysfunction, and low bone mineral density.
  • Early intervention is crucial to prevent progression to serious health issues like eating disorders, amenorrhea, and osteoporosis.
  • The statement provides clinical guidelines for screening, diagnosis, and treatment of the Triad.
  • A risk stratification point system is proposed to guide decisions on sport participation and return to play.
  • Management recommendations include a multidisciplinary team approach and treatment contracts.

AI-generated from the title and abstract; the full text is not read.

Abstract

The Female Athlete Triad is a medical condition often observed in physically active girls and women, and involves three components: (1) low energy availability with or without disordered eating, (2) menstrual dysfunction and (3) low bone mineral density. Female athletes often present with one or more of the three Triad components, and an early intervention is essential to prevent its progression to serious endpoints that include clinical eating disorders, amenorrhoea and osteoporosis. This consensus statement represents a set of recommendations developed following the 1st (San Francisco, California, USA) and 2nd (Indianapolis, Indiana, USA) International Symposia on the Female Athlete Triad. It is intended to provide clinical guidelines for physicians, athletic trainers and other healthcare providers for the screening, diagnosis and treatment of the Female Athlete Triad and to provide clear recommendations for return to play. The 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad expert panel has proposed a risk stratification point system that takes into account magnitude of risk to assist the physician in decision-making regarding sport participation, clearance and return to play. Guidelines are offered for clearance categories, management by a multidisciplinary team and implementation of treatment contracts. This consensus paper has been endorsed by the Female Athlete Triad Coalition, an International Consortium of leading Triad researchers, physicians and other healthcare professionals, the American College of Sports Medicine and the American Medical Society for Sports Medicine.

The authors' abstract, as published at the source. British Journal of Sports Medicine, 2014 · DOI ↗

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Field: Orthopedics and Sports Medicine

Orthopedics and Sports MedicineMedicine