The Adolescent Female Athlete: Current Concepts and Conundrums

Pediatric Clinics of North America

Volumn 57, Issue 3, 2010, Pages 697-718

  Greydanus, Donald E ^a,b   Omar, Hatim ^c   Pratt, Helen D ^a,d  

^a MICHIGAN STATE UNIVERSITY   (United States)

^b WESTERN MICHIGAN UNIVERSITY HOMER STRYKER MD SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF KENTUCKY   (United States)

^d MICHIGAN STATE UNIVERSITY   (United States)

Author keywords

Adolescent females; Athletes; Physiology

Indexed keywords

IMIPRAMINE; IRON; ORAL CONTRACEPTIVE AGENT; PSEUDOEPHEDRINE; VITAMIN D;

ABRASION; ADOLESCENT; AMENORRHEA AND OLIGOMENORRHEA; ATHLETE; BASKETBALL; BONE AGE; BONE DENSITY; BREAD; BREAST INJURY; BREAST TUMOR; CALCIUM INTAKE; CEREAL; CLINICAL ASSESSMENT; CONTUSION; EGG; FEMALE; FEMALE ATHLETE TRIAD; FISH; FLUID INTAKE; GALACTORRHEA; GASTROINTESTINAL HEMORRHAGE; HEART SIZE; HEMATOMA; HEMOGLOBIN BLOOD LEVEL; HUMAN; IRON DEFICIENCY ANEMIA; IRON INTAKE; IRON THERAPY; JUMPING; LACERATION; LUNG VOLUME; MASTALGIA; MEAT; NIPPLE; NULLIPARA; OBESITY; PATELLOFEMORAL PAIN SYNDROME; PECTORALIS MAJOR MUSCLE; PELVIC FLOOR MUSCLE TRAINING; PHYSICAL DEVELOPMENT; PREGNANCY TEST; PROLACTIN BLOOD LEVEL; PUBERTY; REVIEW; RUNNING; SANITARY PAD; SECONDARY AMENORRHEA; STRESS INCONTINENCE; SWEAT; THYROID HORMONE BLOOD LEVEL; URINE; VAGINA SMEAR; VITAMIN SUPPLEMENTATION;

ADOLESCENT; ANEMIA, IRON-DEFICIENCY; ATHLETES; ATHLETIC INJURIES; BREAST DISEASES; CONTRACEPTIVES, ORAL; FEMALE; FEMALE ATHLETE TRIAD SYNDROME; HUMANS; MENSTRUATION DISTURBANCES; PREGNANCY; PREGNANCY IN ADOLESCENCE; PUBERTY; URINARY INCONTINENCE, STRESS;

EID: 77953568958     PISSN: 00313955     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pcl.2010.02.005     Document Type: Review

References (137)

1. Greydanus D.E., Patel D.R. The female athlete: before and beyond puberty. Pediatr Clin North Am 2002, 49:553-580.
2. Joy E.A., Van Hala S., Cooper L. Health-related concerns of the female athlete: a lifespan approach. Am Fam Physician 2009, 79(6):79-84.
3. Greydanus D.E., Tsitsika A.K. Special considerations for the female athlete. Pediatric practice: sports medicine 2009, 86-101. McGraw-Hill Medical Publishers, New York, Chapter 9. D.R. Patel, D.E. Greydanus, R.J. Baker (Eds.).
4. Greydanus D.E., Patel D.R. Medical aspects of the female athlete at puberty. International Sportmed J 2004, 5(1):1-25.
5. Griffin L.Y. The female athlete. DeLee and Drez's orthopaedic sports medicine. Principles and practice 2003, 505-520. Elsevier/Saunders, Philadelphia, Chapter 13. J.C. DeLee, D. Drez, M.D. Miller (Eds.).
6. Piya-Anant M. Common gynecologic problems in female athletes. Siriraj Med J 2008, 60(6):366-367.
7. Nattiv A., Arendt E.A., Hecht S.S. The female athlete. Principles and practice of primary care sport medicine 2001, 93-113. Lippincott Williams and Wilkins, Philadelphia, Chapter 8. W.E. Garrett, D.T. Kirkendall, D.L. Squire (Eds.).
8. Beunen G., Malina R.M. Growth and physical performance relative to the timing of the adolescent spurt. Exerc Sport Sci Rev 1988, 16:503.
9. Greydanus D.E., Patel D.R., Luckstead E.F. Office orthopedics and sports medicine symposium. Adolesc Med 1998, 9:425-626.
10. Patel D.R., Nelson T.L. Sport injuries in adolescents. Pediatr Clin North Am 2000, 84:983-1007.
11. Wilmore J.H. The application of science to sport: physiologic profiles of male and female athletes. Can J Appl Sport Sci 1979, 4:103-115.
12. Strength and power in sport 1992, 404. Blackwell Scientific, Oxford (UK). P.V. Komi (Ed.).
13. Ireland M.L. Special concerns of the female athlete. Sports injuries: mechanisms, prevention and treatment 2000, 156-187. Williams and Wilkins, Baltimore (MD). 2nd edition. F. Fu, R. Stone (Eds.).
14. Malina R.M. Effects of physical activities on growth in stature and adolescent growth spurt. Med Sci Sports Exerc 1994, 26:759.
15. Malina R.M. Physical growth and biological maturation of young athletes. Exerc Sport Sci Rev 1994, 22:389.
16. Yurko-Griffin L., Harris S.S. Female athletes. Care of the young athlete 2000, 137-148. American Academy of Orthopedic Surgery and American Academy of Pediatrics, Rosemont (IL), Chapter 15. A. Sullivan, S. Anderson (Eds.).
17. Kulkarni R., Gera R., Scott-Emuakpor A.B. Adolescent hematology. Essential adolescent medicine 2006, 371-390. McGraw-Hill Medical Publishers, New York, Chapter 17. D.E. Greydanus, D.R. Patel, H.D. Pratt (Eds.).
18. Patel D.R. Hematologic conditions. Pediatric practice: sports medicine 2009, 167-180. McGraw-Hill Medical Publishers, New York, Chapter16. D.R. Patel, D.E. Greydanus, R.J. Baker (Eds.).
19. Harris S.S. Exercise-related anemia. Women in sport 2000, 311-320. Blackwell Scientific, Oxford (UK), Chapter 21. B.A. Drinkwater (Ed.).
20. Risser W.L., Risser J.M. Iron deficiency in adolescent and young adults. Phys Sportsmed 1990, 18:87-101.
21. Balaban E., Cox J., Snell P., et al. The frequency of anemia and iron deficiency in the runner. Med Sci Sports Exerc 1989, 21:643-648.
22. Greydanus D.E., Torres A.D., Wan J.H. Genitourinary and renal disorders. Essential adolescent medicine 2006, 329-370. McGraw-Hill Medical Publishers, New York, Chapter 16. D.E. Greydanus, D.R. Patel, H.D. Pratt (Eds.).
23. Nattiv A. Track and field. Women in sport 2000, 470-485. Blackwell Scientific, Oxford (UK), Chapter 32. B.A. Drinkwater (Ed.).
24. Gera T., Sachdev H.P., Nestel P. Effect of iron supplementation on physical performance in children and adolescents: systemic review of randomized controls. Indian Pediatr 2007, 44(1):15-24.
25. Bo K. Urinary incontinence, pelvic floor dysfunction, exercise, and sports. Sports Med 2004, 34(7):451-464.
26. Fine P.M. Urinary symptoms: incontinence. The 5-minute obstetrics and gynecology consult 2008, 46-47. Wolters Kluwer/Lippincott Williams and Wilkins, Philadelphia. P.J.A. Hillard (Ed.).
27. NIH Consensus Development Panel Urinary incontinence in adults. JAMA 1989, 261:2685-2690.
28. Hindle W.H. The breast and exercise. Caring for the exercising woman 1991, 83-92. Elsevier Science Publishers, New York, Chapter 8. W. Hale (Ed.).
29. Kaul P., Beach R.K. Breast disorders. Essential adolescent medicine 2006, 569-590. McGraw-Hill Medical Publishers, New York, Chapter 27. D.E. Greydanus, D.R. Patel, H.D. Pratt (Eds.).
30. Shangold M.M. Gynecologic concerns in the woman athlete. Clin Sports Med 1984, 3:869-879.
31. Friedenreich C.M., Rohan T.E. A review of physical activity and beast cancer. Epidemiology 1995, 6:311-317.
32. Thune I., Brenn T., Lund E., et al. Physical activity and the risk of breast cancer. N Engl J Med 1997, 336:1269-1275.
33. Hoffman-Goetz L., Husted J. Exercise and breast cancer: review and critical analysis of the literature. Can J Appl Physiol 1994, 19:237-252.
34. Frisch R.E., Wyshank G., Albright N.L., et al. Lower prevalence of breast cancer and cancers of the reproductive system among former college athletes compared to nonathletes. Br J Cancer 1995, 52:885-891.
35. Greydanus D.E., Patel D.R., Baxter T.L. The breast and sports: issues for the clinician. Adolesc Med 1998, 9:533-550.
36. Haycock C.E. How I manage breast problems in athletes. Phys Sportsmed 1987, 15:89-95.
37. Gehlsen S., Stoner L.J. The female breast in sports and exercise. Med Sport Sci 1987, 24:13-22.
38. Greydanus D.E., Tsitsika A.D., Gains M.J. The gynecology system and the adolescent. Pediatric physical diagnosis 2008, 701-750. McGraw-Hill Medical Publishers, New York, Chapter 21. D.E. Greydanus, A.N. Feinberg, D.R. Patel (Eds.).
39. Greydanus D.E., Matytsina L. Breast disorders in children and adolescents. Prim Care Clin Office Pract 2006, 33:455-502.
40. Gehlsen G., Albohm M. Evaluation of sports bras. Phys Sportsmed 1980, 8:88-97.
41. Lorentzen D., Lawson L. Selected sports bras: a biomechanical analysis for breast motion while jogging. Phys Sportsmed 1987, 15:128.
42. Berger-Dumound J. Sports bras: everything you need to know from A to D. Women's Sports and Fitness 1986, 8:31-49.
43. Cummins C. Sports bra round-up. Women's Sports Fitness 1989, 4:66.
44. Lee J. Sport support. Women's Sports and Fitness 1995, 17:72-73.
45. American Society for Testing and Materials (ASTM) Standard classification of brassieres. 1982 Yearbook Standard F753-82 1982, ASTM, Philadelphia.
46. Sports bras. Women's Sports and Fitness 1995, 17:72.
47. Greydanus D.E., Omar H.A., Tsitsika A.K., et al. Menstrual disorders in adolescent females: current concepts. Dis Mon 2009, 55(2):39-114.
48. Pfeifer S., Patrizio P. The female athlete: some gynecological considerations. Sports Med Athlet Rev 2002, 10(1):2-9.
49. Moller-Nielson J., Hammar M. Women's soccer injuries in relation to the menstrual cycle and oral contraceptive use. Med Sci Sports Exerc 1989, 21:152-160.
50. Redman L.M., Loucks A.B. Menstrual disorders in athletes. Sports Med 2005, 35(9):747-755.
51. Ireland M.L., Ott S.M. Special concerns of the female athlete. Clin Sports Med 2004, 23:623-636.
52. Beals K.A., Meyer N.L. Female athlete triad update. Clin Sports Med 2007, 26:69-89.
53. Nattive A., Loucks A.B., Manore M.M., et al. American College of Sports Medicine Position Stand. The female athlete triad. Med Sci Sports Exerc 2007, 39:1867-1882.
54. Brunet M. Female athlete triad. Clin Sports Med 2005, 24:623-636.
55. Constantini N.W., Gubnov G., Lebrun C.M. The menstrual cycle and sports performance. Clin Sports Med 2005, 24:51-82.
56. American Academy of Pediatrics Medical concerns in the female athlete. Pediatrics 2000, 106:610-613.
57. Greenfield T.P., Blythe M. Menstrual disorders in adolescents. Essential adolescent medicine 2006, 591-612. McGraw-Hill Medical Publishers, New York, Chapter 28. D.E. Greydanus, D.R. Patel, H.D. Pratt (Eds.).
58. Gutterman D.D., Hoffmann R.G., Moraski L. Prevalence of the female athlete triad in high school athletes and sedentary students. Clin J Sport Med 2009, 19(5):421-428.
59. Callahan L.R. The evolution of the female athlete: progress and problems. Pediatr Ann 2000, 29:149-153.
60. Nichols J.F., Rauh M.J., Lwson M.J., et al. Prevalence of female athlete triad among high school athletes. Pediatrics 2008, 160(2):137-142.
61. Cobb K.L., Bachrach L.K., Greendale G., et al. Disordered eating, menstrual irregularity, and bone mineral density in female runners. Med Sci Sports Exerc 2003, 35:711-719.
62. Marshall L.A. Amenorrhoea. Women in sport 2000, 377-390. Blackwell Scientific, Oxford (UK), Chapter 26. B.A. Drinkwater (Ed.).
63. The Practice Committee of the American Society for Reproductive Medicine Current evaluation of amenorrhea. Fertil Steril 2006, 86(Suppl 4):S148-S155.
64. Loucks A.B., Vaitukaitis J., Cameron J.L. The reproductive system and exercise in women. Med Sci Sports Exerc 1992, 24(Suppl):S288-S293.
65. Marshall L.A. Clinical evaluation of amenorrhea in active and athletic women. Clin Sports Med 1994, 13:371-389.
66. Hobart J.A., Smucker D.R. The female athlete triad. Am Fam Physician 2000, 61:357-364.
67. Yeager K.K., Agostini R., Nattive A., et al. The female athlete triad: disordered eating, amenorrhea, osteoporosis. Med Sci Sports Exerc 1993, 25:775-777.
68. DeSouza M.J., Williams N.I., Alleyne J., et al. Correction of misinterpretations and misrepresentations of the female athlete triad. Br J Sports Med 2007, 41(1):58-59.
69. Laughlin G.A., Yen S.S. Hypoleptinemia in women athletes: absence of a diurnal rhythm with amenorrhea. J Clin Endocrinol Metab 1997, 82:318-321.
70. Thong F.S., McLean C., Graham T.E. Plasma leptin in female athletics: relationship with body fat, reproductive, nutritional and endocrine factors. J Appl Physiol 2000, 88:2037-2044.
71. Loucks A.B., Strachenfeld N.S., DiPetro L. The female athlete triad: do female athletes need to take special care to avoid low energy availability?. Med Sci Sports Exerc 2006, 38:1694-1700.
72. DeSouza M.J., Lee D.K., Van Heest J.L., et al. Severity of energy-related menstrual disturbances increases in proportion to indices of energy conservation in exercising women. Fertil Steril 2007, 88(4):971-975.
73. Sundgot-Borgen J. Eating disorders. Women in sport 2000, 364-376. Blackwell Scientific, Oxford (UK), Chapter 25. B.A. Drinkwater (Ed.).
74. American Psychiatric Association Practice guideline for the treatment of patients with eating disorders, 3rd edition. Am J Psychiatry 2006, 163(1 Suppl):4-54.
75. Sanborn C.F., Horea M., Siemers B.J., et al. Disordered eating and the female athlete triad. Clin Sports Med 2000, 19:1-11.
76. Mitan L.A.P. Diet, eating disorders: anorexia nervosa. The 5-minute obstetrics and gynecology consult 2008, 268-269. Wolters Kluwer/Lippincott Williams and Wilkins, Philadelphia. P.J.A. Hillard (Ed.).
77. Currie A., Morse E.D. Eating disorders in athletes: managing the risks. Clin Sports Med 2005, 24:871-883.
78. National Institutes of Health Optimal calcium intake. NIH Consensus Statement 1994, 12:1-31.
79. Teegarden D., Weaver C.M. Calcium supplementation increases bone density in adolescent girls. Nutr Rev 1994, 52:171.
80. Hergenroder A.C., Smith E.O., Shypailo R., et al. Bone mineral changes in young women with hypothalamic amenorrhea treated with oral contraceptives, medroxyprogesterone, or placebo over 12 months. Am J Obstet Gynecol 1997, 176(5):1017-1025.
81. American Academy of Pediatrics Amenorrhea in adolescent athletes. Pediatrics 1989, 84:394-395.
82. Polatti F., Perotti F., Filippa N., et al. Bone mass and long-term monophasic oral contraceptive treatment in young women. Contraception 1995, 51:221-224.
83. Primer on the metabolic bone diseases and disorders of mineral metabolism 2006, Wiley and Sons Publishers. American Society for Bone and Mineral Research, Hoboken (NJ). 6th edition. C.J. Rosen (Ed.).
84. Frankovich R.J., Lebrun C.M. Muscle cycle, contraception and performance. Clin Sports Med 2000, 19:1-6.
85. Labrun C.M. Effects of the menstrual cycle and oral contraceptives on sports performance. Women in sport 2000, 37-61. Blackwell Scientific, Oxford (UK), Chapter 3. B.A. Drinkwater (Ed.).
86. Greydanus D.E., Patel D.R., Rimsza M.E. Contraception in the adolescent: an update. Pediatrics 2001, 107:562-573.
87. Greydanus D.E., Rimsza M.E., Matytsina L. Contraception for college students. Pediatr Clin North Am 2005, 52:135-161.
88. Kamboj M.K. Metabolic bone disease in adolescents: recognition, evaluation, treatment, and prevention. Adolesc Med 2007, 18:24-46.
89. Moller-Nielson J., Hammar M. Sports injuries and oral contraceptive use: is there a relationship?. Sports Med 1991, 12:152-160.
90. Paupoo A., Glass M.L.S. Osteoporosis and osteopenia. Hillard PJA, editor. The 5-minute obstetrics and gynecology consult 2008, 130-131. Wolters Kluwer/Lippincott Williams and Wilkins, Philadelphia.
91. Morris S.N. Exercise during pregnancy: a critical appraisal of the literature. J Reprod Med 2005, 50:81-88.
92. Weiss Kelly A.K. Practical exercise advice during pregnancy: guidelines for active and inactive women. Phys Sportsmed 2005, 33(6):1-10.
93. Mottola M.F., Wolfe L.A. The pregnant athlete. Women in sport 2000, 194-207. Blackwell Science, Oxford (UK), Chapter 14. B.A. Drinkwater (Ed.).
94. DeHoop T.A. Exercise in normal pregnancy. The 5-minute obstetrics and gynecology consult 2008, 342-343. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia. P.J.A. Hillard (Ed.).
95. American College of Obstetrics and Gynecology (ACOG) Committee on Obstetric Practice Exercise and the postpartum period. ACOG Committee Opinion No. 267. Obstet Gynecol 2002, 99(1):171-173.
96. Prentice A. Should lactating women exercise?. Nutr Rev 1994, 52:358-360.
97. Campaigne B.N. Diabetes and sport. Women in sport 2000, 265-279. England, Blackwell Scientific, Oxford (UK), Chapter 18. B.A. Drinkwater (Ed.).
98. Golden N.H. Eating disorders: anorexia nervosa and bulimia nervosa in the adolescent. Essential adolescent medicine 2006, 635-650. McGraw-Hill Medical Publishers, New York, Chapter 30. D.E. Greydanus, D.R. Patel, H.D. Pratt (Eds.).
99. Nelson M.E., Fiatarone M.A., Morganti C.M., et al. Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. JAMA 1994, 272:1909.
100. Gibson J.H., Mitchell A., Harries M.G., et al. Nutritional and exercise-related determinants of bone density in elite female runners. Osteoporos Int 2004, 15:611-618.
101. Rutherford O.M. Spine and total body bone mineral density in amenorrheic endurance athletes. J Appl Phys 1993, 74:2904-2908.
102. Nelson M.E., Fisher E.C., Catsos D., et al. Diet and bone status in amenorrheic runners. Am J Clin Nutr 1986, 43:910-916.
103. Fruth S.J., Worrell T.W. Factors associated with menstrual irregularities and decreased bone mineral density in female athletes. J Orthop Sports Phys Ther 1995, 22:26-38.
104. Linnell S.T., Stager J.M., Blue P.W., et al. Bone mineral content and menstrual regularity in female runners. Med Sci Sports Exerc 1984, 16:343-348.
105. Snyder A.C., Wenderoth M.P., Johnston C.C., et al. Bone mineral content of elite lightweight amenorrheic women. Hum Biol 1986, 58:863-869.
106. Rosenthal D.I., Mayo-Smith W., Hayes C.W., et al. Age and bone mass in premenopausal women. J Bone Miner Res 1989, 4:533-538.
107. Wolman R.L., Clark P., McNally E., et al. Menstrual state and exercise as determinants of spinal trabecular bone density in female athletes. Br Med J 1990, 301:516-518.
108. Harber V.J., Webber C.E., Sutton J.D., et al. The effect of amenorrhea on calcaneal bone density and total bone turnover in runners. Int J Sports Med 1991, 12:505-508.
109. Warren M.P., Brooks-Gunn J., Fox R.P., et al. Lack of bone accretion and amenorrhea: evidence for a relative osteopenia in weight bearing bones. J Clin Endocrinol Metab 1991, 72:847-853.
110. Wolman R.L., Clark P., McNally E., et al. Dietary calcium as a statistical determinant of spinal trabecular bone density in amenorrheic and estrogen-replete athletes. Bone Miner 1992, 17:415-423.
111. Lane J.M., Riley E.H., Wirganowicz P.C. Osteoporosis: diagnosis and treatment. J Bone Joint Surg Am 1996, 78:618.
112. Lloyd T., Meyers C., Buchanan J.R., et al. Collegiate women athletes with irregular menses during adolescence have decreased bone density. Obstet Gynecol 1998, 72:639-642.
113. Theintz G., Buchs B., Rizzoli R., et al. Longitudinal monitoring of bone mass accumulation in healthy adolescents: evidence from a marked reduction after 16 years of age at the levels of lumbar spine and femoral neck in female subjects. J Clin Endocrinol Metab 1992, 75:1060-1065.
114. American College of Obstetricians and Gynecologists Use of hormonal contraception in women with coexisting medical conditions. ACOG Practice Bulletin, Number 73. Obstet Gynecol 2006, 107:1453-1472.
115. Emery-Cohen A., Kaunitz A.M. Contraception: hormonal: injection. Hillard PJA, editor. The 5-minute obstetrics and gynecology consult 2008, 250-251. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia.
116. Schrager S.B. DMPA's effect on bone mineral density: a particular concern for adolescents. J Fam Pract 2009, 58(5):E1-E8.
117. Cromer B.A., Scholes D., Berenson A., et al. Depot medroxyprogesterone acetate and bone mineral density in adolescents. The black box warning: a position paper of the Society for Adolescent Medicine. J Adolesc Health 2006, 39:296-301.
118. Gibson J. Osteoporosis. Women in sport 2000, 391-406. Blackwell Scientific, Oxford (UK), Chapter 27. B.A. Drinkwater (Ed.).
119. Cline S. Acute injuries of the knee. Pediatric practice: sports medicine 2009, 313-329. McGraw-Hill Medical Publishers, New York, Chapter. 26. D.R. Patel, D.E. Greydanus, R.J. Baker (Eds.).
120. Patel D.R., Luckstead Sr E.F., Greydanus D.E. Sports injuries. Essential adolescent medicine 2006, 677-692. McGraw-Hill Medical Publishers, New York, Chapter 33. D.E. Greydanus, D.R. Patel, H.D. Pratt (Eds.).
121. Loud K., Micheli L. Common athletic injuries in adolescent girls. Curr Opin Pediatr 2001, 13:317-327.
122. Knowles S.B. Is there an injury epidemic in girls sports?. Br J Sports Med 2010, 44:38-45.
123. Hagglund M., Walden M., Atroshi I. Preventing knee injuries in adolescent female football players-design of a cluster randomized controlled trial. BMC Musculoskelet Disord 2009, 10:75-82.
124. Sands W.A., Shaltz B.B., Newman A.P. Women's gymnastics injuries: a five year study. Am J Sports Med 1993, 21:271-276.
125. Liu S.H., Al-Shaikh R., Panossian V., et al. Primary immunolocalization of estrogen and progesterone target cells in the human anterior cruciate ligament. J Orthop Res 1996, 14:526-533.
126. Wojtys E.M., Huston L.G., Lindenfeld T.N., et al. Association between the menstrual cycle and anterior cruciate ligament injuries in female athletes. Am J Sports Med 1998, 26:614-619.
127. Otis C.L. Women and sports: breast and nipple injuries. Sports Med Dig 1988, 10:7.
128. Rubin C.J. Sports injuries in the female athlete. N J Med 1991, 88:643-645.
129. Nequin N.D. More on jogger's ailments. N Engl J Med 1978, 298:405-406.
130. Powell B. Bicyclist's nipples. JAMA 1983, 249:2457.
131. Torstveit M.K., Sungot-Borgen J. The female athlete triad: are elite athletes at increased risk?. Med Sci Sports Exerc 2005, 37:184-193.
132. Patel D.R., Greydanus D.E. The adolescent athlete. Adolescent medicine 1997, 612-614. Appleton and Lange, Stamford (CT), Chapter 28. 3rd edition. A.D. Hofmann, D.E. Greydanus (Eds.).
133. Fulkerson J. Diagnosis and treatment of patients with patellofemoral pain. Am J Sports Med 2002, 30:447-456.
134. Eliakim A.B. Exercise training, menstrual irregularities, and bone development in children and adolescents. J Pediatr Adolesc Gynecol 2003, 16(4):201-206.
135. Madd L.M., Fornetti W., Pivarnik J.M. Bone mineral density in college female athletes. J Athl Train 2007, 43(3):403-408.
136. Barrack M., Rauh M.J., Barkai H.-S., et al. Dietary restraint and low bone mass in female adolescent endurance runners. Am J Clin Nutr 2008, 87(1):36-43.
137. Omar H., Greydanus D.E., Patel D.R., et al. Pediatric and adolescent sexuality and gynecology 2010, Nova Biomedical Books, New York, 450 pages.