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Important Prevention Tips For Young Female Athletes, Ballerinas

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Ballerinas and female athletes participation quadruple health threats
A discover led by sports medicine researcher Anne Hoch, D.O., at The Medical Faculty of Wisconsin in Milwaukee has revealed that young female professional dancers face the corresponding health risks as young female athletes when they don't eat sufficiently to offset the impact they spend, and check menstruating as a consequence.
"These two components of the female athlete tetrad situate them at higher risk for the other two; the cardiovascular and bone density deficits of much older, postmenopausal women," according to Dr. Hoch, associate professor of orthopaedic surgery and employer of the Froedtert & the Medical College Women's Sports Medicine Center.
The researchers studied 22 professional ballerinas, all members of the Milwaukee Ballet Company, to conclude the prevalence of disordered eating, amenorrhea (lack of menstruation), abnormal vascular supply and low bone density. Study findings were presented at the American College of Sports Medicine assemblage in Seattle, May 30.
The dancers completed questionnaires on their menstrual patterns and eating habits, and underwent a blood check for hormonal levels. Thirty-six percent of the group had disordered eating habits and 77 percent were in a calorie deficit. Twenty-seven percent were currently amenorrheic, 23 percent had low bone bulk density and nine percent were captivating birth control.
Arterial ultrasound measurements revealed that 64 percent had abnormal artery dilation in response to blood flow.
"It was alien provided professional dancers without menstrual periods have evidence of vascular dysfunction, yet some characteristics of the tetrad were frequent in this group," says Dr. Hoch. "Eighty-six percent had one or more components, and fourteen percent had all four."
The glance at was funded by grants from the Clinical and Translational Science Academy Human race Translational Probation Unit of the Medical College, and by the Steve Cullen Healthy Heart Club Funding of 2008.
Co authors of the study include: Paula Papanek, Ph.D., associate professor and director of operate science at Marquette University; and at the Medical College - Heather Havlik, M.D., a sports medicine fellow; William Raasch, M.D., professor of orthopedic surgery; Michael Widlansky, M.D., assistant professor of medicine in cardiology; Jane Schimke, clinical research coordinator, and David Gutterman, M.D., senior associate dean and professor of medicine in cardiology.
High-dose Folic Acid Supplements Improved Vascular Function in Amenorrheic Runners
In a related study, presented earlier at the American Society of Sports Medicine call in Tampa, Fla., researchers at The Medical Institute of Wisconsin in Milwaukee found that four to six weeks of high-dose folic acid supplementation could advance vascular function in young female runners who were amenorrheic (not menstruating).
This is the first recite to practice folic acid supplementation to improve vascular utility in girlish runners, and is important considering folic acid may not particular incision cardiovascular risks nevertheless again improve athletic performance for these women. The test was conducted at Froedtert Hospital.
"Previous studies chalk up shown that amenorrheic women runners enjoy decreased dilation in the leading (brachial) artery of the arm in response to blood flow," says escort author Stacy Lynch, M.D., a women's sports medicine friend at the College. "Athletic amenorrhea has a hormonal profile homogenous to menopause, when the earliest sign of cardiovascular disease is reduced vascular dilation, which can limit o2 uptake and act on performance."
While the benefits for women of an active lifestyle, including running, are profound and well-known, there are almost three million girls in high rise institution sports and all over 23 million women who race at least six times a week. The prevalence of athletic-associated amenorrhea among these runners is first off estimated at 44 percent.
The researchers recruited 16 female academy or recreational runners, ages 18 to 35, who were not on birth discipline pills and had been running at least 20 miles a week for the foregone 12 months. These included six otherwise healthy women with reduced vascular function and irregular or absent menstrual periods, and a control bunch of ten with normal periods. Their vascular servicing was measured before and after treatment with 10 mg/day of folic acid for four to six weeks. Vascular avail returned to standard in the amenorrheic women after folic acid supplementation, and it remained at regular levels in the bridle band despite supplementation.
Both children and adults require folic acid to produce healthy coral blood cells and prevent anemia. Folic acid, also established as vitamin B9, folacin and collate, is the form of the vitamin needed during periods of cell growth.
This interpret is an extension of evaluation by Anne Hoch, D.O., associate professor of orthopaedic surgery and director of the Froedtert & the Medical School Women's Sports Medicine Program, and was funded by the Medical College Branch of Orthopaedic Surgery.
Other members of the research team include: David Gutterman, M.D., professor of medicine in cardiology; Jane Schimke, clinical study coordinator, and Jason W. Jurva, M.D., assistant professor of medicine in cardiology.
Critical Tips for Young Female Athletes:
Be aware of components of the female athlete tetrad:
  • Disordered eating,
Pre practice carbohydrates and hydration (2 hrs. prior to exercise) and a recovery meal (within 30 minutes of exercise) are very relevant
  • Menstrual dysfunction
Average interval of menarche in US is 12.5. It's abnormal whether periods don't open by day 15. * Osteoporosis "Irregular" weight bearing exercise, between ages 7 and12, is most healthful for long-term bone mineral density. Calcium requirements for ages 11 to 24, per the National Institutes of Health, are 1,500 mg of calcium and 400 mg of Vitamin D daily
  • Early cardiovascular disease risk
ACL prevention programs are a MUST for female soccer, basketball and volleyball players, 6 weeks prior to season!
Toranj Marphetia
Medical College of Wisconsin
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