职业体育对青春期少女月经功能形成及相关异常的影响

封面


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

2024年，俄罗斯大力倡导体育运动融入日常生活。目前，全国约有7000万人参与体育运动，青少年体育蓬勃发展，全国范围内建造了大量新的体育设施。越来越多的年轻运动员进入职业体育领域。因此，长期高强度体育训练对年轻女性运动员生殖健康的影响，成为产科和妇科医生关注的重要问题。

毫无疑问，规律性训练的起始年龄可能对月经周期紊乱产生重要影响。尤其是在青春期早期，剧烈的体育训练可能对少女生殖系统的激素调控造成负面影响。在青春期阶段，保持训练与休息的平衡至关重要，以避免过度训练和能量缺乏。基于此，我们探讨了哪些体育项目对月经功能的建立影响最大，并可能导致女性健康的长期不良后果。

研究表明，女性职业体育对生殖健康的影响大约在25–30年前开始受到广泛关注，并在此期间发表了大量相关研究。然而，这些研究往往局限于特定年龄段，样本量较小。这些局限性使得难以开展系统性综述研究或针对青春期及生育早期女性在不同体育项目中的影响进行荟萃分析。

在PubMed和eLibrary数据库的检索结果显示，近5年内尚无最新研究能够直接回答我们提出的问题。因此，我们决定分析全球文献数据，以明确哪些体育项目的年轻女性运动员应受到更多妇科关注，并可能需要更精确的医学管理。

全文:

受限制的访问

作者简介

Olga D. Safonova

I.M. Sechenov First Moscow State Medical University

Email: safonowa17@gmail.com
ORCID iD: 0009-0007-0818-3242
俄罗斯联邦, 8 Trubetskaya st, bldg 2, Moscow, 119991

Sofya D. Malashenkova

I.M. Sechenov First Moscow State Medical University

Email: nikeshina-sofya@mail.ru
ORCID iD: 0009-0008-0111-7960
俄罗斯联邦, 8 Trubetskaya st, bldg 2, Moscow, 119991

Dmitrii V. Baburin

I.M. Sechenov First Moscow State Medical University

Email: baburin_d_v@staff.sechenov.ru
ORCID iD: 0000-0003-2398-3348
SPIN 代码: 3264-0730

MD, Cand. Sci. (Medicine)

俄罗斯联邦, 8 Trubetskaya st, bldg 2, Moscow, 119991

Evgeniya A. Svidinskaya

I.M. Sechenov First Moscow State Medical University

编辑信件的主要联系方式.
Email: svidinskaya@gmail.com
ORCID iD: 0000-0002-2368-1932
SPIN 代码: 3002-6388

MD, Cand. Sci. (Medicine), Assistant

俄罗斯联邦, 8 Trubetskaya st, bldg 2, Moscow, 119991

Elena A. Sosnova

I.M. Sechenov First Moscow State Medical University

Email: sosnova-elena@inbox.ru
ORCID iD: 0000-0002-1732-6870
SPIN 代码: 6313-9959

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, 8 Trubetskaya st, bldg 2, Moscow, 119991

Vladimir M. Zuev

I.M. Sechenov First Moscow State Medical University

Email: vlzuev@bk.ru
ORCID iD: 0000-0001-8715-2020
SPIN 代码: 2857-0309

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, 8 Trubetskaya st, bldg 2, Moscow, 119991

参考

  1. Ackerman KE, Misra M. Amenorrhoea in adolescent female athletes. Lancet Child Adolesc Health. 2018;2(9):677–688. doi: 10.1016/S2352-4642(18)30145-7
  2. Taim BC, Ó Catháin C, Renard M, et a. The prevalence of menstrual cycle disorders and menstrual cycle-related symptoms in female athletes: a systematic literature review. Sports Med. 2023;53(10):1963–1984. doi: 10.1007/s40279-023-01871-8
  3. Sosnova EA. Amenorrhea. V.F. Snegirev Archives of Obstetrics and Gynecology. 2016;3(2):60–75. doi: 10.18821/2313-8726-2016-3-2-60-75 EDN: WFPXJF
  4. Gimunová M, Paulínyová A, Bernaciková M, Paludo AC. The prevalence of menstrual cycle disorders in female athletes from different sports disciplines: a rapid review. Int J Environ Res Public Health. 2022;19(21):14243. doi: 10.3390/ijerph192114243
  5. Calcaterra V, Vandoni M, Bianchi A, et al. Menstrual dysfunction in adolescent female athletes. Sports (Basel). 2024;12(9):245. doi: 10.3390/sports12090245
  6. Bugaevsky KA. Studying the peculiarities of the puberty process of young female athletes in a number of game sports. Sportyvni Ihry (Sports games). 2021;(1):4–14. doi: 10.15391/si.2021-1.01
  7. Vena W, Paschou SA. Sports and the menstrual cycle. Case Rep Womens Health. 2021;33:e00367. doi: 10.1016/j.crwh.2021.e00367
  8. Rustyanova DR, Kazakova AV, Zhirnov VA, et al. Menstrual disorders and comorbidities in girls involved in ballet and sports (literature review). Pediatric and Adolescent Reproductive Health. 2022;18(4):37–48. doi: 10.33029/1816-2134-2022-18-4-37-48 EDN: GJVWYF
  9. Bezuglov EN, Lazarev AM, Khaitin VYu, et al. Russian Journal of Human Reproduction. 2020;26(4):37–47. doi: 10.17116/repro20202604137 EDN: NYWTKU
  10. Shakhtakhtinskaya VC. Features of puberty girls athletes. Sport Science Journal. 2019;1(3):123–128. doi: 10.28942/ssj.v1i3.147 EDN: CMUWNG
  11. Klentrou P, Plyley M. Onset of puberty, menstrual frequency, and body fat in elite rhythmic gymnasts compared with normal controls. British Journal of Sports Medicine. 2003;37(6):490–494 doi: 10.1136/bjsm.37.6.490
  12. De Souza MJ, Toombs RJ, Scheid JL, et al. High prevalence of subtle and severe menstrual disturbances in exercising women: confirmation using daily hormone measures. Human Reproduction. 2010;25(2):491–503. doi: 10.1093/humrep/dep411
  13. Sambanis M, Kofotolis N, Kalogeropoulou E, et al. A study on the effects on the ovarian cycle of athletic training in different sports. Journal of Sports Medicine & Physical Fitness. 2003;43(3):398–403.
  14. Robertson S, Mountjoy M. A review of prevention, diagnosis, and treatment of relative energy deficiency in sport in artistic (synchronized) swimming. Int J Sport Nutr Exerc Metab. 2018;28(4):375–384. doi: 10.1123/ijsnem.2017-0329
  15. Ekenros L, Von Rosen P, Solli GS, et al. Perceived impact of the menstrual cycle and hormonal contraceptives on physical exercise and performance in 1,086 athletes from 57 sports. Front Physiol. 2022;13:954760. doi: 10.3389/fphys.2022.954760
  16. Sonntag B, Ludwig M. An integrated view on the luteal phase: diagnosis and treatment in subfertility. Clinical Endocrinology (Oxf). 2012;77(4):500–507. doi: 10.1111/j.1365-2265.2012.04464.x
  17. Parker LJF, Elliott-Sale KJ, Hannon M, et al. Where do you go when your periods go? A case-study examining secondary amenorrhea in a professional internationally-capped female soccer player through the lens of the sport nutritionist. Sci Med Footb. 2022;6(5):643–649. doi: 10.1080/24733938.2022.2123555
  18. Prather H, Hunt D, McKeon K, et al. Are elite female soccer athletes at risk for disordered eating attitudes, menstrual dysfunction, and stress fractures? PM R. 2016;8(3):208–213. doi: 10.1016/j.pmrj.2015.07.003
  19. Popp KL, Bozzini BN, Reynoso M, et al. Hypothalamic-pituitary-ovarian axis suppression is common among women during US army basic combat training. Br J Sports Med. 2024;58(18):1052–1060. doi: 10.1136/bjsports-2023-107716
  20. Almeida-Neto PF, de Medeiros RCDSC, de Matos DG, et al. Lean mass and biological maturation as predictors of muscle power and strength performance in young athletes. PLoS One. 2021;16(7):e0254552. doi: 10.1371/journal.pone.0254552
  21. Shashkova TS, Batueva AE. The effect of strength training on pelvic floor muscles in female weightlifters: a literature review. Human. Sport. Medicine. 2021;21(S2):14–20. doi: 10.14529/hsm21s202 EDN: NYFETN
  22. Korneeva ES, Zamchiy TP. The formation and flow of the menstrual function in women lifters. Izvestiya Tula State University. 2015;(3):131–135. EDN: UNEWJV
  23. Samusev RP, Zubareva YeV. On the masculinizing effect of sport on the organism of a woman. Morphology. 2019;155(2):249. EDN: XDAWQW
  24. Orio F, Muscogiuri G, Ascione A, et al. Effects of physical exercise on the female reproductive system. Minerva Endocrinol. 2013;38(3):305–319.
  25. Coelho AR, Cardoso G, Brito ME, et al. The female athlete triad/relative energy deficiency in sports (RED-S). Rev Bras Ginecol Obstet. 2021;43(5):395–402. doi: 10.1055/s-0041-1730289
  26. Todd E, Elliott N, Keay N. Relative energy deficiency in sport (RED-S). Br J Gen Pract. 2022;72(719):295–297. doi: 10.3399/bjgp22X719777
  27. Mitsuhashi R, Sawai A, Kiyohara K, et al. Factors associated with the prevalence and severity of menstrual-related symptoms: a systematic review and meta-analysis. Int J Environ Res Public Health. 2022;20(1):569. doi: 10.3390/ijerph20010569
  28. Thein-Nissenbaum J, Hammer E. Treatment strategies for the female athlete triad in the adolescent athlete: current perspectives. Open Access J Sports Med. 2017;8:85–95. doi: 10.2147/OAJSM.S100026
  29. Mountjoy M, Sundgot-Borgen J, Burke L, et al. The IOC consensus statement: beyond the female athlete triad — relative energy deficiency in sport (RED-S). Br J Sports Med. 2014;48(7):491–497. doi: 10.1136/bjsports-2014-093502
  30. Romanova AN, Emelyanova YuA. Effect of sport on female health. Human. Sport. Medicine. 2023;23(S2):29–35. doi: 10.14529/hsm23s205 EDN: DDKAJA

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © Eco-Vector, 2025


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ПИ № ФС 77 - 86335 от 11.12.2023 г.  
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ЭЛ № ФС 77 - 80633 от 15.03.2021 г.