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A Three Year Case Study with a Multidisciplinary Treatment of Relative Energy Deficiency and Anorexia in a Female Tennis Player

Lundström, Petra LU ; Edlund, Klara and Garthe, Ina (2020) In Annals of Sports Medicine and Research 7(4).
Abstract
Tennis is an all-year racket sport requiring qualities such as speed, agility, flexibility, and endurance, as competitions may last up to five hours.
Elite players have an estimated daily need of carbohydrate (CHO) between 6-10 g/kg to sustain high amounts of training and frequent competitions. Low energy availability (LEA), over time, may impair both health and performance. LEA may cause metabolic suppression and altered hormone levels via hypothalamic–pituitary– gonadal axis (HPG). Female athletes with LEA have an increased risk of developing menstrual dysfunction, low bone mineral density (BMD), disordered eating behavior (DE) and an eating disorder (ED). This article provides a case-study of an internationally ranked female tennis... (More)
Tennis is an all-year racket sport requiring qualities such as speed, agility, flexibility, and endurance, as competitions may last up to five hours.
Elite players have an estimated daily need of carbohydrate (CHO) between 6-10 g/kg to sustain high amounts of training and frequent competitions. Low energy availability (LEA), over time, may impair both health and performance. LEA may cause metabolic suppression and altered hormone levels via hypothalamic–pituitary– gonadal axis (HPG). Female athletes with LEA have an increased risk of developing menstrual dysfunction, low bone mineral density (BMD), disordered eating behavior (DE) and an eating disorder (ED). This article provides a case-study of an internationally ranked female tennis player, with a recent performance-driven weight loss of 11 kg. She was diagnosed with functional hypothalamic primary amenorrhea (FHA) and anorexia nervosa (AN). The predetermined goal was to return to play and the treatment was based on the guidelines for relative Energy Deficiency in Sport (REDS-CAT). After three years of multidisciplinary interventions, the athlete safely returned to play. Her weight and body composition improved, her menstrual cycle was normalized and the diagnostically scores of AN indicated non-clinical significance. The multidisciplinary treatment enabled the athlete to return to play despite several years of LEA and AN. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Elite athlete, Bone health, Carbohydrates, Relative energy deficiency in sport, Eating disorder, Body composition, Tennis, Anorexia nervosa
in
Annals of Sports Medicine and Research
volume
7
issue
4
pages
9 pages
publisher
JSciMed Central
ISSN
2379-0571
language
English
LU publication?
yes
id
84f18024-ceb9-4cc3-b625-6a7fd3031dd2
alternative location
http://www.jscimedcentral.com/SportsMedicine/sportsmedicine-7-1159.pdf
date added to LUP
2022-04-28 16:39:39
date last changed
2022-04-28 16:39:39
@article{84f18024-ceb9-4cc3-b625-6a7fd3031dd2,
  abstract     = {{Tennis is an all-year racket sport requiring qualities such as speed, agility, flexibility, and endurance, as competitions may last up to five hours.<br/>Elite players have an estimated daily need of carbohydrate (CHO) between 6-10 g/kg to sustain high amounts of training and frequent competitions. Low energy availability (LEA), over time, may impair both health and performance. LEA may cause metabolic suppression and altered hormone levels via hypothalamic–pituitary– gonadal axis (HPG). Female athletes with LEA have an increased risk of developing menstrual dysfunction, low bone mineral density (BMD), disordered eating behavior (DE) and an eating disorder (ED). This article provides a case-study of an internationally ranked female tennis player, with a recent performance-driven weight loss of 11 kg. She was diagnosed with functional hypothalamic primary amenorrhea (FHA) and anorexia nervosa (AN). The predetermined goal was to return to play and the treatment was based on the guidelines for relative Energy Deficiency in Sport (REDS-CAT). After three years of multidisciplinary interventions, the athlete safely returned to play. Her weight and body composition improved, her menstrual cycle was normalized and the diagnostically scores of AN indicated non-clinical significance. The multidisciplinary treatment enabled the athlete to return to play despite several years of LEA and AN.}},
  author       = {{Lundström, Petra and Edlund, Klara and Garthe, Ina}},
  issn         = {{2379-0571}},
  keywords     = {{Elite athlete; Bone health; Carbohydrates; Relative energy deficiency in sport; Eating disorder; Body composition; Tennis; Anorexia nervosa}},
  language     = {{eng}},
  month        = {{08}},
  number       = {{4}},
  publisher    = {{JSciMed Central}},
  series       = {{Annals of Sports Medicine and Research}},
  title        = {{A Three Year Case Study with a Multidisciplinary Treatment of Relative Energy Deficiency and Anorexia in a Female Tennis Player}},
  url          = {{http://www.jscimedcentral.com/SportsMedicine/sportsmedicine-7-1159.pdf}},
  volume       = {{7}},
  year         = {{2020}},
}