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Unique Considerations of the Female Athlete 目录：
Preface xii
Contributors xiii
Reviewers xv
SECTION 1 INTRODUCTION TO THE FEMALE ATHLETE
Chapter 1 Women and Sport Participation 2
History of Women in Sport 3
Analyzing the Statistics 6
Women’s Health in Athletics 6
Chapter 2 Gender Differences in Anatomy 9
Bone and Joint Anatomy 11
Muscle 13
Lower Extremity Posture 15
Upper Extremity Posture 22
Chapter 3 Performance Eating for the Female Athlete 35
The Unique Nutritional Needs of the Female Athlete 36
Basic Nutrition for Active Women 40
Nutrition for the Pregnant Athlete 41
Nutrition for the Young Athlete 44
The Female Athlete Triad 51
Recommended Protocols When Treating Female Athletes 53
SECTION 2 UNDERSTANDING THE FEMALE ATHLETE TRIAD
Chapter 4 The Female Athlete Triad 60
The Three Interrelated Pathologies 61
High-Risk Sports 63
viii CONTENTS
Chapter 5 Eating Disorders and Disordered Eating 67
Eating Disorders 68
The Continuum of Eating Disorders 76
Disordered Eating 76
Related Comorbid Conditions 77
Risks for ED/DE in the Athletic Environment 84
Incidence of Eating Disorders in Athletes 89
Predisposition to Eating Disorders 90
Eating Disorders and Athletics 91
Eating Disorders and Performance 92
Men and Eating Disorders 94
Chapter 6 Amenorrhea and the Physiology of the
Menstrual Cycle 110
Regulation of the Menstrual Cycle 112
Uterine Bleeding 115
The Normal Menstrual Cycle 116
Abnormal Patterns of Menstruation 117
Treatments for Abnormal Menstruation 118
Hormones and Exercise 118
Eating Disorders and the Menstrual Cycle 120
Infertility and Eating Disorders 124
Chapter 7 Osteoporosis in the Female Athlete 133
Historical Perspective 134
The Natural Course of Bone Mass in a Healthy Athlete 135
The Significance of Decreased Peak Bone Mass 136
The Effects of Training on the Skeleton 137
The Cause of Athletic Amenorrhea and Osteoporosis 138
Treatment of Athletic Amenorrhea and Osteoporosis 141
Prevention of the Problem: Awareness and Surveillance 143
CONTENTS ix
SECTION 3 MANAGING THE ATHLETE WITH
AN EATING DISORDER
Chapter 8 Components of an Eating
Disorder Program 152
Prevention 153
Identification 154
Education 154
Assessment Tools 156
Intervention 160
Management 161
Chapter 9 Development of the Eating
Disorder Policy 165
The Significance of an Eating Disorder Policy 166
Current Organizations with Eating-Disorder Policies and Position
Statements 167
The Policy Development Process 168
Chapter 10 Development of the Eating Disorder Referral
Program 175
The Referral Process 176
Support for Multi-Faceted Referral 177
Treatment 178
Role of the Certified Athletic Trainer 179
Chapter 11 Screening Tools for Eating Disorders 183
Eating Disorder Assessment 184
Athlete Specific Assessment Tools 188
The Questionnaire versus the Interview 188
Other Screening Methods 189
Chapter 12 The Role of the Certified Athletic
Trainer in Managing Athletes with Disordered
Eating and Eating Disorders 193
Rationale for Involving the Certified Athletic Trainer 194
Identification of At-Risk and Symptomatic Athletes 196
Management of the Symptomatic Athlete 197
Prevention 202
SECTION 4 ANATOMICAL AND PHYSIOLOGICAL
CHARACTERISTICS UNIQUE TO THE FEMALE ATHLETE
Chapter 13 Cardiac Complications
Related to Eating Disorders 212
Cardiac Complications Associated with Eating Disorders 213
Assessment of Cardiovascular Function 213
Cardiac Abnormalities Related to Disordered Eating 214
Exercise Dysfunction 222
Sudden Death in Anorexia 223
Electrolyte Imbalance 224
Autonomic Dysfunction 224
Chronic Cardiovascular Concerns 225
Re-feeding Syndrome 225
Bulimia 226
Chapter 14 Exercise and Fertility in the Female
Athlete 232
Amenorrhea 233
Mechanisms of Athletic Menstrual Dysfunction and Fertility 234
Identifying the At-Risk Athlete 238
Treatment of Amenorrhea in the Athlete 240
Infertility and Obesity 242
CONTENTS xi
Chapter 15 Core Stabilization for the Female Athlete 246
Overview of Core Stabilization 247
Anatomy 250
Mechanisms of Injury to the Core 253
Rehabilitation and Treating the Core 256
Chapter 16 Anemia and the Female Athlete 272
Causes of Anemia 273
Evaluation of Anemia and Associated Clinical Tests 275
Treatment of Anemia 276
Chapter 17 Anterior Cruciate Ligamentous Issues 279
Epidemiology of ACL 280
Mechanism of Injury 281
Predisposition 284
Prevention 285
Index 293
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