EXSS2021 Lecture Notes - Lecture 14: Serum Iron, Iron Overload, Casein

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Female athlete triad: can be anywhere on this scale (disordered eating does not have to be present, can reflect energy availability. 2: energy availability affects bmd both directly via metabolic hormones & indirectly via effects on menstrual function & thereby oestrogen, bone health = reduced bone formation & increased bone breakdown. Prevention & treatment: to protect reproductive & skeletal health, keep energy availability above. ~30kcal/kgffm/day: appetite is not a reliable indicator of energy requirements (eat by a plan instead of appetite, first aim of treatment is to increase energy availability. Increased risk for premature osteoporosis: amenorrhoea & stress, relationship between menstrual irregularity & stress fractures, 2-4x more likely to get stress fractures if you have menstrual irregularity. Z score (within age norms)

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