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SlamJam and the Future
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Playing Out Identity
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Overtraining and Undereating:  The Dangers of Pushing the Limits

by Falasten Abdeljabbar
Produced for the Web by Ami Albernaz

The squeak of the sneakers, the bouncing of the ball, and an athlete falls to her feet, wincing in pain.

One girl changes her clothes in a bathroom stall, embarrassed to show her thinning arms and protruding ribs.

Healthy outside, suffering inside.

That is how many of America’s 120,000 women athletes live their lives. Crippling knee injuries, no menstrual cycles for a year and the onset of early osteoporosis or, as one specialist called it, "old bones in young women," are putting athletic women of all ages not only on the bench, but into hospitals, too.

Anorexia nervosa, amenorrhea, and osteoporosis form the debilitating Female Athlete Triad, a group of afflictions found in nearly 44 percent of all college women athletes. The term was first coined in 1992 at a conference sponsored by the Women’s Task Force of the American College of Sports Medicine to discuss the alarming increase in report of these conditions in sporting women.

Studies show that the low body fat of an anorexic puts a stop to the menstrual cycle. Once the menses stop, the victim goes through a phase similar to menopause, losing the hormones necessary to build bones, which in turn causes the onset of osteoporosis. That is the Triad.

"We don’t know whether these conditions are new, or whether we are just seeing it more because more people are participating, because frankly, there was no research kept, no data on women’s sports up until the 1970s," said Dr. Carol Otis, a Los Angeles-based sports medicine physician. Otis co-authored "The Athletic Woman’s Survival Guide" (Human Kinetics: 2000).
Anorexia nervosa, amenorrhea, and osteoporosis form the debilitating Female Athlete Triad, found in nearly 44 percent of college women athletes.
Otis said that women in all sports are susceptible to eating disorders, bone loss and menstrual irregularity. But three athletic activities put women at greatest risk: those with weight requirements, such as martial arts and wrestling; "aesthetic" sports such as ice skating and swimming where appearance counts; and "advantage" sports like long-distance running, in which thinness is thought to improve performance.

"It began with noticing that their [female athletes’] bones were really thin, which was a surprise, because these women were athletes," said Otis. "From there, the research showed that a lot of these women had disordered eating."

Anorexia "Athletica"

Despite their fit appearances, anorexic athletes usually have a body image that is far from "healthy."

"Judges want to see long, lean legs and a slender figure," said Jessica Laine Clawson, a 19-year-old equestrian from Virginia who developed anorexia during her senior year of high school. "There is a lot of pressure to look like a rider," she said. "Chunky women don’t fit that picture, no matter how beautifully they ride."

Clawson, who is 5 foot 7, never was overweight, but wanted to look like "the tall, willowy women who won in the hunter ring." She now weighs a delicate 106 pounds but at her low point was down to only 87.

Clawson does not blame pressure from her coaches for her condition. "My coaches and trainers were completely against my losing weight because I was at the ideal weight before I started," she said. "But I didn’t believe them. I didn’t see it as a problem." The more likely trigger for her disorder, she said, was academic stress coupled with the pressure to "look good in riding breeches."

"If I couldn’t have the highest grades," she said, "I could be the thinnest."

NEXT: A deadly need to be perfect

 




PAGE 1: The Female Athlete Triad

PAGE 2:
Warning signs of an eating disorder>>

PAGE 3:
How to help an athlete with an eating disorder>>

PAGE 4:
Knee injuries: Another occupational hazard>>

The Sports Doctor
Comprehensive site on nutrition, injuries, training, medical issues.

Anred: Athletes with Eating Disorders
Understanding the links between exercise and eating disorders from a national research group.

American College of Sports Medicine

Information on sports medicine research and education.

 









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