cover of episode Best of: The future of female athletic health

Best of: The future of female athletic health

2025/4/11
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Emily Krause
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Russ Altman
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@Russ Altman : 我关注到女性运动员在训练、能量补充和恢复方面与男性运动员有所不同,我们需要更多研究来了解女性运动员。 @Emily Krause : 我是一名临床医生,我观察到女性运动员比男性运动员更容易发生ACL撕裂和骨骼应力损伤等运动损伤。此外,女性运动员的月经周期变化会影响她们的训练和健康,需要更好地理解和利用这些变化。年轻女性运动员的训练可能会导致青春期延迟或月经初潮延迟,这与训练强度、营养和饮食时间安排有关。没有一种理想的运动员体型,每个人的荷尔蒙水平和身体结构都不同,应该鼓励荷尔蒙水平达到最佳状态。我们需要关注女性运动员的体型问题,并及早介入心理健康专家来预防饮食紊乱。目前缺乏针对女性运动员在青春期、孕期、产后和围绝经期等阶段的科学指导和研究,很多运动员只能依靠自身经验。精英女性运动员之间存在合作和友谊,她们互相支持,共同进步。在能量补充、营养和恢复方面,女性运动员和男性运动员存在差异,但也有共同点。我们需要更多研究来了解这些差异,并为女性运动员提供更个性化的指导。一项针对美国国家队运动员的调查显示,她们最希望了解月经周期、能量补充、运动表现和荷尔蒙避孕药等方面的信息。女性运动员对荷尔蒙避孕药对运动表现和健康的影响缺乏了解。相对能量不足综合征(REDS)会影响身体多个系统,包括睡眠、消化系统和骨骼健康。相对能量不足综合征(REDS)扩展了女性运动员三联征的概念,包括能量不足、月经紊乱和骨骼健康问题。针对精英运动员的研究成果也适用于普通运动员和非运动员。通过会议、在线和线下讲座等方式,向运动员、教练和普通人群传播女性运动员健康方面的知识。通过会议、简短的综述和培训模块等方式,向临床医生和运动员传播女性运动员健康方面的知识。一项针对精英运动员的调查显示,她们对器材和技术的关注度低于预期,但对体育运动中的性别歧视问题非常关注。体育运动中的不平等现象,例如薪资差距,会影响运动员的资源获取和恢复能力。

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Chapters
This chapter explores prevalent health issues among female athletes, such as ACL tears, bone stress injuries, and the impact of training on the menstrual cycle. It highlights the need for more research to understand these unique challenges and develop effective prevention strategies.
  • ACL tears are more common in female athletes
  • Bone stress injuries are more frequent in female athletes
  • The impact of training on menstrual cycles is understudied

Shownotes Transcript

The world of women’s sports is experiencing unprecedented growth, attention, recognition, and investment. Elite athletes including Simone Biles, Caitlin Clark, Serena Williams, and many others are having a significant impact on culture, and more women than ever are participating in both professional and recreational sports. Earlier this year, Russ sat down with Dr. Emily Kraus to talk about the future of female athletic health and we’re re-running the episode today. She shared a number of key differences between women and men in sport, and illuminates that these differences are vastly understudied, though she’s working to close that gap. This is an episode we shared with a number of athletes we know, and we hope you’ll do the same.

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Chapters:

(00:00:00) Introduction

Russ Altman introduces Dr. Emily Kraus, professor of orthopedics at Stanford University.

(00:01:55) Injury Trends in Female Athletes

Prevalent injuries and health issues unique to female athletes.

(00:03:34) Menstrual Health in Young Athletes

How training affects puberty, periods, and long-term health.

(00:06:30) Body Image & Mental Health

Navigating body composition, stigma, and disordered eating.

(00:08:30) Competing Through Motherhood

Postpartum athletes and the need for more scientific support.

(00:11:34) Sharing vs. Guarding Performance Data

Whether female athletes are sharing information or staying competitive.

(00:12:25) Fueling, Recovery & Modern Training

Nutrition, rest, and strength training as key performance tools.

(00:15:31) Gender-Based Nutrition Differences

How under-researched female athletes are fueling without guidance.

(00:18:55) The Female Athlete Voice Project

What elite athletes want researched—and what’s missing.

(00:21:21) FASTR & the Science of RED-S

New initiatives addressing energy deficiency and performance.

(00:24:05) Applying Elite Insights to All Women

How weekend warriors can benefit from elite research.

(00:25:11) Cultural Challenges in Sport

Sexism, inequity, and overlooked institutional barriers.

(00:27:03) Getting the Word Out

Finding ways to educate athletes, coaches, and clinicians more effectively.

(00:29:37) Conclusion

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