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Sport and Gender

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Health and Gender

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Abstract

Women are increasingly participating in both low- and high-impact physical activities and sports. This scenario has stimulated research aimed at elucidating the adaptations of females to sport and the pathophysiology of sport-related damages in women in order to maximise athletes’ life-long health through specific and evidence-based interventions. Due to anatomical, physiological and hormonal differences with respect to males, women are more prone to develop acute and chronic osteo-articular knee injuries, including anterior cruciate ligament injury and patellofemoral pain. Moreover, female athletes are more likely to suffer from iron deficiency-related anaemia, endocrinological disorders and bone mass loss and fractures.

This chapter provides an overview of conditions threatening health and career of female athletes and advises indications for their detection, prevention and management.

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References

  1. FIFA Communication Division. FIFA big count: 270 million people active in football. 2006. http://www.fifa.com/mm/document/fifafacts/bcoffsurv/bigcount.statspackage_7024.pdf.

  2. Wilson T. The measurement of patellar alignment in patellofemoral pain syndrome: are we confusing assumptions with evidence? J Orthop Sports Phys Ther. 2007;37:330–41. https://doi.org/10.2519/jospt.2007.2281.

    Article  PubMed  Google Scholar 

  3. Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, McConnell J, Vicenzino B, Bazett-Jones DM, Esculier JF, Morrissey D, Callaghan MJ. Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016;50:839–43. https://doi.org/10.1136/bjsports-2016-096384.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Crossley KM, van Middelkoop M, Callaghan MJ, Collins NJ, Rathleff MS, Barton CJ. Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions. Br J Sports Med. 2016;50:844–52. https://doi.org/10.1136/bjsports-2016-096268.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Arendt E, Dick R. Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of the literature. Am J Sports Med. 1995;23:694–701. https://doi.org/10.1177/036354659502300611.

    Article  CAS  PubMed  Google Scholar 

  6. Darrow CJ, Collins CL, Yard EE, Comstock RD. Epidemiology of severe injuries among United States high school athletes: 2005-2007. Am J Sports Med. 2009;37:1798–805. https://doi.org/10.1177/0363546509333015.

    Article  PubMed  Google Scholar 

  7. Laible C, Sherman OH. Risk factors and prevention strategies of non-contact anterior cruciate ligament injuries. Bull Hosp Jt Dis. 2013;72:70–5.

    Google Scholar 

  8. Wojtys EM, Huston LJ, Boynton MD. The effect of the menstrual cycle on anterior cruciate ligament injuries in women as determined by hormone levels. Am J Sports Med. 2002;30:182–8. https://doi.org/10.1177/03635465020300020601.

    Article  PubMed  Google Scholar 

  9. Zazulak BT, Paterno M, Myer GD, Hewett TE. The effects of menstrual cycle on anterior knee laxity; a systematic review. Sports Med. 2006;36:847–62. https://doi.org/10.2165/00007256-200636100-00004.

    Article  PubMed  Google Scholar 

  10. Malinzak RA, Colby SM, Kirkendall DT, Yu B, Garrett WE. A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clin Biomech. 2001;16:438–45. https://doi.org/10.1016/S0268-0033(01)00019-5.

    Article  CAS  Google Scholar 

  11. McLean SG, Neal RJ, Myers PT, Walters MR. Knee joint kinematics during the sidestep cutting maneuver: potential for injury in women. Med Sci Sports Exerc. 1999;31:959–68. https://doi.org/10.1097/00005768-199907000-00007.

    Article  CAS  PubMed  Google Scholar 

  12. Pollard CD, Sigward SM, Powers CM. Gender differences in hip joint kinematics and kinetics during side-step cutting maneuver. Clin J Sport Med. 2007;17:38–42. https://doi.org/10.1097/JSM.0b013e3180305de8.

    Article  PubMed  Google Scholar 

  13. Sigward SM, Powers CM. The influence of gender on knee kinematics, kinetics and muscle activation patterns during side-step cutting. Clin Biomech. 2006;21:41–8. https://doi.org/10.1016/j.clinbiomech.2005.08.001.

    Article  Google Scholar 

  14. Sigward SM, Pollard CD, Havens KL, Powers CM. Influence of sex and maturation on knee mechanics during side-step cutting. Med Sci Sports Exerc. 2012;44:1497–503. https://doi.org/10.1249/MSS.0b013e31824e8813.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D, Lázaro-Haro C, Cugat R. Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors. Knee Surg Sports Traumatol Arthrosc. 2009;17:705–29. https://doi.org/10.1007/s00167-009-0813-1.

    Article  PubMed  Google Scholar 

  16. Soligard T, Myklebust G, Steffen K, Holme I, Silvers H, Bizzini M, Junge A, Dvorak J, Bahr R, Andersen TE. Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial. BMJ. 2008;337:2469. https://doi.org/10.1136/bmj.a2469.

    Article  Google Scholar 

  17. Sugimoto D, Myer GD, Barber Foss KD, Hewett TE. Specific exercise effects of preventive neuromuscular training intervention on anterior cruciate ligament injury risk reduction in young females: meta-analysis and subgroup analysis. Br J Sports Med. 2015;49:282–9. https://doi.org/10.1136/bjsports-2014-093461.

    Article  PubMed  Google Scholar 

  18. Clénin GE, Cordesa M, Huberb A, Schumacherc YO, Noackd P, Scalese J, Kriemlerf S. Iron deficiency in sports definition, influence on performance and therapy. Consensus Statement of the Swiss Society of Sports Medicine. Swiss Sports Exer Med. 2016;64:6–18. https://doi.org/10.4414/smw.2015.14196.

    Article  Google Scholar 

  19. Sandström G, Börjesson M, Rödjer S. Iron deficiency in adolescent female athletes – is iron status affected by regular sporting activity? Clin J Sport Med. 2012;22:495–500. https://doi.org/10.1097/JSM.0b013e3182639522.

    Article  PubMed  Google Scholar 

  20. Latunde-Dada GO. Iron metabolism in athletes- achieving a gold standard. Eur J Haematol. 2013;90:10–5. https://doi.org/10.1111/ejh.12026.

    Article  CAS  PubMed  Google Scholar 

  21. Shah YM, Xie L. Hypoxia-inducible factors link iron homeostasis and erythropoiesis. Gastroenterology. 2014;146:630–42. https://doi.org/10.1053/j.gastro.2013.12.031.

    Article  CAS  PubMed  Google Scholar 

  22. Prior JC, Vigna YM. Ovulation disturbances and exercise training. Clin Obstet Gynecol. 1991;34:180–90.

    Article  CAS  Google Scholar 

  23. Petit MA, Prior JC, Barr SI. Running and ovulation positively change cancellous bone in premenopausal women. Med Sci Sports Exerc. 1999;31:780–7. https://doi.org/10.1097/00005768-199906000-00004.

    Article  CAS  PubMed  Google Scholar 

  24. Nattiv A, Puffer JC, Green GA. Lifestyles and health risks of collegiate athletes: a multicenter study. Clin J Sport Med. 1997;7:262–72. https://doi.org/10.1097/00042752-199710000-00004.

    Article  CAS  PubMed  Google Scholar 

  25. Kaiserauer S, Snyder AC, Sleeper M. Nutritional, physiological, and menstrual status of distance runners. Med Sci Sports Exerc. 1989;21:120–5.

    Article  CAS  Google Scholar 

  26. De Souza MJ, Williams NI. Beyond hypoestrogenism in amenorrheic athletes: energy deficiency as a contributing factor for bone loss. Curr Sports Med Rep. 2005;4:38–44. https://doi.org/10.1007/s11932-005-0029-1.

    Article  PubMed  Google Scholar 

  27. Chang FE, Dodds WG, Sullivan M, Kim MH, Malarkey WB. The acute effects of exercise on prolactin and growth hormone secretion: comparison between sedentary women and women runners with normal and abnormal menstrual cycles. J Clin Endocrinol Metab. 1986;62:551–6. https://doi.org/10.1210/jcem-62-3-551.

    Article  CAS  PubMed  Google Scholar 

  28. Alleyne J, Bennell K. Women and activity-related issues across the lifespan. In: Brukner K, editor. Clinical sports medicine. 4th ed. Sydney, NSW: McGraw-Hill; 2012. p. 910–35.

    Google Scholar 

  29. Frankovich RJ, Lebrun CM. Menstrual cycle, contraception and performance. In: Brukner K, editor. Clinical sports medicine. 4th ed. Sydney, NSW: McGraw-Hill; 2012. p. 251–71.

    Google Scholar 

  30. Nattiv A, Loucks AB, Manore MM. American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc. 2007;39:1867–82. https://doi.org/10.1249/mss.0b013e318149f111.

    Article  PubMed  Google Scholar 

  31. Zanker CL, Swaine IL. Bone turnover in amenorrhoeic and eumenorrhoeic women distance runners. Scand J Med Sci Sports. 1998;8:20–6. https://doi.org/10.1111/j.1600-0838.1998.tb00224.x.

    Article  CAS  PubMed  Google Scholar 

  32. Prince RL, Dick I, Devine A. The effects of menopause and age on calcitropic hormones: a cross-sectional study of 655 healthy women aged 35 to 90. J Bone Miner Res. 1995;10:835–42. https://doi.org/10.1002/jbmr.5650100602.

    Article  CAS  PubMed  Google Scholar 

  33. Korpelainen R, Orava S, Karpakka J, Siira P, Hulkko A. Risk factors for recurrent stress fractures in athletes. Am J Sports Med. 2001;29:304–10. https://doi.org/10.1177/03635465010290030901.

    Article  CAS  PubMed  Google Scholar 

  34. Bennell KL, Malcolm SA, Thomas SA. Risk factors for stress fractures in track and field athletes. A twelve months prospective study. Am J Sports Med. 1996;24:810–8. https://doi.org/10.1177/036354659602400617.

    Article  CAS  PubMed  Google Scholar 

  35. Keen AD, Drinkwater BL. Irreversible bone loss in former amenorrheic athletes. JAMA. 1986;256:380–2. https://doi.org/10.1007/BF01623770.

    Article  Google Scholar 

  36. Wentz L, Liu PY, Ilich JZ, Haymes EM. Dietary and training predictors of stress fractures in female runners. Int J Sport Nutr Exerc Metab. 2012;22:374–82. https://doi.org/10.1123/ijsnem.22.5.374.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Medical and Surgical Science, School of Sport and Physical Exercise Medicine, Alma Mater Studiorum - University of Bologna, Bologna, Italy

    Franco Trevisani & Francesco Della Villa

Authors
  1. Franco Trevisani
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  2. Francesco Della Villa
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Correspondence to Franco Trevisani .

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Editors and Affiliations

  1. Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy

    Ilaria Tarricone

  2. Center for Gender Research and Early Detection, University of Basel Psychiatric Hospital, Basel, Switzerland

    Anita Riecher-Rössler

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Trevisani, F., Villa, F.D. (2019). Sport and Gender. In: Tarricone, I., Riecher-Rössler, A. (eds) Health and Gender. Springer, Cham. https://doi.org/10.1007/978-3-030-15038-9_12

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  • DOI: https://doi.org/10.1007/978-3-030-15038-9_12

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  • Online ISBN: 978-3-030-15038-9

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