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Quality in Sport

The impact of intensive sports training on the development of young girls
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The impact of intensive sports training on the development of young girls

Authors

  • Maria Pawluczyk District Hospital in Sochaczew, Batalionów Chłopskich 3/7 Street, 96-500 Sochaczew, Poland https://orcid.org/0009-0008-1626-7494
  • Michał Zwoliński Central Clinical Hospital of the Ministry of Interior and Administration, Wołoska 137, 02-507 Warsaw, Poland https://orcid.org/0009-0008-5093-5337
  • Michał Korpalski Dr Tytus Chałubiński Radom Specialist Hospital, Lekarska 4, 26-610 Radom, Poland https://orcid.org/0009-0006-1182-551X
  • Krzysztof Pawlikowski University Clinical Center of the Medical University of Warsaw, Banacha 1A, 02-097 Warsaw, Poland https://orcid.org/0009-0002-6193-9671
  • Marek Żygłowicz Ludwik Rydygier Specialist Hospital, Złota Jesień 1, 31-826 Kraków, Poland https://orcid.org/0009-0000-0139-8688
  • Adam Torbicki Nicolaus Copernicus Hospital, COPERNICUS Medical Entity limited liability company under Polish law, Nowe Ogrody 1/6, 80-803 Gdańsk, Poland https://orcid.org/0009-0004-4986-101X
  • Dominik Augustyn Ludwik Rydygier Specialist Hospital, Złota Jesień 1, 31-826 Kraków, Poland https://orcid.org/0009-0003-7974-8897
  • Piotr Gaworek Międzyleski Specialist Hospital in Warsaw, Bursztynowa 2, 04-749 Warsaw, Poland https://orcid.org/0009-0006-0446-8067
  • Mateusz Marciniak Mikołaj Kopernik Provincial Multi-Specialist Center of Oncology and Traumatology, Pabianicka 62, 93-513 Łódź, Poland https://orcid.org/0009-0008-9652-9094
  • Alicja Trybuła Uniwersytet Technologiczno-Humanistyczny im. Kazimierza Pułaskiego w Radomiu https://orcid.org/0009-0001-3335-4281

DOI:

https://doi.org/10.12775/QS.2025.42.61190

Keywords

adolescents, Female Athlete Triad, RED-S, menstrual disorders, BMD, mental state, LEA

Abstract

Introduction: Adolescence is a critical period for physical and mental development, during which physical activity can improve bone mineral density (BMD), reduce obesity, and enhance self-esteem. However, intense sports participation increases energy demands, potentially leading to energy deficits, particularly in female athletes. This energy imbalance can negatively impact the health of adolescent athletes.

The purpose of research: This paper explores the effect of intensive training on the health of young female athletes.

Material and methods: PubMed and Medline databases were searched. Relevant literature was selected.

Results: A persistent state of low energy availability (LEA) has been demonstrated to lead to a variety of disorders, including menstrual irregularities, impaired bone microarchitecture, and depressive and anxiety symptoms. These abnormalities pose a particularly elevated risk to young female athletes, as they can result in severe lifelong complications.

Conclusions: Every young female athlete should be screened for the symptoms of the syndrome of relative energy deficiency in sport (RED-S). Examination should be repeated at least annually. In the treatment of disorders arising from LEA, the primary objective is to enhance energy levels. In cases of low BMD, it is imperative to ensure an adequate supply of vitamin D and calcium in order to prevent fractures.

References

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Weiss Kelly AK, Hecht S; COUNCIL ON SPORTS MEDICINE AND FITNESS. The Female Athlete Triad. Pediatrics. 2016;138(2):e20160922. doi:10.1542/peds.2016-0922

Wells KR, Jeacocke NA, Appaneal R, et al. The Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position statement on disordered eating in high performance sport. Br J Sports Med. 2020;54(21):1247-1258. doi:10.1136/bjsports-2019-101813

Armento A, VanBaak K, Seehusen CN, Sweeney EA, Wilson JC, Howell DR. Presence and Perceptions of Menstrual Dysfunction and Associated Quality of Life Measures Among High School Female Athletes. J Athl Train. 2021;56(10):1094-1099. doi:10.4085/624-20

Mountjoy M, Sundgot-Borgen JK, Burke LM, et al. IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update. Br J Sports Med. 2018;52(11):687-697. doi:10.1136/bjsports-2018-099193

Kelly AW, Hecht S. The female athlete triad. Ann Jt. 2022;7:6. Published 2022 Jan 15. doi:10.21037/aoj-2020-03

Brown KA, Dewoolkar AV, Baker N, Dodich C. The female athlete triad: special considerations for adolescent female athletes. Transl Pediatr. 2017;6(3):144-149. doi:10.21037/tp.2017.04.04

Mountjoy M, Sundgot-Borgen J, Burke L, et al. The IOC consensus statement: beyond the Female Athlete Triad--Relative Energy Deficiency in Sport (RED-S). Br J Sports Med. 2014;48(7):491-497. doi:10.1136/bjsports-2014-093502

Singhal V, Maffazioli GD, Cano Sokoloff N, et al. Regional fat depots and their relationship to bone density and microarchitecture in young oligo-amenorrheic athletes. Bone. 2015;77:83-90. doi:10.1016/j.bone.2015.04.005

Maffulli N, Longo UG, Gougoulias N, Caine D, Denaro V. Sport injuries: a review of outcomes. Br Med Bull. 2011;97:47-80. doi:10.1093/bmb/ldq026

Baskaran C, Kumar P, Plessow F, et al. Depressive and anxiety symptoms, and neural correlates of reward and punishment anticipation in female athletes with amenorrhea. Front Endocrinol (Lausanne). 2023;14:976050. Published 2023 May 18. doi:10.3389/fendo.2023.976050

Misra M, Katzman DK, Estella NM, et al. Impact of physiologic estrogen replacement on anxiety symptoms, body shape perception, and eating attitudes in adolescent girls with anorexia nervosa: data from a randomized controlled trial. J Clin Psychiatry. 2013;74(8):e765-e771. doi:10.4088/JCP.13m08365

Quality in Sport

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Published

2025-06-30

How to Cite

1.
PAWLUCZYK, Maria, ZWOLIŃSKI, Michał, KORPALSKI, Michał, PAWLIKOWSKI, Krzysztof, ŻYGŁOWICZ, Marek, TORBICKI, Adam, AUGUSTYN, Dominik, GAWOREK, Piotr, MARCINIAK, Mateusz and TRYBUŁA, Alicja. The impact of intensive sports training on the development of young girls. Quality in Sport. Online. 30 June 2025. Vol. 42, p. 61190. [Accessed 1 July 2025]. DOI 10.12775/QS.2025.42.61190.
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Issue

Vol. 42 (2025)

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Medical Sciences

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Copyright (c) 2025 Maria Pawluczyk, Michał Zwoliński, Michał Korpalski, Krzysztof Pawlikowski, Marek Żygłowicz, Adam Torbicki, Dominik Augustyn, Piotr Gaworek, Mateusz Marciniak, Alicja Trybuła

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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