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Ackerman KE, Cano Sokoloff N, DE Nardo Maffazioli G, Clarke HM, Lee H, Misra M. Fractures in Relation to Menstrual Status and Bone Parameters in Young Athletes. Med Sci Sports Exerc 2015;47:1577-1586. doi: 10.1249/MSS.0000000000000574

Ackerman KE, Holtzman B, Cooper KM, ym. Low energy availability surrogates correlate with health and performance consequences of Relative Energy Deficiency in Sport. Br J Sports Med 2019;53:628–633. doi: 10.1136/bjsports-2017-098958

Ackerman KE, Nazem T, Chapko D, ym. Bone microarchitecture is impaired in adolescent amen-orrheic athletes compared with eumenamen-orrheic athletes and nonathletic controls. J Clin Endo-crinol Metab 2011;96:3123-3133. doi: 10.1210/jc.2011-1614

Anderson JJB, Klemmer PJ. Role of Lifestyle Factors in Bone Health. Teoksessa Anderson JJB, Gar-ner SC, Klemmer PJ. (toim.) Diet, Nutrients, and Bone Health. Boca Raton: Taylor & Francis 2011, s. 17-22.

Areta JL, Taylor HL, Koehler K. Low energy availability: history, definition and evidence of its en-docrine, metabolic and physiological effects in prospective studies in females and males. Eur J Appl Physiol 2021;121:1-21. doi: 10.1007/s00421-020-04516-0

Babić Leko M, Gunjača I, Pleić N, Zemunik T. Environmental Factors Affecting Thyroid-Stimulating Hormone and Thyroid Hormone Levels. Int J Mol Sci 2021;22:6521. doi: 10.3390/ijms22126521

Baxter-Jones AD, Faulkner RA, Forwood MR, Mirwald RL, Bailey DA. Bone mineral accrual from 8 to 30 years of age: an estimation of peak bone mass. J Bone Miner Res 2011;26:1729-39. doi:

10.1002/jbmr.412

Baxter-Jones ADG, Faulkner RA. Exercise and Skeletal Growth. Teoksessa Anderson JJB, Garner SC, Klemmer PJ. (toim.) Diet, Nutrients, and Bone Health. Boca Raton: Taylor & Francis 2011, s.

369-380.

Beals KA, Hill AK. The prevalence of disordered eating, menstrual dysfunction, and low bone min-eral density among US collegiate athletes. Int J Sport Nutr Exerc Metab 2006;16:1-23. doi:

10.1123/ijsnem.16.1.1

Beals KA, Manore M. Disorders of the Female Athlete Triad Among Collegiate Athletes. Int J Sport Nutr Exerc Metab 2002;12:281-93. doi: 10.1123/ijsnem.12.3.281

Beals KA. Eating behaviors, nutritional status, and menstrual function in elite female adolescent volleyball players. J Am Diet Assoc 2002;102:1293-1296. doi: 10.1016/s0002-8223(02)90285-3

Bedford JL, Barr SI. Peak Bone Mass: Influence of Nutrition and Lifestyle Variables. Teoksessa An-derson JJB, Garner SC, Klemmer PJ. (toim.) Diet, Nutrients, and Bone Health. Boca Raton: Taylor &

Francis 2011, s. 381-394.

Beitins IZ, McArthur JW, Turnbull BA, Skrinar GS, Bullen BA. Exercise induces two types of human luteal dysfunction: confirmation by urinary free progesterone. J Clin Endocrinol Metab

1991;72:1350-1358. doi: 10.1210/jcem-72-6-1350

Bullen BA, Skrinar GS, Beitins IZ, von Mering G, Turnbull BA, McArthur JW. Induction of menstrual disorders by strenuous exercise in untrained women. N Engl J Med 1985;312:1349-1353. doi:

10.1056/NEJM198505233122103

Burke LM, Lundy B, Fahrenholtz IL, Melin AK. Pitfalls of Conducting and Interpreting Estimates of Energy Availability in Free-Living Athletes. International Journal of Sport Nutrition and Exercise Metabolism 2018;28:350-363. doi: 10.1123/ijsnem.2018-0142

Cano Sokoloff N, Eguiguren ML, Wargo K, ym. Bone parameters in relation to attitudes and feel-ings associated with disordered eating in oligo-amenorrheic athletes, eumenorrheic athletes, and nonathletes. Int J Eat Disord 2015;48:522-526. doi: 10.1002/eat.22405

Carter MI, Hinton PS. Physical activity and bone health. Mo Med 2014;111:59-64.

Choi BC, Pak AW. A catalog of biases in questionnaires. Prev Chronic Dis 2005;2:A13.

Clarke B. Normal bone anatomy and physiology. Clin J Am Soc Nephrol. 2008;3:S131-S139. doi:

10.2215/CJN.04151206

Condo D, Lohman R, Kelly M, Carr A. Nutritional Intake, Sports Nutrition Knowledge and Energy Availability in Female Australian Rules Football Players. Nutrients 2019;11:971. doi:

10.3390/nu11050971

Conn VS, Koopman RJ, Ruppar TM, Phillips LJ, Mehr DR, Hafdahl AR. Insulin Sensitivity Following Exercise Interventions: Systematic Review and Meta-Analysis of Outcomes Among Healthy Adults. J Prim Care Community Health 2014;5:211-222. doi: 10.1177/2150131913520328

Costa RJS, Snipe RMJ, Kitic CM, Gibson PR. Systematic review: exercise-induced gastrointestinal syndrome – implications for health and intestinal disease. Aliment Pharmacol Ther 2017;46:246-265. doi: 10.1111/apt.14157

Janse DE Jonge X, Thompson B, Han A. Methodological Recommendations for Menstrual Cycle Research in Sports and Exercise. Med Sci Sports Exerc 2019;51:2610-2617. doi:

10.1249/MSS.0000000000002073

De Souza MJ, Koltun KJ, Etter CV, Southmayd EA. Current Status of the Female Athlete Triad: Up-date and Future Directions. Curr Osteoporos Rep 2017;15:577-587. doi: 10.1007/s11914-017-0412-x

De Souza MJ, Koltun KJ, Williams NI. The Role of Energy Availability in Reproductive Function in the Female Athlete Triad and Extension of its Efects to Men: An Initial Working Model of a Simi-lar Syndrome in Male Athletes. Sports Medicine 2019;49:125–137. doi: 10.1007/s40279-019-01217-3

De Souza MJ, Nattiv A, Joy E, ym. 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference Held in San Francisco, CA, May 2012, and 2nd International Conference Held in Indianapolis, IN, May 2013. Clinical Journal of Sports Medicine 2014;24:96-119. doi: 10.1097/JSM.0000000000000085

De Souza MJ, Toombs RJ, Scheid JL, O’Donnell E, West SL, Williams NI. High prevalence of subtle and severe menstrual disturbances in exercising women: confirmation using daily hormone measures. Hum Reprod 2010;25:491-503. doi: 10.1093/humrep/dep411

De Souza MJ, West SL, Jamal SA, Hawker GA, Gundberg CM, Williams NI. The presence of both an energy deficiency and estrogen deficiency exacerbate alterations of bone metabolism in exercis-ing women. Bone 2008;43:140-148. doi: 10.1016/j.bone.2008.03.013

Dervish RA, Wilson LJ, Curtis C. Investigating the prevalence of low energy availability, disordered eating and eating disorders in competitive and recreational female endurance runners.

Eur J Sport Sci 2022 (painossa). doi: 10.1080/17461391.2022.2079423

Diaz A, Laufer MR, Breech LL. Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Pediatrics 2006;118:2245-2250. doi: 10.1542/peds.2006-2481

Dipla K, Kraemer RR, Constantini NW, Hackney AC. Relative energy deficiency in sports (RED-S):

elucidation of endocrine changes affecting the health of males and females. Hormones (Athens) 2021;20:35-47. doi: 10.1007/s42000-020-00214-w

Downey PA, Siegel MI. Bone biology and the clinical implications for osteoporosis. Phys Ther 2006;86:77-91. doi: 10.1093/ptj/86.1.77

Drinkwater BL, Bruemner B, Chesnut 3 rd CH. Menstrual history as a determinant of current bone density in young athletes. JAMA 1990;263:545–548.

Egan E, Reilly T, Whyte G, Giacomoni M, Cable NT. Disorders of the Menstrual Cycle in Elite Fe-male Ice Hockey Players and Figure Skaters. Biol Rhythm Res 2003;34:251-264. doi:

10.1076/brhm.34.3.251.18806

El Maghraoui A, Roux C. DXA scanning in clinical practice. QJM 2008;101:605-17. doi:

10.1093/qjmed/hcn022

Eliakim A, Nemet D. The endocrine response to exercise and training in young athletes. Pediatr Exerc Sci 2013;25:605-15. doi: 10.1123/pes.25.4.605

Elliott-Sale KJ, Tenforde AS, Parziale AL, Holtzman B, Ackerman KE. Endocrine Effects of Relative Energy Deficiency in Sport. International Journal of Sport Nutrition and Exercise Metabolism 2018:28:335-349. doi: 10.1123/ijsnem.2018-0127

Eriksen EF. Cellular mechanisms of bone remodeling. Rev Endocr Metab Disord 2010;11:219-227.

doi: 10.1007/s11154-010-9153-1

Fahrenholtz IL, Melin AK, Wasserfurth P, ym. Risk of Low Energy Availability, Disordered Eating, Exercise Addiction, and Food Intolerances in Female Endurance Athletes. Front Sports Act Living 2022;4:869594. doi: 10.3389/fspor.2022.869594

Fedewa MV, Gist NH, Evans EM, Dishman RK. Exercise and insulin resistance in youth: a meta-analysis. Pediatrics 2014;133:e163-e174. doi: 10.1542/peds.2013-2718

Ferron M, Wei J, Yoshizawa T, ym. Insulin signaling in osteoblasts integrates bone remodeling and energy metabolism. Cell 2010;142:296-308. doi:10.1016/j.cell.2010.06.003

Fischer AN, Yang J, Singichetti B,,Young JA. Menstrual Dysfunction in Females Presenting to a Pe-diatric Sports Medicine Practice. Transl J Am Coll Sports Med 2017;2:79-84. doi:

10.1249/TJX.0000000000000037

Garner SC, Anderson JJB. Skeletal Tissues and Mineralization. Teoksessa Anderson JJB, Garner SC, Klemmer PJ. (toim.) Diet, Nutrients, and Bone Health. Boca Raton: Taylor & Francis 2011, s. 33-52.

Gordon CM, Ackerman KE, Berga SL, ym. Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2017;102:1413-1439. doi:

10.1210/jc.2017-00131

Grinspoon S, Miller K, Coyle C, ym. Severity of osteopenia in estrogen-deficient women with ano-rexia nervosa and hypothalamic amenorrhea. J Clin Endocrinol Metab 1999;84:2049–2055. doi:

10.1210/jcem.84.6.5792

Guyton AC, Hall JE. Textbook of medical physiology. 14. painos. Philadelphia: Elsevier Saunders 2021.

Harer KN. Irritable Bowel Syndrome, Disordered Eating, and Eating Disorders. Gastroenterol Hepatol (N Y) 2019;15:280-282.

Hart NH, Newton RU, Tan J, ym. Biological basis of bone strength: anatomy, physiology and measurement. J Musculoskelet Neuronal Interact 2020;20:347-371.

Hart NH, Nimphius S, Rantalainen T, Ireland A, Siafarikas A, Newton RU. Mechanical basis of bone strength: influence of bone material, bone structure and muscle action. J Musculoskelet Neuronal Interact 2017;17:114-139.

Havemann L, De Lange Z, Pieterse K, Wright HH. Disordered eating and menstrual patterns in fe-male university netball players. S Afr J Sports Med 2011;23:68-72.

Heikura IA, Stellingwerff T, Areta JL. Low energy availability in female athletes: From the lab to the field. Eur J Sport Sci 2022;22:709-719. doi: 10.1080/17461391.2021.1915391

Heikura IA, Uusitalo ALT, Stellingwerff T, Bergland D, Mero AA, Burke LM. Low Energy Availability is Difficult to Assess but Outcomes Have Large Impact on Bone Injury Rates in Elite Distance Ath-letes. Int J Sport Nutr Exerc Metab 2018;28:403-411. doi: 10.1123/ijsnem.2017-0313

Hilton LK, Loucks AB. Low energy availability, not exercise stress, suppresses the diurnal rhythm of leptin in healthy young women. Am J Physiol Endocrinol Metab 2000;278:E43–E49. doi:

10.1152/ajpendo.2000.278.1.E43

Hoch AZ, Pajewski NM, Moraski L, ym. Prevalence of the female athlete triad in high school ath-letes and sedentary students. Clin J Sport Med 2009;19: 421–428. doi:

10.1097/JSM.0b013e3181b8c136

Ihle R, Loucks AB. Dose-response relationships between energy availability and bone turnover in young exercising women. Journal of Bone and Mineral Research 2004;19:1231–1240. doi:

10.1359/JBMR.040410

Ikegami N, Samukawa M, Sakamaki-Sunaga M, ym. The Influence of Low Energy Availability on Bone Mineral Density and Trabecular Bone Microarchitecture of Pubescent Female Athletes: A Preliminary Study. Int J Environ Res Public Health 2022;19:5580. doi: 10.3390/ijerph19095580

Jagim AR, Fields J, Magee MK, Kerksick CM, Jones MT. Contributing Factors to Low Energy Availa-bility in Female Athletes: A Narrative Review of Energy AvailaAvaila-bility, Training Demands, Nutrition Barriers, Body Image, and Disordered Eating. Nutrients 2022;14:986. doi: 10.3390/nu14050986

Jenkins AB, Markovic TP, Fleury A, Campbell LV. Carbohydrate intake and short-term regulation of leptin in humans. Diabetologia 1997;40:348-351. doi: 10.1007/s001250050686

Jesus F, Castela I, Silva AM, Branco PA, Sousa M. Risk of Low Energy Availability among Female and Male Elite Runners Competing at the 26th European Cross-Country Championships. Nutri-ents 2021;13:873. doi:10.3390/nu13030873

Keen AD, Drinkwater BL. Irreversible bone loss in former amenorrheic athletes. Osteoporos Int 1997;7:311-315. doi: 10.1007/BF01623770

Klein DA, Paradise SL, Reeder RM. Amenorrhea: A Systematic Approach to Diagnosis and Man-agement. Am Fam Physician 2019;100:39-48.

Koistinen HA, Jänne OA. Rasvasolu endokriinisenä elimenä. Teoksessa Välimäki M, Sane T, Dun-kel L (toim.) Endokrinologia. Helsinki: Duodecim 2010.

Lewiecki EM, Borges JL. Bone density testing in clinical practice. Arq Bras Endocrinol Metabol 2006;50:586-595. doi: 10.1590/s0004-27302006000400004

Lieberman JL, De Souza MJ, Wagstaff DA, Williams NI. Menstrual Disruption with Exercise Is Not Linked to an Energy Availability Threshold. Medicine and Science in Sports and Exercise

2018;50:551-561. doi: 10.1249/MSS.0000000000001451

Logue D, Madigan SM, Delahunt E, Heinen M, Mc Donnell S-J, Corish CA. Low Energy Availability in Athletes: A Review of Prevalence, Dietary Patterns, Physiological Health, and Sports Perfor-mance. Sports Medicine 2018;48:73-96. doi: 10.1007/s40279-017-0790-3

Loucks A, Wright HH, Kiens B. Energy availability in athletes. J Sports Sci 2011;29:S7-S15. doi:

10.1080/02640414.2011.588958

Loucks AB, Callister R. Induction and prevention of low-T3 syndrome in exercising women. Am J Physiol 1993;264:R924-R930. doi: 10.1152/ajpregu.1993.264.5.R924

Loucks AB, Heath EM. Dietary restriction reduces luteinizing hormone (LH) pulse frequency dur-ing wakdur-ing hours and increases LH pulse amplitude durdur-ing sleep in young menstruatdur-ing women.

J Clin Endocrinol Metab 1994a:78:910–915. doi: 10.1210/jcem.78.4.8157720

Loucks AB, Heath EM. Induction of low-T3 syndrome in exercising women occurs at a threshold of energy availability. Am J Physiol 1994b:266:R817–R823. doi: 10.1152/ajpregu.1994.266.3.R817

Loucks AB, Thuma JR. Luteinizing Hormone Pulsatility Is Disrupted at a Threshold of Energy Avail-ability in Regularly Menstruating Women. J Clin Endocrinol Metab 2003;88:297-311. doi:

10.1210/jc.2002-020369

Loucks AB, Verdun M, Heath EM. Low energy availability, not stress of exercise, alters LH pulsatil-ity in exercising women. J Appl Physiol 1998;84:37–46. doi: 10.1152/jappl.1998.84.1.37

Loucks AB, Verdun M. Slow restoration of LH pulsatility by refeeding in energetically disrupted women. Am J Physiol 1998;275:R1218-R1226. doi: 10.1152/ajpregu.1998.275.4.R1218

Loucks AB. Energy availability, not body fatness, regulates reproductive function in women. Exerc Sport Sci Rev 2003;31:144-8. doi: 10.1097/00003677-200307000-00008

Loucks AB. Energy balance and energy availability. Teoksessa Maughan RJ. Sports Nutrition.

Chichester: John Wiley & Sons Incorporated 2013, s. 72–87.

Loucks AB. The response of luteinizing hormone pulsatility to 5 days of low energy availability disappears by 14 years of gynecological age. J Clin Endocrinol Metab 2006;91:3158-64. doi:

10.1210/jc.2006-0570

Łuszczki E, Jagielski P, Bartosiewicz A, ym. The LEAF questionnaire is a good screening tool for the identification of the Female Athlete Triad/Relative Energy Deficiency in Sport among young foot-ball players. PeerJ 2021;9:e12118. doi: 10.7717/peerj.12118

Magee MK, Lockard BL, Zabriskie HA, ym. Prevalence of Low Energy Availability in Collegiate Women Soccer Athletes. J Funct Morphol Kinesiol 2020;5:96. doi:10.3390/jfmk5040096

Manore MM. Dietary recommendations and athletic menstrual dysfunction. Sports Med 2002;32:887-901. doi: 10.2165/00007256-200232140-00002

Maria UP, Juzwiak CR. The risk for the female athlete triad in Brazilian athletes. Hum Mov 2021;22:53-59. doi: 10.5114/hm.2021.100013

McCormack WP, Shoepe TC, LaBrie J, Almstedt HC. Bone mineral density, energy availability, and dietary restraint in collegiate cross-country runners and non-running controls. Eur J Appl Physiol 2019;119:1747-1756. doi: 10.1007/s00421-019-04164-z

Melin A, Tornberg ÅB, Skouby S, ym. Energy availability and the female athlete triad in elite en-durance athletes. Scand J Med Sci Sports 2015;25:610–622. doi: 10.1111/sms.12261

Melin A, Tornberg ÅB, Skouby S, ym. The LEAF questionnaire: a screening tool for the identifica-tion of female athletes at risk for the female athlete triad. Br J Sports Med 2014;48:540-545. doi:

10.1136/bjsports-2013-093240

Melin AK, Heikura IA, Tenforde A, Mountjoy M. Energy Availability in Athletics: Health, Perfor-mance, and Physique. Int J Sport Nutr Exerc Metab 2019;29:152-164. doi: 10.1123/ijsnem.2018-0201

Meng K, Qiu J, Benardot D, ym. The risk of low energy availability in Chinese elite and recrea-tional female aesthetic sports athletes.J Int Soc Sports Nutr 2020;17:13. doi: 10.1186/s12970-020-00344-x

Misra M. Neuroendocrine mechanisms in athletes. Handb Clin Neurol. 2014;124:373-386. doi:

10.1016/B978-0-444-59602-4.00025-3

Mora S, Gilsanz V. Establishment of peak bone mass. Endocrinol Metab Clin North Am 2003;32:39-63. doi: 10.1016/s0889-8529(02)00058-0

Mörkl S, Lackner S, Müller W, ym. Gut microbiota and body composition in anorexia nervosa in-patients in comparison to athletes, overweight, obese, and normal weight controls. Int J Eat Dis-ord 2017;50:1421-1431. doi: 10.1002/eat.22801

Moss SL, Randell RK, Burgess D, ym. Assessment of energy availability and associated risk factors in professional female soccer players. Eur J Sport Sci 2020;21:861-870. doi:

10.1080/17461391.2020.1788647

Mountjoy M, Sundgot-Borgen J, Burke L, ym. The IOC consensus statement: beyond the Female Athlete Triad – Relative Energy Deficiency in Sport (RED-S). British Journal of Sports Medicine 2014;48:491-497. doi: 10.1136/bjsports-2014-093502

Mountjoy M, Sundgot-Borgen JK, Burke LM, ym. IOC consensus statement on relative energy de-ficiency in sport (RED-S): 2018 update. British Journal of Sports Medicine 2018;52:687-697. doi:

10.1136/bjsports-2018-099193

Nattiv A, Loucks AB, Manore MM, Sanborn CF, Sundgot-Borgen J, Warren MP. The Female Athlete Triad. Medicine and Science in Sports and Exercise 2007;39:1867-1882. doi:

10.1249/mss.0b013e318149f111

Nindl BC, Pierce JR. Insulin-like growth factor I as a biomarker of health, fitness, and training sta-tus. Med Sci Sports Exerc 2010;42:39-49. doi: 10.1249/MSS.0b013e3181b07c4d

Norris ML, Harrison ME, Isserlin L, Robinson A, Feder S, Sampson M. Gastrointestinal complica-tions associated with anorexia nervosa: A systematic review. Int J Eat Disord 2016;49:216-237.

doi: 10.1002/eat.22462

Oliveira EP, Burini RC, Jeukendrup A. Gastrointestinal Complaints During Exercise: Prevalence, Etiology, and Nutritional Recommendations. Sports Med 2014;44:S79-S85. doi: 10.1007/s40279-014-0153-2

Oliveira EP, Burini RC. The impact of physical exercise on the gastrointestinal tract. Curr Opin Clin Nutr Metab Care 2009:12:533–538. doi: 10.1097/MCO.0b013e32832e6776

Papageorgiou M, Elliott-Sale KJ, Parsons A, ym. Effects of reduced energy availability on bone me-tabolism in women and men. Bone 2017;105:191–199. doi: 10.1016/j.bone.2017.08.019

Papageorgiou M, Martin D, Colgan H, ym. Bone metabolic responses to low energy availability achieved by diet or exercise in active eumenorrheic women. Bone 2018;114:181-188. doi:

10.1016/j.bone.2018.06.016

Pearce J, Hunter JO. Nutrition and the Gastrointestinal Tract for Athletes. Teoksessa Lanham-New SA, Steer SJ, Shirreffs SM, Collins AL (toim.) Sport and Exercise Nutrition. Chichester: John Wiley &

Sons 2011, s. 264-280.

Pérusse L, Collier G, Gagnon J, ym. Acute and chronic effects of exercise on leptin levels in hu-mans. J Appl Physiol (1985) 1997;83:5-10. doi: 10.1152/jappl.1997.83.1.5

Prather H, Hunt D, McKeon K, ym. Are Elite Female Soccer Athletes at Risk for Disordered Eating Attitudes, Menstrual Dysfunction, and Stress Fractures? PM R 2016;8:208-213. doi:

10.1016/j.pmrj.2015.07.003

Pugh JN, Lydon KM, O´Donovan CM, Sullivan O, Madigan SM. More than a gut feeling: What is the role of the gastrointestinal tract in female athlete health? Eur J Sport Sci 2022;22:755-764.

doi: 10.1080/17461391.2021.1921853

Ravi S, Ihalainen JK, Taipale-Mikkonen RS, ym. Self-reported restrictive eating, eating disorders, menstrual dysfunction, and injuries in athletes competing at different levels and sports. Nutri-ents 2021a;13:3275. doi: 10.3390/nu13093275

Ravi S, Waller B, Valtonen M, ym. Menstrual dysfunction and body weight dissatisfaction among Finnish young athletes and non-athletes. Scand J Med Sci Sports 2021b;31:405–417. doi:

10.1111/sms.13838

Reed JL, De Souza MJ, Mallinson RJ, Scheid JL, Williams NI. Energy availability discriminates clinical menstrual status in exercising women. Journal of the International Society of Sports Nutrition 2015;19:11. doi: 10.1186/s12970-015-0072-0

Reed JL, De Souza MJ, Williams NI. Changes in energy availability across the season in Division I female soccer players. J Sports Sci 2013;31:314-324. doi: 10.1080/02640414.2012.733019

Reel JJ. Eating Disorders: Understanding Causes, Controversies, and Treatment. California: ABC-CLIO 2018, s. 175.

Richter EA, Sylow L, Hargreaves M. Interactions between insulin and exercise. Biochem J 2021;478:3827-3846. doi: 10.1042/BCJ20210185

Rodriguez NR, Marco NM, Langley S. American College of Sports Medicine position stand. Nutri-tion and athletic performance. Medicine and Science in Sports and Exercice. 2009;Mar;41:709-731. doi: 10.1249/MSS.0b013e31890eb86

Rogers MA, Drew MK, Appaneal R, ym. The Utility of the Low Energy Availability in Females Ques-tionnaire to Detect Markers Consistent With Low Energy Availability-Related Conditions in a Mixed-Sport Cohort. Int J Sport Nutr Exerc Metab 2021;31:427-437. doi: 10.1123/ijsnem.2020-0233

Sane T. Lisämunuaisen hormonit. Teoksessa Välimäki M, Sane T, Dunkel L. (toim.) Endokrinolo-gia. Helsinki: Duodecim 2010.

Schmalenberger KM, Tauseef HA, Barone JC, ym. How to study the menstrual cycle: Practical tools and recommendations. Psychoneuroendocrinology 2021;123:104895. doi:

10.1016/j.psyneuen.2020.104895

Shaw D, Gohil K, Basson MD. Intestinal mucosal atrophy and adaptation. World J Gastroenterol 2012;18:6357-6375. doi: 10.3748/wjg.v18.i44.6357

Smith KA, Pugh JN, Duca FA, Close GL, Ormsbee MJ. Gastrointestinal pathophysiology during en-durance exercise: endocrine, microbiome, and nutritional influences. Eur J Appl Physiol

2021;121:2657-2674. doi: 10.1007/s00421-021-04737-x

Specker B, Thiex NW, Sudhagoni RG. Does Exercise Influence Pediatric Bone? A Systematic Re-view. Clin Orthop Relat Res 2015;473:3658-3672. doi: 10.1007/s11999-015-4467-7

Staal S, Sjödin A, Fahrenholtz I, Bonnesen K, Melin AK. Low RMRratio as a Surrogate Marker for Energy Deficiency, the Choice of Predictive Equation Vital for Correctly Identifying Male and Fe-male Ballet Dancers at Risk. Int J Sport Nutr Exerc Metab 2018;28:412-418. doi:

10.1123/ijsnem.2017-0327

Sundgot-Borgen J, Torstveit M. Aspects of disordered eating continuum in elite high-intensity sports. Scand J Med Sci Sports 2010;20:112-121. doi: 10.1111/j.1600-0838.2010.01190.x

Sundgot-Borgen J. Risk and trigger factors for the development of eating disorders in female elite athletes. Med Sci Sports Exerc 1994;26:414-419.

Syömishäiriöt. Käypä hoito -suositus. Suomalaisen Lääkäriseuran Duodecimin, Suomen Lasten-psykiatriyhdistyksen ja Suomen Psykiatriyhdistys Ry:n asettama työryhmä. Helsinki: Suomalainen Lääkäriseura Duodecim, 2014 (viitattu 09.02.2023). www.kaypahoito.fi.

Tenforde AS, Fredericson M. Influence of sports participation on bone health in the young ath-lete: a review of the literature. PM&R 2011;3:861–867. doi: 10.1016/j.pmrj.2011.05.019

Thein-Nissenbaum JM, Rauh MJ, Carr KE, Loud KJ, McGuine TA. Associations between disordered eating, menstrual dysfunction, and musculoskeletal injury among high school athletes. J Orthop Sports Phys Ther 2011;41:60-69. doi: 10.2519/jospt.2011.3312

Thein-Nissenbaum JM, Rauh MJ, Carr KE, Loud KJ, McGuine TA. Menstrual irregularity and muscu-loskeletal injury in female high school athletes. J Athl Train 2012;47:74-82. doi: 10.4085/1062-6050-47.1.74

Tiitinen A. Gynekologinen endokrinologia. Teoksessa Välimäki M, Sane T, Dunkel L. (toim.) En-dokrinologia. Helsinki: Duodecim 2010.

Torstveit MK, Sundgot-Borgen J. Participation in leanness sports but not training volume is asso-ciated with menstrual dysfunction: a national survey of 1276 elite athletes and controls. Br J Sports Med 2005a;39:141–147. doi: 10.1136/bjsm.2003.011338

Torstveit MK, Sundgot-Borgen J. The Female Athlete Triad: Are Elite Athletes at Increased Risk?

Med Sci Sports Exerc 2005b;37:184-193. doi: 10.1249/01.mss.0000152677.60545.3a

Troy KL, Mancuso ME, Butler TA, Johnson JE. Exercise Early and Often: Effects of Physical Activity and Exercise on Women's Bone Health. Int J Environ Res Public Health 2018;15:878. doi:

10.3390/ijerph15050878

Tutkimuseettinen neuvottelukunta (TENK). Humanistisen, yhteiskuntatieteellisen ja käyttäytymis-tieteellisen tutkimuksen eettiset periaatteet ja ehdotus eettisen ennakkoarvioinnin järjestä-miseksi. 2009. https://tenk.fi/sites/tenk.fi/files/eettisetperiaatteet.pdf (Luettu 09.2.2022).

Valli R. Johdatus tilastolliseen tutkimukseen. (2. uudistettu painos). Jyväskylä: PS-Kustannus 2015.

Warden SJ, Fuchs RK. Optimizing the Skeletal benefits of Mechanical Loading and Exercise. Teo-ksessa Anderson JJB, Garner SC, Klemmer PJ. (toim.) Diet, Nutrients, and Bone Health. Boca Ra-ton: Taylor & Francis 2011, s. 53-70.

Wasserfurth P, Palmowski J, Hahn A, Krüger K. Reasons for and Consequences of Low Energy Availability in Female and Male Athletes: Social Environment, Adaptations, and Prevention.

Sports Med Open 2020;6:44. doi: 10.1186/s40798-020-00275-6

Weigle DS, Duell PB, Connor WE, Steiner RA, Soules MR, Kuijper JL. Effect of fasting, refeeding, and dietary fat restriction on plasma leptin levels. J Clin Endocrinol Metab 1997;82:561-565. doi:

10.1210/jcem.82.2.3757

Wells KR, Jeacocke NA, Appaneal R, ym. 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;54:1247-1258. doi:10.1136/bjsports-2019-101813

Williams NI, Leidy HJ, Hill BR, Lieberman JL, Legro RS, De Souza MJ. Magnitude of daily energy def-icit predicts frequency but not severity of menstrual disturbances associated with exercise and caloric restriction. Am J Physiol Endocrinol Metab 2015;308:E29-39. doi:

10.1152/aj-pendo.00386.2013