2025 Update to the Female Athlete Triad Coalition Consensus Statement Part 1: State of the Science and Introduction of a New Adolescent Model.
Level 5 - mechanism / opinion, no new human data
Expert consensus statement and narrative review updating clinical models and guidelines.
PubMed 41474493 · doi:10.1007/s40279-025-02333-z
What was done
An expert coalition updated the 2014 Female Athlete Triad consensus statement regarding the scientific underpinnings of energy status, reproductive function, and bone health. The authors synthesized current evidence (assigned panel grades A and B) to update adult clinical models and introduce a new model tailored specifically to adolescent female athletes.
What was found
The abstract reports no numerical data or pooled statistical metrics. Conceptual updates include adding metabolic compensation to the energy status continuum, incorporating ovarian steroid hormone exposure and functional hypothalamic oligo-amenorrhea into the reproductive continuum, adding bone stress injury to the bone health continuum, and mapping rates of change for induction and recovery of clinical outcomes in adults.
Why it matters
This consensus provides an updated clinical framework that explicitly accounts for adolescent physiology and expands the clinical continua to improve recognition and management of energy deficiency, menstrual dysfunction, and skeletal injury in female athletes.
Limits
The abstract contains no primary quantitative data or details regarding the systematic review methodology, search criteria, or consensus voting thresholds. Recommendations represent expert synthesis and depend on the quality of the underlying literature rather than new empirical trial data.
Cited by
- supports Chronic or prolonged fasting and severe calorie restriction can suppress ovulation and cause the cessation of the menstrual cycle in women.