This article provides an overview of current research and updated clinical guidelines regarding testosterone replacement therapy in older males positive for late-onset hypogonadism.
The purpose of the present study was to compare endocrine parameters reflecting reproductive function and metabolism in ten amenorrheic (AR) and eumenorrheic (ER) adolescent female runners and seven untrained controls (SE). Additionally, responses to diagnostic criteria for eating disorders (DSM-III) were compared among groups. AR ran more miles/day and consumed fewer kcal/d to support energy expenditure compared to ER (p < 0.05). Mean levels of fasting plasma estradiol, luteinizing hormone, follicle-stimulating hormone, free thyroxine and triiodothyronine were significantly lower in AR compared to ER and SE. AR indicated they were very concerned about their weight and were fearful of gaining fat mass. Female adolescents who participate in strenuous training exhibit alterations in hormone levels reflecting reproductive function and metabolism.
Dietary habits were evaluated in 6 elite triathletes (4 male, 2 female). Analysis of 7-day diet records showed mean daily energy and carbohydrate intake to be insufficient to support estimated requirements. Mean intakes of vitamins and most minerals exceeded the Recommended Dietary Allowances (RDAs) except zinc and chromium, which did not meet 66% of recommended amounts. Individualized nutrition intervention using the Diabetic Food Exchange System to support performance during training and competition was provided. To improve dietary intake, subjects consumed fortified nutrition supplements (Reliv, Inc.) before and after daily training. Follow-up 7-day diet records showed that average energy intake and percentage of energy from carbohydrate increased, as did intakes of zinc and chromium. Triathletes' performance in a short course triathlon was improved compared to a similar competition completed prior to the nutrition intervention. Following the intervention, triathletes were able to meet recommended daily energy, macronutrient, and micronutrient intakes and improve endurance performance.
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