Возможности применения комбинированных гормональных контрацептивов у женщин-спортсменок
- Авторы: Ниаури Д.А.1,2, Гзгзян А.М.1,2, Джемлиханова Л.Х.1,2, Абдулкадырова З.К.1,2
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Учреждения:
- Санкт-Петербургский государственный университет
- Научно-исследовательский институт акушерства, гинекологии и репродуктологии им. Д.О. Отта
- Выпуск: Том 74, № 2 (2025)
- Страницы: 76-83
- Раздел: Научные обзоры
- URL: https://journal-vniispk.ru/jowd/article/view/296139
- DOI: https://doi.org/10.17816/JOWD660033
- EDN: https://elibrary.ru/PADXIM
- ID: 296139
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Аннотация
В России, как и во всем мире, все больше женщин систематически занимаются спортом. Женщины-спортсменки профессионально осваивают в том числе и экстремальные виды спорта. Как известно, для спорта высоких достижений характерны чрезмерные физические и психологические нагрузки, что может стать причиной нарушений функции различных органов и систем. Для обозначения синдрома, сочетающего расстройства пищевого поведения, аменорею и остеопороз у женщин, занимающихся спортом, предложено понятие «триада женщин-спортсменок» (female athlete triad), дополненное в последующем синдромом относительной нехватки энергии в спорте (relatively energy deficiency in sport, RED-S). Интенсивные физические нагрузки в сочетании с дефицитом энергии могут приводить к выраженным нарушениям гормонального статуса, основного обмена, функции сердечно-сосудистой, иммунной и других систем организма. В качестве одного из современных направлений профилактики триады женщин-спортсменок можно рассматривать использование комбинированных гормональных контрацептивов — надежный метод контрацепции с дополнительными положительными эффектами на состояние женского организма в условиях интенсивных физических нагрузок.
В статье рассмотрены патогенетические механизмы развития триады женщин-спортсменок, а также возможность применения комбинированных гормональных контрацептивов для профилактики и коррекции неблагоприятных последствий для организма, их влияние на спортивные результаты и репродуктивное здоровье женщин-спортсменок.
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Дарико Александровна Ниаури
Санкт-Петербургский государственный университет; Научно-исследовательский институт акушерства, гинекологии и репродуктологии им. Д.О. Отта
Email: d.niauri@mail.ru
ORCID iD: 0000-0003-1556-248X
SPIN-код: 4384-9785
д-р мед. наук, профессор
Россия, Санкт-Петербург; Санкт-ПетербургАлександр Мкртичевич Гзгзян
Санкт-Петербургский государственный университет; Научно-исследовательский институт акушерства, гинекологии и репродуктологии им. Д.О. Отта
Email: agzgzyan@mail.ru
ORCID iD: 0000-0003-3917-9493
SPIN-код: 6412-4801
д-р мед. наук, профессор
Россия, Санкт-Петербург; Санкт-ПетербургЛяиля Харрясовна Джемлиханова
Санкт-Петербургский государственный университет; Научно-исследовательский институт акушерства, гинекологии и репродуктологии им. Д.О. Отта
Email: dzhemlikhanova_l@mail.ru
ORCID iD: 0000-0001-6842-4430
SPIN-код: 1691-6559
канд. мед. наук, доцент
Россия, Санкт-Петербург; Санкт-ПетербургЗарина Кудратовна Абдулкадырова
Санкт-Петербургский государственный университет; Научно-исследовательский институт акушерства, гинекологии и репродуктологии им. Д.О. Отта
Автор, ответственный за переписку.
Email: spb.zarika.los@mail.ru
ORCID iD: 0000-0002-2154-298X
SPIN-код: 9246-2511
канд. мед. наук
Россия, Санкт-Петербург; Санкт-ПетербургСписок литературы
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