In female endurance athletes, poor nutritional state leading to low BMI, low body fat percentage, and estrogen deficiency is a risk factor for poor bone health.

“it's a we call it the female triad and it's a risk of osteoporosis stress fractures and menstrual abnormalities okay”

“So these interrelated conditions of the sort of low bone health, hormone dysfunction and and low BMI are kind of collectively known as the female athlete triad. So that's another big risk factor.”

“So when you look at high-end uh female endurance athletes, we care a lot about you know poor nutritional state which can lead to a very low BMI, low body fat percent and eventually estrogen deficiency. So these interrelated conditions of the sort of low bone health, hormone dysfunction and and low BMI are kind of collectively known as the female athlete triad. So that's another big risk factor.”

“Another thing we look at is in female athletes. And this is really common actually in female endurance athletes, especially runners. When you look at high-end uh female endurance athletes, we care a lot about, you know, poor nutritional state, which can lead to a very low BMI, low body fat percent, and eventually estrogen deficiency.”

“Absolutely. And I mean there's a number of things oftent times related to caloric restriction or indirectly over exercise.”