Keywords
gangguan menstruasi
anovulasi
How to Cite
Abstract
Pelatihan yang berat dan melelahkan yang dilakukan oleh atlet, tentunya memiliki dampak negatif pada kesehatan. Tujuan penelitian ini adalah untuk menganalisis gangguan menstruasi pada atlet putri selama pelatihan yang intensif. Penelitian ini menggunakan pendekatan analitik observasional dengan metode survey test. Populasi penelitian ini adalah 15 atlet putri pada tim softball Jawa Tengah yang dipersiapkan untuk Pekan Olahraga Nasional (PON) 2021. Teknik sampling dalam penelitian ini adalah total sampling. Teknik analisis data menggunakan deskriptif presentase. Data yang berhasil dikumpulkan yaitu: karakteristik responden, siklus menstruasi, dan ovulasi. Hasil penelitian menunjukkan bahwa karakteristik responden penelitian ini memiliki usia rerata 20,46 ± 2,09, rerata tinggi badan 159,6 ± 5,13, rerata berat badan 58,13 ± 8,12, rerata IMT 22,95 ± 2,34, dan rerata skor GPAQ 11363 ± 1621,03. Hasil pemeriksaan ouvutest menunjukkan 47% dari responden penelitian mengalami ovulasi, sedangkan 53% dari responden penelitian mengalami anovulasi. Kesimpulan penelitian ini hampir keseluruhan responden memiliki periode menstruasi yang normal, tetapi yang mengejutkan adalah lebih dari setengah dari populasi atlet putri yang mengikuti pelatihan intensif mengalami gangguan menstruasi berupa anovulasi. Maka dari itu perlu dilakukan upaya pemulihan gangguan tersebut untuk mencegah efek negatif seperti penurunan performa fisik. Selain itu, perlu juga dilakukan pemeriksaan kesehatan lebih lanjut untuk memastikan tidak terdapat gangguan kesehatan lainnya.
References
Balitbang Kemenkes RI. (2013). Riset Kesehatan Dasar: RISKESDAS.
Cialdella-Kam, L., Guebels, C. P., Maddalozzo, G. F., & Manore, M. M. (2014). Dietary intervention restored menses in female athletes with exercise-associated menstrual dysfunction with limited impact on bone and muscle health. Nutrients, 6(8), 3018-3039. https://doi.org/10.3390/nu6083018
Dadgostar, H., Razi, M., Aleyasin, A., Alenabi, T., & Dahaghin, S. (2009). The relation between athletic sports and prevalence of amenorrhea and oligomenorrhea in Iranian female athletes. BMC Sports Science, Medicine and Rehabilitation, 1(1), 16. https://doi.org/10.1186/1758-2555-1-16
De Souza, M. J., Toombs, R. J., Scheid, J. L., O'Donnell, E., West, S. L., & Williams, N. I. (2010). High prevalence of subtle and severe menstrual disturbances in exercising women: confirmation using daily hormone measures. Human reproduction, 25(2), 491-503. https://doi.org/10.1093/humrep/dep411
De Souza, M. J., Nattiv, A., Joy, E., Misra, M., Williams, N. I., Mallinson, R. J., & Matheson, G. (2014). 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, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013. British journal of sports medicine, 48(4), 289-289. https://doi.org/10.1097/JSM.0000000000000085
Enns, D. L., & Tiidus, P. M. (2010). The influence of estrogen on skeletal muscle. Sports medicine, 40(1), 41-58. https://doi.org/10.2165/11319760-000000000-00000
Fairley, D. H., & Taylor, A. (2003). Anovulation. BMJ, 327(7414), 546-549. https://doi.org/10.1136/bmj.327.7414.546
Gharib, T., & Ackerman, K. (2012). (Athletic Training) Female Athlete Triad. Sports Health, 4(4), 302–311. https://doi.org/10.1177/1941738112439685
Gordon, C. M. (2010). Functional hypothalamic amenorrhea. New England Journal of Medicine, 363(4), 365-371. https://doi.org/10.1056/NEJMcp0912024
Groothuis, P. G., Dassen, H. H. N. M., Romano, A., & Punyadeera, C. (2007). Estrogen and the endometrium: lessons learned from gene expression profiling in rodents and human. Human reproduction update, 13(4), 405-417. https://doi.org/10.1093/humupd/dmm009
Gruene, S. (2016). Anamnesis and clinical examination. Deutsche medizinische Wochenschrift (1946), 141(1), 24-27. https://doi.org/10.1055/s-0041-106337
Gudmundsdottir, S. L., Flanders, W. D., & Augestad, L. B. (2009). Physical activity and fertility in women: the North-Trøndelag Health Study. Human Reproduction, 24(12), 3196-3204 https://doi.org/10.1093/humrep/dep337
Hoch, A. Z., Lal, S., Jurva, J. W., & Gutterman, D. D. (2007). The female athlete triad and cardiovascular dysfunction. Physical medicine and rehabilitation clinics of North America, 18(3), 385-400. https://doi.org/10.1016/j.pmr.2007.05.001
House, S., Loud, K., & Shubkin, C. (2013). Female athlete triad for the primary care pediatrician. Current opinion in pediatrics, 25(6), 755-761. https://doi.org/10.1097/MOP.0000000000000033
Kelly, A. K. W., & Hecht, S. (2016). From The American Academy of Pediatrics The Female Athlete Triad Council on Sports Medicine and Fitness Clinical Report Guidance for The Clinician in Rendering Pediatric Care. Pediatrics, 106(3):610. https://doi.org/10.1542/peds.2016-0922
Lawson, E. A., Donoho, D., Miller, K. K., Misra, M., Meenaghan, E., Lydecker, J., & Klibanski, A. (2009). Hypercortisolemia is associated with severity of bone loss and depression in hypothalamic amenorrhea and anorexia nervosa. The Journal of Clinical Endocrinology & Metabolism, 94(12), 4710-4716. https://doi.org/10.1210/jc.2009-1046
Leiva, R. A., Bouchard, T. P., Abdullah, S. H., & Ecochard, R. (2017). Urinary luteinizing hormone tests: which concentration threshold best predicts ovulation?. Frontiers in public health, 5, 320. https://doi.org/10.3389/fpubh.2017.00320
Loucks, A. B., Kiens, B., & Wright, H. H. (2011). Energy availability in athletes. Journal of sports sciences, 29(sup1), S7-S15. https://doi.org/10.1080/02640414.2011.588958
Maimoun, L., Paris, F., Coste, O., & Sultan, C. (2016). Intensive training and menstrual disorders in young female: Impact on bone mass. Gynécologie Obstétrique et Fertilité, 44(11), 659-663. https://doi.org/10.1016/j.gyobfe.2016.09.001
Manore, M. M., Kam, L. C., & Loucks, A. B. (2007). The female athlete triad: components, nutrition issues, and health consequences. Journal of sports sciences, 25(S1), S61-S71.
Meczekalski, B., Podfigurna-Stopa, A., Warenik-Szymankiewicz, A., & Genazzani, A. R. (2008). Functional hypothalamic amenorrhea: current view on neuroendocrine aberrations. Gynecological Endocrinology, 24(1), 4-11. https://doi.org/10.1080/09513590701807381
Mendelsohn, F. A., & Warren, M. P. (2010). Anorexia, bulimia, and the female athlete triad: evaluation and management. Endocrinology and Metabolism Clinics, 39(1), 155-167. https://doi.org/10.1016/j.ecl.2009.11.002
Mountjoy, M., Sundgot-Borgen, J. K., Burke, L. M., Ackerman, K. E., Blauwet, C., Constantini, N., & Sherman, R. T. (2018). IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update. British Journal of Sports Medicine. https://doi.org/10.1136/bjsports-2018-099193
Pauli, S. A., & Berga, S. L. (2010). Athletic amenorrhea: energy deficit or psychogenic challenge?. Annals of the New York Academy of Sciences, 1205, 33. https://doi.org/10.1111/j.1749-6632.2010.05663.x
Pettersson, F., Fries, H., & Nillius, S. J. (1973). Epidemiology of secondary amenorrhea: I. Incidence and prevalence rates. American journal of obstetrics and gynecology, 117(1), 80-86.
Powers, S., Nelson, W. B., & Larson-Meyer, E. (2011). Antioxidant and vitamin D supplements for athletes: sense or nonsense?. Journal of Sports Sciences, 29(sup1), S47-S55. https://doi.org/10.1080/02640414.2011.602098
Rickenlund, A., Thorén, M., Carlström, K., Von Schoultz, B. O., & Hirschberg, A. L. (2004). Diurnal profiles of testosterone and pituitary hormones suggest different mechanisms for menstrual disturbances in endurance athletes. The Journal of Clinical Endocrinology & Metabolism, 89(2), 702-707. https://doi.org/10.1210/jc.2003-030306
Sharma, A. M., & Campbell-Scherer, D. L. (2017). Redefining obesity: beyond the numbers. Obesity, 25(4), 660. https://doi.org/10.1002/oby.21801
Shufelt, C. L., Torbati, T., & Dutra, E. (2017). Hypothalamic Amenorrhea and the Long-Term Health Consequences. Seminars in Reproductive Medicine. https://doi.org/10.1055/s-0037-1603581
Su, H. W., Yi, Y. C., Wei, T. Y., Chang, T. C., & Cheng, C. M. (2017). Detection of ovulation, a review of currently available methods. Bioengineering & translational medicine, 2(3), 238-246. https://doi.org/10.1002/btm2.10058
Thong, F. S., McLean, C., & Graham, T. E. (2000). Plasma leptin in female athletes: relationship with body fat, reproductive, nutritional, and endocrine factors. Journal of Applied Physiology, 88(6), 2037-2044.
Vescovi, J. D., Jamal, S. A., & De Souza, M. J. (2008). Strategies to reverse bone loss in women with functional hypothalamic amenorrhea: A systematic review of the literature. Osteoporosis International. https://doi.org/10.1007/s00198-007-0518-6
WHO. (2012). Global Physical Activity Questionnaire (GPAQ) Analysis Guide. Geneva: World Health Organization.
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