Frequency and structure of endocrine diseases in young elite athletes
https://doi.org/10.47529/2223-2524.2021.1.5
Abstract
There is no data on the prevalence of endocrine disorders in young elite athletes in Russia.
Objective: to assess the prevalence of endocrine pathologies and their structure in children and adolescents involved in elite sport.
Materials and methods: the study included data from outpatient records of members of national sports teams, who underwent special medical examination. The data of a random sample of 1081 outpatient cards of young athletes, for 26 sports, were analyzed.
Results: we found a high prevalence of endocrine pathology (18.6 %) in children and adolescents involved in high-performance sports. Thyroid diseases are most the most frequent in young athletes (in 57.3 % of cases). On second place is obesity (12.3 %). The frequency of weight deficiency and short stature is 8.4 % each. Autoimmune thyroiditis occupies a leading place in the structure of thyroid pathology in young elite athletes. Subclinical hypothyroidism takes the second place, and nodular goiter — the third place.
Conclusion: young elite athletes are characterized by a high frequency of endocrine pathology, the leading place in which is occupied by thyroid diseases. It is necessary to further studies aimed at assessing the mechanisms of hormonal adaptation in elite young athletes to assess their impact on the development of the child and the correct interpretation of the hormonal profile obtained during a special medical examination.
About the Authors
P. L. Okorokov
Federal Scientific and Clinical Center for children and adolescents FMBA of Russia;
Endocrinology Research Center
Russian Federation
Russian Federation
Pavel L. Okorokov, M.D., Ph.D., pediatric endocrinologist of the consultative and diagnostic center; Senior Researcher
20, Moskvorechye str., Moscow, 115409;
11. Dmitry Ulyanov str., Moscow, 117036
N. V. Aksenova
Federal Scientific and Clinical Center for children and adolescents FMBA of Russia
Russian Federation
Russian Federation
Natalia V. Aksenova, Head of the Center of Pediatric Sports Medicine
20, Moskvorechye str., Moscow, 115409
E. V. Babaeva
Federal Scientific and Clinical Center for children and adolescents FMBA of Russia
Russian Federation
Russian Federation
Elena V. Babaeva, sports medicine doctor
20, Moskvorechye str., Moscow, 115409
I. V. Zyabkin
Federal Scientific and Clinical Center for children and adolescents FMBA of Russia
Russian Federation
Russian Federation
Ilya V. Zyabkin, M.D., Ph.D., director
20, Moskvorechye str., Moscow, 115409
A. N. Afanasyev
Federal Scientific and Clinical Center for children and adolescents FMBA of Russia
Russian Federation
Russian Federation
Alexander N. Afanasyev, chief of the consultative and diagnostic center
20, Moskvorechye str., Moscow, 115409
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Review
For citations:
Okorokov P.L., Aksenova N.V., Babaeva E.V., Zyabkin I.V., Afanasyev A.N. Frequency and structure of endocrine diseases in young elite athletes. Sports medicine: research and practice. 2021;11(1):72-78. (In Russ.) https://doi.org/10.47529/2223-2524.2021.1.5
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