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Notes -
Have you heard of the Female Athlete Triad (FAT)?
If you are a female athlete, or closely associate with female athletes, there's a very good chance that you've heard of the FAT, which has possibly the single most fantastically inapposite acronym in the history of acronyms. On the other hand, if you are neither a female athlete nor closely associated with female athletes, there's a good chance you've never heard of the FAT. The short version is, female athletes often show up at physician's offices experiencing menstrual dysfunction, low energy availability, and decreased bone mineral density. Sometimes this is also associated with that most famous of social contagions, the eating disorder--but often not!
The FAT is an important part of understanding female athletic health. Coaches and trainers (if they're worth anything at all) know to watch for certain warning signs, especially amenorrhea, anemia, and low body weight. Athletes exhibiting even one of these symptoms should, to the best of my understanding, be placed on lighter workout regimes or even excluded from practice altogether; athletes exhibiting all three should be excluded from athletic participation until more detailed medical examination can be done.
The FAT may be somewhat controversial in that attention to it arguably holds women back--a woman who cares more about a gold medal than about having children someday is rather unlikely to care much about amenorrhea (and may even see it as a blessing). But there are other consequences, too--like stress fractures, osteoporosis, bradycardia, and so forth. So people in charge of caring for female athletes--parents, yes, but also coaches and trainers--have for decades been generally regarded as under obligation to monitor women and girls for amenorrhea, anemia, and body weight/eating issues.
Why should you care? Well, recently there has been some culture war brouhaha over Florida (surprised?) weighing certain laws or regulations regarding the monitoring of menstrual health in teen athletes (really, just some standard questions on a standard form). Despite the AP's surprisingly helpful writeup, the Florida High School Athletic Association held an emergency meeting to "reconsider" their forms immediately, rather than waiting for their scheduled meeting later this month.
Certain folks in my social feeds have been going nuts about how monitoring menstrual health is a sneaky way of excluding trans athletes, or secretly learning who has gotten an illegal (?) abortion, and of course--it's all on Ron DeSantis, somehow. Time magazine, for example, seems happy to selectively report on the matter, as does Florida Politics. Advocate asks "why!?" Apparently, people have been asking "why!?" for months.
They've also been getting the same answer for months: "this is to make sure athletics is not endangering these girls' health." This is nothing new, and is something many states check. Should states check this sort of thing? I can imagine a certain sort of libertarian declaring that, no, this is unnecessary. But by and large it is the not the libertarians asking these questions--it seems to primarily be the people looking for something, anything to prevent Ron DeSantis from becoming President in 2024.
And they're even, apparently, willing to ignore and/or unwind a thirty-year-old staple of youth sports medicine to get the rhetoric they're after.
From those linked articles, the main complaints are not that these questions are there, but seemingly that in the new draft they are:
Mandatory, whereas they were previously optional.
Now fully shared with the school, as opposed to a physician. Previously the school received only a one pager affirming the athlete was healthy with a doctor's signature.
Digitized, stored, and shared by a newly formed third-party company, allegedly not under HIPPA, which would allow the subpoena of medical records.
I don't really have any opinion on #1.
#2 and #3 are reasonably concerning at a glance, and would be especially so if I was worried about getting prosecuted under Florida abortion law.
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