Case Western Reserve University - Nutrition
Registered Dietitian Nutrition
Dietetic Internship
Morrison Chartwell Dietetic Internship
Doctor of Philosophy (PhD)
Minors in Exercise Physiology and Statistics
Nutrition
Oregon State University
MA
Exercise Physiology
PWC - Baltics
Appalachian State University
PWC - Baltics
PWC - Slovakia
PWC - Slovakia
Director
Coordinated Dietetic Internship/Master's Degree Program in Nutrition
Case Western Reserve University
MBAs Without Borders
Nutrition counseling
education
meal planning
and more.
Kam's Nutrition and More
Director- Continuous Improvement
Sun Chemical Corporation
Delis s.r.o.
MBAs Without Borders
Appalachian State University
Kannapolis
NC
Nutrition and exercise science research.
Research Scientist
Teachers College of Columbia University
MBA
Concentration in Marketing
Marketing
The University of Chicago - Booth School of Business
Johnson & Johnson
Johnson & Johnson
Case Western Reserve University
Cleveland/Akron
Ohio Area
Nutrition and Exercise Sciences Research and Education.
Assistant Professor of Nutrition
BS
Minor in Statistics
Accounting
Bucknell University
Continuous Improvement
Strategy
Health Education
Nutrition Education
Strategic Planning
Research
Health Promotion
Nutritional Counseling
Marketing
International Marketing
Nutrition
Financial Analysis
Global Strategy
Leadership
Sports Nutrition
Teaching
Dietary intervention restored menses in female athletes with exercise-associated menstrual dysfunction with limited impact on bone and muscle health.
Exercise-related menstrual dysfunction (ExMD) is associated with low energy availability (EA)
decreased bone mineral density (BMD)
and increased risk of musculoskeletal injury. We investigated whether a 6-month carbohydrate-protein (CHO-PRO) supplement (360 kcal/day
54 g CHO/day
20 g PRO/day) intervention would improve energy status and musculoskeletal health and restore menses in female athletes (n = 8) with ExMD. At pre/post-intervention
reproductive and thyroid hormones
bone health (BMD
bone mineral content
bone markers)
muscle strength/power and protein metabolism markers
profile of mood state (POMS)
and energy intake (EI)/energy expenditure (7 day food/activity records) were measured. Eumenorrheic athlete controls with normal menses (Eumen); n = 10) were measured at baseline. Multiple linear regressions were used to evaluate differences between groups and pre/post-intervention blocking on participants. Improvements in EI (+382 kcal/day; p = 0.12)
EA (+417 kcal/day; p = 0.17) and energy balance (EB; +466 kcal/day; p = 0.14) were observed with the intervention but were not statistically significant. ExMD resumed menses (2.6 ± 2.2-months to first menses; 3.5 ± 1.9 cycles); one remaining anovulatory with menses. Female athletes with ExMD for >8 months took longer to resume menses/ovulation and had lower BMD (low spine (ExMD = 3; Eumen = 1); low hip (ExMD = 2)) than those with ExMD for <8 months; for 2 ExMD the intervention improved spinal BMD. POMS fatigue scores were 15% lower in ExMD vs. Eumen (p = 0.17); POMS depression scores improved by 8% in ExMD (p = 0.12). EI
EA
and EB were similar between groups
but the intervention (+360 kcal/day) improved energy status enough to reverse ExMD despite no statistically significant changes in EI. Similar baseline EA and EB between groups suggests that some ExMD athletes are more sensitive to EA and EB fluctuations.
Dietary intervention restored menses in female athletes with exercise-associated menstrual dysfunction with limited impact on bone and muscle health.
Lynn
Cialdella Kam
Sun Chemical Corporation
Kam's Nutrition and More
Case Western Reserve University