Evidence mapPaperPMID 41474493Full record

ReviewSports medicine (Auckland, N.Z.)2026

2025 Update to the Female Athlete Triad Coalition Consensus Statement Part 1: State of the Science and Introduction of a New Adolescent Model.

Mary Jane De Souza, Nancy I Williams, Madhusmita Misra, Aurelia Nattiv, Elizabeth Joy, Michelle Barrack, Emily A Ricker, Sasha Gorrell, Kristen J Koltun, Emma O'Donnell and 5 more

Abstract readConsensus StatementReview
In one paragraph

Review in Sports medicine (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Mary Jane De SouzaWomen's Health and Exercise Laboratory, Department of Kinesiology, Pennsylvania State University, Noll Laboratory, University Park, PA, 16802, USA. mjd34@psu.edu.ORCID 0000-0001-5185-9710
Nancy I WilliamsWomen's Health and Exercise Laboratory, Department of Kinesiology, Pennsylvania State University, Noll Laboratory, University Park, PA, 16802, USA.ORCID 0000-0003-3690-6691
Madhusmita MisraMisra Laboratory, Division of Pediatric Endocrinology, Department of Pediatrics, University of Virginia, Charlottesville, VA, USA.ORCID 0000-0002-9405-2981
Aurelia NattivDivision of Sports Medicine, Department of Family Medicine, University of California Los Angeles, Los Angeles, CA, USA.ORCID 0009-0001-5999-7154
Elizabeth JoyLore Health, Salt Lake City, UT, USA.ORCID 0000-0002-4473-1038
Michelle BarrackDepartment of Family and Consumer Sciences, California State University, Long Beach, Long Beach, CA, USA.ORCID 0000-0003-0897-1832
Emily A RickerConsortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD, USA.ORCID 0000-0001-7743-7786
Sasha GorrellDepartment of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0002-8861-8547
Kristen J KoltunNeuromuscular Research Laboratory, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0003-3234-3190
Emma O'DonnellSchool of Sport and Exercise Health Sciences, National Centre of Sports and Exercise Medicine, Loughborough University, Loughborough, Leicestershire, UK.ORCID 0000-0002-4037-4213
Rebecca J MallinsonPennsylvania State University Harrisburg, Harrisburg, PA, USA.ORCID 0000-0002-0377-8737
Ana Carla C SalamunesWomen's Health and Exercise Laboratory, Department of Kinesiology, Pennsylvania State University, Noll Laboratory, University Park, PA, 16802, USA.ORCID 0000-0002-7326-5320
Kary WoodruffNutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0003-3603-2891
Michael FredericsonDivision of Physical Medicine & Rehabilitation, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0001-9826-2348
Franziska PlessowDepartment of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0002-9721-7817

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper is the first of two publications comprising a 2025 update to the 2014 Consensus Statement on treatment and return-to-play guidelines on the Female Athlete Triad (Triad), defined as three inter-related components including energy status, reproductive function, and bone health. The Triad is initiated by exposure to varying degrees of energy deficiency with or without disordered eating/eating disorders with primary pathological outcomes to the reproductive and skeletal systems. This first paper includes a detailed update on the scientific underpinnings of the Triad and introduces a new Triad model specific to the adolescent female athlete. Energy deficiency and "metabolic compensation" are added to the energy status continuum to describe adaptations that reflect energy conservation. Ovarian steroid hormone exposure and functional hypothalamic oligo-amenorrhea are added to the reproductive function continuum. Bone stress injury is added to the bone health continuum. Rates of change are depicted for the induction and recovery of clinical outcomes within the adult model. Evidence-based statements are presented throughout the paper and supported by a high number of level A and B grades.

Indexed as

Female Athlete Triad SyndromeAdolescentFeeding and Eating DisordersFemaleHumansReturn to Sport

Identifiers

PMID41474493
PMCPMC12982264

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.