Evidence map›Paper›PMID 40711090›Full record

ArticleSports (Basel, Switzerland)2025

The Women's Tennis Association (WTA) Multidisciplinary Education and Treatment Protocol for the Female Athlete Triad (1996-2022).

Emily A Ricker, Kristen J Koltun, Carol L Otis, Anna S Peavler, Mary Jane De Souza

Abstract readComment
In one paragraph

Article in Sports (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Emily A RickerConsortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, 4301 Jones Bridge Rd., Bethesda, MD 20814, USA.
Kristen J KoltunWomen's Health and Exercise Lab, Department of Kinesiology, Penn State University, 104 Noll Laboratory, University Park, PA 16802, USA.ORCID 0000-0003-3234-3190
Carol L OtisDevelopment Advisory Panel, The Women's Tennis Association, St. Petersburg, Fl 33701, USA.
Anna S PeavlerPerformance Health Department, The Women's Tennis Association, St. Petersburg, FL 37701, USA.ORCID 0009-0009-2106-5501
Mary Jane De SouzaWomen's Health and Exercise Lab, Department of Kinesiology, Penn State University, 104 Noll Laboratory, University Park, PA 16802, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elite female tennis players are among those at high risk for developing the Female Athlete Triad (Triad), characterized by three interrelated conditions: energy deficiency/low energy availability, menstrual dysfunction, and low bone mineral density. From 1996 to 2022, the Women's Tennis Association (WTA) developed and implemented prevention, education, and management plans for female athletes at risk for, or exhibiting symptoms of, the Triad. This article reviews the WTA Triad protocol, developed in 2018 and utilized through 2022, in collaboration with subject matter experts in the Women's Health and Exercise Laboratory at The Pennsylvania State University. The WTA Triad protocol (1996-2022) includes prevention and management programs implemented by a multidisciplinary Performance Health Team to include screening for "red flags" during annual physicals or upon clinical presentation of a menstrual problem, bone disorder, or nutritional concern; targeted education for players, coaches, and other support team members with handouts and lectures on nutrition and body image to prevent energy deficiency; and a multidisciplinary protocol to guide treatment and return-to-play decisions. Other sport governing bodies can adopt similar multi-layered programs and practices for their athletes, coaches, and support teams to educate, screen, manage, and help to prevent the development of the Triad.

Indexed as

amenorrheabody imagebone healthcoachingenergy deficiencyinjury preventionlow energy availabilitynutritionplayer monitoring

Identifiers

PMID40711090
PMCPMC12300702

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Registered trials

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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 OpenQuestion graph.