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Female Athlete Triad

NB: Don’t scroll past gentleman, this can also affect males, it is also referred to as “relative energy

As it states a triad (three) common in the female and consists of:

  • Low bone mineral density (BMD)
  • Mensural abnormalities (missed or scanty flow)
  • In the presence or absence of eating disorders (bulimia, anorexia nervosa)

These when they occur show an underlying physiologic disturbance in normal body processes and by
then already at hormonal level. Only occurrence of one of the above warrants evaluation for the female
athlete triad.

Common Sports: soccer, netball, gymnastics, swimming etc.

Abnormal weight management practices (making weight through abnormal eating habits) or low energy
intake compared to exercise expenditure.

The output is an energy deficiency or negative energy balance which impacts negatively on the
metabolic processes and the hormonal profile. The common organs that are initially affected are the
weight bearing bones (stress fractures and increased risk of sustaining a fracture from low BMD), female
reproductive system (amenorrhea or a scanty flow).

These when sustained progresses to affect various organs as there is no energy to adequately fuel the
body’s metabolic processes.

Athlete specific negative manifestations:
Anemia and reduced aerobic capacity (cardiovascular and Hematologic), frequent injuries and fractures,
muscle cramping and easy fatiqueability (energy production and musculoskeletal), underweight or low
BMI and chronic fatique syndrome (metabolic). All these will negatively affect your performance and
result in inability to reach your peak as an athlete.


  1. Full medical evaluation by a sports physician including blood tests to look at your hemoglobin and
    hormone profile (thyroid, estrogen, progesterone etc) and any indicated tests.
  2. Identifying cause (less intake or high expenditure) and correcting it
  3. Treatment is multi-disciplinary (nutrition, psychological support, iron supplements, oral
    contraceptives and bisphosphonates (NB: Bisphosphonates not to be consumed by women of child
    bearing age) and supplementing any deficiencies.

This is a correctable disorder and the key thing is prevention or early recognition and treatment with
good practices of managing the training load, nutrition and psychological assessment.
As the BFA medical we encourage all teams and in particular the women football teams to screen
athletes for this female athlete triad and refer for prompt treatment to aid improved athlete
performance and normal bodily function.


Vacancy – Secretary General

Football is Botswana’s most popular sport by far: the game of the people. This is a position that will put you in the spotlight and challenge you, like no other. Botswana Football Association (BFA) is the supreme authority on matters of football in the country, and controls all aspects of the game. It is affiliated to the Federation Internationale de Football Association (FIFA), Confederation of African Football (CAF), and Council of Southern African Football Associations (COSAFA).

The BFA seeks to recruit a Secretary General, who will lead and manage the operations of the Association, and drive mission to promote and develop the game of football across the country.

You will report to the President of the BFA as well as being responsible to the Executive Committee. Responsibilities will include: directing the BFA to deliver its commercial objectives including consolidating and growing existing revenue streams (especially broadcast and sponsorship) as well as identifying and exploiting new income steams; attending Exco meetings and providing a detailed overview on the operations and performance of the BFA; building and maintaining relationships with key stakeholders; developing and implementing strategies aimed at promoting and developing football in the country; developing and leading structures to help secure the success of national teams at all levels; ensuring sound financial management and cost control; leading the communication & PR strategy; leading major projects at national and international level; and serving on committees and football bodies as appropriate across the country and, where required, within the confederation and worldwide.

A Botswana citizen you will need a minimum of a Bachelors Degree in Commerce or related field, and have proven experience of succeeding in a high profile, complex, multi-stakeholder organisation. Proven success in football administration, business development, and revenue generation will be advantageous.

To progress your interest please visit where you can download a more detailed advert for the position. To register your application, enclose your curriculum vitae. Closing date for applications is Friday, 12 February 2021.

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