In some sports, somehow we have gotten the idea that over-exercising is good. It might or might not be good. However, I don't think this issue resonated with the Committee at the time. Other groups have been trying to stress good bone health - this whole concept of the female athlete triad has been an attempt to get this particular idea across. It has had some effect, as in gymnastics, where they recognize that bone loss is a problem and have tried to make some interventions.
Some gymnasts weigh more than they did in the past, but more prevention efforts are needed.
Also on the plus side, many articles and books have been written about how to help athletes with eating disorders. Today parents are much more attentive to the long-term risks of disordered eating. When I explain the risks, particularly the risk of osteoporosis, they really don't want that to happen. I think that physicians need to work harder on educating parents and patients about the long-term risks. For the most part, people will listen.