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PRACTICAL
SIGNIFICANCE
The
data
from
this
study
indicate
that
there is
a
relationship
between
eating
behaviors
and
menstrual
dysfunction
in
female
high
school
athletes.
STUDY
BACKGROUND
The
female
athlete
triad
(Triad)
is the
interrelatedness
of
energy
availability,
menstrual
function
and bone
mineral
density.
The
majority
of
research
on the
Triad
involves
college-age
or elite
athletes
and most
studies
examine
only a
few
components
of the
Triad.
The
female
athlete
triad in
the
adolescent
athlete
has only
been
determined
in one
study.
Nichols
et al
determined
that 18%
suffered
from
disordered
eating,
24% had
menstrual
dysfunction,
and 22%
met
criteria
for low
bone
mass.
Almost
6% met
criteria
for 2 of
the 3
components,
and 1.2%
met
criteria
for all
3
components
of the
triad.
OBJECTIVE
To
determine
the
prevalence
of
disordered
eating
(DE) and
menstrual
dysfunction
(MD)
among
high
school
athletes,
and to
examine
the
relationship
between
these
components
and
musculoskeletal
injury
(MI)
rates.
DESIGN
AND
SETTING
The
study
utilized
a
prospective
cohort
design
where
data
from
subjects
from
three
public
high
schools
in
Wisconsin
were
collected.
SUBJECTS
Subjects
were
female
athletes
(mean
age:
15.4 ±
1.2)
competing
in an
interscholastic
sport,
cheer
squad,
poms or
dance
team.
MEASUREMENTS
Disordered
eating
(DE) and
menstrual
status
were
assessed
in 334
athletes
using 2
interview-assisted
questionnaires.
Athletes
were
also
classified
by sport
type.
Overall,
51.9%
were
considered
team/anaerobic
sport,
35.1%
endurance
sport,
and
13.0%
aesthetic
sport.
RESULTS
The
prevalence
of DE
and MD
were
34.7%
and
18.9%,
respectively.
Athletes
reporting
DE were
twice as
likely
(OR=2.0,
95% CI:
1.1-3.6)
to
report
MD. DE
(OR=2.4,
95 % CI:
1.4-4.1)
was
significantly
associated
with MI.
No
significant
relationship
was
found
between
MD and
MI.
CONCLUSIONS
These
results
indicate
that DE
and MD
are
prevalent
in high
school
athletes.
The
findings
suggest
that
athletes
with DE
are at
greater
risk for
sports
related
MI.
The need
for
screening
female
high
school
athletes
exists;
interventions
to
educate
female
high
school
athletes
on the
importance
of
appropriate
nutrition
are
recommended.
Funded
by NFL
Charities
|
Publication
and
Presentation
List:
-
Thein-Nissenbaum
J,
Rauh
MJ,
Carr
K,
Loud
K,
McGuine
T.
Prevalence
of
disordered
eating,
menstrual
dysfunction
and
musculoskeletal
injury
in
female
high
school
athletes.
2008
NATA
Annual
Meeting,
St.
Louis,
MO.
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|
Jill Thein-Nissenbaum,
ATC, PT, SCS |
Ms. Thein-Nissenbaum received her BS from Iowa State University in Physical Education with an emphasis in athletic training, and received her athletic training certification in 1990. She received her Master of PT from the University of Iowa in 1993 and obtained her Sports Certified Specialist in 2001. Jill is currently a faculty member in the University of Wisconsin / Meriter Hospital’s Orthopedic Clinical Residency Program Associate at the University of Wisconsin-Madison, where she teaches in courses in the Clinical Sciences track. She is also Doctoral Candidate at Rocky Mountain University in Utah. Jill’s areas of interest include: knee pathology, articular cartilage, the female ACL, the female athlete triad, and aquatics. Jill has published numerous papers and book chapters related to these areas.
Jill Thein-Nissenbaum, ATC, PT, SCS
University Of Wisconsin-Madison
4315 Hilltop Circle
Middleton, WI 53562
Phone: (608) 263-6354
Fax: (608) 262-7809
thein@pt.wisc.edu |
|
|
This
Grant
Information
Summary
may be
downloaded
in a
2-page
pdf file
from
www.natafoundation.org/pdfs/08Thein-NissenbaumGrantSummary.pdf
|
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