scholarly journals Osteoporosis Health Beliefs of Women with Increased Risk of the Female Athlete Triad

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Vu H. Nguyen ◽  
Ze Wang ◽  
Stephanie M. Okamura
Keyword(s):  
Intercollegiate Athletics ◽  
Health Beliefs ◽  
Female Athlete ◽  
National Collegiate Athletic Association ◽  
Female Athlete Triad ◽  
Perceived Susceptibility ◽  
Increased Risk ◽  
Significant Difference ◽  
Cross Country ◽  
Cross Country Runners

Women with increased risk of the female athlete triad (Triad) are more susceptible to osteoporosis compared to other women. The study included 65 women with increased risk of the Triad who had their osteoporosis health beliefs measured to assess their concern for the disease. Participants were female collegiate cross-country runners at different levels of competition, including National Association of Intercollegiate Athletics (NAIA) and National Collegiate Athletic Association (NCAA) Divisions III, II, and I. Although these participants have an increased risk of the Triad and are more susceptible to osteoporosis, on a scale of 1 to 5, results showed that they had low to moderate perceived susceptibility to osteoporosis with a mean score as high as 2.81 and moderate perceived severity of osteoporosis with a mean score as high as 3.38. A statistically significant difference in perceived susceptibility to osteoporosis was found between female collegiate cross-country runners in the NAIA and those in the NCAA DIII. Reasons that could explain relatively low levels of concern for osteoporosis in female collegiate cross-country runners and reasons for significant differences in perceived susceptibility to osteoporosis are given, and recommendations for health education and intervention to help care for this population are provided.

scholarly journals Passive Hip Range-of-Motion Values Across Sex and Sport

2018 ◽  
Vol 53 (6) ◽  
pp. 560-567 ◽  
Author(s):  
Jennifer A. Hogg ◽  
Randy J. Schmitz ◽  
Anh-Dung Nguyen ◽  
Sandra J. Shultz
Keyword(s):  
Range Of Motion ◽  
Repeated Measures ◽  
National Collegiate Athletic Association ◽  
External Rotation ◽  
Cruciate Ligament ◽  
Knee Valgus ◽  
Cross Sectional ◽  
Increased Risk ◽  
Hip Range Of Motion ◽  
Cross Country

Context:  Greater passive hip range of motion (ROM) has been associated with greater dynamic knee valgus and thus the potential for increased risk of anterior cruciate ligament injuries. Normative data for passive hip ROM by sex are lacking. Objective:  To establish and compare passive hip ROM values by sex and sport and to quantify side-to-side differences in internal-rotation ROM (ROMIR), external-rotation ROM (ROMER), and total ROM (ROMTOT). Design:  Cross-sectional study. Setting:  Station-based, preparticipation screening. Patients or Other Participants:  A total of 339 National Collegiate Athletic Association Division I athletes, consisting of 168 women (age = 19.2 ± 1.2 years, height = 169.0 ± 7.2 cm, mass = 65.3 ± 10.2 kg) and 171 men (age = 19.4 ± 1.3 years, height = 200.0 ± 8.6 cm, mass = 78.4 ± 12.0 kg) in 6 sports screened over 3 years: soccer (58 women, 67 men), tennis (20 women, 22 men), basketball (28 women, 22 men), softball or baseball (38 women, 31 men), cross-country (18 women, 19 men), and golf (6 women, 10 men). Main Outcome Measure(s):  Passive hip ROM was measured with the athlete lying prone with the hip abducted to 20° to 30° and knee flexed to 90°. The leg was passively internally and externally rotated until the point of sacral movement. Three measures were averaged for each direction and leg and used for analysis. We compared ROMIR, ROMER, ROMTOT (ROMTOT = ROMIR + ROMER), and relative ROM (ROMREL = ROMIR − ROMER) between sexes and among sports using separate 2 × 6 repeated-measures analyses of variance. Results:  Women had greater ROMIR (38.1° ± 8.2° versus 28.6° ± 8.4°; F1,327 = 91.74, P < .001), ROMTOT (72.1° ± 10.6° versus 64.4° ± 10.1°; F1,327 = 33.47, P < .001), and ROMREL (1.5° ± 16.0° versus −7.6° ± 16.5°; F1,327 = 37.05, P < .001) than men but similar ROMER (34.0° ± 12.2° versus 35.8° ± 11.5°; F1,327 = 1.65, P = .20) to men. Cross-country athletes exhibited greater ROMIR (37.0° ± 9.3° versus 30.9° ± 9.4° to 33.3° ± 9.5°; P = .001) and ROMREL (5.9° ± 18.3° versus −9.6° ± 16.9° to −2.7° ± 17.3°; P = .001) and less ROMER (25.7° ± 7.5° versus 35.0° ± 13.0° to 40.2° ± 12.0°; P < .001) than basketball, soccer, softball or baseball, and tennis athletes. They also displayed less ROMTOT (62.7° ± 8.1° versus 70.0° ± 9.1° to 72.9° ± 11.9°; P < .001) than basketball, softball or baseball, and tennis athletes. Conclusions:  Women had greater ROMIR than men, resulting in greater ROMTOT and ROMREL. Researchers should examine the extent to which this greater bias toward ROMIR may explain women's greater tendency for dynamic knee valgus. With the exception of cross-country, ROM values were similar across sports. The clinical implications of these aberrant cross-country values require further study.

Association of the Female Athlete Triad Risk Assessment Stratification to the Development of Bone Stress Injuries in Collegiate Athletes

2016 ◽  
Vol 45 (2) ◽  
pp. 302-310 ◽  
Author(s):  
Adam S. Tenforde ◽  
Jennifer L. Carlson ◽  
Audrey Chang ◽  
Kristin L. Sainani ◽  
Rebecca Shultz ◽  
...  
Keyword(s):  
Risk Assessment ◽  
High Risk ◽  
Female Athlete ◽  
Cumulative Risk ◽  
Collegiate Athletes ◽  
Female Athlete Triad ◽  
Assessment Score ◽  
Bone Stress ◽  
Cross Country ◽  
Risk Categories

Background: The female athlete triad (referred to as the triad) contributes to adverse health outcomes, including bone stress injuries (BSIs), in female athletes. Guidelines were published in 2014 for clinical management of athletes affected by the triad. Purpose: This study aimed to (1) classify athletes from a collegiate population of 16 sports into low-, moderate-, and high-risk categories using the Female Athlete Triad Cumulative Risk Assessment score and (2) evaluate the predictive value of the risk categories for subsequent BSIs. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 323 athletes completed both electronic preparticipation physical examination and dual-energy x-ray absorptiometry scans. Of these, 239 athletes with known oligomenorrhea/amenorrhea status were assigned to a low-, moderate-, or high-risk category. Chart review was used to identify athletes who sustained a subsequent BSI during collegiate sports participation; the injury required a physician diagnosis and imaging confirmation. Results: Of 239 athletes, 61 (25.5%) were classified into moderate-risk and 9 (3.8%) into high-risk categories. Sports with the highest proportion of athletes assigned to the moderate- and high-risk categories included gymnastics (56.3%), lacrosse (50%), cross-country (48.9%), swimming/diving (42.9%), sailing (33%), and volleyball (33%). Twenty-five athletes (10.5%) assigned to risk categories sustained ≥1 BSI. Cross-country runners contributed the majority of BSIs (16; 64%). After adjusting for age and participation in cross-country, we found that moderate-risk athletes were twice as likely as low-risk athletes to sustain a BSI (risk ratio [RR], 2.6; 95% confidence interval [95% CI], 1.3-5.5) and high-risk athletes were nearly 4 times as likely (RR, 3.8; 95% CI, 1.8-8.0). When examining the 6 individual components of the triad risk assessment score, both the oligomenorrhea/amenorrhea score ( P = .0069) and the prior stress fracture/reaction score ( P = .0315) were identified as independent predictors for subsequent BSIs (after adjusting for cross-country participation and age). Conclusion: Using published guidelines, 29% of female collegiate athletes in this study were classified into moderate- or high-risk categories using the Female Athlete Triad Cumulative Risk Assessment Score. Moderate- and high-risk athletes were more likely to subsequently sustain a BSI; most BSIs were sustained by cross-country runners.

scholarly journals DESCRIPTIVE STUDY OF INJURIES IN MIDDLE SCHOOL CROSS COUNTRY RUNNERS

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0024
Author(s):  
Alexander Wu ◽  
Kate Ackerman ◽  
Michelle Barrack ◽  
Adam Tenforde
Keyword(s):  
Middle School ◽  
Online Survey ◽  
Sixth Grade ◽  
Survey Study ◽  
Stress Injury ◽  
Metatarsal Bones ◽  
Related Risk ◽  
Increased Risk ◽  
Cross Country ◽  
Cross Country Runners

Background: High school athletes participating in cross-country sports are at increased risk of overuse injuries. Little is known in younger athletes including those participating in running during middle school regarding prevalence of injuries or related risk factors. The objective of this study was to assess the frequency of sports-related injuries in middle school cross-country runners. Methods: This was a retrospective online survey study of middle school cross-country runners. Middle school cross-country coaches from middle school teams in the Boston area sent letters of invitation via email to the parents of their athletes to participate in an optional, anonymous online survey administered in REDCap. Participants received a $5 gift card for their time. The online survey included demographic information, weight, height, training variables, daily dietary patterns, and injury history. We conducted univariate and bivariate analyses while stratifying for sex. Results: A total of 101 subjects completed the survey, 47% (n=48) were female. Mean age was 12.5 years [SD 0.94], and 24% (n=24) were in sixth grade, 39% (n=39) in seventh grade, and 38 % (n=38) in 8th grade. The mean BMI for girls was 17.9 kg/m2 and for boys 18.24 kg/m2. The self-reported race/ethnicity was white in 72% (n=72), Asian in 22% (n=22), Latino in 5% (n=5), and black in 1% (n=1). Mean weekly mileage during the cross-country season was 15.2 miles [SD 7.6]. Of female subjects, 17% (n=8) reported that they were diagnosed with a bone stress injury (BSI) due to running, compared to 2% (n=1) of male subjects, p=0.009. The injured bones in females included the tibia (n=1), fibula (n=1), navicular (n=1) and metatarsal bones (n=6). The injured bone in the male was a sacral fracture. Compared to those without injury, runners with BSIs did not have observed differences in calcium or vitamin D intake; no differences were observed related to ball sport or other forms of strengthening exercises. A total of 63 non-fracture injuries occurred from running, with females (18%) more likely to have sprained ankles than males (6%, p=0.47). Conclusions/Significance: Running-related injuries are relatively common in middle school cross-country runners. In middle school, female runners are more likely to sustain running related BSIs than male runners. Efforts to prevent overuse stress injuries in middle school runners should be considered. [Table: see text]

scholarly journals Cross-Country Differences in Stay-at-Home Behaviors during Peaks in the COVID-19 Pandemic in China and the United States: The Roles of Health Beliefs and Behavioral Intention

2021 ◽  
Vol 18 (4) ◽  
pp. 2104
Author(s):  
Wei Hong ◽  
Ru-De Liu ◽  
Yi Ding ◽  
Jacqueline Hwang ◽  
Jia Wang ◽  
...  
Keyword(s):  
United States ◽  
Technology Acceptance ◽  
Health Beliefs ◽  
Behavioral Intention ◽  
The United States ◽  
Equation Modeling ◽  
Perceived Susceptibility ◽  
Country Differences ◽  
Cross Country ◽  
At Home

The novel coronavirus disease 2019 (COVID-19) rapidly escalated to a global pandemic. To control the rate of transmission, governments advocated that the public practice social distancing, which included staying at home. However, compliance with stay-at-home orders has varied between countries such as China and the United States, and little is known about the mechanisms underlying the national differences. Based on the health belief model, the theory of reasoned action, and the technology acceptance model, health beliefs and behavioral intention are suggested as possible explanations. A total of 498 Chinese and 292 American college students were recruited to complete an online survey. The structural equation modeling results showed that health beliefs (i.e., perceived susceptibility, severity, and barriers) and behavioral intention played multiple mediating roles in the association between nationality and actual stay-at-home behaviors. Notably, the effect via perceived barriers → behavioral intention was stronger than the effects via perceived susceptibility and severity → behavioral intention. That is, American participants perceived high levels of susceptibility whereas Chinese participants perceived high levels of severity, especially few barriers, which further led to increased behavioral intention and more frequent stay-at-home behaviors. These findings not only facilitate a comprehensive understanding of cross-country differences in compliance with stay-at-home orders during peaks in the COVID-19 pandemic but also lend support for mitigation of the current global crisis and future disease prevention and health promotion efforts.

scholarly journals Awareness of the Female Athlete Triad in NCAA Cross Country Coaches

2019 ◽  
Vol 51 (Supplement) ◽  
pp. 170
Author(s):  
Anna G. Warner ◽  
Katherine H. Rizzone ◽  
Scott Davis ◽  
Timothy Harvey ◽  
Robert D. Chetlin
Keyword(s):  
Female Athlete ◽  
Female Athlete Triad ◽  
Cross Country

The Female Athlete Triad: Are Elite Athletes at Increased Risk?

2005 ◽  
Vol 37 (2) ◽  
pp. 184-193 ◽  
Author(s):  
MONICA KLUNGLAND TORSTVEIT ◽  
JORUNN SUNDGOT-BORGEN
Keyword(s):  
Female Athlete ◽  
Elite Athletes ◽  
Female Athlete Triad ◽  
Increased Risk

scholarly journals The Relationship between Weight Cutting and the Female Athlete Triad in Combat Sport Athletes

2021 ◽  
Vol 9 (1) ◽  
pp. 9
Author(s):  
Sarah Thomas ◽  
Adam M. Gonzalez ◽  
Jamie J. Ghigiarelli
Keyword(s):  
Female Athlete ◽  
Female Athlete Triad ◽  
Rapid Weight Loss ◽  
Combat Sport ◽  
Significant Difference ◽  
Small Effect Size ◽  
Competition Level ◽  
Reduction Strategies ◽  
The Relationship ◽  
Cutting Behavior

Background: Females combat sport athletes are likely to partake in rapid weight reduction strategies prior to competitions. Objective: The purpose of this study was to investigate the relationship between weight cutting habits of female combat sport athletes and the risk of developing the female athlete triad. Methods: 102 female combat sport athletes (amateur=40; professional=62; 28.8±4.5y), competing in boxing (n=30), kickboxing (n=12), and mixed martial arts (n=60), completed two questionnaires. An adapted version of the Rapid Weight Loss Questionnaire (RWLQ) was used to determine the severity of athletes’ weight cutting behaviors, and the Low Energy Availability in Females Questionnaire (LEAF-Q) was used to determine female athlete triad risk. Data was analyzed to determine correlations between LEAF-Q and RWLQ scores along with weight cutting behaviors. Scores were also compared between competition level and combat sports. Results: The results of this study showed that 38% of female combat sport athletes were at risk of developing the female athlete triad. Significant correlation between RWLQ and LEAF-Q scores (p=0.013; r=0.244, r2=0.060) were noted. A significant difference (p=0.006) between the RWLQ scores of amateurs and professionals was also noted, with professionals engaging in more severe weight cutting behavior. Mixed martial artists reported the highest RWLQ and LEAF-Q scores, which were significantly greater than boxers. No other correlations between LEAF-Q and weight cutting behaviors were noted. Conclusion: Despite a small effect size (r²=0.060), the findings of this study demonstrate that more severe weight cutting behaviors may increase the female athlete triad risk among female combat sport athletes.

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