Dataset Information

Bone mineral density, rib pain and other features of the female athlete triad in elite lightweight rowers.

ABSTRACT: To determine bone mineral density (BMD) and the associations among BMD, menstrual history, disordered eating (DE), training history, intentional weight loss (IWL) and rib pain for the first time in female lightweight rowers.9 lightweight rowing clubs, UK.29 Caucasian female lightweight rowers volunteered. 21 (12 active, 9 retired) completed the study.female lightweight rowers aged over 18 years.participants with a history of bone disease, used medications known to influence BMD or if they were pregnant, lactating or postmenopausal.Dual-energy X-ray absorptiometry measured total body (TB) composition and BMD at the spine, femoral neck (FN), radius and TB. DE, oligomenorrhoea/amenorrhoea years; rib pain and training history.DE was reported in six of the rowers. The active with DE started rowing younger (p<0.05) than those without, and their amount of IWL was associated with Eating Attitudes Test-26 score (p<0.05). Some participants reported a history of oligomenorrhoea/amenorrhoea 17 (76%) and/or rib pain 7 (32%) with those with rib pain having lower spine and TB Z-scores (p<0.05) than those without. Those with oligomenorrhoea/amenorrhoea had lower spine Z-scores (p<0.01) than those without. Twelve participants had low BMD; three at spine; one at FN; and eight at radius. Thirteen per cent of mean total training hours (18.6±9.1 h/week) were spent strength training (2.4±2.2 h/week).Upper body exercises incorporating multidimensional high peak bone strain were not reported and may need to be considered in their strength training to improve radial BMD. Results suggest IWL and high-level training at a young age increases the likelihood of DE and there may be a lack of quality nutritional support for these athletes. Thus, multidisciplinary sport science support should be offered at a young age and perhaps also to consider changing the weight rules to prevent the development of the Triad.

SUBMITTER: Dimitriou L

PROVIDER: S-EPMC3927798 | biostudies-other | 2014

REPOSITORIES: biostudies-other

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Bone mineral density, rib pain and other features of the female athlete triad in elite lightweight rowers.

Dimitriou Lygeri L Weiler Richard R Lloyd-Smith Rebecca R Turner Antony A Heath Luke L James Nic N Reid Anna A

BMJ open 20140212 2

<h4>Objective</h4>To determine bone mineral density (BMD) and the associations among BMD, menstrual history, disordered eating (DE), training history, intentional weight loss (IWL) and rib pain for the first time in female lightweight rowers.<h4>Setting</h4>9 lightweight rowing clubs, UK.<h4>Participants</h4>29 Caucasian female lightweight rowers volunteered. 21 (12 active, 9 retired) completed the study.<h4>Inclusion criteria</h4>female lightweight rowers aged over 18 years.<h4>Exclusion criter ...[more]

PMID: 24523427

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Project description:ContextFemale endurance athletes exhibit an increased risk of the female athlete triad (Triad) and relative energy deficiency in sport (RED-S). The triad and RED-S are conditions that involve the health and performance consequences of low energy availability. Few authors of studies to date have assessed the knowledge that athletes, coaches, and athletic trainers (ATs) have regarding the Triad or RED-S. Proper education has been shown to be effective in increasing knowledge of sports medicine concerns for athletes, yet no known continuing education programs for the Triad or RED-S exist at collegiate institutions.ObjectiveTo assess the knowledge, confidence, and educational impact of identifying, screening, treating, and preventing the Triad or RED-S.DesignCross-sectional study.SettingAn evidence-based online survey was developed and administered via Qualtrics.Patients or other participantsFemale collegiate cross-country athletes (n = 275, age = 20 ± 1 years), collegiate cross-country coaches (n = 55, age = 34 ± 9 years), and ATs working with cross-country teams (n = 30, age = 36 ± 11 years).Main outcome measure(s)Knowledge, confidence, and educational impact scores were assessed among groups using analysis of variance. Independent t tests were calculated to determine differences in impact scores between people who had or had not received education on the topic.ResultsFemale cross-country athletes' total knowledge, confidence, and educational impact scores (mean scores = 25.00 ± 5.27, 95.42 ± 28.83, and 18.81 ± 7.05, respectively) were different from those of coaches (mean scores = 26.92 ± 5.02, 111.35 ± 24.14, and 22.41 ± 6.33, respectively) and ATs (mean scores = 28.66 ± 4.02, 117.67 ± 22.53, and 23.93 ± 5.69, respectively; P < .05).ConclusionsKnowledge, confidence, and educational impact scores regarding Triad or RED-S were lowest in female cross-country athletes and highest in ATs. These findings support the call for education, which should be regarded as the primary tool for increasing knowledge, to improve the prevention and treatment of the Triad or RED-S.

Dataset Information

Bone mineral density, rib pain and other features of the female athlete triad in elite lightweight rowers.

Publications

Bone mineral density, rib pain and other features of the female athlete triad in elite lightweight rowers.

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