Abstract
Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:8.0pt; mso-para-margin-left:0in; line-height:107%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif;} PURPOSE: The purpose of this study is to evaluate the association between menstrual dysfunction (MD), bone stress injuries (BSI) and risk for disordered eating (DE) in female collegiate athletes. METHODS: 79 division III collegiate female athletes, of all fields of sport, participated in a retrospective cross-sectional questionnaire where self-reported menstrual history, eating behaviors, and history of musculoskeletal injury data were collected. RESULTS: 12.6% of athletes reported MD, 16.5% of athletes were found to be at risk for DE, and 17.9% reported a history of BSI. Of the 14 athletes that had a BSI, 20% (n=2) also had the presence of oligo/amenorrhea, although results were not significant. Of athletes who had DE, 30.8% (n=4) of athletes also reported having oligo/amenorrhea (p=0.05). 19.1% (n=9) of athletes who reported ever having used oral contraceptive pill (OCP) also reported having a BSI. 21.2% (n=11) of athletes that have ever used any hormonal contraceptive method (n=52) also reported having a BSI, however no significant difference existed between the two groups (p=0.297). CONCLUSION: Our data indicates one-fifth of division III female athletes with a history of MD also report a history of BSI. The statistically significant elevated risk for MD with DE observed adds to the literature demonstrating a direct correlation between triad risk factors in division III athletes. Comprehensive and structured screening methods for triad-related symptoms across all division athletics will help to prevent long-term health consequences. Key Words: Menstrual dysfunction, bone stress injuries, disordered eating, female athlete triad, collegiate, female athletes. <!--EndFragment-->
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