Status Of Female Athletes Research Articles

Serum iron availability, but not iron stores, is lower in naturally menstruating than in oral contraceptive athletes

ABSTRACT This study measured serum markers of iron status in naturally menstruating and oral contraceptive (OC) athletes during the main hormonal milieus of these two profiles to identify potential differences confounding the diagnosis of iron deficiency in female athletes. Resting blood samples were collected from 36 naturally menstruating athletes during the early-follicular phase (EFP), mid- late-follicular phase (MLFP) and mid-luteal phase (MLP) of the menstrual cycle. Simultaneously, blood samples were collected from 24 OC athletes during the withdrawal and active-pill phase of the OC cycle. Serum iron, ferritin, transferrin, transferrin saturation (TSAT), C-reactive protein (CRP), interleukin-6 and sex hormones were analyzed. Naturally menstruating athletes showed lower levels of TSAT, iron and transferrin than OC athletes when comparing the bleeding phase of both profiles (p<0.05) as well as when comparing all analyzed phases of the menstrual cycle to the active pill phase of the OC cycle (p<0.05). Interestingly, only lower transferrin was found during MLFP and MLP compared to the withdrawal phase of the OC cycle (p>0.05), with all other iron markers showing no differences (p>0.05). Intracycle variations were also found within both types of cycle, presenting reduced TSAT and iron during menstrual bleeding phases (p<0.05). In conclusion, in OC athletes, serum iron availability, but not serum ferritin, seems higher than in naturally menstruating ones. However, such differences are lost when comparing the MLFP and MLP of the menstrual cycle with the withdrawal phase of the OC cycle. This should be considered in the assessment of iron status in female athletes. Highlights Naturally menstruating athletes present lower TSAT, iron and transferrin in all analyzed phases of the menstrual cycle compared to OC athletes during their active pill phase. However, both the mid-late follicular and mid-luteal phases of the menstrual cycle do not differ from the withdrawal phase of the oral contraceptive cycle. Intracycle variations are found for TSAT and iron in both naturally menstruating and oral contraceptive athletes, which are mainly driven by a reduction in TSAT and iron during menstrual bleeding phases. As serum iron availability changes significantly as a function of the athlete's hormonal status, it should be considered in the assessment of the athlete’s iron status as well as standardise the phase of the menstrual cycle in which to assess iron markers to avoid misdiagnosis or misleading results. In contrast, the assessment of iron stores through serum ferritin is substantially stable and the athlete’s hormonal status does not seem to be of relevance for this purpose.

Relationship between weight management and menstrual status in female athletes: a cross-sectional survey

ABSTRACT The aim of this study was to investigate the effects of weight management on menstrual status in female athletes. A total of 225 collegiate athletes and 27 para-athletes who belonged to teams affiliated with the Japanese Paralympic Committee were included in this cross-sectional survey. A self-reported questionnaire (containing information on the demographic characteristics, medical history, lifestyle habits, weight management, menstruation status, physical symptoms related to menstrual cycle, and the influence of physical symptoms experienced during the luteal phase of menstruation during training or competition.) was used to assess the results. In the collegiate athletes, the rate of regular menstrual cycle was significantly lower in those with weight loss than in those without (56.7% vs. 75.0%, P < .05). Furthermore, stress fractures were found significantly more often in those with weight loss than those without (36.1% vs. 20.3%, P < .05). In the para-athletes, 46.2% of experience in weight loss had irregular menstruations (P < .01), and all of them had physical symptoms that negatively affected their training or competition (P < .05). To prevent menstrual dysfunction related to energy deficiency in female athletes with weight management, menstrual status must be considered.

Dynamics of pre-competitive mental status of athletes (on the example of female volleyball team)

This publication addresses the problem of psychological health in sports, in general, and in volleyball in particular, since volleyball is a highly emotional sport. It is necessary to ensure control of psychological stability of athletes to provide achievement of the expected outcomes. We studied psychological characteristics of volleyball and determined the studied psychological status of female athletes. The purpose of the study was to analyze the dynamics of pre-competitive mental status of female volleyball players before playing with teams occupying various levels in the tournament list. Research methods and organization. The study included the following methods: analysis of scientific and methodological literature, pedagogical observation, psychological testing, and methods of mathematical statistics. Research results and discussion. The research focused on assessment of the following indicators before three games (with teams of different levels): pre-start status (by physical, emotional and cognitive components), attitude of an athlete to the upcoming competition, situational anxiety. Results. The outcomes revealed the dynamics and tendencies of the precompetitive status of the volleyball players.

The Impact of Nutritional Intervention on Menstrual Dysfunction in Female Athletes: a Systematic Review

Menstrual function is strongly affected by nutritional status and energy availability in female athletes, and impaired menstrual function can impact bone mineral density. Nutritional interventions have been proposed to mitigate menstrual dysfunction. The purpose of this systematic review was to assess the ability of nutritional interventions, directed at improving energy availability, to restore normal menstrual status in female athletes. PubMed, Cinahl, and SportDiscus databases were comprehensively searched. Included studies had to investigate the impact of increasing energy availability in female athletes through a nutritional intervention. The primary outcome measure of interest was menstrual status. Included studies were reviewed for methodological rigor using the American Academy of Dietetics Quality Criteria Checklist. Five studies met the inclusion criteria. Of the athletes who completed the interventions in the studies, 0–100% resumed normal menses. For those that improved, the mean length of time for return to menses ranged from 2.63 to 15.6 months. The length of the interventions (3–9 months), mean ages of the participants (17–1-22.6 years), and particular dietary intervention(s) (counseling, education, and nutritional supplementation) varied between the studies. Nutritional interventions may restore normal menses in some female athletes. Educational strategies targeted at improved eating and understanding the energy demands of sport, as well as weekly interaction with athletes should be considered.

The Relationship Between Body Image, Eating Behavior and Nutritional Status for Female Athletes

The present study was conducted by using the cross-sectional study design and to determine the relationship between body image, eating behavior and nutritional status in female athletes. This study demonstrated that 70.0% of the female athletes had skipped meal. Also, female athletes had a normal BMI but 65.0% of them indicated that want to be thinner. On the other hand, we analyzed that their daily nutrients intake, so we observed that 43.4% of the energy was from the fatty acids, especially saturated fatty acids, and they had lower fiber, calcium and iron intake. Also, we found that BMI, waist circumference, waist to hip ratio were negatively correlated with MBSRQ and DEBQ score and they were lower in who had meal skipped or not received diet therapy. As a conclusion, nutrition education is frequently neglected in sports programs. There is a paucity of nutrition education interventions among different sports.

17. Covert Feminism: Female Activists on the Field of Play

Because of feminist activism, what were once considered incompatible entities, women and sport, have come to be united within the social fabric of the 21st century. Recent generations of women are the first to experience sport as a commonplace reality that is largely taken for granted. After initial exclusion from the first and second wave feminist agendas, many activists now recognize sport as a vehicle for the advancement of women. The female athlete has been described by some academics as a type of “stealth feminist” who can support key feminist causes without arousing a knee-jerk social response. Although female sport participation and the status of female athletes have improved significantly, the impact this has had in the lived experience of women remains to be understood. This research project seeks to conduct focus groups with female athletes to better understand their relationship with the topic of feminism and to explore the impact sport participation has had within their lives. Deeper comprehension and documentation of sport from the perspective of female participants may not only serve to help guide sport policy and programing, but may also serve to foster a united, feminist consciousness that is capable of expanding the possibilities for female athletes and for women more broadly.

Does improving hematological iron status restore the menstrual cycle in female athletes?

Summary Objectives The aim of this study was to assess whether a 12-week nonpharmalogical nutritional intervention NI aimed at improving iron status in female athletes can mitigate disorders in the menstrual cycle. Equipment and methods Forty-one female athletes with menstrual disorders and iron deficiency or anemia were recruited. Energy and nutrient intake, total energy expenditure, energy availability, morphological parameters and serum iron and ferritin level, as well as serum concentrations of LH and FSH were measured at the beginning of the study and after twelve weeks of NI. Results Twelve weeks of NI resulted in an increase in energy and several nutrients (energy: mean 527 kcal/d, protein: 17 g/d, carbohydrate: 98 g/d, calcium: 430 mg/d, vitamin D 2 μg/d, iron 5 mg/d, thiamin 0.5 mg/d, niacin, 3.4 mg, folate 163 μg/d, vitamin C 50 mg/d). After twelve weeks of NI, an improvement in iron status was observed in the athletes (as increases in hemoglobin: mean 0.43 g/dl, MCV: 2 fl, MCH: 1.04 fl, and serum iron level: 46 μg/l). Basis on hemoglobin, serum iron, ferritin and red cell indices (MCV, MCH, MCHC, RDW) results the number of subjects with iron deficiency, anemia declined and latent iron deficiency was observed (iron deficiency from 7 to 5, anemia from 9 to 5, latent iron deficiency from 25 to 15). Significant increases in the level of LH and the LH-to-FSH ratio were also seen (LH means 1.51 mlU/ml and LH-to-FSH ratio means 0.31). Conclusion A NI aimed at improving iron status in female athletes with simultaneous iron deficiency and anemia can also improve the level of the hormones responsible for maintaining a regular menstrual cycle.

Bone Mineral Density and Associated Risk Factors among Female Athletes: A Cross-2 Sectional Study

Menstrual irregularity and disordered eating were previously identified as risk factors for low bone mineral density (BMD) in female athletes. Therefore, an investigation for more potential factors that could be associated with low BMD among Malaysian female athletes is required. The aim of this study was to assess the association of BMD with energy availability, body weight, body fat, estrogen level and bone loading status in female athletes and to what extent those factors predict BMD. Energy intake and expenditure, body weight, Bone Physical Activity Questionnaire (BPAQ) score and estrogen level were determined from 85 female athletes aged 18-30 years in this cross-sectional study. Bone mineral density was measured by using an ultrasound bone densitometry device at the calcaneus bone. The female athletes’ body weight and fat percentage were 56±9 kg and 27±6%, respectively and they were all eumenorrheic. Fifty three percent of them had low BMD (z- score < 0). Their mean energy intake (1291±33 kcal/day) was lower than energy expenditure (1807±34 kcal/day) which resulted in a low energy availability (29±1 kcal/day/kg FFM). BMD was positively associated with BPAQ score (r=0.4, p=0.000) and body weight (r=0.3, p=0.005) but negatively associated with energy expenditure (r=-0.4, p=0.000). There was no association of BMD with energy intake, energy availability, body fat percentage and estrogen level. In conclusion, BMD was associated with energy expenditure, body weight and BPAQ score among female athletes. Regression analysis showed that energy expenditure and BPAQ score were the main factors to predict BMD.

The Association between Iron and Vitamin D Status in Female Elite Athletes.

Vitamin D may influence iron metabolism and erythropoiesis, whereas iron is essential for vitamin D synthesis. We examined whether vitamin D deficiencies (VDD) are associated with reduced iron status and whether progressive iron deficiency (ID) is accompanied by inferior vitamin D status. The study included 219 healthy female (14–34 years old) athletes. VDD was defined as a 25(OH)D concentration < 75 nmol/L. ID was classified based on ferritin, soluble transferrin receptor (sTfR), total iron binding capacity (TIBC) and blood morphology indices. The percentage of ID subjects was higher (32%) in the VDD group than in the 25(OH)D sufficient group (11%) (χ2 = 10.6; p = 0.001). The percentage of VDD subjects was higher (75%) in the ID than in the normal iron status group (48%) (χ2 = 15.6; p = 0.001). The odds ratios (ORs) for VDD increased from 1.75 (95% CI 1.02–2.99; p = 0.040) to 4.6 (95% CI 1.81–11.65; p = 0.001) with progressing iron deficiency. ID was dependent on VDD in both VDD groups (25(OH)D < 75 and < 50 nmol/L). The ID group had a lower 25(OH)D concentration (p = 0.000). The VDD group had lower ferritin (p = 0.043) and iron (p = 0.004) concentrations and higher values of TIBC (p = 0.016) and sTfR (p = 0.001). The current results confirm the association between vitamin D and iron status in female athletes, although it is difficult to assess exactly which of these nutrients exerts a stronger influence over the other.

Iron and the female athlete: a review of dietary treatment methods for improving iron status and exercise performance.

Iron is a functional component of oxygen transport and energy production in humans and therefore is a critically important micronutrient for sport and exercise performance. Athletes, particularly female athletes participating in endurance sport, are at increased risk of compromised iron status due to heightened iron losses through menstruation and exercise-induced mechanisms associated with endurance activity. Conventionally oral iron supplementation is used in prevention or/and treatment of iron deficiency. However, this approach has been criticised because of the side effects and increased risk of iron toxicity associated with the use of supplements. Thus, more recently there has been a growing interest in using dietary modification rather than the use of supplements to improve iron status of athletes. Dietary iron treatment methods include the prescription of an iron-rich diet, or/and haem iron-based diet, dietary advice counselling and inclusion of novel iron-rich products into the daily diet. Although studies using dietary modification are still scarce, current literature suggests that dietary iron interventions can assist in maintaining iron status in female athletes, especially during intensive training and competition. Future research should focus on the most efficient method(s) of dietary modification for improvement of iron status and whether these approaches can have a favourable impact on sports and exercise performance.

She got game?! Women, sport and society from an Israeli perspective

The struggle of women worldwide for their right to self-realization in general and their proper representation in sports in particular included the struggle of the women in the Yishuv community prior to the establishment of the State of Israel, or in the Israeli society that was formed after the country was founded. The rapid increase in women's participation in sports in Israel over the last decades illustrates the change in the status of women in sports itself and in many other social areas, but in parallel, also exposes rigid thought patterns in regard to women's and men's involvement in sports. The different physical characteristics of men and women, and society's differing expectations influence involvement in sports and the success that women achieve in sport activities. This paper will trace, conceptually and historically, the different aspects of women's sports in Israel in the past and present, while presenting the central trends of the progression and limitations of the status of female athletes in Israel.

Testosterone concentrations in female athletes and ballet dancers with menstrual disorders

Menstrual disorders are common among female athletes and ballet dancers. Endocrine changes, such as high testosterone (HT) levels and high luteinizing hormone (LH)/follicle-stimulating hormone (FSH) ratios, may suggest functional ovarian hyperandrogenism which may induce such dysfunction. The aim of this study was therefore to evaluate endocrine status in female athletes and ballet dancers with menstrual disorders. Their nutritional status and dietary habits were analysed in relation to the testosterone levels. In a cross-sectional approach, 31 female athletes (18.1 ± 2.6 years) and 21 ballerinas (17.1 ± 0.9) with menstrual disorders participated in the study. The levels of serum LH, FSH, progesterone (P), estradiol (E2), prolactin (PRL), thyroid-stimulating hormone, testosterone (T) and sex hormone-binding globulinwere measured to assess hormonal status. In addition, the free androgen index (FAI) was calculated. Nutritional status, total daily energy expenditure and nutritional habits were evaluated. Girls were assigned to one of the following groups: low testosterone (LT) level, normal testosterone level or HT level. There were significant differences between ballerinas and other female athletes in terms of testosterone levels, FAI, age at the beginning of training, length of training period and age at menarche. The PRL level was lowest in the LT group while the FAI index was highest in the HT group. Daily energy and carbohydrate intakes were significantly lower in the HT group. T levels in the study subjects were found to be associated with nutritional factors, energy availability, age at the beginning of training and frequency of training. This is the first report of HT levels being associated with the status of a female ballet dancer, the age of menarche and the length of the training history. Further research is necessary to confirm the results in a larger study group.

Iron Status in Female Athletes In Dhaka City

Iron deficiency anemia may impair athletic performance. Long term training has been associated with iron depletion in athletes involve in heavy exercise, especially in women. The cross sectional study was carried out in the Department of physiology, of Dhaka Medical College, Dhaka, from July 2010 to June 2011 to assess the serum iron status in female athletes and its importance on performance. For this purpose a total number of 105 subjects (70 female athletes and 35 non athletes) were included within the age ranged from 15-25 years. In this study 35 apparently healthy female non athletes were selected as control (Group- A) and 70 female athletes were selected as study group (Group- B) according to sporting category. This study group was further subdivided as (Group-B1) runners and (Group-B2) cyclists. Serum iron status were measured and recorded For comparison between two groups, statistical analysis was done by student's unpaired "C test. Mean Iron and Ferritin level were significantly (P&lt;0.001) lower in athletes than those of control group. Within the study group, runner's serum Iron and serum ferritin level were lower than those of group B2. The present study showed that intense physical exercise leading to early stages of iron depletion which might compromise the health and performance of athletes, among them runners were more affected than cyclists.

Iron status and the female athlete

Iron deficiency (ID) is the most prevalent micronutrient deficiency disorder in the world. In the developed world, the greatest prevalence of ID and iron deficiency anemia (IDA) occurs in premenopausal women. Premenopausal women experience ID and IDA due to inadequate consumption of dietary iron coupled with iron losses through physiologic processes such as menstruation. Further, female athletes may experience an elevated risk of ID and IDA, as hepcidin, a peptide hormone that inhibits iron absorption and sequesters iron in the macrophage, may rise in response to physical activity. Declines in physical and cognitive performance have been demonstrated in female athletes with ID and IDA. Performance decrements are attenuated as iron status improves. This review will focus on iron status in female athletes, and will include a review of nutritional countermeasures to prevent ID and IDA.

The Evaluation of Nutritional Habits and Nutritional Status of Female Athletes Using and Not Using Nutritional Supplements

The Evaluation of Nutritional Habits and Nutritional Status of Female Athletes Using and Not Using Nutritional Supplements

Vitamin D Status in Collegiate Female Athletes: Relationship to Indoor vs. Outdoor Sports

Vitamin D is important for bone metabolism, muscle function and possibly athletic performance. Low serum 25(OH)D concentrations among adolescents and adults have been observed. Limited research exists on vitamin D status in female athletes living in the southern United States or on differences in serum 25(OH)D concentrations between athletes who play indoor or outdoor sports. The purpose of this study was to determine differences in fall 2009 serum 25(OH)D concentrations between indoor and outdoor sport athletes living at 33.2°N latitude and to examine changes in serum 25(OH)D concentrations of indoor sport female athletes from fall 2009 to spring 2010. Athletes were recruited from a NCAA division II college by purposive convenience sampling. Vitamin D intakes were estimated using 3-day food records and analyzed using Nutritionist Pro software. Body composition and bone mineral density were measured by DXA scanning. Serum 25(OH)D concentrations were obtained using blood spot testing and measured by liquid chromatography-tandem mass spectrometry. Sun exposure and use of tanning beds were assessed with self-reported questionnaires. Independent-t-tests were used to compare serum 25(OH)D concentration differences between indoor and outdoor sport athletes. A paired-t-test was used to determine if there was a significant change from fall to spring in serum 25(OH)D concentrations of indoor sport athletes. A p value Estimated vitamin D intakes for all athletes were below the recommended intake value (5 μg/d). In the fall, there was no significant difference (p = .52) found between indoor (n=17) and outdoor (n=19) sport athletes in serum 25(OH)D concentrations (mean ± SD) of 50 ± 20 and 46 ± 15 ng/ml, respectively. There was also no significant change (p = .31) in mean serum 25(OH)D concentrations in indoor athletes (n=11) from fall to spring. The mean serum 25(OH)D concentrations of female athletes living at 33.2°N latitude were within optimal concentrations of 40–70 ng/ml. Although indoor athletes do not obtain similar sun exposure as outdoor athletes, no significant differences in serum 25(OH)D concentrations were observed. Summer UV exposure indicated on self-reported questionnaires may be a reason. No significant change in serum 25(OH)D concentrations was observed in indoor athletes from fall to spring, and may be due to UVB exposure from tanning bed use.

Changes in Bone Mineral Density in Female Intercollegiate Soccer Players

Female athletes are prone to bone injuries due to a lack of strength combined with high-intensity training and inadequate nutrition. Decreases in body fat and menstrual disorders combined with low calcium intake can result in a decrease in bone mineral density. Athletes have higher bone mineral density than non-athletes. However, the demands placed on collegiate athletes vary as they move from pre-season training through the competitive season to off-season training which may have an effect on bone mineral density. PURPOSE: Therefore, the purpose of this study was to determine bone mineral status in female athletes over the course of an academic year. METHODS: Subjects were 13 members of a division 1 university women's soccer team. Bone mineral density and percent body fat were determined by dual-energy X-ray absorptiometry (DEXA) at the beginning of pre-season training (August), immediately after the competitive season (November) and at the end of spring training (April).Tablealues are mean ± SE; P<0.05 RESULTS: There was no significant difference in body weight or percent body fat over the course of the academic year. Although differences were not significant, there was a tendency for bone mineral density to be higher at the end of the spring training period, reflecting a greater emphasis on strength training in the off season. CONCLUSIONS: These results indicate that bone mineral density does not change over the course of a competitive season in these athletes and illustrates the importance of off-season training and conditioning programs in maintaining bone mineral density.

Serum Total Cholesterol and Triglyceride Status in Female Athletes

Background: Exercise plays a role in preventing cardiovascular disease as well as other serious health problems. Objectives: A cross sectional comparative study was performed to observe the changes in serum total cholesterol and triglyceride in apparently healthy female athletes. Methods: This study was carried out in the Department of Physiology of Dhaka Medical College from July 2005 to June 2006. For this, 30 female athletes aged 17 to 38 years (experimental) who were under regular physical exercise training for at least two years and age matched 30 healthy female non athletes (control) for comparison were selected. Fasting serum Triglyceride and total Cholesterol levels of all the subjects were measured. Data were compared between athletes and non athletes and analyzed statistically by unpaired 't' test. Results: Mean±SD cholesterol levels were 141.10 ±14.46 &amp; 165.10±7.03 and Mean±SD Triglyceride levels were 76.10±11.54 &amp; 96.60±17.02 in athletes and non athletes respectively. Serum total cholesterol (p&lt;0.001) and triglycerides (p&lt;0.01) were significantly lower; in athletes compared to those of non athlets. Conclusion: From this study it can be concluded that, serum total cholesterol and triglycerides may be lowered in athletes. Key words: Female athletes; Cholesterol; Triglyceride. DOI: 10.3329/jbsp.v5i2.6780J Bangladesh Soc Physiol. 2010 December; 5(2): 71-74

Development and Validation of a Clinic-Based Prediction Tool to Identify Female Athletes at High Risk for Anterior Cruciate Ligament Injury

Background Prospective measures of high knee abduction moment (KAM) during landing identify female athletes at high risk for anterior cruciate ligament injury. Laboratory-based measurements demonstrate 90% accuracy in prediction of high KAM. Clinic-based prediction algorithms that employ correlates derived from laboratory-based measurements also demonstrate high accuracy for prediction of high KAM mechanics during landing. Hypotheses Clinic-based measures derived from highly predictive laboratory-based models are valid for the accurate prediction of high KAM status, and simultaneous measurements using laboratory-based and clinic-based techniques highly correlate. Study Design Cohort study (diagnosis); Level of evidence, 2. Methods One hundred female athletes (basketball, soccer, volleyball players) were tested using laboratory-based measures to confirm the validity of identified laboratory-based correlate variables to clinic-based measures included in a prediction algorithm to determine high KAM status. To analyze selected clinic-based surrogate predictors, another cohort of 20 female athletes was simultaneously tested with both clinic-based and laboratory-based measures. Results The prediction model (odds ratio: 95% confidence interval), derived from laboratory-based surrogates including (1) knee valgus motion (1.59: 1.17-2.16 cm), (2) knee flexion range of motion (0.94: 0.89°-1.00°), (3) body mass (0.98: 0.94-1.03 kg), (4) tibia length (1.55: 1.20-2.07 cm), and (5) quadriceps-to-hamstrings ratio (1.70: 0.48%-6.0%), predicted high KAM status with 84% sensitivity and 67% specificity (P < .001). Clinic-based techniques that used a calibrated physician's scale, a standard measuring tape, standard camcorder, ImageJ software, and an isokinetic dynamometer showed high correlation (knee valgus motion, r = .87; knee flexion range of motion, r = .95; and tibia length, r = .98) to simultaneous laboratory-based measurements. Body mass and quadriceps-to-hamstrings ratio were included in both methodologies and therefore had r values of 1.0. Conclusion Clinically obtainable measures of increased knee valgus, knee flexion range of motion, body mass, tibia length, and quadriceps-to-hamstrings ratio predict high KAM status in female athletes with high sensitivity and specificity. Female athletes who demonstrate high KAM landing mechanics are at increased risk for anterior cruciate ligament injury and are more likely to benefit from neuromuscular training targeted to this risk factor. Use of the developed clinic-based assessment tool may facilitate high-risk athletes’ entry into appropriate interventions that will have greater potential to reduce their injury risk.

Clinical correlates to laboratory measures for use in non-contact anterior cruciate ligament injury risk prediction algorithm

Background Prospective measures of high knee abduction moment during landing identify female athletes at high risk for non-contact anterior cruciate ligament injury. Biomechanical laboratory measurements predict high knee abduction moment landing mechanics with high sensitivity (85%) and specificity (93%). The purpose of this study was to identify correlates to laboratory-based predictors of high knee abduction moment for use in a clinic-based anterior cruciate ligament injury risk prediction algorithm. The hypothesis was that clinically obtainable correlates derived from the highly predictive laboratory-based models would demonstrate high accuracy to determine high knee abduction moment status. Methods Female basketball and soccer players ( N = 744) were tested for anthropometrics, strength and landing biomechanics. Pearson correlation was used to identify clinically feasible correlates and logistic regression to obtain optimal models for high knee abduction moment prediction. Findings Clinical correlates to laboratory-based measures were identified and predicted high knee abduction moment status with 73% sensitivity and 70% specificity. The clinic-based prediction algorithm, including (Odds Ratio: 95% confidence interval) knee valgus motion (1.43:1.30–1.59 cm), knee flexion range of motion (0.98:0.96–1.01°), body mass (1.04:1.02–1.06 kg), tibia length (1.38:1.25–1.52 cm) and quadriceps to hamstring ratio (1.70:1.06–2.70) predicted high knee abduction moment status with C statistic 0.81. Interpretation The combined correlates of increased knee valgus motion, knee flexion range of motion, body mass, tibia length and quadriceps to hamstrings ratio predict high knee abduction moment status in female athletes with high sensitivity and specificity. Clinical Relevance Utilization of clinically obtainable correlates with the prediction algorithm facilitates high non-contact anterior cruciate ligament injury risk athletes' entry into appropriate interventions with the greatest potential to prevent injury.