Citation

Rauh MJ, Nichols JF, Barrack MT. J. Athl. Train. 2010; 45(3): 243-252.

Affiliation

School of Exercise & Nutritional Sciences, San Diego State University, CA, USA. mrauh@rmuohp.edu

Copyright

(Copyright © 2010, National Athletic Trainers' Association (USA))

DOI

10.4085/1062-6050-45.3.243

PMID

20446837

PMCID

PMC2865962

Abstract

CONTEXT: Prior authors have reported associations among increased risk of injury and factors of the female athlete triad, as defined before the 2007 American College of Sports Medicine position stand, in collegiate and adult club sport populations. Little is known about this relationship in an adolescent competitive sports population. OBJECTIVE: To examine the relationship among disordered eating, menstrual dysfunction, and low bone mineral density (BMD) and musculoskeletal injury among girls in high school sports. DESIGN: Prospective cohort study. SETTING: The sample consisted of 163 female athletes competing in 8 interscholastic sports in southern California during the 2003-2004 school year. Each participant was followed throughout her respective sport season for occurrence of musculoskeletal injuries. MAIN OUTCOME MEASURE(S): Data collected included daily injury reports, the Eating Disorder Examination Questionnaire that assessed disordered eating attitudes and behaviors, a dual-energy x-ray absorptiometry scan that measured BMD and lean tissue mass, anthropometric measurements, and a questionnaire on menstrual history and demographic characteristics. RESULTS: Sixty-one athletes (37.4%) incurred 90 musculoskeletal injuries. In our BMD z score model of or=4.0), a history of oligomenorrhea/amenorrhea during the past year, and a low BMD (z score

Language: en