%0 Journal Article
%T Associations Between Disordered Eating, Menstrual Dysfunction, and Musculoskeletal Injury Among High School Athletes
%J Journal of orthopaedic and sports physical therapy
%D 2011
%A Thein-Nissenbaum, Jill M.
%A Rauh, Mitchell J.
%A Carr, Kathleen E.
%A Loud, Keith J.
%A McGuine, Timothy A.
%V 41
%N 2
%P 60-69
%X STUDY DESIGN: Retrospective cohort study of 311 female high school athletes competing on 33 interscholastic high school teams during the 2006-2007 school year. OBJECTIVES: To determine the prevalence of and association between disordered eating (DE), menstrual dysfunction (MD), and musculoskeletal injury (MI) among high school female athletes. BACKGROUND: Female athlete triad (Triad) syndrome is the interrelatedness of DE, MD, and low bone mass. Few studies have examined 2 or more Triad components simultaneously, or their relationship to injury, among female high school athletes. METHODS: The subject sample consisted of 311 female high school athletes competing on 33 interscholastic high school teams during the 2006-2007 school year. Athletes completed the Eating Disorder Examination Questionnaire (EDE-Q) and Healthy Wisconsin High School Female Athletes Survey (HWHSFAS). Athletes were classified by sport type as aesthetic (AES), endurance (END), or team/anaerobic (T/A). RESULTS: Of those surveyed, 35.4% reported DE, 18.8% reported MD, and 65.6% reported sustaining a sports-related musculoskeletal injury during the current sports season. Athletes reporting DE were twice as likely to be injured compared to those reporting normal eating behaviors [odds ratio (OR) = 2.3, 95% confidence interval (CI): 1.4, 4.0]. Multivariate logistic regression analyses revealed that athletes who reported a history of DE (OR= 2.1, 95% CI: 1.1, 3.9) or prior injury (OR= 5.1, 95% CI: 2.9, 8.9) were more likely to be injured during the sports season. CONCLUSION: A high prevalence of DE and MD exists among high school female athletes. Additionally, athletes with DE were over 2 times more likely to sustain a sports-related injury during a sports season. Screening and intervention programs designed to identify and decrease the prevalence of DE should be implemented with high school females. LEVEL OF EVIDENCE: Therapy, Level 1C. J Orthop Sports Phys Ther, Epub 5 January 2011. doi:10.2519/jospt.2011.3312.<p /> <p>Language: en</p>
%G en
%I Orthopaedic Section and Sports Physical Therapy Section of the American Physical Therapy Association
%@ 0190-6011
%U http://dx.doi.org/10.2519/jospt.2011.3312