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J Orthop Sports Phys Ther. 2011 Feb;41(2):60-9. doi: 10.2519/jospt.2011.3312. Epub 2011 Jan 5.

Associations between disordered eating, menstrual dysfunction, and musculoskeletal injury among high school athletes.

Author information

  • 1University of Wisconsin School of Medicine and Public Health, Madison, WI 53706, USA. thein@pt.wisc.edu

Abstract

STUDY DESIGN:

Retrospective cohort study.

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:

Prognosis, level 2b.

PMID:
21212503
[PubMed - indexed for MEDLINE]
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