Menstrual Status and Pregnancy in Former Elite Long-Distance Runners With Menstrual Disorders
Menstrual Status and Pregnancy in Former Elite Long-Distance Runners With Menstrual Disorders
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DOI：
10.1097/jsm.0000000000001083
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发表时间：
2023-03-01
影响因子：
2.7
通讯作者：
Umeda, Takashi
中科院分区：
文献类型：
--
作者：
Fujita, Yuki;Sasaki, Eiji;Umeda, Takashi
目的：了解前长跑运动员月经异常、不孕症及其他孕产相关问题的发生率。我们假设女运动员在运动生涯中的三联征会影响前运动员未来的生育能力和生育能力。设计：横断面研究。地点：全日本大学女子Ekiden的参与者。参与者：参加国家级比赛的前女性运动员被要求完成问卷;获得137份有效回答。独立变量：初潮和怀孕开始时的年龄，闭经和妇科疾病史，以及运动生涯中的最低体重指数（BMI）。主要结果测量：月经状况，怀孕和分娩史，任何相关的不孕治疗和问题，以及应力fractions.Results的历史：初潮的平均年龄为13.3 +/-2.2（范围，10 - 25）岁。原发性闭经5例（3.6%）。137名参与者中有11名（8.0%）需要治疗不孕症。60名参与者有121次怀孕，其中5次在调查期间尚未分娩。116例妊娠中有15例（12.9%）以流产、人工流产或死胎告终。Logistic回归分析显示，与"不孕治疗"相关的因素是怀孕时的年龄（P = 0.047）和运动生涯中较高的BMI（P = 0.032，OR = 2.19）。结论：影响不孕的主要因素是怀孕时的年龄较大，与一般人群相似。运动生涯中的月经不调或体重不足与受孕和分娩相关问题无关。
Objective:To estimate the ratio of menstrual abnormalities, infertility, and other problems related to pregnancy and childbirth in former long-distance runners. We hypothesized that the female athlete triad during an athletic career affects future fertility and childbearing in former athletes.Design:Cross-sectional study.Setting:Participants of the All Japan University Women's Ekiden.Participants:Female former athletes who competed at national level were asked to complete the questionnaire; 137 valid responses were obtained.Independent Variables:Age at menarche and at the onset of pregnancy, history of amenorrhea and gynecological disorders, and lowest body mass index (BMI) during their athletic career.Main Outcome Measures:Menstrual status, history of pregnancy and childbirth, any related infertility treatment and problems, and history of stress fractures.Results:The mean age at menarche was 13.3 +/- 2.2 (range, 10-25) years. Five athletes (3.6%) had primary amenorrhea. Eleven of the 137 participants (8.0%) required treatment for infertility. Sixty participants had 121 pregnancies, of which 5 were yet to deliver during the survey. Fifteen of 116 pregnancies (12.9%) ended in miscarriage, induced abortion, or stillbirth. Logistic regression analysis showed that the factors related to "infertility treatment" were age at the onset of pregnancy (P = 0.047) and higher BMI during their athletic career (P = 0.032; odds ratio, 2.19).Conclusions:The main factor influencing infertility was an older age at the time of pregnancy, similar to that observed in the general population. Amenorrhea or being underweight during their athletic career was not associated with problems related to conception and childbirth.