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

Associations between disordered eating, menstrual dysfunction, and musculoskeletal injury among high school athletes.
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高中运动员饮食失调、月经失调和肌肉骨骼损伤之间的关联。

DOI:
10.2519/jospt.2011.3312
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发表时间:
2011
期刊:
The Journal of orthopaedic and sports physical therapy
影响因子:
--
通讯作者:
T. McGuine
T. McGuine
中科院分区:
--
文献类型:
--
作者:
J. Thein;M. Rauh;K. Carr;K. Loud;T. McGuine

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研究设计 回顾性队列研究。 目标 确定高中女运动员饮食失调(DE)、月经失调(MD)和肌肉骨骼损伤(MI)的患病率及其相关性。 背景 女性运动员三联征是DE、MD和低骨量的相互关系。很少有研究同时检查2个或更多的三合会组成部分,或其与受伤的关系,在女高中运动员。 方法 受试样本包括2006 - 2007学年33个校际高中队的311名女高中运动员。运动员完成了饮食失调检查问卷(EDE-Q)和健康威斯康星州高中女运动员调查(HWHSFAS)。运动员按运动类型分为美学(AES)、耐力(END)或团队/无氧(T/A)。 结果 在接受调查的人中,35.4%的人报告DE,18.8%的人报告MD,65.6%的人报告在当前的运动季节中持续运动相关的肌肉骨骼损伤。报告DE的运动员受伤的可能性是报告正常饮食行为的运动员的两倍(比值比[OR],2.3; 95%置信区间[CI]:1.4,4.0)。多变量logistic回归分析显示,报告DE史(OR,2.1; 95% CI:1.1,3.9)或既往受伤(OR,5.1; 95% CI:2.9,8.9)的运动员更有可能在运动季节受伤。 结论 高中女运动员DE和MD的患病率较高。此外,患有DE的运动员在运动季节期间遭受运动相关损伤的可能性超过2倍。筛查和干预计划,旨在确定和降低DE的患病率应实施与高中女生。 证据等级 预后,2b级。
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.
DOI: 10.1097/00004583-200112000-00014
发表时间: 2001-12-01
影响因子: 13.3
作者:
Kotler, LA;Cohen, P;Walsh, BT
通讯作者: Walsh, BT