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Factors associated with menstrual dysfunction and self-reported bone stress injuries in female runners in the ultra- and half-marathons of the Two Oceans.

Factors associated with menstrual dysfunction and self-reported bone stress injuries in female runners in the ultra- and half-marathons of the Two Oceans. Research Abstract Details 

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  • Factors associated with menstrual dysfunction and self-reported bone stress injuries in female runners in the ultra- and half-marathons of the Two Oceans. Abstract Text:

    l k micklesfieldL K Micklesfield,j hugoJ Hugo,c johnsonC Johnson,t d noakesT D Noakes,e v lambertE V Lambert,l k micklesfieldL K Micklesfield,j hugoJ Hugo,c johnsonC Johnson,t d noakesT D Noakes,e v lambertE V Lambert,

    OBJECTIVE: To investigate factors associated with menstrual dysfunction, self-reported bone stress injuries and energy balance in women runners. METHODS: 613 runners were randomly sampled during the registration period for an endurance event. Demographic information, including self-reported height and weight, training and injury history and menstrual history, was collected by questionnaire. RESULTS: Ultra-marathon (ULTRA) participants (n = 276) were significantly older (mean (SD) 39 (8.2) vs 34 (10.5) years; p<0.001), lighter (58.2 (6.6) vs 59.6 (8.3) kg; p<0.05) and reported a higher training volume (p<0.001) than half-marathon (HALF) participants (n = 337). Significantly more ULTRA subjects than HALF subjects reported a previous bone stress injury (21% vs 14%; p<0.05). There was no difference between the groups for menstrual status, but age at menarche was later (p<0.01) in the ULTRA group. Data were combined according to the absence (REG; n = 368/602 (61%)) or presence (IRREG; n = 234/602 (39%)) of a history of menstrual irregularity. Subject morphology was similar between groups, but the IRREG group had a higher self-reported measure on the self-loathing subscale (SLSS; p<0.01). The whole group was then classified according to current menstrual status, with 165 women being classified as currently irregular. (OLIGO/AMEN; 11.6%) and 445 women as currently regular (EUMEN; 88.4%). There were no morphological differences between the groups, however the OLIGO/AMEN group had a later age of menarche (p<0.01) than the EUMEN group. Further, women who reported a previous bone stress injury had higher SLSS scores than those who did not (2.91 (0.98) vs 2.68 (0.84); p<0.05). CONCLUSIONS: There may be two independent mechanisms associated with energy balance, which are related to bone stress injuries, but may not necessarily be related to menstrual dysfunction.

    Factors associated with menstrual dysfunction and self-reported bone stress injuries in female runners in the ultra- and half-marathons of the Two Oceans. Publishing Authors By Initials

    lk micklesfieldLK Micklesfield,j hugoJ Hugo,c johnsonC Johnson,td noakesTD Noakes,ev lambertEV Lambert,lk micklesfieldLK Micklesfield,j hugoJ Hugo,c johnsonC Johnson,td noakesTD Noakes,ev lambertEV Lambert,

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    Factors associated with menstrual dysfunction and self-reported bone stress injuries in female runners in the ultra- and half-marathons of the Two Oceans. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: British journal of sports medicine

    VOLUME: 41

    Page Numbers: 679-83

    Journal Abbreviation:

    ISSN: 1473-0480

    DAY: 11

    MONTH: 05

    YEAR: 2007

    Factors associated with menstrual dysfunction and self-reported bone stress injuries in female runners in the ultra- and half-marathons of the Two Oceans. Information

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    LANGUAGE: eng

    NlmUniqueID: 432520

    Factors associated with menstrual dysfunction and self-reported bone stress injuries in female runners in the ultra- and half-marathons of the Two Oceans. Keywords Mesh Terms:

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    Grant and Affiliation Information for Factors associated with menstrual dysfunction and self-reported bone stress injuries in female runners in the ultra- and half-marathons of the Two Oceans.

    AFFILIATION: UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, UCT School of Health Sciences, University of Cape Town, South Africa. lisam@sports.uct.ac.za

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Br J Sports Med

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