Stress fracture injury in female endurance athletes in the United Kingdom: A 12-month prospective study.

Duckham, Rachel, Brooke-Wavell, K, Summers, GD, Cameron, N and Peirce, N 2015, Stress fracture injury in female endurance athletes in the United Kingdom: A 12-month prospective study., Scandinavian journal of medicine and sicience in sports, vol. 25, no. 6, pp. 854-859, doi: 10.1111/sms.12453.

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Title Stress fracture injury in female endurance athletes in the United Kingdom: A 12-month prospective study.
Author(s) Duckham, RachelORCID iD for Duckham, Rachel orcid.org/0000-0001-7882-2950
Brooke-Wavell, K
Summers, GD
Cameron, N
Peirce, N
Journal name Scandinavian journal of medicine and sicience in sports
Volume number 25
Issue number 6
Start page 854
End page 859
Total pages 6
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-12
ISSN 1600-0838
Keyword(s) Stress fracture
amenorrhea
eating disorder
endurance athletes
eumenorrhea
Adolescent
Adult
Bone Density
Compulsive Behavior
Energy Intake
Feeding and Eating Disorders
Female
Fractures, Stress
Humans
Incidence
Leg
Menstruation
Muscle Strength
Muscle, Skeletal
Physical Conditioning, Human
Prospective Studies
Running
Surveys and Questionnaires
United Kingdom
Young Adult
Science & Technology
Life Sciences & Biomedicine
Sport Sciences
RISK-FACTORS
DISTANCE RUNNERS
BONE HEALTH
TRACK
RETURN
WOMEN
PLAY
PAIN
Summary Studies of stress fracture (SF) incidence are limited in number and geographical location; this study determined the incidence of SF injury in female endurance athletes based in the United Kingdom. A total of 70 athletes aged between 18 and 45 years were recruited and prospectively monitored for 12 months. Questionnaires at baseline and 12 months assessed SF, menstrual and training history, eating psychopathology, and compulsive exercise. Peak lower leg muscle strength was assessed in both legs using an isometric muscle rig. Bone mineral density (BMD) of total body, spine, hip, and radius was assessed using dual X-ray absorptiometry. Among the 61 athletes who completed the 12-month monitoring, two sustained a SF diagnosed by magnetic resonance imaging, giving an incidence rate (95% confidence intervals) of 3.3 (0.8, 13.1) % of the study population sustaining a SF over 12 months. The SF cases were 800 m runners aged 19 and 22 years, training on average 14.2 h a week, eumenorrheic with no history of menstrual dysfunction. Case 1 had a higher than average energy intake and low eating psychopathology and compulsive exercise scores, while the reverse was true in case 2. BMD in both cases was similar to mean values in the non-SF group. The incidence of SF in our female endurance athlete population based in the United Kingdom was 3.3%, which is lower than previously reported. Further work is needed to confirm the current incidence of SF and evaluate the associated risk factors.
Language eng
DOI 10.1111/sms.12453
Field of Research 1106 Human Movement And Sports Science
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30106447

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