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DOI: 10.1055/a-2278-3253
Association between Physical Activity and Menstrual Cycle Disorders in Young Athletes
Authors
Abstract
Our study aims to evaluate clinical predictors of menstrual cycle disorders in female athletes who compete in running disciplines. This is a prospective observational study. Women were recruited between January and May 2022. Fifty-three patients were enrolled and completed a questionnaire about menstrual cycle, physical activity, and food habit characteristics. Of the women in our population, 39.6% had menstrual irregularities and reported a significantly higher number of kilometers run per week (67 vs. 35, p:0.02). The number of kilometers run per week was associated with menstrual irregularities (for 10 km, OR 1.35; IC95% 1.05–1.73; p: 0.02) after adjusting for BMI, age, level of sport and caloric intake. The variable of “km run per week” appeared as a diagnostic indicator of irregular menstrual cycle with statistical significance (AUC ROC curve 0.71, IC95% 0.54–0.86, p-value=0.01) and the cut-off of 65 km run per week is a good indicator of the presence of irregular menstrual cycle (sensitivity (SE) and specificity (SP) of 55% and 81.48%). Menstrual cycle disorders are very frequent in female athletes, and the variable of km run per week may play a role in screening endurance athletes at high risk for these disorders.
Publikationsverlauf
Eingereicht: 28. November 2023
Angenommen: 17. Januar 2024
Accepted Manuscript online:
28. Februar 2024
Artikel online veröffentlicht:
28. März 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany
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References
- 1 Kodama S, Saito K, Tanaka S. et al. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: A meta-analysis. JAMA 2009; 301: 2024-2035
- 2 Nunan D, Mahtani KR, Roberts N. et al. Physical activity for the prevention and treatment of major chronic disease: An overview of systematic reviews. Syst Rev 2013; 2: 56
- 3 World Health Organization. WHO guidelines on physical activity and sedentary behaviour: At a glance. Who; 2020. 535.
- 4 Garber CE, Blissmer B, Deschenes MR. et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 43: 1334-1359
- 5 Yeager KK, Agostini R, Nattiv A. et al. The female athlete triad: Disordered eating, amenorrhea, osteoporosis. Med Sci Sports Exerc 1993; 25: 775-777
- 6 Nattiv A, Loucks AB, Manore MM. et al. American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc 2007; 39: 1867-1882
- 7 Ackerman KE, Holtzman B, Cooper KM. et al. Low energy availability surrogates correlate with health and performance consequences of Relative Energy Deficiency in Sport. Br J Sports Med 2019; 53: 628-633
- 8 Mountjoy M, Sundgot-Borgen J, Burke L. et al. The IOC consensus statement: beyond the Female Athlete Triad--Relative Energy Deficiency in Sport (RED-S). Br J Sports Med 2014; 48: 491-497
- 9 Warren MP, Perlroth NE. The effects of intense exercise on the female reproductive system. J Endocrinol 2001; 170: 3-11
- 10 Loucks AB, Thuma JR. Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women. J Clin Endocrinol Metab 2003; 88: 297-311
- 11 Williams NI, Leidy HJ, Hill BR. et al. Magnitude of daily energy deficit predicts frequency but not severity of menstrual disturbances associated with exercise and caloric restriction. Am J Physiol Endocrinol Metab 2015; 308: E29-E39
- 12 Ackerman KE, Cano Sokoloff N, DE Nardo Maffazioli G. et al. Fractures in Relation to Menstrual Status and Bone Parameters in Young Athletes. Med Sci Sports Exerc 2015; 47: 1577-1586
- 13 Gibbs JC, Williams NI, Mallinson RJ. et al. Effect of high dietary restraint on energy availability and menstrual status. Med Sci Sports Exerc 2013; 45: 1790-1797
- 14 Barrack MT, Rauh MJ, Nichols JF. Prevalence of and traits associated with low BMD among female adolescent runners. Med Sci Sports Exerc 2008; 40: 2015-2021
- 15 Austin TM, Reinking MF, Hayes AM. Menstrual function in female high school cross-country athletes. Int J Adolesc Med Health 2009; 21: 555-565
- 16 Tenforde AS, Fredericson M, Sayres LC. et al. Identifying sex-specific risk factors for low bone mineral density in adolescent runners. Am J Sports Med 2015; 43: 1494-1504
- 17 NHS. What should my daily intake of calories be? 2023-09-28. Internet: https://www.nhs.uk/common-health-questions/food-and-diet/what-should-my-daily-intake-of-calories-be/#:~:text=An ideal daily intake of women and 2% 2C500 for men; accessed: Jan. 11, 2023
- 18 Nur Azurah AG, Sanci L, Moore E. et al. The Quality of Life of Adolescents with Menstrual Problems. J Pediatr Adolesc Gynecol 2013; 26: 102-108
- 19 Lake JK, Power C, Cole TJ. Women’s reproductive health: The role of body mass index in early and adult life. Int J Obes Relat Metab Disord J Int Assoc Study Obes 1997; 21: 432-438
- 20 Bronson FH, Manning JM. The energetic regulation of ovulation: A realistic role for body fat. Biol Reprod 1991; 44: 945-950
- 21 Ravi S, Waller B, Valtonen M. et al. Menstrual dysfunction and body weight dissatisfaction among Finnish young athletes and non-athletes. Scand J Med Sci Sport 2021; 31: 405-417
- 22 Dadgostar H, Razi M, Aleyasin A. et al. The relation between athletic sports and prevalence of amenorrhea and oligomenorrhea in Iranian female athletes. Sports Med Arthrosc Rehabil Ther Technol 2009; 1: 16
- 23 Joubert L, Warme A, Larson A. et al. Prevalence of amenorrhea in elite female competitive climbers. Front Sport Act living 2022; 4: 895588
- 24 Miyamoto M, Hanatani Y, Shibuya K. Relationship among Nutritional Intake, Anxiety, and Menstrual Irregularity in Elite Rowers. Nutrients 2021; 13: 3436
- 25 Thein-Nissenbaum JM, Rauh MJ, Carr KE. et al. Menstrual irregularity and musculoskeletal injury in female high school athletes. J Athl Train 2012; 47: 74-82
- 26 De Souza MJ, Nattiv A, Joy E. et al. 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana. Br J Sports Med 2014; 48: 289
- 27 Torstveit MK, Rosenvinge JH, Sundgot-Borgen J. Prevalence of eating disorders and the predictive power of risk models in female elite athletes: A controlled study. Scand J Med Sci Sports 2008; 18: 108-118
- 28 Karlsson E, Alricsson M, Melin A. Symptoms of eating disorders and low energy availability in recreational active female runners. BMJ Open Sport Exerc Med 2023; 19: e001623 . eCollection 2023
- 29 Barrack MT, Van Loan MD, Rauh M. et al. Disordered Eating, Development of Menstrual Irregularity, and Reduced Bone Mass Change After a 3-Year Follow-Up In Female Adolescent Endurance Runners. Int J Sport Nutr Exerc Metab 2021; 31: 337-344
- 30 Fahrenholtz IL, Melin AK, Wasserfurth P. et al. Risk of Low Energy Availability, Disordered Eating, Exercise Addiction, and Food Intolerances in Female Endurance Athletes. Front Sport Act Living 2022; 4: 1-11