Eating disorders, menstrual dysfunction, weight change and DMPA use predict bone density change in college-aged women

Nieves, Jeri W.; Ruffing, Jamie; Zion, Marsha; Tendy, Susan; Yavorek, Trudy; Lindsay, Robert; Cosman, Felicia

doi:10.1016/j.bone.2015.12.054

Cited by 15 publications

(5 citation statements)

References 40 publications

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“…In the research included in this study, Yang et al (2010) explained that BMD among female dancers was relatively high, probably caused by high levels of weight-bearing physical activity. Whether they involving athletes or sedentary individuals, a positive correlation between MD and low BMD was indicated in previous (Øyen, Torstveit, & Sundgot-Borgen, 2009) and in current studies (Rauh et al, 2014;Melin et al, 2015;Nieves et al, 2016) and EA and low BMD (Nieves et al, 2016;Thralls et al, 2016). But, in their research Øyen et al (2009) reported that women with < 5th percentile BMI were nine times more likely to report MD and have low BMD, and SF significantly correlated with athletes (p<.001).…”

Section: Discussionsupporting

confidence: 72%

“…Genderwise, females were the most represented group, with 17 studies including only female participants and three including both sexes (Cosman et al, 2013;Tenforde, Fredericson, Sayres, Cutti & Sainani, 2015;Brook et al, 2019). All the participants belonged to a healthy and active group of people, all of which took part in some sport activities, recreational, national or professional (Hoch et al, 2011;Movaseghi et al, 2012;Ackerman et al, 2015;Melin et al, 2015;Prather et al, 2016;Brook et al, 2019), competitive (Barrack et al, 2014), high school and collegiate athletes (Yang et al, 2010;Rauh, Nichols, & Barrack, 2010;Brown et al, 2014;Thralls, Nichols, Barrack, Kern, & Rauh, 2016;Tenforde et al, 2017;Tenforde et al, 2018) and military organization athletes (Cosman et al, 2013;Nieves et al, 2016) in the following sports: endurance running (Rauh et al, 2014;Duckham, Brooke-Wavell, Summers, Cameron, & Peirce, 2015;Melin et al, 2015), dance (Yang et al, 2010;Hoch et al, 2011;Tosi et al, 2019), soccer (Prather et al, 2016). The amount of BMI ranges from ≤17.5 in the study Brook et al (2019) to 25±3 in the study Cosman et al (2013).…”

Section: Resultsmentioning

confidence: 99%

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Does the Female Athlete Triad Really Exist?

Petrović

2020

FU Phys Ed Sport

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The Female Athlete Triad (Triad) is a medical condition of female athletes consisting of three components: low energy availability (EA), menstrual dysfunction (MD), and low bone mineral density (BMD). The prevalence of all three components of the Triad ranges from 1-14%. In last ten years, it has ranged from 1.3% up to 23% with 78% of female athletes having at least one of the three components of the Triad. The aim of this systematic review is to collect and analyze recent studies of the Female Athlete Triad. Based on an analysis of electronic databases and the inclusion criteria set, 20 studies were included in the analysis. The following conclusions are proposed based on their analysis: MD was the most prevalent among endurance athletes with ranges from 35.5% to 60.7%, with the presence of secondary amenorrhea and oligomenorrhea, 30% to 64.0% and 18% to 27.0% and with a very high level of cases with irregular menorrhea, 72.3%. Low/negative EA ranges from 19.8% among non-leanness athletes and up to 77%. The greatest proportion of athletes in moderate- and high-risk categories for expressing the Triad participated in sports that emphasize leanness, including cross-country, gymnastics running, and lacrosse. A recommendation for future research is that they should focus on enhanced monitoring of physically active women, and the prevention of the Triad, stress fractures and osteoporosis.

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Section: Discussionsupporting

confidence: 72%

Section: Resultsmentioning

confidence: 99%

Does the Female Athlete Triad Really Exist?

Petrović

2020

FU Phys Ed Sport

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“…If PBM is not achieved, this cannot be compensated for in later life. Genetics remain the largest predictor of PBM, but LEA, hypoestrogenism, menstrual dysfunction, poor calcium intake, significant weight loss, subclinical eating disorders and depot-medroxyprogesterone acetate (DMPA) contraception use can prevent an individual from reaching this genetically determined PBM [51][52][53][54]. Physical activity that involves high impact activity in adolescence is well recognised as having positive effects on BMD [55] but only in the presence of energy balance.…”

Section: Bone Mineral Density (Bmd) and Achieving Peak Bone Mass (Pbm)mentioning

confidence: 99%

Relative Energy Deficiency in Sport (RED-S) in Adolescents – A Practical Review

2022

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There are many immediate and longer-term physical, psychological and metabolic benefits of being active during adolescence. These benefits exist when exercise and physical activity are undertaken in a state of energy balance. When exercise occurs in an environment of low energy availability, this is currently termed relative energy deficiency in sport and there are potential significant negative effects on mental well-being, bone, endocrine and metabolic health. Therefore, relative energy deficiency in sport may present to many different specialists or allied health professionals depending upon the symptoms or reasons for seeking help, which include injury, such as bone stress or soft tissue problems, irregular or absent menstruation, stress, anxiety or low mood, or sporting underperformance as examples. The promotion of physical activity in adolescence is a critical part of public health strategy. In parallel with this positive public health message, there needs to be an increase in the awareness of, and education about, relative energy deficiency in sport for those working with and looking after adolescents.This review provides an up to date, practical evidenced based guide on the recognition, investigation and management of relative energy deficiency in sport in the adolescent, both male and female.

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“…These contraceptives not only have important health benefits, including contraceptive and no contraceptive benefits, but also have some health risks, such as bone health, particularly in reference to the use of depot medroxyprogesterone acetate (DMPA) [3]. There are publications discussion that get declines in various Bone Mass Density measurements in women beginning use of DMPA for the first time [4], with potential detrimental effects on adolescent bone mass accrual only occurring when DMPA was used for greater than 12 months [5]. However, other studies have not been able to confirm this [6], with systematic review showing that after cessation of DMPA, BMD will normal again as early as 24 weeks after cessation [7].…”

Section: Introductionmentioning

confidence: 99%

Injection Contraceptive Method and Osteoporosis Among Woman Sexual Active in Mandailing Natal

Harahap¹,

Astuti²,

Masnawati³

2022

Proceedings of the Tapanuli International Health Conference 2022 (TIHC 2022)

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Objective: The aim of study is to analyze injection contraceptive method and osteoporosis among women sexual active in Mandailing Natal. Method: A cross-sectional study using primary survey data conducted on October 2021 in Mandailing Natal. The sample of women sexual active were 82 acceptor contraceptive that chosen using purposive sampling. The variables injection contraceptive method were categorized into 2 groups (injection method and other method) and linked to osteoporosis diseases (yes and no). The bivariate analyzed chi-square test and showed Prevalence ratio (PR) with confidence interval (CI) 95%. Results: The contraceptive method used injection contraceptive (58.5%), condom (18.5%), Pill contraceptive (11%), Implant (8.5%) and Intrauterine Device/IUD (3.7%). Percentage of injection contraceptive method was skewed 48 (58.5%). Percentage of osteoporosis were 60 (73.2%). The chisquare test showed prevalence ratio of injection contraceptive method and osteoporosis among women sexual active was 1.41 (CI: 1.04-1.92). The mean of analyzed were women sexual active that used injection contraceptive method risk 1.41 higher osteoporosis diseases than used other methods. Conclusions: Injection contraceptive method was risk factor osteoporosis diseases among women sexual active. The use of the injection contraceptive method must be adjusted to the user's goals.

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Eating disorders, menstrual dysfunction, weight change and DMPA use predict bone density change in college-aged women

Cited by 15 publications

References 40 publications

Does the Female Athlete Triad Really Exist?

Does the Female Athlete Triad Really Exist?

Relative Energy Deficiency in Sport (RED-S) in Adolescents – A Practical Review

Injection Contraceptive Method and Osteoporosis Among Woman Sexual Active in Mandailing Natal

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