Osteoporosis Health Beliefs of Women with Increased Risk of the Female Athlete Triad

Abstract

Women with increased risk of the female athlete triad (Triad) are more susceptible to osteoporosis compared to other women. The study included 65 women with increased risk of the Triad who had their osteoporosis health beliefs measured to assess their concern for the disease. Participants were female collegiate cross-country runners at different levels of competition, including National Association of Intercollegiate Athletics (NAIA) and National Collegiate Athletic Association (NCAA) Divisions III, II, and I. Although these participants have an increased risk of the Triad and are more susceptible to osteoporosis, on a scale of 1 to 5, results showed that they had low to moderate perceived susceptibility to osteoporosis with a mean score as high as 2.81 and moderate perceived severity of osteoporosis with a mean score as high as 3.38. A statistically significant difference in perceived susceptibility to osteoporosis was found between female collegiate cross-country runners in the NAIA and those in the NCAA DIII. Reasons that could explain relatively low levels of concern for osteoporosis in female collegiate cross-country runners and reasons for significant differences in perceived susceptibility to osteoporosis are given, and recommendations for health education and intervention to help care for this population are provided.

An assessment of osteoporosis health beliefs based on the health belief model

“…Nguyen, Wang, and Waigandt (2012) found that female college students, even while enrolled in a health education course, only had low to moderate perceived susceptibility to osteoporosis and moderate perceived severity of osteoporosis, and concluded that their low concern was likely due to the distal time of onset of osteoporosis. Consistent findings by Nguyen, Wang, and Okamura (2014) showed that female collegiate cross-country runners, who are at increased risk of the female athlete triad and of osteoporosis, also only had low to moderate perceived susceptibility to osteoporosis and moderate perceived severity of osteoporosis. Gammage et al (2009) found that women had higher perceived susceptibility to and severity of osteoporosis than those who restricted their dietary intake, which suggests that women know restrictive diets leads to osteoporosis.…”