Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 5 , Pages 681-682, May 2007

Prevalence of Female Athlete Triad Characteristics in a Club Triathlon Team

  • Anne Z. Hoch, DO

      Affiliations

    • Women’s Sports Medicine Program/Sports Medicine Center, Departments of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI
    • Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, WI.
    • Corresponding Author InformationReprint requests to Anne Z. Hoch, DO, Women’s Sports Medicine Program/Sports Medicine Center, Depts of Orthopaedic Surgery/Physical Medicine and Rehabilitation, 9200 W Wisconsin Ave, Medical College of Wisconsin, Milwaukee, WI 53226
  • ,
  • John E. Stavrakos, MD

      Affiliations

    • Women’s Sports Medicine Program/Sports Medicine Center, Departments of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI
    • Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, WI.
  • ,
  • Jane E. Schimke, AAS

      Affiliations

    • Women’s Sports Medicine Program/Sports Medicine Center, Departments of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI

Abstract 

Hoch AZ, Stavrakos JE, Schimke JE. Prevalence of female athlete triad characteristics in a club triathlon team.

Objective

To determine the prevalence of the female athlete triad in club triathletes.

Design

Cross-sectional.

Setting

Academic medical center in the midwestern United States.

Participants

Fifteen women (mean age, 35±6y).

Interventions

Not applicable.

Main Outcome Measures

Disordered eating and menstrual status were determined by questionnaires. Energy status was determined by a 3-day food record, resting energy expenditure, and exercise energy output. Bone mineral density (BMD) was measured in the total left hip and lumbar spine (L2-4) by dual-energy x-ray absorptiometry.

Results

Sixty percent of the triathletes were found to be in calorie deficit, 53% had a carbohydrate deficit, 47% had a fat deficit, 40% had a protein deficit, and 33% had a calcium deficit. Forty percent of triathletes reported a history of amenorrhea. BMD was normal in the lumbar spine (L2-4) (1.3±0.1g/cm2) and total left hip (1.1±0.1g/cm2).

Conclusions

Triathletes are at risk for components of the female athlete triad. Continued efforts need to be directed at prevention through education of athletes, coaches, parents, and health care professionals.

Key Words: Amenorrhea, Athletics, Eating disorders, Female, Rehabilitation

 

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(07)00172-4

doi:10.1016/j.apmr.2007.02.035

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 5 , Pages 681-682, May 2007