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首页> 外文期刊>Medicine and science in sports and exercise >Prevalence of and traits associated with low BMD among female adolescent runners.
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Prevalence of and traits associated with low BMD among female adolescent runners.

机译:女性青少年跑步者BMD低的患病率和特征。

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PURPOSE: Identify the prevalence of and traits that may increase the risk of low bone mineral density (BMD) among 93 female adolescent competitive endurance runners. METHODS: Participants were 93 high school runners, ages 13-18 yr, from southern California. Eating attitudes and behaviors were assessed using the Eating Disorder Examination Questionnaire (EDE-Q). Menstrual and sports participation history were evaluated using an interviewer-assisted, self-report questionnaire. Bone mineral density (BMD) of the spine (L1-L4), total hip, and total body were measured by dual-energy x-ray absorptiometry. The -2 and -1 BMD age-matched, gender-specific z-score cutoffs were used to categorize girls as having low bone mass for age. RESULTS: Among the female runners, 11.8% and 28% met the -2 and -1 BMD z-score cutoffs, respectively, whereas 25.8% reported menstrual irregularity (MI). Total hip BMD, lumbar spine BMD, and lumbar spine BMD z-score were significantly lower in runners with MI after adjusting for body mass index (BMI) and lean tissue mass. Runners that participated in five or more compared with three seasons of endurance running exhibited a significantly lower total body and lumbar spine BMD z-score after adjusting for BMI, lean tissue mass, and number of menstrual cycles in the past year. Multiple regression analysis indicated that MI, participation in five or more seasons of endurance running, BMI, and lean tissue mass were independent predictors of low BMD. CONCLUSION: Female adolescent endurance runners may represent a population with an increased risk of low bone mass. Future studies are necessary to further understand the factors contributing to low bone mass in young runners and to identify behavioral strategies that will promote optimal bone mineral accumulation during the adolescent years.
机译:目的:确定93名女性青少年耐力跑步运动员中普遍存在的性状和性状,可能增加低骨密度(BMD)的风险。方法:参与者是来自加利福尼亚南部的93名高中跑步者,年龄在13-18岁之间。使用饮食失调调查问卷(EDE-Q)评估饮食态度和行为。使用访调员协助的自我报告问卷评估月经和运动参与史。脊柱(L1-L4),全髋关节和全身的骨矿物质密度(BMD)通过双能X射线吸收法测量。年龄匹配的-2和-1 BMD性别特定的z分数截止值用于将女孩的年龄归为低骨质。结果:在女性跑步者中,分别达到-2和-1 BMD z得分临界值的女性占11.8%,而有28.8%的女性表示月经不调(MI)。调整了体重指数(BMI)和瘦肉组织的体重后,MI跑步者的总髋部BMD,腰椎BMD和腰椎BMD Z值显着降低。在对过去一年的BMI,瘦组织质量和月经周期进行了调整之后,参加了五个或三个以上耐力运动三个季度的跑步者的总体身体和腰椎BMD z得分显着降低。多元回归分析表明,MI,参加五个或更多个耐力运动季节,BMI和瘦组织质量是低BMD的独立预测因子。结论:女性青少年耐力跑者可能代表了低骨质风险增加的人群。有必要进行进一步的研究,以进一步了解导致年轻跑步者骨量低的因素,并确定在青少年时期促进最佳骨矿物质积累的行为策略。

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