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Correspondence
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FitBits Exercise
ETC's Review of Odds & Ends from the Journals
Few studies have looked at the entire “female athlete triad” of disordered eating, menstrual irregularity, and bone mineral density in its entirety. This study correlates each component to the others both individually and as part of a complex interrelationship. Ninety-one competitive long-distance college and post-collegiate female runners (ages 18-25) were questioned on menstrual irregularity, diet, and eating behaviors (the Eating Disorder Inventory (EDI). They were also evaluated based on Body Mass Index (BMI) and bone mineral density (BMD). The relationships between amenorrhea, training, diet, and physical characteristics were analyzed. As expected, women with elevated EDI scores ate fewer calories, especially fat calories, than the low scorers. They were more likely to have amenorrhea, had a greater “drive for thinness” and tended to run more miles per week than those with lower EDI scores. Surprisingly, those with higher EDI scores were slightly fatter and weighed MORE than the low scorers did. Interestingly, despite expectations of a greater BMD due to a heavier weight, the elevated EDI scorers had significantly lower BMD than the normal scorers. The conclusions? Disordered eating is correlated with menstrual irregularities; there is a relationship between menstrual irregularities and BMD regardless of actual body weight or body composition. Finally, disordered eating is associated with low BMD. A final note: the women in this study were not necessarily lean women; they averaged 22-25% fat. This may make identification of those with the triad more difficult. K.
L. Cobb, et al. Disordered eating, menstrual irregularity, and bone mineral
density in female runners. Medicine and Science in Sports and Exercise
35(5):711, 2003 Correspondence
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