Journal of women's sports medicine最新文献

{"title":"Amenorrhea and Stress Fractures in Female New Jersey Division III Collegiate Runners: An Opportunity for Increased Health Education","authors":"Emily Forester, Tara Pellegrino","doi":"10.53646/g7c3xk08","DOIUrl":"https://doi.org/10.53646/g7c3xk08","url":null,"abstract":"BACKGROUND: In the National Collegiate Athletic Association (NCAA), 9.1% of the injuries reported by women’s cross-country athletes between 2014-2019 were fractures. Both history of amenorrhea and prior stress fractures have been found to predict incidence of subsequent bone stress injuries among female athletes. Although excessive exercise is a major contributor to the development of amenorrhea, there are currently no studies on the association between amenorrhea and stress fractures in New Jersey (NJ) National NCAA Division III Women’s cross country or track athletes. This study aims to determine if there is an association between incidence of amenorrhea and subsequent occurrence of stress fractures among this population, and to identify a possible area for increased reproductive health education.\u0000METHODS: This is a survey-based study. Participants were female athletes over the age of 18 who currently participate in collegiate cross country or track running at a NJ Division III school. Coaches of the Division III cross country and track teams in NJ distributed a survey to their female athletes to gain participants for this study. Survey data included information on participant menstrual history, stress fracture history, and athletic involvement. Participants also indicated if their school’s staff had ever educated them on the importance of menstrual regularity and athletics. Descriptive statistics and comparison between groups were analyzed.\u0000RESULTS: In total, 68 survey responses were collected. Survey respondents included female NJ cross country and track athletes ages 18-23, from a total of eight institutions. During training or competition, 58.8% of the study participants missed at least one menstrual cycle and 45.6% experienced a stress fracture. There is a significant association between having missed at least one menstrual cycle during training or competition and the number of stress fractures experienced by the athlete (p = 0.044). Only 30.9% of respondents indicated that someone from their school’s staff spoke to them about the importance of maintaining regular menstruation during training.\u0000CONCLUSION: This study confirms that both amenorrhea and stress fractures are commonly seen among NJ NCAA Division III female cross country and track athletes. Our data also highlights a need for increased education of NJ Division III female athletes regarding the importance of maintaining regular menstruation as a means of stress fracture prevention. Further investigation of the role of amenorrhea on the incidence of stress fractures may shine light on an important area for prevention and increased health education.","PeriodicalId":476387,"journal":{"name":"Journal of women's sports medicine","volume":"47 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138995340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Body Composition in NCAA Division I Collegiate Athletes","authors":"Thomas Olson, Sai Devana, Lauren Papanos, Sharon Hame","doi":"10.53646/30khg538","DOIUrl":"https://doi.org/10.53646/30khg538","url":null,"abstract":"INTRODUCTION: Determining return to sport for athletes after surgery can be challenging. Some evidence suggests the risk for injury changes with differences in anthropometrics. Therefore, body composition may be predictive of risk for reinjury after orthopaedic surgery in Division I athletes. The purpose of this study is to establish an objective model of anthropometric changes of Division I collegiate athletes following orthopaedic surgery with specific consideration of gender differences for potential use in future nutritional and return-to-play guidelines.\u0000METHODS: Division I athletes who underwent orthopaedic surgery in a five-year window were identified using training room records and cross-referenced against the facility BOD POD (air displacement plethysmography ) database for body metrics. Changes in body metrics were evaluated as trends from the immediate preoperative measurement up to 1 year following the date of surgery. Data was analyzed with respect to gender and sport. Significance was determined as p<0.05.\u0000RESULTS: In total, 245 Division I athletes were identified as having undergone orthopaedic surgery in the study period. Eighty-four athletes representing 11 sports met the inclusion criteria. Overall, athletes were found to experience a 0.89kg reduction in fat-free body mass (p=0.021) and an increase in body fat percentage by 1.15% (p=0.002) from baseline measurements over the 5-month period following surgery at an average rate of -0.18kg and +0.23% body fat per month, respectively. At the conclusion of the 12-month period following surgery, measurements of fat-free body mass (p=0.341) and body fat percentage (p=0.104) were not found to differ significantly from preoperative baseline. The greatest decrease in fat-free body mass (p=0.013) and increase in body fat percentage (p=0.0008) of male athletes was found the first 3 months after surgery before trending towards baseline months 4-12. The greatest increase in body fat percentage for female athletes was found the first 4 months after surgery before trending towards baseline months 5-12 (p=0.049). No significant trend was observed in fat-free body mass of female athletes (p=0.42).\u0000CONCLUSION: This study demonstrates that NCAA Division I collegiate athletes undergo statistically significant anthropometric changes following sports-related orthopaedic surgery, with distinct differences observed between male and female athletes. These changes return to a level that does not significantly differ from baseline body composition measurements one year following surgery. We hope to motivate further studies to compare these trends against return-to-play time and reinjury rates of athletes to provide validated novel metrics for consideration in guiding athlete recovery following surgery.","PeriodicalId":476387,"journal":{"name":"Journal of women's sports medicine","volume":" 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138963601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hormonal Contraception and Menopausal Hormone Therapy: A Reference for Orthopaedic Surgeons","authors":"Isabel Prado, Anne Ford, Camille Moreno, Thorsten Seyler, Harris Slone, Andra James, Jocelyn Wittstein","doi":"10.53646/961wvz55","DOIUrl":"https://doi.org/10.53646/961wvz55","url":null,"abstract":"BACKGROUND: Exogenous estrogen is a double-edged sword in the realm of orthopaedic surgery, providing many musculoskeletal health benefits to menopausal women yet adding an additional risk of venous thromboembolism (VTE) in the perioperative setting for patients using certain forms of hormonal contraception and menopausal hormone therapy (MHT). The primary objective of this review is to summarize the known literature regarding the VTE risks of perioperative medications containing exogenous estrogen among orthopaedic patients. A secondary objective is to provide guidance to orthopaedic surgeons regarding perioperative management of commonly encountered forms of hormonal contraception and MHT.\u0000METHODS: A summative review of existing literature regarding VTE risk of various forms of hormonal contraception and MHT is provided, with emphasis on perioperative VTE risk surrounding major and minor orthopaedic surgery.\u0000RESULTS: Increased risk of VTE has been identified after arthroscopic knee procedures in patients utilizing oral contraceptive pills and after major lower extremity surgery in patients using MHT, yet there is not a clear standard of care as to how to manage these medications after surgery or how and when to adjust VTE prophylaxis. Regardless of the mode of delivery (pills, patches, vaginal rings), hormonal contraception with exogenous estrogen carries some associated VTE risk that can be compounded by surgery. Depo-Provera has also demonstrated increased risk. Forms of hormonal contraception without elevated VTE risk are progestin only pills and intrauterine devices (IUDs) as well as Nexplanon. MHT with systemic level doses of exogenous estrogen delivered orally has associated VTE risk. While systemic transdermal and transvaginal formulations of estrogen have not been shown to increase VTE risk in the non-surgical state, the risk when combined with the perioperative state after major operations is not yet known. Local estrogen therapies for vaginal symptoms of menopause do not increase risk of VTE.\u0000CONCLUSION: Given the frequent utilization of hormonal contraception and MHT, orthopaedic surgeons should consider the use of medications containing exogenous estrogen in the perioperative VTE risk assessment of patients. Further discussion toward the perioperative management of these medications and standardization of care for patients with increased VTE risks should be encouraged.","PeriodicalId":476387,"journal":{"name":"Journal of women's sports medicine","volume":" 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138963482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}