An Assessment of the Early Symptoms of Energy Deficiency As a Female Athlete Triad Risk Among the Polish National Kayaking Team Using LEAF-Q

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2022 May 28

PMID 35627502

Authors

Joanna Witkos

Grzegorz Blazejewski

Marcin Gierach

Affiliations

Soon will be listed here.

Abstract

Background: Kayaking is a high intensity sport that demands high levels of aerobic and anaerobic capacity as well as a great deal of strength and endurance. The aim of this study was an assessment of the frequency of occurrence of early low energy availability symptoms using the Low Energy Availability in Females Questionnaire for women belonging to the Polish national kayaking team. Additionally, quantitative measurements of body composition and levels of calcium were performed. Methods: The study involved 33 women who were competitors in the Polish national kayaking team. Results: An analysis of the results in terms of disorders in the monthly cycle in the tested kayakers found that only five competitors, approximately 15% of the entire group, had this type of problem. Between the participants who had disorders of the menstrual cycle and those whose cycle was normal, there was only a statistically significant difference at the level of p < 0.001 in relation to the age of the kayakers. Conclusions: The Low Energy Availability in Females Questionnaire proved to be a useful screening tool, which allowed for the early detection of Female Athlete Triad symptoms in several young female kayakers from the Polish national team.

References

Klitgaard K, Rosdahl H, Brund R, Hansen J, Zee M . Characterization of Leg Push Forces and Their Relationship to Velocity in On-Water Sprint Kayaking. Sensors (Basel). 2021; 21(20). PMC: 8539159. DOI: 10.3390/s21206790. View

Pendergast D, Mollendorf J, Zamparo P, Termin 2nd A, Bushnell D, Paschke D . The influence of drag on human locomotion in water. Undersea Hyperb Med. 2005; 32(1):45-57. View

Bonci C, Bonci L, Granger L, Johnson C, Malina R, Milne L . National athletic trainers' association position statement: preventing, detecting, and managing disordered eating in athletes. J Athl Train. 2008; 43(1):80-108. PMC: 2231403. DOI: 10.4085/1062-6050-43.1.80. View

Luszczki E, Jagielski P, Bartosiewicz A, Kuchciak M, Deren K, Stolarczyk A . The LEAF questionnaire is a good screening tool for the identification of the Female Athlete Triad/Relative Energy Deficiency in Sport among young football players. PeerJ. 2021; 9:e12118. PMC: 8420870. DOI: 10.7717/peerj.12118. View

Loucks A, Thuma J . Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women. J Clin Endocrinol Metab. 2003; 88(1):297-311. DOI: 10.1210/jc.2002-020369. View

Williams N, Statuta S, Austin A . Female Athlete Triad: Future Directions for Energy Availability and Eating Disorder Research and Practice. Clin Sports Med. 2017; 36(4):671-686. PMC: 5657497. DOI: 10.1016/j.csm.2017.05.003. View

Michael J, Rooney K, Smith R . The metabolic demands of kayaking: a review. J Sports Sci Med. 2013; 7(1):1-7. PMC: 3763332. View

Vaiksaar S, Jurimae J, Maestu J, Purge P, Kalytka S, Shakhlina L . No effect of menstrual cycle phase on fuel oxidation during exercise in rowers. Eur J Appl Physiol. 2010; 111(6):1027-34. DOI: 10.1007/s00421-010-1730-1. View

Kim J, Kim E . Nutritional Strategies to Optimize Performanceand Recovery in Rowing Athletes. Nutrients. 2020; 12(6). PMC: 7352678. DOI: 10.3390/nu12061685. View

10.

Gray S . Menstrual disorders. Pediatr Rev. 2013; 34(1):6-17. DOI: 10.1542/pir.34-1-6. View

11.

Doering T, Reaburn P, Cox G, Jenkins D . Comparison of Postexercise Nutrition Knowledge and Postexercise Carbohydrate and Protein Intake Between Australian Masters and Younger Triathletes. Int J Sport Nutr Exerc Metab. 2015; 26(4):338-46. DOI: 10.1123/ijsnem.2015-0289. View

12.

Maimoun L, Coste O, Georgopoulos N, Roupas N, Mahadea K, Tsouka A . Despite a high prevalence of menstrual disorders, bone health is improved at a weight-bearing bone site in world-class female rhythmic gymnasts. J Clin Endocrinol Metab. 2013; 98(12):4961-9. DOI: 10.1210/jc.2013-2794. View

13.

Bosy-Westphal A, Schautz B, Later W, Kehayias J, Gallagher D, Muller M . What makes a BIA equation unique? Validity of eight-electrode multifrequency BIA to estimate body composition in a healthy adult population. Eur J Clin Nutr. 2013; 67 Suppl 1:S14-21. DOI: 10.1038/ejcn.2012.160. View

14.

Schliep K, Mumford S, Vladutiu C, Ahrens K, Perkins N, Sjaarda L . Perceived stress, reproductive hormones, and ovulatory function: a prospective cohort study. Epidemiology. 2015; 26(2):177-84. PMC: 4315337. DOI: 10.1097/EDE.0000000000000238. View

15.

Kurgan N, Logan-Sprenger H, Falk B, Klentrou P . Bone and Inflammatory Responses to Training in Female Rowers over an Olympic Year. Med Sci Sports Exerc. 2018; 50(9):1810-1817. DOI: 10.1249/MSS.0000000000001640. View

16.

Warden S, Gutschlag F, Wajswelner H, Crossley K . Aetiology of rib stress fractures in rowers. Sports Med. 2002; 32(13):819-36. DOI: 10.2165/00007256-200232130-00002. View

17.

Melin A, Tornberg A, Skouby S, Faber J, Ritz C, Sjodin A . The LEAF questionnaire: a screening tool for the identification of female athletes at risk for the female athlete triad. Br J Sports Med. 2014; 48(7):540-5. DOI: 10.1136/bjsports-2013-093240. View

18.

Miyamoto M, Hanatani Y, Shibuya K . Relationship among Nutritional Intake, Anxiety, and Menstrual Irregularity in Elite Rowers. Nutrients. 2021; 13(10). PMC: 8537838. DOI: 10.3390/nu13103436. View

19.

Cornford E, Metcalfe R . Omission of carbohydrate-rich breakfast impairs evening 2000-m rowing time trial performance. Eur J Sport Sci. 2018; 19(1):133-140. DOI: 10.1080/17461391.2018.1545052. View

20.

Sim A, Burns S . Review: questionnaires as measures for low energy availability (LEA) and relative energy deficiency in sport (RED-S) in athletes. J Eat Disord. 2021; 9(1):41. PMC: 8011161. DOI: 10.1186/s40337-021-00396-7. View