Adolescent elite Kenyan runners are at risk for energy deficiency, menstrual dysfunction and disordered eating

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dc.contributor.authorMuia, Esther Nduku
dc.contributor.authorHattie H. Wright
dc.contributor.authorOnywera, V.O.
dc.contributor.authorKuria, E. N.
dc.date.accessioned2015-07-10T08:59:22Z
dc.date.available2015-07-10T08:59:22Z
dc.date.issued2015
dc.descriptionResearch Articleen_US
dc.description.abstractLimited data are available on the female athlete triad (Triad) in athletes from minority groups. We explored subclinical and clinical Triad components amongst adolescent elite Kenyan athletes (n = 61) and non-athletes (n = 49). Participants completed demographic, health, sport and menstrual history questionnaires as well as a 5-day weighed dietary record and exercise log to calculate energy availability (EA). Ultrasound assessed calcaneus bone mineral density (BMD). Eating Disorder Inventory subscales and the Three-Factor Eating Questionnaire’s cognitive dietary restraint subscale measured disordered eating (DE). EA was lower in athletes than non-athletes (36.5 ± 4.5 vs. 39.5 ± 5.7 kcal ∙ kg FFM−1 ∙ d−1 , P = 0.003). More athletes were identified with clinical low EA (17.9% vs. 2.2%, OR = 9.5, 95% CI 1.17–77, P = 0.021) and clinical menstrual dysfunction (32.7% vs. 18.3%, χ 2 = 7.1, P = 0.02). Subclinical (75.4% vs. 71.4%) and clinical DE (4.9% vs. 10.2%, P = 0.56) as well as BMD were similar between athletes and non-athletes. More athletes had two Triad components than non-athletes (8.9% vs. 0%, OR = 0.6, 95% CI 0.5–6.9, P = 0.05). Kenyan adolescent participants presented with one or more subclinical and/or clinical Triad component. It is essential that athletes and their entourage be educated on their energy needs including health and performance consequences of an energy deficiency.en_US
dc.identifier.issn0264-0414
dc.identifier.issn1466-447X
dc.identifier.urihttp://www.tandfonline.com/doi/full/10.1080/02640414.2015.1065340#.VaAVrV9Viko
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/13141
dc.language.isoenen_US
dc.publisherTaylor & Francis (Routledge)en_US
dc.subjectyoung athleteen_US
dc.subjectbone mineral densityen_US
dc.subjectenergy availabilityen_US
dc.subjectmenstrual functionen_US
dc.titleAdolescent elite Kenyan runners are at risk for energy deficiency, menstrual dysfunction and disordered eatingen_US
dc.typeArticleen_US
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