Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.
Department of Health Sciences, Central Washington University, Ellensburg, WA 98926, USA.
Int J Environ Res Public Health. 2023 Feb 28;20(5):4269. doi: 10.3390/ijerph20054269.
This study examined female collegiate ballet dancers' ( = 28) Female Athlete Triad (Triad) risk via the Cumulative Risk Assessment (CRA) and nutritional profiles (macro- and micronutrients; = 26). The CRA identified Triad return to play criteria (RTP: Full Clearance, Provisional Clearance, or Restricted/Medical Disqualified) by assessing eating disorder risk, low energy availability, menstrual cycle dysfunction, and low bone mineral density. Seven-day dietary assessments identified any energy imbalances of macro- and micronutrients. Ballet dancers were identified as low, within normal, or high for each of the 19 nutrients assessed. Basic descriptive statistics assessed CRA risk classification and dietary macro- and micronutrient levels. Dancers averaged 3.5 ± 1.6 total score on the CRA. Based on these scores, the RTP outcomes revealed Full Clearance 7.1%, = 2; Provisional Clearance 82.1%, = 23; and Restricted/Medical Disqualification 10.7%, = 3. Dietary reports revealed that 96.2% ( = 25) of ballet dancers were low in carbohydrates, 92.3% ( = 24) low in protein, 19.2% ( = 5) low in fat percent, 19.2% ( = 5) exceeding saturated fats, 100% ( = 26) low in Vitamin D, and 96.2% ( = 25) low in calcium. Due to the variability in individual risks and nutrient requirements, a patient-centered approach is a critical part of early prevention, evaluation, intervention, and healthcare for the Triad and nutritional-based clinical evaluations.
本研究通过累积风险评估 (CRA) 和营养状况(宏量和微量营养素;n=26)检查了女性大学芭蕾舞演员(n=28)的女性运动员三联征(三联征)风险。通过评估饮食失调风险、能量供应不足、月经周期功能障碍和低骨密度,CRA 确定了三联征重返赛场标准(RTP:完全合格、临时合格或受限/医疗不合格)。通过 7 天饮食评估确定宏量和微量营养素的任何能量失衡。根据 19 种营养素的评估,芭蕾舞演员被确定为低、正常或高。基本描述性统计评估了 CRA 风险分类和饮食宏量和微量营养素水平。舞者在 CRA 上的平均得分为 3.5±1.6。根据这些分数,RTP 结果显示完全合格 7.1%(n=2);临时合格 82.1%(n=23);受限/医疗不合格 10.7%(n=3)。饮食报告显示,96.2%(n=25)的芭蕾舞演员碳水化合物摄入不足,92.3%(n=24)蛋白质摄入不足,19.2%(n=5)脂肪百分比摄入不足,19.2%(n=5)饱和脂肪摄入过多,100%(n=26)维生素 D 摄入不足,96.2%(n=25)钙摄入不足。由于个体风险和营养需求的差异,以患者为中心的方法是三联征和营养为基础的临床评估的早期预防、评估、干预和医疗保健的关键部分。