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Eating Behaviors, Nutritional Status, and Menstrual Function in Elite Female Adolescent Volleyball Players

      Abstract

      Nutritional status, eating behaviors and menstrual function was examined in 23 nationally ranked female adolescent volleyball players using a health/weight/ dieting/menstrual history questionnaire, the Eating Disorder Inventory (EDI), and the Body Shape Questionnaire (BSQ). Nutrient and energy intakes (El) and energy expenditure (EE) were determined by 3-d weighed food records and activity logs. Iron (Fe), vitamins C, B12, and Folate status were assessed using serum and whole blood. Mean El (2248 ± 414kcal/d) was less than EE (2815 ± 306kcal/d). Mean carbohydrate (5.4 ±1.0g/kg/d) and protein (1.1±0.3g/kg/d) intakes were below recommended levels for highly active women. Mean intakes for folate, Fe, Ca, Mg, and Zn were less than the respective RDAs/DRIs and almost 50% of the athletes were consuming less than the RDAs/DRIs for the B-complex vitamins and vitamin C. Three athletes presented with Fe deficiency anemia (Hb <12mg/dL), while marginal vitamin B12 status (<200 pg/ml) and vitamin C status (<28mmol/L) were found in 1 and 4 athletes, respectively. Approximately 1/2 of the athletes reported actively “dieting”. Mean BSQ and EDI subscales scores were within the normal ranges; yet, elevated scores on these scales were reported by 26% and 35% of athletes, respectively. Past or present amenorrhea was reported by 17% of the athletes and 13% and 48%, reported past or present oligomenorrhea and “irregular” menstrual cycles, respectively. These results indicate that elite adolescent volleyball players are at risk for menstrual dysfunction and have energy and nutrient intakes that place them at risk for nutritional deficiencies and compromised performance. J Am Diet Assoc. 2002;102:1293–1296.
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      References

        • Nicklas T.
        Dietary studies of children.
        J Am Diet Assoc. 1995; 95: 1127-1133
      1. Recommended Dietary Allowances. 10th ed. National Academy Press, Washington, DC1989
      2. Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes for Calcium, Phosphorous, Magnesium, Vitamin D, and Flouride. National Academy Press, Washington, DC1997
      3. Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Panothenic Acid, Biotin, and Choline. National Academy Press, Washington, DC1998
      4. Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. National Academy Press, Washington, DC2000
      5. US Dept of Agriculture, Agricultural Research Service. Food and Nutrient Intakes by Children 1994-96, 1998. Beltsville Human Nutrition Research Center, West Beltsville, Md1999
        • Beals K.A.
        Nutritional concerns of adolescent athletes.
        in: Wolinsky I. Driskell J.A. Nutritional Applications in Exercise and Sport. CRC Press, Boca Raton, Fla2001: 59-80
        • Loosli A.R.
        • Benson J.
        Nutritional intake in adolescent athletes.
        Pediatr Clin North Am. 1990; 37: 1143-1152
        • Rowland T.W.
        Iron deficiency in the young athlete.
        Pediatr Clin North Am. 1990; 37: 1153-1163
        • Rowland T.W.
        • Stagg L.
        • Kelleher J.F.
        Iron deficiency in adolescent girls. Are athletes at an increased risk?.
        J Adolesc Health. 1991; 12: 22-31
        • Baer J.T.
        • Taper J.L.
        Amenorrheic and eumenorrheic adolescent runners.
        J Am Diet Assoc. 1992; 92: 89-91
        • Perron M.
        • Endres J.
        Knowledge, attitudes, and dietary practices of female athletes.
        J Am Diet Assoc. 1985; 85: 573-576
        • Rucinski A.
        Relationship of body image and dietary intake of competitive ice skaters.
        J Am Diet Assoc. 1989; 89: 98-100
        • Ziegler P.
        • Hensley S.
        • Roepke J.B.
        • Whitaker S.H.
        • Craig B.W.
        • Drewnowski A.
        Eating attitudes and energy intakes of female skaters.
        Med Sci Sports Exerc. 1998; 30: 583-586
        • Ziegler P.
        • Nelson J.A.
        • Barratt-Fornell A.
        • Fiveash L.
        • Drewnowski A.
        Energy and macronutrient intakes of elite figure skaters.
        J Am Diet Assoc. 2001; 101: 319-325
        • Benardot D.
        • Schwarz M.
        • Weitzenfeld-Heller D.
        Nutrient intake in young, highly competitive gymnasts.
        J Am Diet Assoc. 1989; 89: 401-403
        • Fogelholm G.M.
        • Kukkonen-Harjula T.K.
        • Tipale S.A.
        • Sievanen H.T.
        • Oja P.
        • Vuori I.M.
        Resting metabolic rate and energy intake in female gymnasts, figure-skaters, and soccer players.
        Int J Sports Med. 1995; 16: 551-556
        • Benson J.E.
        • Allemann Y.
        • Theintz G.E.
        • Howald H.
        Eating problems and calorie intake levels in Swiss adolescent athletes.
        Int J Sports Med. 1990; 11: 249-252
        • Sundgot-Borgen J.
        Eating disorders, energy intake, training volume and menstrual function in high-level modern rhythmic gymnasts.
        Int J Sport Nutr. 1996; 6: 100-109
        • Garner D.M.
        • Rosen L.W.
        • Barry D.
        Eating disorders among athletes.
        Child Adolesc Psychiatr Clin North Am. 1998; 7: 839-857
        • Cooper P.J.
        • Taylor M.J.
        • Cooper Z.
        • Fariburn C.G.
        The development and validation of the body shape questionnaire.
        Int J Eat Disord. 1987; 6: 485-494
        • Garner D.M.
        • Olmstead M.P.
        • Polivy J.
        Development and validation of a multidimensional Eating Disorder Inventory for anorexia nervosa and bulimia.
        Int J Eat Disord. 1983; 2: 15-34
        • Jackson A.S.
        • Pollock M.C.
        • Ward A.
        Generalized equations for predicting body density of women.
        Med Sci Sports Exerc. 1980; 72: 175-182
        • Omaye S.T.
        • Turnbull J.D.
        • Sauberlich H.E.
        Selected methods for the determination of ascorbic acid in animal cells, tissues, and fluids.
        Methods Enzymol. 1979; 62: 882-888
        • Lohman T.G.
        Estimating body composition in children and the elderly.
        in: Roche A.F. Heymsfield S.B. Lohman TG Advances in Body Composition Assessment. Human Kinetics, Champaign, Ill1992: 65-78
        • Lopez-Varela S.
        • Montero A.
        • Chandra R.K.
        • Marcos A.
        Nutritional status of young female gymnasts.
        Int J Vitam Nutr Res. 2000; 70: 185-190
        • Ziegler P.
        • Khoo C.S.
        • Kris-Etherton P.M.
        • Jonnalagadda S.S.
        • Sherr B.
        • Nelson J.
        Nutritional status of nationally ranked junior US figure skaters.
        J Am Diet Assoc. 1998; 98: 809-811
        • Berning J.
        • Troup J.P.
        • Yanhandel P.J.
        • Daniels J.
        • Daniels N.
        The nutritional habits of young adolescent swimmers.
        Int J Sport Nutr. 1991; 1: 240-248
        • Lemon P.W.R.
        Nutrition for muscular development of young athletes.
        in: Gisolfi C.V. Lamb DR Perspectives in Exercise Science. Vol. 2. Youth, Exercise, and Sport. Benchmark Press, Indianapolis, Ind1989: 369-396
        • Walberg-Rankin J.
        Dietary carbohydrate as an ergogenic aid for prolonged and brief competition.
        Int J Sport Nutr. 1995; 5: S13-S28
        • Stoutjesdyk D.
        • Jevne R.
        Eating disorders among high performance athletes.
        J Youth Adolesc. 1993; 22: 271-282
        • Taub D.E.
        • Blinde E.M.
        Eating disorders among adolescent female athletes.
        Adolescence. 1992; 27: 833-848
        • Bale P.
        • Doust J.
        • Dawson D.
        Gymnasts, distance runners, anorexics body composition and menstrual status.
        J Sports Med Phys Fitness. 1996; 36: 49-53
      6. American Academy of Pediatrics, Committee on Sports Med and Fitness. Medical concerns in the female athlete. Pediatrics. 2000;106:610–613.

        • Drinkwater B.L.
        • Bruemner B.
        • Chestnut III, C.H.
        Menstrual history as a determinant of current bone density in young athletes.
        JAMA. 1990; 263: 545-548
        • Van De Loo D.
        • Johnson M.D.
        The young female athlete.
        Clin Sports Med. 1995; 14: 687-707
        • Fischbach F.A.
        Manual of Laboratory and Diagnostic Tests. 5th ed. Lippinoctt, Philadelphia, Pa1996
        • Pesce A.J.
        • Kaplan L.A.
        Methods in Clinical Chemistry. CV Mosby Co, St Louis, Mo1987