{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T17:32:21Z","timestamp":1772731941169,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,4,18]],"date-time":"2015-04-18T00:00:00Z","timestamp":1429315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:p>Studies of stress fracture (<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>) incidence are limited in number and geographical location; this study determined the incidence of <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content> injury in female endurance athletes based in the <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>nited <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>ingdom. A total of 70 athletes aged between 18 and 45 years were recruited and prospectively monitored for 12 months. Questionnaires at baseline and 12 months assessed <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>, menstrual and training history, eating psychopathology, and compulsive exercise. Peak lower leg muscle strength was assessed in both legs using an isometric muscle rig. Bone mineral density (<jats:styled-content style=\"fixed-case\">BMD<\/jats:styled-content>) of total body, spine, hip, and radius was assessed using dual X\u2010ray absorptiometry. Among the 61 athletes who completed the 12\u2010month monitoring, two sustained a <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content> diagnosed by magnetic resonance imaging, giving an incidence rate (95% confidence intervals) of 3.3 (0.8, 13.1) % of the study population sustaining a <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content> over 12 months. The <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content> cases were 800\u2009m runners aged 19 and 22 years, training on average 14.2\u2009h a week, eumenorrheic with no history of menstrual dysfunction. Case 1 had a higher than average energy intake and low eating psychopathology and compulsive exercise scores, while the reverse was true in case 2. <jats:styled-content style=\"fixed-case\">BMD<\/jats:styled-content> in both cases was similar to mean values in the non\u2010<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content> group. The incidence of <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content> in our female endurance athlete population based in the <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>nited <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>ingdom was 3.3%, which is lower than previously reported. Further work is needed to confirm the current incidence of <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content> and evaluate the associated risk factors.<\/jats:p>","DOI":"10.1111\/sms.12453","type":"journal-article","created":{"date-parts":[[2015,4,18]],"date-time":"2015-04-18T09:34:48Z","timestamp":1429349688000},"page":"854-859","source":"Crossref","is-referenced-by-count":21,"title":["Stress fracture injury in female endurance athletes in the <scp>U<\/scp>nited <scp>K<\/scp>ingdom: A 12\u2010month prospective study"],"prefix":"10.1111","volume":"25","author":[{"given":"R. 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