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Runners with a weight concern, shape concern, or global score \u22654.0 or reporting &gt;1 pathologic behavior in the past 28 days were classified with disordered eating. Compared with runners with normal Eating Disorder Examination Questionnaire scores at baseline, runners with disordered eating at baseline reported fewer menstrual cycles\/year (6.4\u2009\u00b1\u20094.5 vs. 10.5\u2009\u00b1\u20092.8, <jats:italic>p<\/jats:italic>\u2009=\u2009.005), more years of amenorrhea (1.6\u2009\u00b1\u20091.4 vs. 0.3\u2009\u00b1\u20090.5, <jats:italic>p<\/jats:italic>\u2009=\u2009.03), and a higher proportion of menstrual irregularity (75.0% vs. 31.3%, <jats:italic>p<\/jats:italic>\u2009=\u2009.02) and failed to increase lumbar spine or total hip bone mineral density at the 3-year follow-up. In a multivariate model including body mass index and menstrual cycles in the past year at baseline, baseline shape concern score (<jats:italic>B<\/jats:italic>\u2009=\u2009\u22120.57, <jats:italic>p<\/jats:italic> value\u2009=\u2009.001) was inversely related to the annual number of menstrual cycles between assessments. Weight concern score (<jats:italic>B<\/jats:italic>\u2009=\u2009\u22120.40, <jats:italic>p<\/jats:italic> value\u2009=\u2009.005) was inversely associated with lumbar spine bone mineral density <jats:italic>Z<\/jats:italic>-score change between assessments according to a multivariate model adjusting for age and body mass index. These finding support associations between disordered eating at baseline and future menstrual irregularities or reduced accrual of lumbar spine bone mass in female adolescent endurance runners.<\/jats:p>","DOI":"10.1123\/ijsnem.2021-0011","type":"journal-article","created":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T13:37:21Z","timestamp":1623073041000},"page":"337-344","source":"Crossref","is-referenced-by-count":17,"title":["Disordered Eating, Development of Menstrual Irregularity, and Reduced Bone Mass Change After a 3-Year Follow-Up In Female Adolescent Endurance Runners"],"prefix":"10.1123","volume":"31","author":[{"given":"Michelle T.","family":"Barrack","sequence":"first","affiliation":[{"name":"California State University Long Beach"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta D.","family":"Van Loan","sequence":"additional","affiliation":[{"name":"University of California Davis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell","family":"Rauh","sequence":"additional","affiliation":[{"name":"San Diego State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanne F.","family":"Nichols","sequence":"additional","affiliation":[{"name":"San Diego State University"},{"name":"University of California San Diego"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"4","key":"r1","series-title":"American Journal of Sports Medicine,","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1177\/0363546513520295","article-title":"Higher incidence of bone stress injuries with increasing female athlete triad-related risk factors: A prospective multisite study of exercising girls and women","volume":"42","author":"Barrack, M.T.","year":"2014","unstructured":"Barrack, M.T., Gibbs, J.C., De Souza, M.J., Williams, N.I., Nichols, J.F., Rauh, M.J., & Nattiv, A. 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