{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T08:57:40Z","timestamp":1790326660696,"version":"4.1.0"},"reference-count":58,"publisher":"National Athletic Trainers' Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>The female athlete triad describes the interrelatedness of energy availability, menstrual function, and bone density. Although associations between triad components and musculoskeletal injury (INJ) have been reported in collegiate athletes, limited information exists about menstrual irregularity (MI) and INJ in the high school population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine the prevalence of and relationship between MI and INJ in high school athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>High schools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients or Other Participants:<\/jats:title>\n                    <jats:p>The sample consisted of 249 female athletes from 3 high schools who competed in 33 interscholastic, school-sponsored sport teams, dance teams, and cheerleading or pom-pon squad during the 2006\u20132007 school year. Each athlete remained on the roster throughout the season.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s):<\/jats:title>\n                    <jats:p>Participants completed a survey regarding injury type, number of days of sport participation missed, and menstrual history in the past year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The prevalences of MI and INJ were 19.7% and 63.1%, respectively. Athletes who reported MI sustained a higher percentage of severe injuries (missing \u226522 days of practice or competition) than did athletes who reported normal menses. Although the trend was not significant, athletes with MI were almost 3 times more likely to sustain an injury resulting in 7 or more days of time lost from sport (odds ratio = 2.7, 95% confidence interval = 0.8, 8.8) than those who sustained an injury resulting in 7 or fewer days of time lost.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The incidences of MI and INJ in this high school population during the study period were high. Athletes who reported MI sustained a higher percentage of severe injuries than did athletes who reported normal menses. Education programs to increase knowledge and improve management of MI and its potential effects on injury in female high school athletes are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4085\/1062-6050-47.1.74","type":"journal-article","created":{"date-parts":[[2017,3,2]],"date-time":"2017-03-02T09:56:34Z","timestamp":1488448594000},"page":"74-82","source":"Crossref","is-referenced-by-count":77,"title":["Menstrual Irregularity and Musculoskeletal Injury in Female High School Athletes"],"prefix":"10.4085","volume":"47","author":[{"given":"Jill M.","family":"Thein-Nissenbaum","sequence":"first","affiliation":[{"name":"Graduate Program in Orthopaedic and Sports Science, Rocky Mountain University of Health Professions, Provo, UT"},{"name":"University of Wisconsin School of Medicine and Public Health, Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell J.","family":"Rauh","sequence":"additional","affiliation":[{"name":"Graduate Program in Orthopaedic and Sports Science, Rocky Mountain University of Health Professions, Provo, UT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen E.","family":"Carr","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith J.","family":"Loud","sequence":"additional","affiliation":[{"name":"Northeastern Ohio Universities College of Medicine, Akron"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy A.","family":"McGuine","sequence":"additional","affiliation":[{"name":"University of Wisconsin Health Sportsmedicine Center, Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"10","key":"i1062-6050-47-1-74-b1","series-title":"Med Sci Sports Exerc.","first-page":"1867","article-title":"American College of Sports Medicine position stand: the female athlete triad.","volume":"39","year":"2007","unstructured":"Nattiv, A, ABLoucks, MMManore, CFSanborn, JSundgot-Borgen, MPWarren, and American College of Sports Medicine. American College of Sports Medicine position stand: the female athlete triad.Med Sci Sports Exerc.2007. 3910:1867\u20131882."},{"issue":"9","key":"i1062-6050-47-1-74-b2","series-title":"J Am Diet Assoc.","first-page":"1293","article-title":"Eating behaviors, nutritional status, and menstrual function in elite female adolescent volleyball players.","volume":"102","year":"2002","unstructured":"Beals, KA.\n          \n          Eating behaviors, nutritional status, and menstrual function in elite female adolescent volleyball players.\n          J Am Diet Assoc.\n          2002. 1029:1293\u20131296."},{"issue":"4","key":"i1062-6050-47-1-74-b3","series-title":"J Athl Train.","first-page":"286","article-title":"Physiologic Screening Test for Eating Disorders\/ Disordered Eating among female collegiate athletes.","volume":"38","year":"2003","unstructured":"Black, DR, LJLarkin, DCCoster, LJLeverenz, and DA.Abood. Physiologic Screening Test for Eating Disorders\/ Disordered Eating among female collegiate athletes.J Athl Train.2003. 384:286\u2013297."},{"issue":"5","key":"i1062-6050-47-1-74-b4","series-title":"Med Sci Sports Exerc.","first-page":"711","article-title":"Disordered eating, menstrual irregularity, and bone mineral density in female runners.","volume":"35","year":"2003","unstructured":"Cobb, KL, LKBachrach, and GGreendale. et al.Disordered eating, menstrual irregularity, and bone mineral density in female runners.Med Sci Sports Exerc.2003. 355:711\u2013719."},{"issue":"3","key":"i1062-6050-47-1-74-b5","series-title":"Pediatr Clin North Am.","first-page":"553","article-title":"The female athlete: before and beyond puberty.","volume":"49","year":"2002","unstructured":"Greydanus, DE and DR.Patel. The female athlete: before and beyond puberty.Pediatr Clin North Am.2002. 493:553\u2013580. vi."},{"issue":"1","key":"i1062-6050-47-1-74-b6","series-title":"Br J Sports Med.","first-page":"10","article-title":"New criteria for female athlete triad syndrome? As osteoporosis is rare, should osteopenia be among the criteria for defining the female athlete triad syndrome?","volume":"36","year":"2002","unstructured":"Khan, KM, TLiu-Ambrose, MMSran, MCAshe, MGDonaldson, and JD.Wark. New criteria for female athlete triad syndrome? As osteoporosis is rare, should osteopenia be among the criteria for defining the female athlete triad syndrome?Br J Sports Med.2002. 361:10\u201313."},{"issue":"4","key":"i1062-6050-47-1-74-b7","series-title":"Int J Eat Disord.","first-page":"371","article-title":"Female athletes and eating problems: a meta-analysis.","volume":"27","year":"2000","unstructured":"Smolak, L, SKMurnen, and AE.Ruble. Female athletes and eating problems: a meta-analysis.Int J Eat Disord.2000. 274:371\u2013380."},{"issue":"7","key":"i1062-6050-47-1-74-b8","series-title":"Phys Sportsmed.","first-page":"33","article-title":"Eating disorder and menstrual dysfunction screening, education, and treatment programs.","volume":"31","year":"2003","unstructured":"Beals, KA.\n          \n          Eating disorder and menstrual dysfunction screening, education, and treatment programs.\n          Phys Sportsmed.\n          2003. 317:33\u201341."},{"issue":"3","key":"i1062-6050-47-1-74-b9","series-title":"Int J Sport Nutr Exerc Metab.","first-page":"281","article-title":"Disorders of the female athlete triad among collegiate athletes.","volume":"12","year":"2002","unstructured":"Beals, KA and MM.Manore. Disorders of the female athlete triad among collegiate athletes.Int J Sport Nutr Exerc Metab.2002. 123:281\u2013293."},{"issue":"5","key":"i1062-6050-47-1-74-b10","series-title":"Clin J Sport Med.","first-page":"421","article-title":"Prevalence of the female athlete triad in high school athletes and sedentary students.","volume":"19","year":"2009","unstructured":"Hoch, AZ, NMPajewski, and LMoraski. et al.Prevalence of the female athlete triad in high school athletes and sedentary students.Clin J Sport Med.2009. 195:421\u2013428."},{"issue":"1","key":"i1062-6050-47-1-74-b11","series-title":"Acta Obstet Gynecol Scand.","first-page":"65","article-title":"Menstrual disorders and associated factors among adolescent girls visiting a youth clinic.","volume":"86","year":"2007","unstructured":"Wiksten-Almstromer, M, ALHirschberg, and K.Hagenfeldt. Menstrual disorders and associated factors among adolescent girls visiting a youth clinic.Acta Obstet Gynecol Scand.2007. 861:65\u201372."},{"issue":"4","key":"i1062-6050-47-1-74-b12","series-title":"Int J Adolesc Med Health.","first-page":"555","article-title":"Menstrual function in female high school cross-country athletes.","volume":"21","year":"2009","unstructured":"Austin, TM, MFReinking, and AM.Hayes. Menstrual function in female high school cross-country athletes.Int J Adolesc Med Health.2009. 214:555\u2013565."},{"issue":"4","key":"i1062-6050-47-1-74-b13","series-title":"Int J Sport Nutr Exerc Metab.","first-page":"364","article-title":"Disordered eating and menstrual irregularity in high school athletes in lean-build and nonlean-build sports.","volume":"17","year":"2007","unstructured":"Nichols, JF, MJRauh, MTBarrack, HSBarkai, and Y.Pernick. Disordered eating and menstrual irregularity in high school athletes in lean-build and nonlean-build sports.Int J Sport Nutr Exerc Metab.2007. 174:364\u2013377."},{"issue":"1","key":"i1062-6050-47-1-74-b14","series-title":"Arch Pediatr Adolesc Med.","first-page":"137","article-title":"Prevalence of the female athlete triad syndrome among high school athletes.","volume":"160","year":"2006","unstructured":"Nichols, JF, MJRauh, MJLawson, MJi, and HS.Barkai. Prevalence of the female athlete triad syndrome among high school athletes.Arch Pediatr Adolesc Med.2006. 1601:137\u2013142."},{"issue":"3","key":"i1062-6050-47-1-74-b15","series-title":"Bone.","first-page":"371","article-title":"Bone mineral density in female high school athletes: interactions of menstrual function and type of mechanical loading.","volume":"41","year":"2007","unstructured":"Nichols, JF, MJRauh, MTBarrack, and HS.Barkai. Bone mineral density in female high school athletes: interactions of menstrual function and type of mechanical loading.Bone.2007. 413:371\u2013377."},{"key":"i1062-6050-47-1-74-b16","series-title":"Clin Orthop Relat Res.","first-page":"50","article-title":"Anterior cruciate ligament injuries in the female athlete: potential risk factors.","volume":"372","year":"2000","unstructured":"Huston, LJ, MLGreenfield, and EM.Wojtys. Anterior cruciate ligament injuries in the female athlete: potential risk factors.Clin Orthop Relat Res.2000. 372:50\u201363."},{"issue":"4","key":"i1062-6050-47-1-74-b17","series-title":"Curr Opin Pediatr.","first-page":"317","article-title":"Common athletic injuries in adolescent girls.","volume":"13","year":"2001","unstructured":"Loud, KJ and LF.Micheli. Common athletic injuries in adolescent girls.Curr Opin Pediatr.2001. 134:317\u2013322."},{"issue":"12","key":"i1062-6050-47-1-74-b18","series-title":"Am J Epidemiol.","first-page":"1209","article-title":"A prospective study of injury incidence among North Carolina high school athletes.","volume":"164","year":"2006","unstructured":"Knowles, SB, SWMarshall, and JMBowling. et al.A prospective study of injury incidence among North Carolina high school athletes.Am J Epidemiol.2006. 16412:1209\u20131221."},{"issue":"3","key":"i1062-6050-47-1-74-b19","series-title":"Am J Sports Med.","first-page":"385","article-title":"Sex-related injury patterns among selected high school sports.","volume":"28","year":"2000","unstructured":"Powell, JW and KD.Barber-Foss. Sex-related injury patterns among selected high school sports.Am J Sports Med.2000. 283:385\u2013391."},{"issue":"1","key":"i1062-6050-47-1-74-b20","series-title":"Am J Epidemiol.","first-page":"151","article-title":"Epidemiology of musculoskeletal injuries among high school cross-country runners.","volume":"163","year":"2006","unstructured":"Rauh, MJ, TDKoepsell, FPRivara, AJMargherita, and SG.Rice. Epidemiology of musculoskeletal injuries among high school cross-country runners.Am J Epidemiol.2006. 1631:151\u2013159."},{"issue":"6","key":"i1062-6050-47-1-74-b21","series-title":"J Am Acad Orthop Surg.","first-page":"439","article-title":"Sports and fitness activities: the negative consequences.","volume":"11","year":"2003","unstructured":"Garrick, JG and RK.Requa. Sports and fitness activities: the negative consequences.J Am Acad Orthop Surg.2003. 116:439\u2013443."},{"issue":"3","key":"i1062-6050-47-1-74-b22","series-title":"JAMA.","first-page":"380","article-title":"Bone mineral density after resumption of menses in amenorrheic athletes.","volume":"256","year":"1986","unstructured":"Drinkwater, BL, KNilson, SOtt, and CHChesnutIII.. Bone mineral density after resumption of menses in amenorrheic athletes.JAMA.1986. 2563:380\u2013382."},{"issue":"10","key":"i1062-6050-47-1-74-b23","series-title":"Ann Intern Med.","first-page":"754","article-title":"Low bone density is an etiologic factor for stress fractures in athletes.","volume":"113","year":"1990","unstructured":"Myburgh, KH, JHutchins, ABFataar, SFHough, and TD.Noakes. Low bone density is an etiologic factor for stress fractures in athletes.Ann Intern Med.1990. 11310:754\u2013759."},{"issue":"6","key":"i1062-6050-47-1-74-b24","series-title":"Am J Sports Med.","first-page":"810","article-title":"Risk factors for stress fractures in track and field athletes: a twelve-month prospective study.","volume":"24","year":"1996","unstructured":"Bennell, KL, SAMalcolm, and SAThomas. et al.Risk factors for stress fractures in track and field athletes: a twelve-month prospective study.Am J Sports Med.1996. 246:810\u2013818."},{"issue":"4","key":"i1062-6050-47-1-74-b25","series-title":"Clin J Sport Med.","first-page":"262","article-title":"Lifestyles and health risks of collegiate athletes: a multi-center study.","volume":"7","year":"1997","unstructured":"Nattiv, A, JCPuffer, and GA.Green. Lifestyles and health risks of collegiate athletes: a multi-center study.Clin J Sport Med.1997. 74:262\u2013272."},{"issue":"9","key":"i1062-6050-47-1-74-b26","series-title":"Med Sci Sports Exerc.","first-page":"1571","article-title":"Epidemiology of stress fracture and lower-extremity overuse injury in female recruits.","volume":"38","year":"2006","unstructured":"Rauh, MJ, CAMacera, DWTrone, RAShaffer, and SK.Brodine. Epidemiology of stress fracture and lower-extremity overuse injury in female recruits.Med Sci Sports Exerc.2006. 389:1571\u20131577."},{"issue":"3","key":"i1062-6050-47-1-74-b27","series-title":"J Athl Train.","first-page":"243","article-title":"Relationships among injury and disordered eating, menstrual dysfunction, and low bone mineral density in high school athletes: a prospective study.","volume":"45","year":"2010","unstructured":"Rauh, MJ, JFNichols, and MT.Barrack. Relationships among injury and disordered eating, menstrual dysfunction, and low bone mineral density in high school athletes: a prospective study.J Athl Train.2010. 453:243\u2013252."},{"issue":"7","key":"i1062-6050-47-1-74-b28","series-title":"Acad Emerg Med.","first-page":"641","article-title":"Epidemiology of lower extremity injuries among U.S. high school athletes.","volume":"14","year":"2007","unstructured":"Fernandez, WG, EEYard, and RD.Comstock. Epidemiology of lower extremity injuries among U.S. high school athletes.Acad Emerg Med.2007. 147:641\u2013645."},{"issue":"3","key":"i1062-6050-47-1-74-b29","series-title":"Pediatrics.","first-page":"465","article-title":"Injuries in high school sports.","volume":"61","year":"1978","unstructured":"Garrick, JG and RK.Requa. Injuries in high school sports.Pediatrics.1978. 613:465\u2013469."},{"issue":"3","key":"i1062-6050-47-1-74-b30","series-title":"J Athl Train.","first-page":"277","article-title":"Injury patterns in selected high school sports: a review of the 1995\u20131997 seasons.","volume":"34","year":"1999","unstructured":"Powell, JW and KD.Barber-Foss. Injury patterns in selected high school sports: a review of the 1995\u20131997 seasons.J Athl Train.1999. 343:277\u2013284."},{"issue":"4","key":"i1062-6050-47-1-74-b31","series-title":"J Athl Train.","first-page":"486","article-title":"Subsequent injury patterns in girls' high school sports.","volume":"42","year":"2007","unstructured":"Rauh, MJ, CAMacera, MJi, and DL.Wiksten. Subsequent injury patterns in girls' high school sports.J Athl Train.2007. 424:486\u2013494."},{"issue":"1","key":"i1062-6050-47-1-74-b32","series-title":"Am J Clin Nutr.","first-page":"36","article-title":"Dietary restraint and low bone mass in female adolescent endurance runners.","volume":"87","year":"2008","unstructured":"Barrack, MT, MJRauh, HSBarkai, and JF.Nichols. Dietary restraint and low bone mass in female adolescent endurance runners.Am J Clin Nutr.2008. 871:36\u201343."},{"issue":"1","key":"i1062-6050-47-1-74-b33","series-title":"Clin J Sport Med.","first-page":"110","article-title":"High school cross country running injuries: a longitudinal study.","volume":"10","year":"2000","unstructured":"Rauh, MJ, AJMargherita, SGRice, TDKoepsell, and FP.Rivara. High school cross country running injuries: a longitudinal study.Clin J Sport Med.2000. 101:110\u2013116."},{"key":"i1062-6050-47-1-74-b34","series-title":"Exercise Physiology: Energy, Nutrition and Human Performance","first-page":"138","year":"2001","unstructured":"McArdle, WD, FIKatch, and VL.Katch. Exercise Physiology: Energy, Nutrition and Human Performance. Baltimore, MDLippincott Williams & Wilkins. 2001. 138."},{"issue":"1","key":"i1062-6050-47-1-74-b35","series-title":"Med Sci Sports Exerc.","first-page":"56","article-title":"Athletic amenorrhea: a review.","volume":"17","year":"1985","unstructured":"Loucks, AB and SM.Horvath. Athletic amenorrhea: a review.Med Sci Sports Exerc.1985. 171:56\u201372."},{"issue":"4","key":"i1062-6050-47-1-74-b36","series-title":"Curr Osteoporos Rep.","first-page":"160","article-title":"Anorexia, bulimia, and the athletic triad: evaluation and management.","volume":"5","year":"2007","unstructured":"Fenichel, RM and MP.Warren. Anorexia, bulimia, and the athletic triad: evaluation and management.Curr Osteoporos Rep.2007. 54:160\u2013164."},{"issue":"1","key":"i1062-6050-47-1-74-b37","series-title":"Fertil Steril.","first-page":"398","article-title":"Persistent osteopenia in ballet dancers with amenorrhea and delayed menarche despite hormone therapy: a longitudinal study.","volume":"80","year":"2003","unstructured":"Warren, MP, JBrooks-Gunn, and RPFox. et al.Persistent osteopenia in ballet dancers with amenorrhea and delayed menarche despite hormone therapy: a longitudinal study.Fertil Steril.2003. 801:398\u2013404."},{"issue":"3","key":"i1062-6050-47-1-74-b38","series-title":"Contraception.","first-page":"206","article-title":"Effects of an oral contraceptive (norgestimate\/ethinyl estradiol) on bone mineral density in women with hypothalamic amenorrhea and osteopenia: an open-label extension of a double-blind, placebo-controlled study.","volume":"72","year":"2005","unstructured":"Warren, MP, KKMiller, WHOlson, SKGrinspoon, and AJ.Friedman. Effects of an oral contraceptive (norgestimate\/ethinyl estradiol) on bone mineral density in women with hypothalamic amenorrhea and osteopenia: an open-label extension of a double-blind, placebo-controlled study.Contraception.2005. 723:206\u2013211."},{"issue":"3","key":"i1062-6050-47-1-74-b39","series-title":"Med Sci Sports Exerc.","first-page":"275","article-title":"Effects of exercise training on the menstrual-cycle: existence and mechanisms.","volume":"22","year":"1990","unstructured":"Loucks, AB.\n          \n          Effects of exercise training on the menstrual-cycle: existence and mechanisms.\n          Med Sci Sports Exerc.\n          1990. 223:275\u2013280."},{"issue":"1","key":"i1062-6050-47-1-74-b40","series-title":"J Endocrinol.","first-page":"3","article-title":"The effects of intense exercise on the female reproductive system.","volume":"170","year":"2001","unstructured":"Warren, MP and NE.Perlroth. The effects of intense exercise on the female reproductive system.J Endocrinol.2001. 1701:3\u201311."},{"issue":"4","key":"i1062-6050-47-1-74-b41","series-title":"J Adolesc Health Care.","first-page":"236","article-title":"World Health Organization multicenter study on menstrual and ovulatory patterns in adolescent girls, II: longitudinal study of menstrual patterns in the early postmenarcheal period, duration of bleeding episodes and menstrual cycles.","volume":"7","year":"1986","unstructured":"World Health Organization Task Force on Adolescent Reproductive Health\n          \n          World Health Organization multicenter study on menstrual and ovulatory patterns in adolescent girls, II: longitudinal study of menstrual patterns in the early postmenarcheal period, duration of bleeding episodes and menstrual cycles.\n          J Adolesc Health Care.\n          1986. 74:236\u2013244."},{"issue":"1","key":"i1062-6050-47-1-74-b42","series-title":"J Clin Endocrinol Metab.","first-page":"402","article-title":"Alterations in the hypothalamic-pituitary-ovarian and the hypothalamic-pituitary-adrenal axes in athletic women.","volume":"68","year":"1989","unstructured":"Loucks, AB, JFMortola, LGirton, and SS.Yen. Alterations in the hypothalamic-pituitary-ovarian and the hypothalamic-pituitary-adrenal axes in athletic women.J Clin Endocrinol Metab.1989. 681:402\u2013411."},{"issue":"1","key":"i1062-6050-47-1-74-b43","series-title":"J Appl Physiol.","first-page":"37","article-title":"Low energy availability, not stress of exercise, alters LH pulsatility in exercising women.","volume":"84","year":"1998","unstructured":"Loucks, AB, MVerdun, and EM.Heath. Low energy availability, not stress of exercise, alters LH pulsatility in exercising women.J Appl Physiol.1998. 841:37\u201346."},{"issue":"3","key":"i1062-6050-47-1-74-b44","series-title":"Exerc Sport Sci Rev.","first-page":"144","article-title":"Energy availability, not body fatness, regulates reproductive function in women.","volume":"31","year":"2003","unstructured":"Loucks, AB.\n          \n          Energy availability, not body fatness, regulates reproductive function in women.\n          Exerc Sport Sci Rev.\n          2003. 313:144\u2013148."},{"issue":"4","key":"i1062-6050-47-1-74-b45","series-title":"Fertil Steril.","first-page":"971","article-title":"Severity of energy-related menstrual disturbances increases in proportion to indices of energy conservation in exercising women.","volume":"88","year":"2007","unstructured":"De Souza, MJ, DKLee, JLVanHeest, JLScheid, SLWest, and NI.Williams. Severity of energy-related menstrual disturbances increases in proportion to indices of energy conservation in exercising women.Fertil Steril.2007. 884:971\u2013975."},{"issue":"4","key":"i1062-6050-47-1-74-b46","series-title":"J Pediatr Adolesc Gynecol.","first-page":"201","article-title":"Exercise training, menstrual irregularities and bone development in children and adolescents.","volume":"16","year":"2003","unstructured":"Eliakim, A and Y.Beyth. Exercise training, menstrual irregularities and bone development in children and adolescents.J Pediatr Adolesc Gynecol.2003. 164:201\u2013206."},{"issue":"9","key":"i1062-6050-47-1-74-b47","series-title":"Med Sci Sports Exerc.","first-page":"1551","article-title":"Introduction to menstrual disturbances in athletes.","volume":"35","year":"2003","unstructured":"Loucks, AB.\n          \n          Introduction to menstrual disturbances in athletes.\n          Med Sci Sports Exerc.\n          2003. 359:1551\u20131552."},{"issue":"3","key":"i1062-6050-47-1-74-b48","series-title":"J Am Med Womens Assoc.","first-page":"115","article-title":"Exercise and female adolescents: effects on the reproductive and skeletal systems.","volume":"54","year":"1999","unstructured":"Warren, MP and AL.Stiehl. Exercise and female adolescents: effects on the reproductive and skeletal systems.J Am Med Womens Assoc.1999. 543:115\u2013120. 138."},{"issue":"10","key":"i1062-6050-47-1-74-b49","series-title":"Arch Pediatr Adolesc Med.","first-page":"1026","article-title":"Adolescent bone health.","volume":"160","year":"2006","unstructured":"Loud, KJ and CM.Gordon. Adolescent bone health.Arch Pediatr Adolesc Med.2006. 16010:1026\u20131032."},{"issue":"1","key":"i1062-6050-47-1-74-b50","series-title":"Pediatrics.","first-page":"110","article-title":"Age at menarche and racial comparisons in US girls.","volume":"111","year":"2003","unstructured":"Chumlea, WC, CMSchubert, and AFRoche. et al.Age at menarche and racial comparisons in US girls.Pediatrics.2003. 1111:110\u2013113."},{"issue":"5","key":"i1062-6050-47-1-74-b51","series-title":"J Clin Endocrinol Metab.","first-page":"1150","article-title":"The effects of exercise on pubertal progression and reproductive function in girls.","volume":"51","year":"1980","unstructured":"Warren, MP.\n          \n          The effects of exercise on pubertal progression and reproductive function in girls.\n          J Clin Endocrinol Metab.\n          1980. 515:1150\u20131157."},{"issue":"5","key":"i1062-6050-47-1-74-b52","series-title":"Am J Sports Med.","first-page":"675","article-title":"High school sports injuries: a longitudinal study at Punahou School, 1988 to 1996.","volume":"25","year":"1997","unstructured":"Beachy, G, CKAkau, MMartinson, and TF.Olderr. High school sports injuries: a longitudinal study at Punahou School, 1988 to 1996.Am J Sports Med.1997. 255:675\u2013681."},{"issue":"5","key":"i1062-6050-47-1-74-b53","series-title":"Clin Pediatr (Phila).","first-page":"548","article-title":"Identifying previous sports injury among high school athletes.","volume":"48","year":"2009","unstructured":"Brooks, MA, MASchiff, and FP.Rivara. Identifying previous sports injury among high school athletes.Clin Pediatr (Phila).2009. 485:548\u2013550."},{"issue":"1","key":"i1062-6050-47-1-74-b54","series-title":"J Clin Endocrinol Metab.","first-page":"297","article-title":"Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women.","volume":"88","year":"2003","unstructured":"Loucks, AB and JR.Thuma. Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women.J Clin Endocrinol Metab.2003. 881:297\u2013311."},{"issue":"3","key":"i1062-6050-47-1-74-b55","series-title":"Am J Physiol Endocrinol Metab.","first-page":"E373","article-title":"Secretory dynamics of leptin in adolescent girls with anorexia nervosa and healthy adolescents.","volume":"289","year":"2005","unstructured":"Misra, M, KKMiller, and KKuo. et al.Secretory dynamics of leptin in adolescent girls with anorexia nervosa and healthy adolescents.Am J Physiol Endocrinol Metab.2005. 2893:E373\u2013E381."},{"issue":"1","key":"i1062-6050-47-1-74-b56","series-title":"J Orthop Sports Phys Ther.","first-page":"60","article-title":"Associations between disordered eating, menstrual dysfunction and musculoskeletal injury among high school athletes.","volume":"41","year":"2011","unstructured":"Thein-Nissenbaum, JM, MJRauh, KECarr, KJLoud, and TA.McGuine. Associations between disordered eating, menstrual dysfunction and musculoskeletal injury among high school athletes.J Orthop Sports Phys Ther.2011. 411:60\u201369."},{"issue":"6","key":"i1062-6050-47-1-74-b57","series-title":"Br J Sports Med.","first-page":"545","article-title":"How valid is a self reported 12 month sports injury history?","volume":"37","year":"2003","unstructured":"Gabbe, BJ, CFFinch, KLBennell, and H.Wajswelner. How valid is a self reported 12 month sports injury history?Br J Sports Med.2003. 376:545\u2013547."},{"issue":"5","key":"i1062-6050-47-1-74-b58","series-title":"Scand J Med Sci Sports.","first-page":"282","article-title":"Criterion related validity of self-reported knee symptoms among athletes.","volume":"12","year":"2002","unstructured":"Hahn, T.\n          \n          Criterion related validity of self-reported knee symptoms among athletes.\n          Scand J Med Sci Sports.\n          2002. 125:282\u2013287."}],"container-title":["Journal of Athletic Training"],"original-title":[],"link":[{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/47\/1\/article-p74.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/47\/1\/74\/1454966\/1062-6050-47_1_74.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/47\/1\/article-p74.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/47\/1\/article-p74.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T20:45:34Z","timestamp":1749674734000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/47\/1\/article-p74.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1]]},"references-count":58,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-47.1.74","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2012,1]]}}}