Athletic Performance and Bone Stress Injuries in Collegiate Athletes
Abstract/Contents
- Abstract
- Bone stress injuries are a common athletic injury that negatively impact athletes’ performance and well-being; have a high-rate of recurrence; and may reflect poor bone health in some athletes. While many studies have looked at risk factors that modify the load applied to a bone or that modify the ability of a bone to resist load, few have looked about how performance is associated with BSI risk. This study fills that gap by looking at the association between personal-best mile and cross-country times and BSI diagnoses in a large prospective cohort of competitive runners. Student athletes (N=126) from the track and field and cross-country teams at Stanford and UCLA were followed up to 4 years via yearly physical exams and questionnaires to determine which characteristics were associated with BSI events. Analyses looking at the relationship between bone mineral density (BMD) and performance found that a minute slower best mile time was associated with a statistically significant 0.16 standard deviation higher hip BMD in men, after adjusting for known risk factors for low BMD. These analyses also found a statistically significant 0.21 standard deviation higher total body BMD in females, after adjusting for known risk factors. In BSI models for men, a slower mile time was protective against BSIs though this association did not achieve statistical significance; for females, a slower mile time increased BSI rates only after adjusting for known risk factors for low BMD (RR=2.50, p=.06). Models with cross-country times as an exposure showed no association, most likely due to the high variability of cross-country times. Higher performing runners may have reduced BMD.
Description
Type of resource | text |
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Date created | June 6, 2018 |
Creators/Contributors
Author | Lutz, Merete |
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Advisor | Sainani, Kristin |
Subjects
Subject | Epidemiology |
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Subject | Stanford |
Subject | bone stress injuries |
Subject | performance |
Subject | running |
Subject | collegiate |
Genre | Thesis |
Bibliographic information
Access conditions
- Use and reproduction
- User agrees that, where applicable, content will not be used to identify or to otherwise infringe the privacy or confidentiality rights of individuals. Content distributed via the Stanford Digital Repository may be subject to additional license and use restrictions applied by the depositor.
- License
- This work is licensed under a Creative Commons Attribution 3.0 Unported license (CC BY).
Preferred citation
- Preferred Citation
- Merete Lutz. (2018). . Stanford Digital Repository. Available at: https://purl.stanford.edu/db736rk6872
Collection
Epidemiology & Clinical Research Masters Theses
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- Contact
- meretelutz@gmail.com
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