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Survey study, 2016

Does PMS increase the risk of stress fractures in teenage athletes?

Among teenage athletes, 8.9% had moderate-to-severe PMS. Those with strong physical premenstrual symptoms had 1.66 times higher risk of stress fractures, suggesting PMS symptoms may increase injury risk.

Early or limited evidence 394 Japanese female high school athletes with regular periods

What they did

394 Japanese female high school athletes with regular periods (25-38 days) completed questionnaires about premenstrual symptoms and their history of stress fractures.

What they found

8.9% had moderate-to-severe PMS and 1.3% had PMDD. 16.8% reported stress fractures. Athletes with stress fractures scored higher on overeating, physical symptoms, and performance issues. Physical premenstrual symptoms had an odds ratio of 1.66 for stress fracture risk.

What it means for you

Premenstrual physical symptoms may increase injury risk in young female athletes, but this cross-sectional study cannot prove causation. Results are from one area of Japan.

8.9%

Had moderate-to-severe PMS

16.8%

Had stress fractures

1.66

Fracture risk with physical symptoms

About the study

Original title
Stress fracture and premenstrual syndrome in Japanese adolescent athletes: a cross-sectional study
Authors
Takeda T, Imoto Y, Nagasawa H et al.
Journal
BMJ open
Year
2016
Study design
Survey study
Participants
394
What was tested
None; observational study
Open access
Yes

Topics