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Email this article Female Athlete Triad (FAT) Screening Using LEAF Questionnaire: A Cross-Sectional Study in Indonesia Pencak Silat Athletes
Abstract
Health information acquired from a health examination or screening is one of the requirements for participating in the Pencak Silat tournament. Unfortunately, the most common health tests cover only vital signs and weight checks. Those tests cannot accurately describe a person's health status, such as digestive and menstrual disorders, common among female athletes due to intensive physical training and the pressure to maintain body weight according to the tournament category. The Female Athlete Triad (FAT) is the name given to this condition. This is the first study to use the LEAF questionnaire to assess the risk of FAT in female Indonesian Pencak Silat athletes. This is an observational study using a cross-sectional design. Data were collected online from 207 participants using a purposive random sampling approach. According to the findings of this study, 53.6% (N = 111) of 207 respondents were at risk of FAT. The risk variables were closely associated with the number of exercise hours per week (P = 0.012) and education level (P = 0.023). The high prevalence of FAT and its high risk indicate the necessity for FAT screening as a requirement for competing in the Pencak Silat tournament and prevention of early osteoporosis and uterine function abnormalities in female Indonesian Pencak Silat athletes. Furthermore, FAT screening on female athletes in all sports is required to prevent the long-term clinical implications of FAT.
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Abdullah, A., Cahyo, S. D., & Kinanti, R. G. (2020). PERBEDAAN POLA CEDERA OLAHRAGA PADA ATLET LAKI-LAKI DAN PEREMPUAN. Jurnal Sport Science, 123–128.
Ackerman, K. E., Holtzman, B., Cooper, K. M., Flynn, E. F., Bruinvels, G., Tenforde, A. S., ... & Parziale, A. L. (2019). Low energy availability surrogates correlate with health and performance consequences of Relative Energy Deficiency in Sport. British journal of sports medicine, 53(10), 628-633.
Appaneal, R., Burke, L., Drew, M., Hughes, G., Lovell, B., Lundy, B., Rogers, M., Vlahovich, N., & Waddington, G. (2021). The Diagnostic Performance in the Low Energy Availability in Females Questionnaire (LEAF-Q) in a Mixed-Sport Cohort. Journal of Science and Medicine in Sport, 24, S30–S31.
Baihaqi, A. B., Puspitasari, M., Zuraida, M., & Nurcholis, A. (2021). Perencanaan manajemen risiko atlet berprestasi Indonesia (Studi kasus atlet dengan risiko cedera tinggi). Jurnal Keolahragaan, 9(1).
Barrack, M. T., Gibbs, J. C., De Souza, M. J., Williams, N. I., Nichols, J. F., Rauh, M. J., & Nattiv, A. (2014). Higher incidence of bone stress injuries with increasing female athlete triad-related risk factors: A prospective multisite study of exercising girls and women. American Journal of Sports Medicine, 42(4), 949–958.
Beals, K. A. (2013). The Female Athlete. In K. A. Beals (Ed.), Energy Availability, Health and Performance in the Female Athlete. RCR Press- Taylor & Francis Group.
Black, K., Slater, J., Brown, R. C., & Cooke, R. (2018). Low energy availability, plasma lipids, and hormonal profiles of recreational athletes. The Journal of Strength & Conditioning Research, 32(10), 2816-2824.
Blauwet, C. A., Brook, E. M., Tenforde, A. S., Broad, E., Hu, C. H., Abdu-Glass, E., & Matzkin, E. G. (2017). Low Energy Availability, Menstrual Dysfunction, and Low Bone Mineral Density in Individuals with a Disability: Implications for the Para Athlete Population. Sports Medicine, 47(9), 1697–1708.
Boutari, C., Pappas, P. D., Mintziori, G., Nigdelis, M. P., Athanasiadis, L., Goulis, D. G., & Mantzoros, C. S. (2020). The effect of underweight on female and male reproduction. Metabolism, 107, 154229.
Brown, K. N., Wengreen, H. J., & Beals, K. A. (2014). Knowledge of the female athlete triad, and prevalence of triad risk factors among female high school athletes and their coaches. Journal of Pediatric and Adolescent Gynecology, 27(5), 278–282.
Carvalhais, A., Araújo, J., Jorge, R. N., & Bø, K. (2019). Urinary incontinence and disordered eating in female elite athletes. Journal of Science and Medicine in Sport, 22(2), 140-144.
Cherukuri, L., Kinninger, A., Birudaraju, D., Lakshmanan, S., Li, D., Flores, F., ... & Budoff, M. J. (2021). Effect of body mass index on bone mineral density is age-specific. Nutrition, Metabolism and Cardiovascular Diseases, 31(6), 1767-1773.
Daily, J. P., & Stumbo, J. R. (2018). Female athlete triad. Primary Care: Clinics in Office Practice, 45(4), 615-624.
De Souza, M. J., Koltun, K. J., Strock, N. C., & Williams, N. I. (2019). Rethinking the concept of an energy availability threshold and its role in the female athlete triad. Current opinion in physiology, 10, 35-42.
De Souza, M. J., Nattiv, A., Joy, E., Misra, M., Williams, N. I., Mallinson, R. J., ... & Panel, E. (2014). 2014 Female Athlete Triad Coalition Consensus Statement on treatment and return to play of the female athlete triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013. British journal of sports medicine, 48(4), 289-289.
Diduch, B. K. (2017). Gastrointestinal conditions in the female athlete. Clinics in sports medicine, 36(4), 655-669.
Dieny, F. F., Fitranti, D. Y., Jauharany, F. F., & Tsani, A. F. A. (2021). Potensi Female Athlete Triad pada Atlet Remaja Putri Defisiensi Besi. GIZI INDONESIA, 44(1), 1-10.
Drew, M. K., & Finch, C. F. (2016). The relationship between training load and injury, illness and soreness: a systematic and literature review. Sports medicine, 46(6), 861-883.
Drew, M. K., Vlahovich, N., Hughes, D., Appaneal, R., Peterson, K., Burke, L., Lundy, B., Toomey, M., Watts, D., Lovell, G., Praet, S., Halson, S., Colbey, C., Manzanero, S., Welvaert, M., West, N., Pyne, D. B., & Waddington, G. (2017a). A multifactorial evaluation of illness risk factors in athletes preparing for the Summer Olympic Games. Journal of Science and Medicine in Sport, 20(8), 745–750.
Drew, M. K., Vlahovich, N., Hughes, D., Appaneal, R., Peterson, K., Burke, L., Lundy, B., Toomey, M., Watts, D., Lovell, G., Praet, S., Halson, S., Colbey, C., Manzanero, S., Welvaert, M., West, N., Pyne, D. B., & Waddington, G. (2017b). A multifactorial evaluation of illness risk factors in athletes preparing for the Summer Olympic Games. Journal of Science and Medicine in Sport, 20(8), 745–750.
Folscher, L. L., Grant, C. C., Fletcher, L., & Janse van Rensberg, D. C. (2015). Ultra-marathon athletes at risk for the female athlete triad. Sports medicine-open, 1(1), 1-8.
Forouzandeh Shahraki, S., Minoonejad, H., & Moghadas Tabrizi, Y. (2020). Comparison of some intrinsic risk factors of shoulder injury in three phases of menstrual cycle in collegiate female athletes. Physical Therapy in Sport, 43, 195–203.
Gibbs, J. C., Williams, N. I., & De Souza, M. J. (2013). Prevalence of individual and combined components of the female athlete triad. Medicine and Science in Sports and Exercise, 45(5), 985–996.
Gordon, C. M., Ackerman, K. E., Berga, S. L., Kaplan, J. R., Mastorakos, G., Misra, M., Murad, M. H., Santoro, N. F., & Warren, M. P. (2017). Functional hypothalamic amenorrhea: An endocrine society clinical practice guideline. Journal of Clinical Endocrinology and Metabolism, 102(5), 1413–1439.
Headrick, L. B., Rowe, C. C., Kendall, A. R., Zitt, M. A., Bolton, D. L., & Langkamp-Henken, B. (2013). Adults in all body mass index categories underestimate daily energy requirements. Journal of Nutrition Education and Behavior, 45(5), 460–465.
Joy, E. A., & Nattiv, A. (2017). Clearance and return to play for the female athlete triad: clinical guidelines, clinical judgment, and evolving evidence. Current sports medicine reports, 16(6), 382-385.
Jurov, I., Hadžić, V., & Rauter, S. (2020). Markers of energy metabolism affect lactate metabolism and aerobic performance in competitive female cyclists. Applied Sciences, 10(21), 7563.
Keay, N., Overseas, A., & Francis, G. (2020). Awareness and indicators of low energy availability in male and female dancers. medRxiv.
Keay, N., Overseas, A., & Francis, G. (2020). Indicators and correlates of low energy availability in male and female dancers. BMJ open sport & exercise medicine, 6(1), e000906.
Larsen, B., Morris, K., Quinn, K., Osborne, M., & Minahan, C. (2020a). Practice does not make perfect: A brief view of athletes’ knowledge on the menstrual cycle and oral contraceptives. Journal of Science and Medicine in Sport, 23(8), 690–694.
Larsen, B., Morris, K., Quinn, K., Osborne, M., & Minahan, C. (2020b). Practice does not make perfect: A brief view of athletes’ knowledge on the menstrual cycle and oral contraceptives. Journal of Science and Medicine in Sport, 23(8), 690–694.
Loucks, A. B., & Thuma, J. R. (2003). Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women. Journal of Clinical Endocrinology and Metabolism, 88(1), 297–311.
Łuszczki, E., Jagielski, P., Bartosiewicz, A., Kuchciak, M., Dereń, K., Stolarczyk, A., ... & Oleksy, L. (2021). The LEAF questionnaire is a good screening tool for the identification of the Female Athlete Triad/Relative Energy Deficiency in Sport among young football players. PeerJ, 9, e12118.
Łuszczki, E., Jagielski, P., Bartosiewicz, A., Kuchciak, M., Dereń, K., Stolarczyk, A., ... & Oleksy, L. (2021). The LEAF questionnaire is a good screening tool for the identification of the Female Athlete Triad/Relative Energy Deficiency in Sport among young football players. PeerJ, 9, e12118.
Melin, A., Tornberg, Å. B., Skouby, S., Faber, J., Ritz, C., Sjödin, A., & Sundgot-Borgen, J. (2014). The LEAF questionnaire: A screening tool for the identification of female athletes at risk for the female athlete triad. British Journal of Sports Medicine, 48(7), 540–545. Mountjoy, M. L. (2015). Handbook of Sports Medicine and Science, The Female Athlete.
Mountjoy, M., Sundgot-Borgen, J. K., Burke, L. M., Ackerman, K. E., Blauwet, C., Constantini, N., Lebrun, C., Lundy, B., Melin, A. K., Meyer, N. L., Sherman, R. T., Tenforde, A. S., Torstveit, M. K., & Budgett, R. (2018). IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update. British Journal of Sports Medicine, 52(11), 687–697.
Nazem, T. G., & Ackerman, K. E. (2012). The female athlete triad. Sports health, 4(4), 302-311.
Nugroho, A. S., & Purwanto, B. (2020). Gambaran Risiko Terjadinya Gangguan Female Athlete Triad Syndrome pada Mahasiswi Olahraga. JOSSAE (Journal of Sport Science and Education), 5(2), 104-115.
Pantano, K. J. (2017). Knowledge, attitude, and skill of high school coaches with regard to the female athlete triad. Journal of pediatric and adolescent gynecology, 30(5), 540-545.
Raysmith, B. P., & Drew, M. K. (2016). Performance success or failure is influenced by weeks lost to injury and illness in elite Australian track and field athletes: a 5-year prospective study. Journal of Science and Medicine in Sport, 19(10), 778-783.
Saputri, G. A. R. R., & Dieny, F. F. (2012). Female athlete triad pada atlet putri di pusat pendidikan latihan (Pusdiklat) Ragunan Jakarta. Journal of Nutrition College, 1(1), 405-413.
Schaumberg, M., Jenkins, D., de Jonge, X. J., Emmerton, L., & Skinner, T. (2013). Oral contraceptive use for manipulation of menstruation in active women and competitive female athletes. Journal of Science and Medicine in Sport, 16, e68-e69.
Sharps, F. R. J., Wilson, L. J., Graham, C. A. M., & Curtis, C. (2022). Prevalence of disordered eating, eating disorders and risk of low energy availability in professional, competitive and recreational female athletes based in the United Kingdom. European Journal of Sport Science, 22(9), 1445-1451.
Staal, S., Sjödin, A., Fahrenholtz, I., Bonnesen, K., & Melin, A. K. (2018). Low RMRratio as a surrogate marker for energy deficiency, the choice of predictive equation vital for correctly identifying male and female ballet dancers at risk. International Journal of Sport Nutrition and Exercise Metabolism, 28(4), 412–418.
Statham, G. (2020). Understanding the effects of the menstrual cycle on training and performance in elite athletes: A preliminary study. Progress in Brain Research, 253, 25-58.
Statuta, S. M., Wood, C. L., & Rollins, L. K. (2020). Common medical concerns of the female athlete. Primary Care: Clinics in Office Practice, 47(1), 65-85.
Syafei, M., Budi, D., Listiandi, A., Festiawan, R., Kusnandar, K., Nurcahyo, P., Stephani, M., & Qohhar, W. (2020). Functional Movement Screening: An Early Detection of The Student Injury Risk in Sport Class. Jurnal Pendidikan Jasmani dan Olahraga, 5(2), 182-191.
Tenforde, A. S., Carlson, J. L., Chang, A., Sainani, K. L., Shultz, R., Kim, J. H., Cutti, P., Golden, N. H., & Fredericson, M. (2017). Association of the Female Athlete Triad Risk Assessment Stratification to the Development of Bone Stress Injuries in Collegiate Athletes. American Journal of Sports Medicine, 45(2), 302–310.
Tosi, M., Maslyanskaya, S., Dodson, N. A., & Coupey, S. M. (2019). The Female Athlete Triad: A Comparison of Knowledge and Risk in Adolescent and Young Adult Figure Skaters, Dancers, and Runners. Journal of Pediatric and Adolescent Gynecology, 32(2), 165–169.
Van Houten, J. M., Wessells, R. J., Lujan, H. L., & DiCarlo, S. E. (2015). My gut feeling says rest: increased intestinal permeability contributes to chronic diseases in high-intensity exercisers. Medical hypotheses, 85(6), 882-886.
Warrick, A., Faustin, M., & Waite, B. (2020). Comparison of female athlete Triad (Triad) and relative energy deficiency in sport (RED-S): A review of low energy availability, multidisciplinary awareness, screening tools and education. Current Physical Medicine and Rehabilitation Reports, 8(4), 373-384.
Williams, N. I., Koltun, K. J., Strock, N. C., & De Souza, M. J. (2019). Female athlete triad and relative energy deficiency in sport: A focus on scientific rigor. Exercise and sport sciences reviews, 47(4), 197-205.
Witkoś, J., Błażejewski, G., & Gierach, M. (2022). An Assessment of the Early Symptoms of Energy Deficiency as a Female Athlete Triad Risk among the Polish National Kayaking Team Using LEAF-Q. International Journal of Environmental Research and Public Health, 19(10), 5965.
DOI: https://doi.org/10.17509/jpjo.v7i2.45402
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