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Katie N. Brown, Heidi J. Wengreen, Katherine A. Beals and Edward M. Heath

This quasi-experimental study aimed to assess risk for the female athlete triad (Triad) and pilot a peer-led Triad educational intervention. Twenty-nine female high school track and field athletes (N = 29) at one high school in the western United States consented to participate. Participants were weighed and measured, and completed pre- and postsurveys that included Triad risk factor questions and 10 questions assessing Triad knowledge. 54% of athletes reported current menstrual irregularity; 7% reported a history of stress fractures. Significant increases in Triad knowledge were observed pre- to postintervention (4.7 ± 2.6 to 7.7 ± 1.78 out of 10; p < .0001). Triad education was generally accepted and enjoyed by participants; however, 86% preferred that a coach or other adult provide education instead of a peer.

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Aurelia Nattiv, Rosemary Agostini, Kimberly K. Yeager and Barbara Drinkwater

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Laurie Stickler, Trisha Armstrong, Alyssa Polso and Melissa Smith

Context:

Low energy availability has been identified through research as the cornerstone of the female athlete triad, yet reasons for nutritional choices among female collegiate athletes are poorly understood.

Objective:

To explore the perspectives of female collegiate cross country runners on eating behaviors and attitudes toward health.

Design:

Phenomenologic qualitative study with individual, semistructured interviews.

Methods:

Ten collegiate female cross country runners, ages 18–22, participated in the study. All interviews were audiotaped then transcribed. Three researchers independently coded data and developed themes and subthemes before meeting and negotiating findings.

Results:

The following four themes were identified: health behaviors, nutritional knowledge, internal and external factors, and health attitudes.

Conclusions:

This study contributes to understanding “the why” behind health behaviors of female collegiate cross country runners. This developmental understanding may assist in interpreting the behavioral causes of low energy availability; thus, both management and prevention of the triad may be aided by this information.

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Claire-Marie Roberts and Jacky Forsyth

, 2018 ; Keay, 2018 ), and that instances of heavy menstrual bleeding (resulting in iron deficiency) should not be overlooked ( Bruinvels, 2018 ). Yet, Relative Energy Deficiency in Sport (RED-S), otherwise known as the Female Athlete Triad, can impair physiological function such as menstrual function

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in our understanding of bone health and the female athlete over the last three decades, from the identification of the Female Athlete Triad and the negative effects of relative energy deficit, to what this means for injury risk and long-term health, and to the current knowledge base on management and