scholarly journals Presence and Perceptions of Menstrual Dysfunction and Associated Quality of Life Measures Among High School Female Athletes

2021 ◽  
Author(s):  
Aubrey Armento ◽  
Karin VanBaak ◽  
Corrine N. Seehusen ◽  
Emily A. Sweeney ◽  
Julie C. Wilson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
High School ◽  
Female Athletes ◽  
Adolescent Female ◽  
Normal Response ◽  
Menstrual Dysfunction ◽  
Quality Of Life Measures ◽  
Patient Reported ◽  
Training Demands

Abstract Context: Adolescent female athletes are at risk for menstrual dysfunction in the setting of exercise and low energy availability. Education regarding menstrual dysfunction and its associated consequences is important to promote athlete well-being. Objectives: The primary aim was to determine the prevalence and characteristics of female athletes who believe that losing their period is a normal response to high training demands. The secondary aim was to explore the relationship between menstrual dysfunction and patient-reported quality of life measures. Design: Cross-sectional study. Setting: Pre-participation evaluations for a local high school district. Participants: Female athletes,13–18 years old. Independent Variables: Presence of menstrual dysfunction, and response (yes/no) to the question, “Do you think it is normal to lose your period during high levels of athletic training?” Main Outcome Measures: Health history, family affluence, and patient-reported quality of life measures. Results: Forty four percent (n=40) of 90 adolescent athletes answered that losing their period was a normal response to a high level of training, and this group had lower BMI, were less likely to report being worried about current weight, and had a higher family affluence level than those who answered losing their period was not a normal response to training. The overall prevalence of menstrual dysfunction was 28%. After adjusting for age and BMI, menstrual dysfunction was significantly associated with higher levels of anxiety, fatigue, and pain interference. Conclusion: Nearly half of our sample of adolescent female athletes perceive losing their period as a normal response to high training demands. Females with menstrual dysfunction reported higher levels of anxiety, fatigue, and pain interference than those without. Understanding adolescent perceptions of menstrual dysfunction and the characteristics of those with menstrual dysfunction can guide future educational interventions aimed at athletes at risk for the female athlete triad.

scholarly journals Presence and Perceptions of Menstrual Dysfunction Among High School Female Athletes

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0016
Author(s):  
Aubrey Armento ◽  
Karin VanBaak ◽  
Emily A. Sweeney ◽  
Julie C. Wilson ◽  
David R. Howell
Keyword(s):  
Female Athletes ◽  
Pain Interference ◽  
Primary Study ◽  
Adolescent Female ◽  
Adolescent Athletes ◽  
Normal Response ◽  
Family Affluence ◽  
Menstrual Dysfunction ◽  
Patient Reported ◽  
Training Demands

Background: Previous studies have reported a high prevalence of menstrual dysfunction (MD) among adolescent female athletes. Little is known about the characteristics of adolescent athletes with MD, as well as their awareness of MD. Purpose: Our primary study purpose was to determine the prevalence and characteristics of female athletes who believe that MD is a normal response to high training demands. The secondary purpose was to explore the relationship between MD and patient-reported quality of life. Methods: We conducted a cross-sectional study of adolescent athletes undergoing pre-participation evaluation. Participants completed health history, family affluence, and Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaires. Those who reported menarche within the past year were excluded. We categorized participants into groups based on their response to, “Do you think it is normal to lose your period during high levels of athletic training?” (yes/no). We compared groups using Mann-Whitney U and Fisher’s exact tests. We also grouped patients into MD (yes/no) if they exhibited one or more of the following: 1) age of menarche >15 years; 2) ≤9 periods in the last year; or 3) a period of three consecutive months without a menstrual cycle. We constructed a series of linear multivariable regression models assessing the effect of MD on PROMIS outcomes adjusting for age and BMI. Results: 44% (n=40/90) answered that period loss was a normal response to a high level of training, and this group had lower body mass index (BMI), were less likely to report being worried about current weight, and had a higher family affluence level than those who answered period loss was not a normal response to training (Table 1). The overall prevalence of MD was 28% and was not significantly different between those who did and did not answer that period loss was a normal response to training (Table 1). Those with MD reported higher fatigue and pain interference scores than those without MD (Table 2). After adjusting for age and BMI, MD was significantly associated with higher levels of anxiety, fatigue, and pain interference (Table 3). Conclusion: Nearly half of our sample of adolescent female athletes perceive MD as a normal response to high training demands. Females with MD reported higher levels of anxiety and fatigue than those without MD. Understanding adolescent perceptions of MD and the characteristics of those with MD can guide future educational interventions aimed at high risk athletes for the female athlete triad. [Table: see text][Table: see text][Table: see text]

Association of Quality of Life Measures and Otolaryngologic Care in Cystic Fibrosis Patients

2021 ◽  
pp. 000348942110456
Author(s):  
Stephen Leong ◽  
Rahul K. Sharma ◽  
Chetan Safi ◽  
Emily DiMango ◽  
Claire Keating ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cystic Fibrosis ◽  
Demographic Data ◽  
Critical Role ◽  
Sinus Surgery ◽  
Coordinated Care ◽  
Quality Of Life Measures ◽  
Patient Reported ◽  
Snot 22

Objectives: Appropriate management of chronic rhinosinusitis (CRS) among patients with cystic fibrosis (CF) is important in improving quality of life. Otolaryngologists play a critical role in reducing CRS symptom burden. This study seeks to evaluate the role of patient-reported quality-of-life measures in guiding interventions for CF-related sinus disease. Methods: We performed a prospective, cross-sectional study of 105 patients presenting to a CF-accredited clinic between July and September 2018. Demographic data and sinus surgery history were collected, in addition to Sino-Nasal Outcome Test (SNOT-22) and Questionnaire of Olfactory Disorders (QOD-NS) scores. Statistical analysis was conducted using correlation and non-parametric Mann-Whitney U tests. Results: Baseline well-care visits accounted for 71.4% of all clinical evaluations. Prior otolaryngology intervention was noted in 69 (66%) patients, where the majority of these patients (63/69; 91%) underwent endoscopic sinus surgery (ESS). Patients with a history of otolaryngology intervention had an average SNOT-22 score of 33.2 (SD = 20.6) compared to 24.9 (SD = 18.5) for patients without prior intervention ( P = .048). The average QOD-NS score was 5.5 (SD = 6.4) among patients referred to otolaryngologists and 3.1 (SD = 5.7) for non-referred patients ( P = .012). SNOT-22 and QOD-NS scores were modestly correlated ( R of .43). Conclusion: CF patients with symptoms resulting in worse quality-of-life assessments were more likely to have established coordinated care with an otolaryngologist. Further validation of the utility of SNOT-22 and QOD-NS questionnaires as care coordination metrics is necessary in the CF population.

scholarly journals Sport Specialization, Club Sport Participation, Quality of Life, and Injury History Among High School Athletes

2019 ◽  
Vol 54 (10) ◽  
pp. 1061-1066 ◽  
Author(s):  
Katherine Dahab ◽  
Morgan N. Potter ◽  
Aaron Provance ◽  
Jay Albright ◽  
David R. Howell
Keyword(s):  
Quality Of Life ◽  
High School ◽  
Injury Risk ◽  
Sport Participation ◽  
Outcome Measurement ◽  
High School Athletes ◽  
Patient Reported ◽  
Club Sports ◽  
Club Sport

Context Many factors can affect the injury risk and quality of life among high school athletes. Early sport specialization and club sport participation may be components to consider when assessing the injury risk and quality of life. Objective To investigate patient-reported quality-of-life and injury-history measures among adolescent athletes at different sport-specialization levels and to compare these measures between those who did and those who did not report participating in club sports. Design Cross-sectional study. Setting High school athletic facility. Patients or Other Participants High school student athletes 13 to 18 years of age were recruited and tested during their annual preseason athletic physical examinations. Main Outcome Measure(s) Our primary grouping variables were sport-specialization level (classified as low, moderate, or high) and club sport participation (organized sport outside of traditional school athletics). Our outcome variables were the Patient-Reported Outcome Measurement Information System Pediatric Profile-37 rating, Severity Measure for Depression–Child score, and injury history. Results A total of 97 individuals participated (mean age = 15.2 ± 1.1 years; 38% female). Relatively similar proportions of individuals reported participating at each level of sport specialization (low = 34%, moderate = 40%, high = 26%). Forty-six (48%) participants stated they participated in club sports. No differences were evident in quality of life (P values = .15–.92 across domains), depression (P = .60), or injury history (P > .70) among the specialization groups. Those who described participating in club sports had a higher proportion of time-loss musculoskeletal injuries (63% versus 29%; P = .002) and of injuries requiring imaging, injection, a cast, a brace, or crutches (72% versus 46%; P = .013) than those who did not. Conclusions Although no injury-history differences were found among the sport-specialization groups, a higher proportion of club sport athletes than nonclub sport athletes reported a history of injury. Club sports are generally seen as more competitive, and the higher number of injuries seen in this setting could be related to a higher level of play among club sport athletes.

Sleep Quality and Quality of Life Among Healthy High School Athletes

2019 ◽  
Vol 59 (2) ◽  
pp. 170-177 ◽  
Author(s):  
Morgan N. Potter ◽  
David R. Howell ◽  
Katherine S. Dahab ◽  
Emily A. Sweeney ◽  
Jay C. Albright ◽  
...  
Keyword(s):  
Quality Of Life ◽  
High School ◽  
Sleep Quality ◽  
Measurement Information ◽  
Poor Sleep ◽  
High School Athletes ◽  
Patient Reported ◽  
Measurement Information System ◽  
Good Sleep

We examined the association between sleep quality and quality of life (QOL) among uninjured high school athletes. Participants completed the Pittsburgh Sleep Quality Index (PSQI) and the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Profile 25 questionnaire. One hundred ten athletes reported poor sleep quality (mean PSQI: 6.6 ± 2.0; mean age: 15.3 ± 1.1; 62% female); 162 athletes reported good sleep quality (mean PSQI: 2.3 ± 1.3; mean age: 15.1 ± 1.7; 33% female). After adjusting for sex and age, worse sleep quality was associated with higher physical function/mobility (β = 0.034; 95% confidence interval [CI] = 0.007-0.060; P = .01), anxiety (β= 0.391; 95% CI = 0.263-0.520; P < .001), depressive symptom (β = 0.456; 95% CI = 0.346-0.565; P < .001), fatigue (β = 0.537; 95% CI = 0.438-0.636; P < .001), pain interference (β = 0.247; 95% CI = 0.119-0.375; P < .001), and pain intensity (β = 0.103; 95% CI = 0.029-0.177; P = .006) ratings. Poor self-reported sleep quality among adolescent athletes was associated with worse QOL ratings. Clinicians should consider assessing sleep hygiene to provide guidance on issues pertaining to reduced QOL.

scholarly journals MP64-01 PATIENT REPORTED QUALITY OF LIFE MEASURES 15 YEARS POST-RADICAL PROSTATECTOMY

2020 ◽  
Vol 203 ◽  
pp. e963
Author(s):  
Tristan Juvet ◽  
Malek Meskawi ◽  
Kevin Wymer ◽  
Laureano Rangel ◽  
Paige Nichols ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radical Prostatectomy ◽  
Quality Of Life Measures ◽  
Patient Reported

The MiniMed™670G Hybrid Closed-Loop (HCL) System and Patient-Reported Outcomes Concerning Quality of Life Measures

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 963-P ◽  
Author(s):  
SHWETA GOPALAKRISHNAN ◽  
CATHERINE FOGEL ◽  
JOHN MUECKLER
Keyword(s):  
Quality Of Life ◽  
Patient Reported Outcomes ◽  
Closed Loop ◽  
Quality Of Life Measures ◽  
Patient Reported
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