Menstrual disturbances in British Servicewomen: A cross-sectional observational study of prevalence and risk factors

O'Leary, Thomas J., Perrett, Caitlin, Coombs, Charlotte V., Double, Rebecca L., Keay, Nicky, Wardle, Sophie L. and Greeves, Julie P. (2022) Menstrual disturbances in British Servicewomen: A cross-sectional observational study of prevalence and risk factors. Frontiers in Nutrition, 9. ISSN 2296-861X

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Abstract

Female athletes are at increased risk of menstrual disturbances. The prevalence of menstrual disturbances in British Servicewomen and the associated risk factors is unknown. All women under 45 years in the UK Armed Forces were invited to complete a survey about demographics, menstrual function, eating and exercise behaviors, and psychological well-being. 3,022 women participated; 18% had oligomenorrhoea or amenorrhoea in the last 12 months, 25% had a history of amenorrhoea, and 14% had delayed menarche. Women who sleep ≥ 8 h were at a lower risk of a history of amenorrhoea than women who sleep ≤ 5 h [odds ratio (95% confidence intervals) = 0.65 (0.48, 0.89), p = 0.006]. Women who completed > 10 days of field exercise in the last 12 months were at higher risk of a history of amenorrhoea than women completing no field exercise [1.45 (1.13, 1.85), p = 0.004]. Women at high risk of an eating disorder (FAST score >94) were at higher risk of oligomenorrhoea or amenorrhoea [1.97 (1.26, 3.04), p = 0.002] and history of amenorrhoea [2.14 (1.63, 2.79), p < 0.001]. Women with symptoms of anxiety or depression were at higher risk of a history of amenorrhoea [1.46 (1.20, 1.77) and 1.48 (1.22, 1.79), p < 0.001]. British Servicewomen had a similar prevalence of menstrual disturbances to some endurance athletes. Eating disorders, sleep behaviors, and management of mental health, provide targets for protecting health of the reproductive axis.

Item Type: Article
Additional Information: Funding Information: This study was funded by the British Army, UK Ministry of Defense.
Uncontrolled Keywords: amenorrhoea,eating disorder,female athlete triad,low energy availability,military,food science,nutrition and dietetics,endocrinology, diabetes and metabolism,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/1100/1106
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 20 Dec 2022 11:30
Last Modified: 03 Jan 2023 09:34
URI: https://ueaeprints.uea.ac.uk/id/eprint/90315
DOI: 10.3389/fnut.2022.984541

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