Levels of Awareness among School Teachers Regarding Female Athletes and Nutritional Science

Asana Ikari^1, , Hiroki Sugiura², Yuki Samejima¹ and Kei Sokura²

¹Department of Social System Engineering, Graduate School of Engineering, Fukui University of Technology, Fukui, Japan

²Faculty of Sports and Health Sciences, Fukui University of Technology, Fukui, Japan

Cite this paper:
Asana Ikari, Hiroki Sugiura, Yuki Samejima and Kei Sokura. Levels of Awareness among School Teachers Regarding Female Athletes and Nutritional Science. World Journal of Nutrition and Health. 2021; 9(1):1-6. doi: 10.12691/jnh-9-1-1

Abstract

Given the concerns about the adverse physical effects of overtraining and energy intake deficiency in pubescent girls, teachers providing them with sports instructions must have accurate knowledge about and complete understanding of their physical and mental conditions as well as knowledge about nutritional science. In this study, we surveyed 60 registered dietitians (G1), 131 health and physical education teachers (G2), and 116 teachers teaching other subjects (G3) to find differences in the levels of knowledge about the female athlete triad (FAT) and nutritional science among the three groups. The participants were requested to answer 30 questions regarding six factors associated with FAT and nutrition: obesity and thinness, dietary behavior, menstruation, energy, bone, and nutritional science. The total scores for the respective factors were evaluated. There were no differences in the menstruation factor score between G1 and G2. The scores for the other factors in G2 were significantly lower than those in G1. The scores for the following four factors in G3 were significantly lower than those in G1 and G2: obesity and thinness, nutritional science, bone, and menstruation. The scores for the remaining two factors, i.e., dietary behavior and energy, were significantly lower in G3 than those in G1. In conclusion, only G3 had a lower level of awareness about the menstruation factor, whereas G2 and G3 had lower levels of awareness about the other factors.

Keywords:
FAT obesity thinness nutrition menstruation bone

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References:

[1]	Kokko, S., Martin, L., Geidne, S., Van Hoye, A., Lane, A., Meganck, J., Scheerder, J., Segherd, J., Villberg, J., Ludlacek, M., Badura, P., Mononen, K., Blimqvist, M., Clercw, B. D. and Koski, P., “Does sports club participation contribute to physical activity among children and adolescents? A comparison across six European countries.” Scand J Public Health, 47 (8). 851-858. Dec. 2019.
[2]	Kaneko, S. and Oishi, K., “The State of Implementation and Challenges for In-School and Out-of-School Sports and Exercise Activities for Junior High School Students. Encouraging Non-Participating Students to Take Part in Sports and Exercise.” Bulletin of Living Science, 41. 59-69. Mar. 2019.
[3]	Ministry of Education, Culture, Sports, Science and Technology in Japan, “Comprehensive Guideline on the State of Sport Club Activities”: Mar. 2018. [Online]. Available: https://www.mext.go.jp/sports/b_menu/shingi/013_index/toushin/__icsFiles/afieldfile/2018/03/19/1402624_1.pdf. [Accessed Jul. 15, 2021].
[4]	DiFiori, J. P., Benjamin, H. J., Brenner, J. S., Gregory, A., Jayanthi, N., Landry, G. L. and Luke, A., “Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine.” Br J Sports Med, 48. 287-288. Feb. 2014.
[5]	Nattiv, A., Loucks, A. B., Manore, M. M., Sanborn, C. F., Sundgot-Borgen, J. and Warren, M. P., “American College of Sports Medicine position stand. The Female Athlete Triad.” American College of Sports Medicine, 1867-1882. Oct. 2007.
[6]	Frisch, R. E., Gotz-Welbergen, A. V., McArthur, J. W., Albright, T., Witschi, J., Bullen, B., Birnholz, J., Reed, R. B. and Hermann, H., “Delayed menarche and amenorrhea of college athletes in relation to age of onset of training.” JAMA, 246. 1559-1563. Oct. 1981.
[7]	Warren, M. P., “The effects of exercise on pubertal progression and reproductive function in girls.” J. Clin. Endocrinol. Metab., 51. 1150-1157. Nov. 1980.
[8]	Ravi, S., Waller,B., Valtonen, M., Villberg, J., Vasankari, T., Parkkari, J., Heinonen, O. J., Alanko, J., Savonen, K., Vanhala, M., Selänne, H., Kokko, S. and Kujala, U. M., “Menstrual dysfunction and body weight dissatisfaction among Finnish young athletes and non-athletes.” Scand J Med Sci Sports., 31(2). 405-417. Feb. 2021.
[9]	Tahara, K., Kamata, H. and Yamasawa, F., “Assessment of Fatigue Fractures Caused by Athletic Trauma/Injury among Junior/Youth Track and Field Athletes.” Bulletin of Studies in Athleterics of JAAF., 13. 289-292. Mar. 2017.
[10]	Manabe, T., Sunaga, M., Morioka, Y., Yamamoto, H., Sakai, K. and Sugita, M., “Investigation in National Middle School Track and Field Championships and Long-distance Relay Race Questionnaire Survey of Award-winning Athletes at the 2018 All Japan High School Athletic Competition. Concerning the Actual State of Sport Disorders.” Bulletin of Studies in Athleterics of JAAF., 14. 228-232. Mar. 2018.
[11]	Yeager, K. K., Agostini, R., Nattiv, A. and Drinkwater B., “The female athlete triad: isorderd eating, amenorrhea, osteoporosis.” Medical Science Exercise., 25. 775-777. Jul. 1993.
[12]	Sundgot-Borgen, J. “Prevalence of eating disorders in elite female athletes.” International Journal of Sport Nutrition., 3. 29-40. Mar. 1993.
[13]	Izumisawa, M., Yamamoto, Y. and Miyagi, Y.,” An investigation of the menstrual pain in adolescent students and their knowledge of menstruation, and the educational challenges it reveals.” Japanese Lournal of Maternal Health., 49(2). 347-356. Jan. 2008.
[14]	Ministry of Education, Culture, Sports, Science and Technology in Japan, “Current status of athletic club activities”: May. 2018. [Online]. Available: https://www.mext.go.jp/sports/b_menu/shingi/013_index/shiryo/__icsFiles/afieldfile/2017/08/17/1386194_02.pdf. [Accessed Jul. 15, 2021].
[15]	NCD Risk Factor Collaboration., “Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults.” THE LANCET, 390(10113). 2627-2642. Dec. 2017.
[16]	Miyawaki, A., Lee, J.S. and Kobayashi,Y., “Impact of the school lunch program on overweight and obesity among junior high school students: a nationwide study in Japan.” Journal of Public Health, 41(2). 362-370. Jun. 2019.
[17]	Otis, C, L., Drinkwater, B., Johnson, M., Loucks, A. and JWilmore, J., “American College of Sports Medicine position stand: The female athlete triad.” Medicine and Science in Sports Exercise., 29. 1-9. Oct. 1997.
[18]	Tosi M., Maslyanskaya, S., Dodson, N. A. and Coupey, S. M., “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. Apr. 2019.
[19]	Miller, S. M., Kukuljan, S., Turner, A. I. T., Pligt, P. V. D. and Ducher, G., “Energy deficiency, menstrual disturbances, and low bone mass: what do exercising Australian women know about the female athlete triad?.” International Journal of Sport Nutrition and Exercise Metabolism., 22(2). 131-138. Apr. 2012.
[20]	Karolina Łagowska, Karina Kapczuk, Zbigniew Friebe, Joanna Bajerska: Effects of dietart intervention in young female athletes with menstrual disorders., J Int Soc Sports Nutr., 2014, 26, 11-21.