Analysis of Female Athlete Triad (FAT) Components: Energy and Nutritional Intake of Papuan Female Athletes

Evi Sinaga; Tery Wanena; Miftah Fariz Prima Putra; Rodhi Rusdiyanto Hidayat; Ibrahim Ibrahim; Tri Setyo Guntoro; Eva Sinaga; Dewi Oktavia Sinaga

doi:10.20527/multilateral.v23i4.21682

Analysis of Female Athlete Triad (FAT) Components: Energy and Nutritional Intake of Papuan Female Athletes

Evi Sinaga, Tery Wanena, Miftah Fariz Prima Putra, Rodhi Rusdiyanto Hidayat, Ibrahim Ibrahim, Tri Setyo Guntoro, Eva Sinaga, Dewi Oktavia Sinaga

Abstract

Female Athlete Triad (FAT) disrupts the health and performance of female athletes both in training and competition, leading to a decline in achievements. The purpose of this research was to analyze one of the components of the FAT namely energy availability in Papuan female athletes. This research is an observational study with a Mixed Methods approach, involving a total sample of 55 female Papua athletes in Jayapura, Papua. Energy and nutrient intake were conducted by collecting data on the energy and nutrient intake of Papuan female athletes through interview, 3x24 hour recalls and questionnaires. The demographic data of FAT risk factors collected include age, weight, height, injury history, and sports. The components of energy availability collected include eating disorders. Energy intake data were processed using the Nutrisurvey dietary intake data processing software. The data were then compared with the recommended adequacy and energy requirements for athletes. The average energy intake achievement in athletes was found to be 87% (2273.76 cal). The average carbohydrate intake was 288.14grs (77%). The average protein intake was 88.68grs (93.34%), while the average fat intake was 86.71grs (98%). Mostly athletes have fulfilled their energy and nutritional intake.

Keywords

FAT; energy availability; nutrition; female athletes; Papuan; indigenous Papuans

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References

Barrack, M. T., Van Loan, M. D., Rauh, M., & Nichols, J. F. (2021). Disordered Eating, Development of Menstrual Irregularity, and Reduced Bone Mass Change after a 3-Year Follow-Up in Female Adolescent Endurance Runners. International journal of sport nutrition and exercise metabolism, 31(4), 337-344. https://doi.org/10.1123/ijsnem.2021-0011

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. https://doi.org/10.1016/j.jpag.2013.11.014

Calheiros, M. D. R. O. (2024). Imagem Corporal E Distúrbios Alimentares Em Jovens Atletas: Uma Revisão Narrativa Da Literatura. TC Porto

Cardozo, E., & Gluck, A. (2021). The Female Athlete. In Essential Sports Medicine (pp. 413-420). Springer, Cham. https://doi.org/10.1016/C2018-0-02625-0

Coelho, A. R., Cardoso, G., Brito, M. E., Gomes, I. N., & Cascais, M. J. (2021). The Female Athlete Triad/Relative Energy Deficiency in Sports (RED-S). A tríade da atleta feminina/déficit energético relativo no esporte (RED-S). Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 43(5), 395–402. https://doi.org/10.1055/s-0041-1730289

Corlesa, G. J. (2019). Hubungan Jenis Olahraga dengan Stratifikasi Risiko Female Athlete Triad pada Atlet Remaja Perempuan di Pusat Pendidikan dan Latihan X= Associations Between Type of Sports and Female Athlete Triad Risk Stratification in Adolescent Female Athletes at Education and Training Center. Tugas Akhir. Fakultas Kedokteran Universitas Indonesia

Dai, Z., Wan, K., Miyashita, M., Ho, R. S. T., Zheng, C., Poon, E. T. C., & Wong, S. H. S. (2024). The Effect of Time-Restricted Eating Combined with Exercise on Body Composition and Metabolic Health: A Systematic Review and Meta-Analysis. Advances in nutrition (Bethesda, Md.), 15(8), 100262. https://doi.org/10.1016/j.advnut.2024.100262

Daily, J. P., & Stumbo, J. R. (2018). Female athlete triad. Primary care, 45(4), 615–624. https://doi.org/10.1016/j.pop.2018.07.004

Daulay, D. E., & Siregar, Y. I. (2024). Keterkaitan Antara Nutrisi dan Performa Atlet Lari di Tingkat Nasional. Jurnal Lingkar Pembelajaran Inovatif, 5(10), 16-21. https://oaj.jurnalhst.com/index.php/jlpi/article/view/5117

De Souza, M. J., Nattiv, A., Joy, E., Misra, M., Williams, N. I., Mallinson, R. J., Gibbs, J. C., Olmsted, M., Goolsby, M., Matheson, G., & Expert Panel (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. https://doi.org/10.1136/bjsports-2013-093218

De Souza, M. J., Koltun, K. J., Etter, C. V., & Southmayd, E. A. (2017). Current Status of the Female Athlete Triad: Update and Future Directions. Current Osteoporosis Reports, 15(6), 577–587. https://doi.org/10.1007/s11914-017-0412-x

Desai, M., & Prajal, R. (2020). Awareness of the Female Athlete Triad in Female Athletes. Journal of Exercise Science & Physiotherapy Vol, 16(1), 1-13. https://doi.org/10.18376/jesp/2020/v16/i1/154127

Desbrow, B., Burd, N. A., Tarnopolsky, M., Moore, D. R., & Elliott-Sale, K. J. (2019). Nutrition for Special Populations: Young, Female, and Masters Athletes. International journal of sport nutrition and exercise metabolism, 29(2), 220–227. https://doi.org/10.1123/ijsnem.2018-0269

Dieny, F. F. (2014). Permasalahan Gizi pada Remaja Putri. Graha Ilmu. Yogyakarta

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 (Journal of the Indonesian Nutrition Association), 44(1), 1-10. https://doi.org/10.36457/gizindo.v44i1.511

Finn, E. E., Tenforde, A. S., Fredericson, M., Golden, N. H., Carson, T. L., Karvonen-Gutierrez, C. A., & Carlson, J. L. (2021). Markers of Low Iron Status are Associated with Female Athlete Triad Risk Factors. Medicine and science in sports and exercise, 53(9), 1969–1974. https://doi.org/10.1249/MSS.0000000000002660

Forelli, F., Moiroux-Sahraoui, A., Nielsen-Le Roux, M., Miraglia, N., Gaspar, M., Stergiou, M., Bjerregaard, A., Mazeas, J., & Douryang, M. (2024). Stay in the Game: Comprehensive Approaches to Decrease the Risk of Sports Injuries. Cureus, 16(12), e76461. https://doi.org/10.7759/cureus.76461

Gastrich, M. D., Quick, V., Bachmann, G., & Moriarty, A. M. (2020). Nutritional risks among female athletes. Journal of women's health (2002), 29(5), 693–702. https://doi.org/10.1089/jwh.2019.8180

Holtzman, B., Popp, K. L., Tenforde, A. S., Parziale, A. L., Taylor, K., & Ackerman, K. E. (2022). Low energy availability surrogates associated with lower bone mineral density and bone stress injury site. PM & R: the journal of injury, function, and rehabilitation, 14(5), 587–596. https://doi.org/10.1002/pmrj.12821

Irandoust, K., Parsakia, K., Estifa, A., Zoormand, G., Knechtle, B., Rosemann, T., ... & Taheri, M. (2024). Predicting and Comparing the Long-Term Impact of Lifestyle Interventions on Individuals with Eating Disorders in Active Population: A Machine Learning Evaluation. Frontiers in nutrition, 11, 1390751. https://doi.org/10.3389/fnut.2024.1390751

Ita, S. (2017). Pemetaan Olahraga Unggulan Papua Berbasis Wilayah Adat. Altius: Jurnal Ilmu Olahraga dan Kesehatan, 6(2), 168-177. https://core.ac.uk/download/pdf/267824389.pdf

Jordan, A. K. (2024). Patterns of Body Image and Eating Behavior in Collegiate Female Athletes: A Cluster Analysis (Doctoral dissertation, Bowling Green State University). http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1720201584930547

Kelly, A. W., & Hecht, S. (2022). The Female Athlete Triad. Annals of Joint, 7, Article 6. https://doi.org/10.21037/aoj-2020-03

Kerns, J., Itriyeva, K., & Fisher, M. (2022). Etiology and Management of Amenorrhea in Adolescent and Young Adult Women. Current problems in pediatric and adolescent health care, 52(5), 101184. https://doi.org/10.1016/j.cppeds.2022.101184

Kontele, I., & Vassilakou, T. (2021). Nutritional Risks among Adolescent Athletes with Disordered Eating. Children (Basel, Switzerland), 8(8), 715. https://doi.org/10.3390/children8080715

Martín-Rodríguez, A., Belinchón-deMiguel, P., Rubio-Zarapuz, A., Tornero-Aguilera, J. F., Martínez-Guardado, I., Villanueva-Tobaldo, C. V., & Clemente-Suárez, V. J. (2024). Advances in Understanding the Interplay between Dietary Practices, Body Composition, and Sports Performance in Athletes. Nutrients, 16(4), 571. https://doi.org/10.3390/nu16040571

Matzkin, E., Curry, E. J., & Whitlock, K. (2015). Female Athlete Triad: Past, Present, And Future. The Journal of the American Academy of Orthopaedic Surgeons, 23(7), 424–432. https://doi.org/10.5435/JAAOS-D-14-00168

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. https://doi.org/10.1136/bjsports-2013-093240

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. https://doi.org/10.26740/jossae.v5n2.p104-115

Oxfeldt, M., Dalgaard, L. B., Jørgensen, A. A., & Hansen, M. (2020). Hormonal Contraceptive Use, Menstrual Dysfunctions, and Self-Reported Side Effects in Elite Athletes in Denmark. International journal of sports physiology and performance, 15(10), 1377–1384. https://doi.org/10.1123/ijspp.2019-0636

Pedlar, C. R., Brugnara, C., Bruinvels, G., & Burden, R. (2018). Iron balance and iron supplementation for the female athlete: A practical approach. European journal of sport science, 18(2), 295–305. https://doi.org/10.1080/17461391.2017.1416178

Pratama, K. W., & Rismayanthi, C. (2013). Identifikasi Female Athlete Triad (Fat) pada Atlet Persatuan Angkat Besi, Berat, dan Binaraga Seluruh Indonesia (Pabbsi) DIY. Medikora, 11(2), 153-163. https://doi.org/10.21831/medikora.v11i2.2814

Petkus, D. L., Murray-Kolb, L. E., & De Souza, M. J. (2017). The Unexplored Crossroads of the Female Athlete Triad and Iron Deficiency: A Narrative Review. Sports medicine (Auckland, N.Z.), 47(9), 1721–1737. https://doi.org/10.1007/s40279-017-0706-2

Putra, M. F. (2017). Mixed Methods: Pengantar dalam Penelitian Olahraga. Jurnal SPORTIF: Jurnal Penelitian Pembelajaran, 3(1), 11–28. https://doi.org/10.29407/js_unpgri.v3i1.682

Quesnel, D. A., Hefner, T., Fernandez-del-Valle, M., & McComb, J. (2022). Menstrual Dysfunction in Youth Female Athletes and Their Management in the Context of Models of Energy Deficiency. The Health & Fitness Journal of Canada, 15(1), 3–17. https://doi.org/10.14288/hfjc.v15i1.361

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. https://doi.org/10.14710/jnc.v1i1.512

Sherwood, L. (2015). Human Physiology: From Cells to Systems. Cengage learning.

Sinaga, E., Padang, J. T., Womsiwor, D., Ita, S., & Sinaga, E. (2023). The Examination of the Knowledge Level of Young Papuan Female Athletes about Female Athletes Triad (FAT). Amerta Nutrition. 7. 576-582. https://doi.org/10.20473/amnt.v7i4.2023.576-582

Sinaga, E., Putra, M. F. P., & Sinaga, E. Female Athlete Triad (Fat): Identifikasi Risiko pada Atlet Putri Papua. Multilateral: Jurnal Pendidikan Jasmani dan Olahraga, 22(4), 301-310. http://dx.doi.org/10.20527/multilateral.v22i4.16795

Skarakis, N. S., Mastorakos, G., Georgopoulos, N., & Goulis, D. G. (2021). Energy Deficiency, Menstrual Disorders, and Low Bone Mineral Density in Female Athletes: A Systematic Review. Hormones (Athens, Greece), 20(3), 439–448. https://doi.org/10.1007/s42000-021-00288-0

Skorseth, P., Segovia, N., Hastings, K., & Kraus, E. (2020). Prevalence of Female Athlete Triad Risk Factors and Iron Supplementation among High School Distance Runners: Results from a Triad Risk Screening Tool. Orthopaedic Journal of Sports Medicine, 8(10), 2325967120959725. https://doi.org/10.1177/2325967120959725

Statuta, S. M., Wood, C. L., & Rollins, L. K. (2020). Common Medical Concerns of the Female Athlete. Primary Care, 47(1), 65–85. https://doi.org/10.1016/j.pop.2019.11.002

Tenforde, A. S., Fredericson, M., Sayres, L.C., Cutti, P., Sainani, K.L. (2015). Identifying Sex-Specific Risk Factors for Low Bone Mineral Density in Adolescent Runners. The American journal of sports medicine, 43(6), 1494–1504. https://doi.org/10.1177/0363546515572142

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. https://doi.org/10.1016/j.jpag.2018.10.007

Tsukahara, Y., Torii, S., Yamasawa, F., Iwamoto, J., Otsuka, T., Goto, H., ... & Akama, T. (2021). Bone Parameters of Elite Athletes with Oligomenorrhea and Prevalence Seeking Medical Attention: A Cross-Sectional Study. Journal of bone and mineral metabolism, 39(6), 1009–1018. https://doi.org/10.1007/s00774-021-01234-1

Wijayanto, A., Widyaningsih, H., Sucipto, A., & Ayzzaro’, A. L. (2022). Refleksi PON XX dan Peparnas XVI Papua. Akademia Pustaka.

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. https://doi.org/10.1249/JES.0000000000000200

Witkoś, J., Luberda, E., Błażejewski, G., & Strój, E. (2024). Menstrual Cycle Disorders as an Early Symptom of Energy Deficiency among Female Physique Athletes Assessed using the Low Energy Availability in Females Questionnaire (LEAF-Q). PloS one, 19(6), e0303703. https://doi.org/10.1371/journal.pone.0303703

DOI: http://dx.doi.org/10.20527/multilateral.v23i4.21682