 A really great study was recently released about some easily recognizable signs of risk for stress fracture. Read it! What I particularly appreciate about this article is the connection that is made, objectively and comprehensively, between female endocrine and bone health. Stress fractures are very much a cry for help from within your body; an indication that our body is in a state of stress. Getting sidelined and recovering from a strained hip flexor muscle is very different from a stress fracture as the latter is a symptom much more holistic issues that need to be addressed and mended in order to get our body as a whole back to a healthy state. In this study, of those women who were deemed moderate-high risk >50% developed SFx. within the year. That's worse than coin flip odds, y'all. Females are fortunate to have a unique physiology that allows us to see signs of deficiencies in ways the male body does not. We are wise to pay attention to them and do something about them rather than pretending that it's just "part of being a runner." Running is a arena in which we should be learning how to be our strongest, healthiest selves.
"Here are the six categories: (1) Low energy availability or loss of body weight, as a result of past (one point) or current (two points) disordered eating. (2) Low body mass index (BMI): one point for 17.6 to 18.4, two points for 17.5 or below. (3) Irregular periods: one point for 6 to 9 periods in the last 12 months, two points for fewer than 6. (4) Delayed menarche: one point for between 15 and 16 years old, two points for 16 or older. (5) Low bone mineral density: one point for a Z-score of less than -1, two points for -2 or lower. (6) Previous stress fractures (or stress reactions): one point for one previous fracture, two for two or more."
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