--- title: Does PMS increase the risk of stress fractures in teenage athletes? description: Among teenage athletes, 8.9% had moderate-to-severe PMS. Those with strong physical premenstrual symptoms had 1.66 times higher risk of stress fractures, sugg url: https://niyora.com/research/papers/stress-fracture-and-premenstrual-syndrome-in-japanese-adolescent-athletes-a-2016/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - Does PMS increase the risk of stress fractures in teenage athletes? Survey study, 2016 # Does PMS increase the risk of stress fractures in teenage athletes? Among teenage athletes, 8.9% had moderate-to-severe PMS. Those with strong physical premenstrual symptoms had 1.66 times higher risk of stress fractures, suggesting PMS symptoms may increase injury risk. Early or limited evidence 394 Japanese female high school athletes with regular periods ## What they did 394 Japanese female high school athletes with regular periods (25-38 days) completed questionnaires about premenstrual symptoms and their history of stress fractures. ## What they found 8.9% had moderate-to-severe PMS and 1.3% had PMDD. 16.8% reported stress fractures. Athletes with stress fractures scored higher on overeating, physical symptoms, and performance issues. Physical premenstrual symptoms had an odds ratio of 1.66 for stress fracture risk. ## What it means for you Premenstrual physical symptoms may increase injury risk in young female athletes, but this cross-sectional study cannot prove causation. Results are from one area of Japan. 8.9% Had moderate-to-severe PMS 16.8% Had stress fractures 1.66 Fracture risk with physical symptoms ## About the study Original title Stress fracture and premenstrual syndrome in Japanese adolescent athletes: a cross-sectional study Authors Takeda T, Imoto Y, Nagasawa H et al. Journal BMJ open Year 2016 Study design Survey study Participants 394 What was tested None; observational study Open access Yes Read the paper [doi.org/10.1136/bmjopen-2016-013103](https://doi.org/10.1136/bmjopen-2016-013103) ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Dysmenorrhea and period pain](https://niyora.com/research/topics/condition-dysmenorrhea/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Stress](https://niyora.com/research/topics/symptom-stress/)[Work and productivity](https://niyora.com/research/topics/life-area-work/)[Relationships and partners](https://niyora.com/research/topics/life-area-relationships/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/)[Adolescents and young people](https://niyora.com/research/topics/life-area-adolescents/)[Athletes and sport](https://niyora.com/research/topics/life-area-athletes/) Research tells you what helps on average. Niyora helps on the day it hits. Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor. ## Related studies Survey study, 2019 What lifestyle and sleep habits are linked to PMS in teenage girls? Survey study, 2019 How common are PMS and PMDD in adolescent girls, and how much do they affect daily life? Survey study, 2012 Is there a link between premenstrual symptoms and period pain in teenage girls? Survey study, 2026 Is PMS or PMDD linked to eating disorders? Survey study, 2024 What factors are linked to PMDD in female university students? Survey study, 2024 How common is PMDD among medical students, and is it linked to stress? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗