Evidence map›Paper›PMID 36643408›Full record

ArticleBMJ open sport & exercise medicine2023

Beyond the medals: a cross-sectional study exploring retired elite female athletes' health.

Jane Thornton, Casey Rosen, Margie Davenport, Margo Lynn Mountjoy, Paul Dorian, Vincent Gouttebarge, Becky Breau, Eva Pila, Kristen Reilly, Jane Yuan and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Considerations of Fertility in Elite Sportswomen: A Narrative Review.BJOG : an international journal of obstetrics and gynaecology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 3 countries.

Jane ThorntonDepartment of Family Medicine, Western University, London, Ontario, Canada.ORCID 0000-0002-3519-7101
Casey RosenReturn to Health and Performance Lab, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
Margie DavenportFaculty of Kinesiology, University of Alberta, Edmonton, Alberta, Canada.
Margo Lynn MountjoyFamily Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-8604-2014
Paul DorianDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.
Vincent GouttebargeOrthopaedic Surgery, Amsterdam University Medical Centres, Duivendrecht, The Netherlands.ORCID 0000-0002-0126-4177
Becky BreauReturn to Health and Performance Lab, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
Eva PilaReturn to Health and Performance Lab, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
Kristen ReillyReturn to Health and Performance Lab, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
Jane YuanDepartments of Epidemiology & Biostatistics, Western University, London, Ontario, Canada.
Kelly MokReturn to Health and Performance Lab, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
Steve Di CiaccaReturn to Health and Performance Lab, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
Mark SpeechleyDepartments of Epidemiology & Biostatistics, Western University, London, Ontario, Canada.
Kay CrossleyLa Trobe Sport and Exercise Research Centre, La Trobe University, Melbourne, Victoria, Australia.
Western University · CAAmsterdam University Medical Centers · NLLa Trobe University · AUMcMaster University · CAUniversity of Alberta · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Little is known about the impact of elite sport participation on long-term athlete health. We aimed to: (1) describe musculoskeletal, mental health, reproductive/endocrine and cardiovascular characteristics in retired elite female athletes and compare to the general population and (2) explore athletes' perceptions of their elite sport participation and its impact on health. Methods: A 136-item online questionnaire was disseminated to Canadian elite female rowing and rugby athletes >18 years old, >2 years retired from elite competition. Matched general population data were obtained from Statistics Canada when available. Results: Seventy-four (24% response rate) athletes (average age 45 (±9) years; retired 15 (±9) years) completed the questionnaire (30 rowing, 44 rugby athletes). During their career, 63 athletes (85%) experienced a hip/groin, knee, foot/ankle injury, or low back pain, with 42 (67%) reporting ongoing symptoms. Athletes 35-54 years reported worse knee symptoms and quality of life compared with the general population (symptom: p=0.197; d=1.15 [0.66, 1.63]; quality of life: p=0.312 d=1.03 [0.54, 1.51]) while other hip, knee and foot/ankle outcome scores were similar. Retired athletes had lower odds of anxiety (OR=0.155 [95% CI0.062 to 0.384]), greater lifetime/ever odds of amenorrhea (OR=6.10 [95%CI 2.67 to 13.96]) and gave birth when older (p<0.05). Fifty-nine (79%) recalled witnessing or experiencing at least one form of harassment/abuse during their career. Sixty athletes (81%) rated their current health as above average or excellent and 61 (82%) would compete at the same level again if given the choice. Conclusion: These novel insights can inform future preventative efforts to promote positive elite sport-related outcomes for current, former and future female athletes.

Indexed as

athleteelite performancefemalerowingrugby

Identifiers

PMID36643408
PMCPMC9835950
OpenAlexW4316687317

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.