Obstacles in the optimization of bone health outcomes in the female athlete triad

Maintaining low body weight for the sake of performance and aesthetic purposes is a common feature among young girls and women who exercise on a regular basis, including elite, college and high-school athletes, members of fitness centres, and recreational exercisers. High energy expenditure without adequate compensation in energy intake leads to an energy deficiency, which may ultimately affect reproductive function and bone health. The combination of low energy availability, menstrual disturbances and low bone mineral density is referred to as the ‘female athlete triad’. Not all athletes seek medical assistance in response to the absence of menstruation for 3 or more months as some believe that long-term amenorrhoea is not harmful. Indeed, many women may not seek medical attention until they sustain a stress fracture.
This review investigates current issues, controversies and strategies in the clinical management of bone health concerns related to the female athlete triad. Current recommendations focus on either increasing energy intake or decreasing energy expenditure, as this approach remains the most efficient strategy to prevent further bone health complications. However, convincing the athlete to increase energy availability can be extremely challenging.
Oral contraceptive therapy seems to be a common strategy chosen by many physicians to address bone health issues in young women with amenorrhoea, although there is little evidence that this strategy improves bone mineral density in this population. Assessment of bone health itself is difficult due to the limitations of dual-energy X-ray absorptiometry (DXA) to estimate bone strength. Understanding how bone strength is affected by low energy availability, weight gain and resumption of menses requires further investigations using 3-dimensional bone imaging techniques in order to improve the clinical management of the female athlete triad.

Raunch culture goes to school? : young women, normative femininities and elite education

Public concern about popular culture’s sexualisation of women and girls is regularly voiced in the Australian media. Young women grow up against a backdrop of ‘raunch culture’ (Levy, 2005), which for some scholars represents a ‘new’ femininity (Gill, 2007), in which ‘hyper-sexual’ forms of (hetero)sexual expression are now expected of young women and girls, despite ostensibly being about choice and personal empowerment. In this article, I explore the constructions of girlhood and femininity amongst young women attending an elite, single-sex, private school in Melbourne, Australia. Elite schooling for girls is often associated with highly classed notions of (hetero)sexual modesty and propriety, epitomised in the reality television program Ladette to Lady. Here I consider how hyper-sexualities are configured within students’ constructions of themselves and others, and I explore their relationship to classed expectations of identity for privileged girls. I examine the role that classed norms of identity play in mediating these girls’ negotiations of hyper-sexualities.

'Go Grrrl!' : constructions of femininity in the textual practices of elite girls' schooling

In this paper I consider the utility of discourses of ‘girl power’ for understanding, and complicating, the way youthful femininities are produced in schooling. The paper is concerned with expanding the possibilities for how queer theoretical resources might be utilized within studies of girls and schooling. Existing studies have drawn upon Judith Butler’s notion of a ‘heterosexual matrix’ for understanding, and attending to, the way normative discourses of heterosexuality underpin the school-based production of youthful femininities. The term ‘heterofemininities’ has been used in order to label these school-produced intersections of sex/gender/sexuality. Drawing on discourses of ‘girl power’ that gather around ‘voice’ and responsibility, I propose that the production of ‘hetero-femininities’ within educational contexts might be further explored, and thus complicated, when the significance of discourses of ‘girl power’ is considered. I analyse young women’s discussions of key ‘girl power’ icons in popular culture, generated through fieldwork in an elite girls’ school in Australia. In this analysis I explore the intersections of gender/sexuality/girl power that are produced in the young women’s textual practices.

Didaked : celebrity, privacy and player behaviour in the AFL

At the start of the 21st century elite male team sports assume a high profile presence in the commodified spaces of a globalised hyperreality. When games are sports entertainment businesses many elite performers are celebrities: they exist as brands whose every thought and action is commodified and consumed.
In these spaces the misbehaviours of a relatively small number of Australian Rules Football (AFL) players continue to make the news. A high profile recent incident involving Collingwood footballer Alan Didak is the subject of this paper. Given the levels of media attention devoted to such events we ask: Do AFL footballers have a right to privacy? We also question whether AFL players really understand what it means to be a sports celebrity.
The elevation of the sport star to the status of celebrity means that the idea that an elite performer has a private life and a public life that are separate is one that is problematic. Drawing on Foucault’s later work on the care of the self, our analysis will focus on a variety of processes which seek to develop and manage a professional identity for elite performers – and the risks that attach to these identities.

Risk management, player welfare and privacy : player development managers and dilemmas for employee relations in Australian football league clubs

This paper reports on one aspect of a research project that was funded by the Australian Football League (AFL) to explore the emergence and evolution of a ‘professional identity’ for AFL footballers. The research was informed by Foucault's later work on the care of the Self to focus on the ways in which player identities are governed by coaches, club officials, and the AFL Commission/Executive; and the manner in which players conduct themselves in ways that can be characterised as professional - or not. The paper explores the roles of Player Development Managers (PDMs) in emerging processes of risk and player management. These roles increasingly involve PDMs in risk management practices and processes that can be seen as intrusive in players’ lives. These risk management processes raise a number of concerns about player privacy and the rights of Clubs to know what their employees are up to away from the workplace.

Elite athletes' perceptions of the effects of illicit drugs use on athletic performance

Objective: To investigate the perceived risks and benefits that elite athletes associate with illicit drugs and their beliefs concerning the effects of recreational drug use on athletic performance.

Design: Self-administered survey.

Participants: Nine hundred seventy-four elite athletes (mean age, 23 years; range, 18-30 years) were recruited from 8 national sporting organizations in Australia and the Australian Institute of Sport.

Interventions: Participants completed a self-administered survey that included questions exploring participants’ perceptions regarding the effects of illicit drug use on physical performance.

Setting: National sporting organization meetings or competitions.

Main Outcome Measures: The main outcome measure was risk perception on athletic performance associated with illicit drug use.

Results: The majority of athletes believed that illicit drug use would impact negatively on athletic performance. The main perceived effects of illicit drugs on athletic performance were physical and mental functioning. A minority of athletes indicated that drug use would not impact on physical performance when taken during the offseason or in moderation.

Conclusions: The main risks perceived in association with illicit drug use were short-term consequences, such as physical and mental functioning, rather than long-term health consequences. The current findings may contribute to the development of harm reduction strategies that communicate drug-related consequences to elite athletes in an appropriate and effective manner.

All-female travel : what do women really want?

This paper examines the importance of the all-female element to women travellers and the possible benefits that can be gained from this type of travel. A self-administered mail survey questionnaire was completed by past clients of an Australian all-female travel company, to measure their satisfaction with previous travel and to find out perceived benefits of all-female travel, personal plans for future travel and demographic information. Both quantitative and qualitative information was collected. The participants in the study were women over the age of 40, predominantly in the 50-69 age group. They were experienced travellers as 89% had travelled previously and 64% had travelled four or more times. The information collected allowed a comparison of the importance of certain criteria pre and post the tour. Confidence in tour leader, destination and its culture and not being a 'mass tourist' were seen as important both before and after the tour. Travelling with 'all female company', ' being cared for and pampered', and the 'sharing accommodation' increased in importance after the tour. There were a number of benefits identified in all-female travel. These included a more relaxed, congenial and intimate atmosphere in the group, sharing similar interests and absence of competition and tensions.

More towards the centre : searching for field position for student equity in Australian higher education

The field of Australian higher education has changed, is changing and is about to change, as it is repositioned in relation to other ‘fields of power’. It is a sector now well defined by its institutional groupings – the Go8, the IRUs, the ATN and the rest – and by their relative claims to selectivity and exclusivity, with every suggestion of their differentiation growing. Even within these groupings there are distinctions and variations. Moreover, Australian universities now compete within an international higher education marketplace, ranked by THES and Shanghai Jiao Tiong league tables. ‘Catchment areas’ and knowledge production have become global. And the potential of a ‘joined‐up’ tertiary education system, of VET and universities, will rework relations within Australian higher education, as will lifting the volume caps on university student numbers. In sum, Australian universities (and agents within them) are positioned differently in the field, although not in the stable relations imagined by Pierre Bourdieu in the France of the 1960s. And being so variously and variably placed, institutions and agents have different stances available to them, including the positions they can take on student equity. In this paper I begin from the premise that our current shared stance on this has been out‐positioned. Nation‐bound proportional representation loses its equity meaning when the Australian elite send their children to Harvard, Yale, Oxford and Cambridge. The same could also be said, and has been, about equity representations by region, institution, discipline and degree. What then, also, for a new national research centre with a focus on student equity and higher education, for its research agenda and positioning in the field? What stance can it take on student equity that will resonate on a national and even international scale? And, given a global field of higher education, what definitions of equity and propositions for policy and practice can it offer? What will work in the pursuit of equity?

A comparative study of factors influencing participation in sport and physical activity for metropolitan and rural female adolescents

The aim of this research was to provide a comparative analysis of the influence of behavioural alternatives, autonomy, competence and relatedness on participation in sport and physical activity for female adolescents within metropolitan and rural settings. Eighteen focus groups were conducted with a cross section of schools within metropolitan Melbourne and rural Victoria, Australia, involving 12–13-year olds and 15–16-year olds, using a semi-structured format. Content and thematic analyses were conducted on the data. Findings supported the sport commitment model by demonstrating that, in both rural and metropolitan settings, participation was influenced by the strength of commitment to a range of behavioural alternatives. Our findings also extended self-determination theory by suggesting that autonomy, competence, and relatedness were interrelated and their strength and influence on participation varied between settings. This study also has practical implications, including the promotion of more inclusive and supportive sports environments for female adolescents and promoting sport and physical activities as activity that promotes wellness, complements academic endeavours and reduces the stress of academic study.

First probable Australian cases of human infection with Rickettsia felis (cat-flea typhus)

Human infection with Rickettsia felis has been reported in most parts of the world, and R. felis has recently been confirmed in cat fleas in Western Australia. The clinical presentations of R. typhi and R. felis are similar, and in the past, the incidence of R. felis infection may have been underestimated. We describe the first reported cases of probable human R. felis infection in Australia. Two adults and three children in Victoria contracted a rickettsial disease after exposure to fleas from kittens. Molecular testing of fleas demonstrated the presence of R. felis but not R. typhi.

Drinkers, non-drinkers and deferrers : reconsidering the beer/footy couplet amongst Australian rules football fans

There is a common perception that football and alcohol go hand in hand and that players and fans routinely engage in excessive and irresponsible drinking. In Australia, this is manifest in the stereotypical ‘Pissed Aussie Rules fan’. Following research with Australian Rules football fans in South Australia, we identified three categories of fans according to their (non)engagement with alcohol: Drinkers, Non-Drinkers and Deferrers. Deferrers were selfidentified drinkers who separated alcohol consumption from spectating, for fear of ‘contamination’. Our identification of counter-stereotypic ways in which fans engage with alcohol (or not) challenges the assumptive worlds in which popular commentary on football and drinking operates. This was, to our knowledge, the first ethnography of drinking behaviour amongst Australian Rules football fans. It demonstrates the advantage of using ethnographic research techniques to understand the relationship between identity and consumption.

Prevalence of osteoporosis in Australian men and women : Geelong osteoporosis study

To the Editor: Few reports have been published on bone mineral density (BMD) among randomly sampled populations. Organisations such as Osteoporosis Australia and the Australian and New Zealand Bone and Mineral Society rely on research to supply reliable data that are representative of the Australian community. This information informs practitioners, researchers and policymakers of the size of the problem of osteoporosis in Australia. Our study aimed to document the proportion of individuals who have reduced BMD.

The Liam Jurrah story : from Yuendumu to the MCG

Known as the 'Warlpiri Warrior,' the 'Jurrahcane' and 'Cougar,' Liam Jurrah is a rising star of the AFL, known for his startling displays of skill, artistry and the 'deadly' impact of his football ability. But despite Liam's prodigious talent, he is a relative newcomer to the AFL. This book tells the incredible journey travelled by Liam, a fully initiated Warlpiri man, from the remote Aboriginal desert community of Yuendumu to the MCG, as the first of his kind to play football at an elite level. Along the way the book describes how the author and his family came to understand and treasure the richness of Liam's Warlpiri culture.

Performance score variation between days at Australian national and Olympic women's artistic gymnastics competition

We determined the inter-day variability in elite-standard women's artistic gymnastics competition scores. National (50 gymnasts for up to three days) and Olympic (24 gymnasts for up to five days) competition scores published in the public domain (‘Giant poster pull-out’, 2010; Gymnastics Australia, 2008) were evaluated using three statistical measures. Analyses of the inter-day differences in the mean scores as a percentage (MDiff%), coefficient of variation percentages for the mean score across both days (CV%), and Pearson correlation coefficients for the inter-day score (r) were interpreted using thresholds from trivial to large. National-class gymnasts' two-day performance variation was trivial for vault, small for floor and beam, and moderate for bars. When senior gymnasts competed for a third day the performance variation increased to moderate for vault. Across five days of Olympic competition there were trivial (e.g. CV%: vault = 0.8) to small (e.g. CV%: bars = 2.0) variations in performances between days on all apparatus. Olympians' performance score consistency is superior to senior, national-class competitors. The performance score consistency required for gymnasts who aspire to participate at the Olympics as a top-24 competitor is better than 3%.

Trends in Australian contact lens prescribing during the first decade of the 21st century (2000–2009)

Purpose:  The aim was to document contact lens prescribing trends in Australia between 2000 and 2009.

Methods:  A survey of contact lens prescribing trends was conducted each year between 2000 and 2009. Australian optometrists were asked to provide information relating to 10 consecutive contact lens fittings between January and March each year.

Results:  Over the 10-year survey period, 1,462 practitioners returned survey forms representing a total of 13,721 contact lens fittings. The mean age (± SD) of lens wearers was 33.2 ± 13.6 years and 65 per cent were female. Between 2006 and 2009, rigid lens new fittings decreased from 18 to one per cent. Low water content lenses reduced from 11.5 to 3.2 per cent of soft lens fittings between 2000 and 2008. Between 2005 and 2009, toric lenses and multifocal lenses represented 26 and eight per cent, respectively, of all soft lenses fitted. Daily disposable, one- to two-week replacement and monthly replacement lenses accounted for 11.6, 30.0 and 46.5 per cent of all soft lens fittings over the survey period, respectively. The proportion of new soft fittings and refittings prescribed as extended wear has generally declined throughout the past decade. Multi-purpose lens care solutions dominate the market. Rigid lenses and monthly replacement soft lenses are predominantly worn on a full-time basis, whereas daily disposable soft lenses are mainly worn part-time.

Conclusions:  This survey indicates that technological advances, such as the development of new lens materials, manufacturing methods and lens designs, and the availability of various lens replacement options, have had a significant impact on the contact lens market during the first decade of the 21st Century.