Stress fractures are among the top 10 injuries sustained by runners, with women more likely to suffer a stress fracture than men. The tibia bone is the most common area for stress fractures in female runners.
Whilst biomechanics and training load can play a significant role in the development of a stress fracture, dietary factors such as low intake of key nutrients and/or insufficient calorie intake can significantly increase your risk of a stress fracture.
The female athlete triad is a combination of factors that can lead to reduced bone mass which increases the risk of stress fractures. The sequence of events usually begins with low energy availability and under nutrition due to mismatch of nutrition intake and exercise expenditure.
A prolonged period of calorie deficit results in the athlete becoming underweight which can then lead to menstrual disturbances. This in turn leads to estrogen deficiency, and the dysfunction of other hormones required for bone health resulting in impaired...