Females combat sport athletes are likely to partake in rapid weight reduction strategies prior to competitions. Objective: The purpose of this study was to investigate the relationship between weight cutting habits of female combat sport athletes and the risk of developing the female athlete triad. Methods: 102 female combat sport athletes (amateur=40; professional=62; 28.8±4.5y), competing in boxing (n=30), kickboxing (n=12), and mixed martial arts (n=60), completed two questionnaires. An adapted version of the Rapid Weight Loss Questionnaire (RWLQ) was used to determine the severity of athletes` weight cutting behaviors, and the Low Energy Availability in Females Questionnaire (LEAF-Q) was used to determine female athlete triad risk. Data was analyzed to determine correlations between LEAF-Q and RWLQ scores along with weight cutting behaviors. Scores were also compared between competition level and combat sports. Results: The results of this study showed that 38% of female combat sport athletes were at risk of developing the female athlete triad. Significant correlation between RWLQ and LEAF-Q scores (p=0.013; r=0.244, r2=0.060) were noted. A significant difference (p=0.006) between the RWLQ scores of amateurs and professionals was also noted, with professionals engaging in more severe weight cutting behavior. Mixed martial artists reported the highest RWLQ and LEAF-Q scores, which were significantly greater than boxers. No other correlations between LEAF-Q and weight cutting behaviors were noted. Conclusion: Despite a small effect size (r²=0.060), the findings of this study demonstrate that more severe weight cutting behaviors may increase the female athlete triad risk among female combat sport athletes.
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