Eating attitudes and energy intakes of female skaters.

PURPOSE: This study examined potential links between dietary intakes, body fatness, menstrual status, and hematological and serum iron status in 21 competitive female figure skaters aged 11-16 yr. METHODS: Attitudes toward dieting were assessed using the Eating Attitudes Test (EAT). Dietary intakes were based on 3-d food records. Percent body fat was calculated using measures of triceps, subscapular, suprailiac, pectoral, axillary, abdominal, and thigh skinfold measures. Blood iron status was measured using hematocrit (Hct), hemoglobin (Hgb), total iron binding capacity (TIBC), and serum iron. Menstrual status was based on a self-report questionnaire. RESULTS: Body weights and estimated energy intakes were all within normal range for this age group. Higher EAT scores were associated with lower micronutrient, but not lower energy intakes. Menstrual status and iron status were normal. No significant correlations between measures of body fatness, menstrual status, and hematological or serum iron status were observed. CONCLUSION: Although the measured indices of nutritional status were normal, adolescent athletes have higher energy needs than does the general population. Depending on energy expenditure levels, energy and nutrition intakes in the low normal range may put some athletes at risk for undernutrition.

Necrotizing fasciitis of the parapharyngeal space with carotid artery occlusion and acute hemiplegia.

Necrotizing fasciitis is characterized by necrosis with extension over fascial planes and mixed aerobic-anaerobic etiologies. Necrotizing fasciitis is uncommon in children and seldom involves the head and neck area. An infant who developed necrotizing fasciitis involving the parapharyngeal space is described. Chronic dental pathology was probably the initial focus of infection. The patient had a left hemiparesis due to a right middle cerebral artery infarct. Carotid angiography demonstrated complete occlusion of the right internal carotid artery, probably secondary to inflammatory arteritis or direct compression along its course through the parapharyngeal space. Mixed aerobic-anaerobic etiologies predominate in infections of the potential spaces of the head and neck as was demonstrated in this patient. The patient recovered, but had neurologic sequelae. Prompt and aggressive therapy is necessary in patients with necrotizing fasciitis syndromes in order to avoid such severe complications.