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Erschienen in: European Journal of Applied Physiology 3/2023

13.11.2022 | Original Article

Interaction predictors of self-perception menstrual symptoms and influence of the menstrual cycle on physical performance of physically active women

verfasst von: Gabriela de Carvalho, Marcelo Papoti, Márcia Caroline Diniz Rodrigues, Yan Figueiredo Foresti, Elaine Caldeira de Oliveira Guirro, Rinaldo Roberto de Jesus Guirro

Erschienen in: European Journal of Applied Physiology | Ausgabe 3/2023

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Abstract

Objective

To analyze the physical performance, self-perception menstrual symptoms, of physically active eumenorrheic women with endogenous ovarian cycle in two phases of the menstrual cycle.

Methods

Twenty-six women participated in the study (age 25.8 ± 3.9 years; height 1.64 ± 0.58 m; mass 64 ± 12.32 kg; menarche 11.69 ± 1.28 years). Assessments were performed in two phases of the menstrual cycle (MC), Early-Follicular Phase (FP) and Mid-Luteal Phase (LP), performance was assessed through total time to exhaustion (TTE), complete stages (CE), and final speed (FE), through a graded exercise test (GXT). Information on the participants’ menstrual symptoms and their perceptions of the influence of MC on their performance were also collected. Data normality was assessed using the Shapiro–Wilk test. Paired analyses were conducted (t test or Wilcoxon) to examine the responses between the menstrual phases. The interaction analysis of symptom predictors was performed by multiple linear regression, with a significance level of p ≤ 0.05.

Results

There was no significant difference in physical performance between the phases during the GXT in TTE (mean difference 8.50; 95% CI − 11.99 to 42; p = 0.36). During FP, women with heavy flow had shorter performance in the GXT (t = − 2.5; p = 0.01), demonstrating an r2 = 0.32. In LP, for the women who reported not having the perception of the influence of the menstrual cycle on exercise, the total test time was longer (t = 2.55; p = 0.01), with an r2 = 0.45.

Conclusion

There was no difference in physical performance between FP and LP. However, menstrual flow intensity and perception of cycle interference demonstrated a decrease in TTE.
Literatur
Zurück zum Zitat Abreu-Sánchez A , Parra-Fernández ML , Onieva-Zafra MD, Ramos-Pichardo JD , Fernández-Martínez E (2020) Type of Dysmenorrhea, Menstrual Characteristics and Symptoms in Nursing Students in Southern Spain. Healthcare (Basel) 8(3):302 Abreu-Sánchez A , Parra-Fernández ML , Onieva-Zafra MD, Ramos-Pichardo JD , Fernández-Martínez E (2020) Type of Dysmenorrhea, Menstrual Characteristics and Symptoms in Nursing Students in Southern Spain. Healthcare (Basel) 8(3):302
Zurück zum Zitat Beltz NM, Gibson AL, Janot JM, Kravitz L, Mermier CM, Dalleck LC (2016) Graded exercise testing protocols for the determination of VO2max: historical perspectives, progress, and future considerations. J Sports Med 2016:3968393CrossRef Beltz NM, Gibson AL, Janot JM, Kravitz L, Mermier CM, Dalleck LC (2016) Graded exercise testing protocols for the determination of VO2max: historical perspectives, progress, and future considerations. J Sports Med 2016:3968393CrossRef
Zurück zum Zitat Borg G (1998) Borg’s perceived exertion and pain scales. Human Kinetics, Stockholm Borg G (1998) Borg’s perceived exertion and pain scales. Human Kinetics, Stockholm
Zurück zum Zitat Bruinvels G, Burden R, Brown N, Richards T, Pedlar C (2016) The prevalence and impact of heavy menstrual bleeding (menorrhagia) in elite and non-elite athletes. PLoS One 11(2):e0149881CrossRefPubMedPubMedCentral Bruinvels G, Burden R, Brown N, Richards T, Pedlar C (2016) The prevalence and impact of heavy menstrual bleeding (menorrhagia) in elite and non-elite athletes. PLoS One 11(2):e0149881CrossRefPubMedPubMedCentral
Zurück zum Zitat Campbell SE, Febbraio MA (2002) Effect of the ovarian hormones on GLUT4 expression and contraction-stimulated glucose uptake. Am J Physiol Endocrinol Metab 282(5):E1139–E1146CrossRefPubMed Campbell SE, Febbraio MA (2002) Effect of the ovarian hormones on GLUT4 expression and contraction-stimulated glucose uptake. Am J Physiol Endocrinol Metab 282(5):E1139–E1146CrossRefPubMed
Zurück zum Zitat Charkoudian N, Johnson JM (2000) Female reproductive hormones and thermoregulatory control of skin blood flow. Exerc Sport Sci Rev 28(3):108–112PubMed Charkoudian N, Johnson JM (2000) Female reproductive hormones and thermoregulatory control of skin blood flow. Exerc Sport Sci Rev 28(3):108–112PubMed
Zurück zum Zitat Constantini NW, Dubnov G, Lebrun CM (2005) The menstrual cycle and sport performance. Clin Sports Med 24(2):51–82CrossRef Constantini NW, Dubnov G, Lebrun CM (2005) The menstrual cycle and sport performance. Clin Sports Med 24(2):51–82CrossRef
Zurück zum Zitat Cowley ES, Olenick AA, McNulty KL, Ross EZ (2021) “Invisible sportswomen”: the sex data gap in sport and exercise science research. Women Sport Phys Activ J 29:146–151CrossRef Cowley ES, Olenick AA, McNulty KL, Ross EZ (2021) “Invisible sportswomen”: the sex data gap in sport and exercise science research. Women Sport Phys Activ J 29:146–151CrossRef
Zurück zum Zitat Elliott-Sale KJ, McNulty KL, Ansdell P, Goodall S, Hicks KM, Thomas K, Swinton PA, Dolan E (2020) The effects of oral contraceptives on exercise performance in women: a systematic review and meta-analysis. Sports Med 50(10):1785–1812CrossRefPubMedPubMedCentral Elliott-Sale KJ, McNulty KL, Ansdell P, Goodall S, Hicks KM, Thomas K, Swinton PA, Dolan E (2020) The effects of oral contraceptives on exercise performance in women: a systematic review and meta-analysis. Sports Med 50(10):1785–1812CrossRefPubMedPubMedCentral
Zurück zum Zitat Elliott-Sale KJ, Minahan CL, Janse de Jonge XAK, Ackerman KE, Sipilä S, Constantini NW, Lebrun CM, Hackney AC (2021) Methodological considerations for studies in sport and exercise science with women as participants: a working guide for standards of practice for research on women. Sports Med 51(5):843–861CrossRefPubMedPubMedCentral Elliott-Sale KJ, Minahan CL, Janse de Jonge XAK, Ackerman KE, Sipilä S, Constantini NW, Lebrun CM, Hackney AC (2021) Methodological considerations for studies in sport and exercise science with women as participants: a working guide for standards of practice for research on women. Sports Med 51(5):843–861CrossRefPubMedPubMedCentral
Zurück zum Zitat Findlay RJ, Macrae EHR, Whyte IY, Easton C, Forrest Née Whyte LJ (2020) How the menstrual cycle and menstruation affect sporting performance: experiences and perceptions of elite female rugby players. Br J Sports Med 54(18):1108–1113CrossRefPubMed Findlay RJ, Macrae EHR, Whyte IY, Easton C, Forrest Née Whyte LJ (2020) How the menstrual cycle and menstruation affect sporting performance: experiences and perceptions of elite female rugby players. Br J Sports Med 54(18):1108–1113CrossRefPubMed
Zurück zum Zitat Fraser IS, Mansour D, Breymann C, Hoffman C, Mezzacasa A, Petraglia F (2015) Prevalence of heavy menstrual bleeding and experiences of affected women in a European patient survey. Int J Gynaecol Obstet 128:196–200CrossRefPubMed Fraser IS, Mansour D, Breymann C, Hoffman C, Mezzacasa A, Petraglia F (2015) Prevalence of heavy menstrual bleeding and experiences of affected women in a European patient survey. Int J Gynaecol Obstet 128:196–200CrossRefPubMed
Zurück zum Zitat Janse de Jonge XA (2003) Effects of the menstrual cycle on exercise performance. Sports Med 33(11):833–851CrossRefPubMed Janse de Jonge XA (2003) Effects of the menstrual cycle on exercise performance. Sports Med 33(11):833–851CrossRefPubMed
Zurück zum Zitat Janse de Jonge XA, Thompson MW, Chuter VH, Silk LN, Thom JM (2012) Exercise performance over the menstrual cycle in temperate and hot, humid conditions. Med Sci Sports Exerc 44(11):2190–2198CrossRefPubMed Janse de Jonge XA, Thompson MW, Chuter VH, Silk LN, Thom JM (2012) Exercise performance over the menstrual cycle in temperate and hot, humid conditions. Med Sci Sports Exerc 44(11):2190–2198CrossRefPubMed
Zurück zum Zitat Janse de Jonge XAK, Thompsom B, Han A (2019) Methodological recommendations for menstrual cycle research in sports and exercise. Med Sci Sports Exerc 51(12):2610–2617CrossRefPubMed Janse de Jonge XAK, Thompsom B, Han A (2019) Methodological recommendations for menstrual cycle research in sports and exercise. Med Sci Sports Exerc 51(12):2610–2617CrossRefPubMed
Zurück zum Zitat Ju H, Jones M, Mishra G (2014) The prevalence and risk factors of dysmenorrhea. Epidemiol Rev 36:104CrossRefPubMed Ju H, Jones M, Mishra G (2014) The prevalence and risk factors of dysmenorrhea. Epidemiol Rev 36:104CrossRefPubMed
Zurück zum Zitat Julian R, Hecksteden A, Fullagar HH, Meyer T (2017) The effects of menstrual cycle phase on physical performance in female soccer players. PLoS One 12(3):e0173951CrossRefPubMedPubMedCentral Julian R, Hecksteden A, Fullagar HH, Meyer T (2017) The effects of menstrual cycle phase on physical performance in female soccer players. PLoS One 12(3):e0173951CrossRefPubMedPubMedCentral
Zurück zum Zitat Karlsson TS, Marions LB, Edlund MG (2014) Heavy menstrual bleeding significantly affects quality of life. Acta Obstet Gynecol Scand 93:52–57CrossRefPubMed Karlsson TS, Marions LB, Edlund MG (2014) Heavy menstrual bleeding significantly affects quality of life. Acta Obstet Gynecol Scand 93:52–57CrossRefPubMed
Zurück zum Zitat Lamont LS, Lemon PW, Bruot BC (1987) Menstrual cycle and exercise effects on protein catabolism. Med Sci Sports Exerc 19(2):106–110CrossRefPubMed Lamont LS, Lemon PW, Bruot BC (1987) Menstrual cycle and exercise effects on protein catabolism. Med Sci Sports Exerc 19(2):106–110CrossRefPubMed
Zurück zum Zitat Lebrun CM (1993) Effect of the different phases of the menstrual cycle and oral contraceptives on athletic performance. Sports Med 16(6):400–430CrossRefPubMed Lebrun CM (1993) Effect of the different phases of the menstrual cycle and oral contraceptives on athletic performance. Sports Med 16(6):400–430CrossRefPubMed
Zurück zum Zitat Lima-Trostdorf M, de Oliveira G, Zago M (2021) Impact of physical activity and sport on the symptoms of menstrual and premenstrual periods. J Womens Health 4(4):123–135 Lima-Trostdorf M, de Oliveira G, Zago M (2021) Impact of physical activity and sport on the symptoms of menstrual and premenstrual periods. J Womens Health 4(4):123–135
Zurück zum Zitat Magalhães MF, Dibai-Filho AV, de Oliveira Guirro EC, Girasol CE, de Oliveira AK, Dias FR, Guirro RR (2015) Evolution of skin temperature after the application of compressive forces on tendon, muscle and myofascial trigger point. PLoS One 10(6):e0129034CrossRefPubMedPubMedCentral Magalhães MF, Dibai-Filho AV, de Oliveira Guirro EC, Girasol CE, de Oliveira AK, Dias FR, Guirro RR (2015) Evolution of skin temperature after the application of compressive forces on tendon, muscle and myofascial trigger point. PLoS One 10(6):e0129034CrossRefPubMedPubMedCentral
Zurück zum Zitat Martin D, Sale C, Cooper SB et al (2018) Period prevalence and perceived side effects of hormonal contraceptive use and the menstrual cycle in elite athletes. Int J Sports Physiol Perform 13:926CrossRefPubMed Martin D, Sale C, Cooper SB et al (2018) Period prevalence and perceived side effects of hormonal contraceptive use and the menstrual cycle in elite athletes. Int J Sports Physiol Perform 13:926CrossRefPubMed
Zurück zum Zitat McNulty KL, Elliott-Sale KJ, Dolan E, Swinton PA, Ansdell P, Goodall S et al (2020) The effects of menstrual cycle phase on exercise performance in eumenorrheic women: a systematic review and meta-analysis. Sports Med 50(10):1813–1827CrossRefPubMedPubMedCentral McNulty KL, Elliott-Sale KJ, Dolan E, Swinton PA, Ansdell P, Goodall S et al (2020) The effects of menstrual cycle phase on exercise performance in eumenorrheic women: a systematic review and meta-analysis. Sports Med 50(10):1813–1827CrossRefPubMedPubMedCentral
Zurück zum Zitat Mihm M, Gangooly S, Muttukrishna S (2011) The normal menstrual cycle in women. Anim Reprod Sci 124:229–236CrossRefPubMed Mihm M, Gangooly S, Muttukrishna S (2011) The normal menstrual cycle in women. Anim Reprod Sci 124:229–236CrossRefPubMed
Zurück zum Zitat Oosthuyse T, Bosch AN (2010) The effect of the menstrual cycle on exercise metabolism: implications for exercise performance in eumenorrhoeic women. Sports Med 40(3):207–227CrossRefPubMed Oosthuyse T, Bosch AN (2010) The effect of the menstrual cycle on exercise metabolism: implications for exercise performance in eumenorrhoeic women. Sports Med 40(3):207–227CrossRefPubMed
Zurück zum Zitat Rachel H, Andersen ML, Bittencourt LR et al (2010) Does the reproductive cycle influence sleep patterns in women with sleep complaints? Climacteric 13(6):594–603CrossRef Rachel H, Andersen ML, Bittencourt LR et al (2010) Does the reproductive cycle influence sleep patterns in women with sleep complaints? Climacteric 13(6):594–603CrossRef
Zurück zum Zitat Rocha-Rodrigues S, Sousa M, Reis PL, Leão C, Cardoso-Marinho B, Massada M, Afonso J (2021) Bidirectional interactions between the menstrual cycle, exercise training, and macronutrient intake in women: a review. Nutrients 13(2):438CrossRefPubMedPubMedCentral Rocha-Rodrigues S, Sousa M, Reis PL, Leão C, Cardoso-Marinho B, Massada M, Afonso J (2021) Bidirectional interactions between the menstrual cycle, exercise training, and macronutrient intake in women: a review. Nutrients 13(2):438CrossRefPubMedPubMedCentral
Zurück zum Zitat Ross RM (2003) ATS/ACCP statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med 167(10):1451CrossRefPubMed Ross RM (2003) ATS/ACCP statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med 167(10):1451CrossRefPubMed
Zurück zum Zitat Schaumberg MA, Jenkins DG, Janse de Jonge XAK, Emmerton LM, Skinner TL (2017) Three-step method for menstrual and oral contraceptive cycle verification. J Sci Med Sport 20(11):965–969CrossRefPubMed Schaumberg MA, Jenkins DG, Janse de Jonge XAK, Emmerton LM, Skinner TL (2017) Three-step method for menstrual and oral contraceptive cycle verification. J Sci Med Sport 20(11):965–969CrossRefPubMed
Zurück zum Zitat Scherr J, Wolfarth B, Christle JW, Pressler A, Wagenpfeil S, Halle M (2013) Associations between Borg’s rating of perceived exertion and physiological measures of exercise intensity. Eur J Appl Physiol 113(1):147–155CrossRefPubMed Scherr J, Wolfarth B, Christle JW, Pressler A, Wagenpfeil S, Halle M (2013) Associations between Borg’s rating of perceived exertion and physiological measures of exercise intensity. Eur J Appl Physiol 113(1):147–155CrossRefPubMed
Zurück zum Zitat Sedlak T, Shufelt C, Iribarren C, Merz CNB (2012) Sex hormones and the QT interval: a review. J Womens Health (larchmt) 21(9):933–941CrossRefPubMed Sedlak T, Shufelt C, Iribarren C, Merz CNB (2012) Sex hormones and the QT interval: a review. J Womens Health (larchmt) 21(9):933–941CrossRefPubMed
Zurück zum Zitat Sheel AW (2016) Sex differences in the physiology of exercise: an integrative perspective. Exp Physiol 101(2):211–212CrossRefPubMed Sheel AW (2016) Sex differences in the physiology of exercise: an integrative perspective. Exp Physiol 101(2):211–212CrossRefPubMed
Zurück zum Zitat Sims ST, Heather AK (2018) Myths and Methodologies: reducing scientific design ambiguity in studies comparing sexes and/or menstrual cycle phases. Exp Physiol 103(10):1309–1317CrossRefPubMed Sims ST, Heather AK (2018) Myths and Methodologies: reducing scientific design ambiguity in studies comparing sexes and/or menstrual cycle phases. Exp Physiol 103(10):1309–1317CrossRefPubMed
Zurück zum Zitat Van Reen E, Kiesner J (2016) Individual differences in self reported difficulty sleeping across the menstrual cycle. Arch Womens Ment Health 19(4):599–608CrossRefPubMed Van Reen E, Kiesner J (2016) Individual differences in self reported difficulty sleeping across the menstrual cycle. Arch Womens Ment Health 19(4):599–608CrossRefPubMed
Zurück zum Zitat World Medical Association Declaration of Helsinki (2013) Ethical principles for medical research involving human subjects. JAMA 310(20):2191–2194 CrossRef World Medical Association Declaration of Helsinki (2013) Ethical principles for medical research involving human subjects. JAMA 310(20):2191–2194 CrossRef
Metadaten
Titel
Interaction predictors of self-perception menstrual symptoms and influence of the menstrual cycle on physical performance of physically active women
verfasst von
Gabriela de Carvalho
Marcelo Papoti
Márcia Caroline Diniz Rodrigues
Yan Figueiredo Foresti
Elaine Caldeira de Oliveira Guirro
Rinaldo Roberto de Jesus Guirro
Publikationsdatum
13.11.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Applied Physiology / Ausgabe 3/2023
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-022-05086-z

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