Menstrual cycle and hormonal contraceptive phases’ effect on elite rowers’ training, performance and wellness

Frontiers in Physiology

Physiology

Martine Duclos¹  Allison Diry²  Hugo Maciejewski²  Quentin Delarochelambert³  Juliana Antero³  Steven Golovkine³  Alice Meignié³  Louis Niffoi³  Tom Chassard³  Jean-François Toussaint⁴  Carole Maitre⁵ 

[1] Department of Sport Medicine and Functional Exploration, University Hospital CHU G. Montpied, INRAE, UNH, CRNH Auvergne, Clermont Auvergne University, Clermont-Ferrand, France;French Rowing Federation, Nogent-sur-Marne, France;Institute for Research in BioMedicine and Epidemiology of Sport, IRMES at INSEP (Institut National du Sport, de l’Expertise et de la Performance), Paris, France;Institute for Research in BioMedicine and Epidemiology of Sport, IRMES at INSEP (Institut National du Sport, de l’Expertise et de la Performance), Paris, France;URP 7329, Université Paris Cité, Paris, France;Center for Investigation in Sport Medicine, CIMS Hôtel-Dieu, Assistance Publique—Hopitaux de Paris, Paris, France;Medical Department at INSEP (Institut National du Sport, de l’Expertise et de la Performance), Paris, France;

关键词: female athletes;    menstrual cycle;    contraception;    hormones and athletes;    performance;    monitoring;    gender;   

DOI  :  10.3389/fphys.2023.1110526

 received in 2022-11-28, accepted in 2023-02-02,  发布年份 2023

来源: Frontiers

【 摘 要 】

Objectives: To investigate the effect of menstrual cycle (MC) and hormonal contraception (HC) phases in elite rowers training, performance and wellness monitoring.Methods: Twelve French elite rowers were follow-up for 4,2 cycles on average in their final preparation for the Olympics and Paralympics Games in Tokyo 2021 through an on-site longitudinal study based on repeated measures. Daily self-reported evaluation using Likert rating scales of wellness (sleep quality, fitness, mood, injuries’ pain), menstrual symptoms and training parameters (perceived exertion and self-assessment of performance) were collected (n = 1,281) in parallel to a coach evaluation of rowers’ performance (n = 136), blinded to theirs MC and HC phases. Salivary samples of estradiol and progesterone were collected in each cycle to help to classify the MC into 6 phases and HC into 2–3 phases depending on the pills’ hormone concentration. A chi-square test normalized by each rower was used to compare the upper quintile scores of each studied variable across phases. A Bayesian ordinal logistic regression was applied to model the rowers’ self-reported performance.Results: Rowers with a natural cycle, n = 6 ( + 1 amenorrhea) evaluate their performance and wellness with significant higher score indices at the middle of their cycle. Top assessments are rarer at the premenstrual and menses phases, when they more frequently experience menstrual symptoms which are negatively correlated with their performance. The HC rowers, n = 5, also better evaluate their performance when taking the pills and more frequently experience menstrual symptoms during the pill withdrawal. The athletes self-reported performance is correlated with their coach’s evaluation.Conclusion: It seems important to integrate MC and HC data in the wellness and training monitoring of female athletes since these parameters vary across hormonal phases affecting training perception of both athlete and coach.

【 授权许可】

Unknown   
Copyright © 2023 Antero, Golovkine, Niffoi, Meignié, Chassard, Delarochelambert, Duclos, Maitre, Maciejewski, Diry and Toussaint.