The effect of the menstrual cycle on physical characteristics (speed, strength, and endurance) in women in Saudi Arabia
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20241464Keywords:
Menstrual cycle, Estrogen, Progesterone, FSH, LH, Athletic performance, Women, PhysiologyAbstract
The increasing participation of women in sports has raised interest in understanding how the menstrual cycle, specifically estrogen, progesterone, follicle-stimulating hormone (FSH), and luteinizing hormone (LH), affects athletic performance. These hormones fluctuate throughout the menstrual cycle, which is divided into the early follicular phase, ovulatory period, and mid-luteal phase, each with distinct hormonal profiles. While estrogen is believed to have an anabolic effect on skeletal muscle and influence substrate metabolism, progesterone may have an antiestrogenic effect, potentially affecting physical performance. However, research on the impact of these hormone fluctuations on performance yields contradictory results. Some studies report improved performance during various menstrual cycle phases, while others find no significant differences. Additionally, the effects of oral contraceptives (OCPs) on muscle strength and function remain unclear. Menopause, characterized by a decline in skeletal muscle mass and bone density, is associated with reduced physical performance in women. More research is needed to understand the effects of estrogen and progesterone fluctuations on physical performance in women, emphasizing the importance of gender-specific research and guidelines for optimizing athletic performance.
References
Arazi H, Nasiri S, Eghbali E. Is there a difference toward strength, muscular endurance, anaerobic power and hormonal changes between the three phase of the menstrual cycle of active girls? Apunts Medicina de l’Esport. 2019;54(202):65-72.
Oğul A, Ercan S, Ergan M, İnce Parpucu T, Çetin C. The effect of menstrual cycle phase on multiple performance test parameters. Turk J Sports Med. 2021;56(4):159-65.
Chidi-Ogbolu N, Baar K. Effect of Estrogen on Musculoskeletal Performance and Injury Risk. Front Physiol. 2019;9:1834.
García-Pinillos F, Bujalance-Moreno P, Lago-Fuentes C, Ruiz-Alias SA, Domínguez-Azpíroz I, Mecías-Calvo M, et al. Effects of the Menstrual Cycle on Jumping, Sprinting and Force-Velocity Profiling in Resistance-Trained Women: A Preliminary Study. Int J Environ Res Public Health. 2021;18(9):4830.
Carmichael MA, Thomson RL, Moran LJ, Wycherley TP. The Impact of Menstrual Cycle Phase on Athletes' Performance: A Narrative Review. Int J Environ Res Public Health. 2021;18(4):1667.
Yadav T, Pandey G. Impact of menstrual cycle phases on the selected physiological parameters and skill-related components. Indian J Physical Therapy Res. 2022;4(2):109.
Recacha-Ponce P, Collado-Boira E, Suarez-Alcazar P, Montesinos-Ruiz M, Hernando-Domingo C. Is It Necessary to Adapt Training According to the Menstrual Cycle? Influence of Contraception and Physical Fitness Variables. Life (Basel). 2023;13(8):1764.
Görner K, Reineke A. The influence of endurance and strength training on body composition and physical fitness in female students. J Physical Educ Sport. 2020;20(3):2013-20.
Rael B, Alfaro-Magallanes VM, Romero-Parra N, Castro EA, Cupeiro R, Janse de Jonge XAK, et al. Menstrual Cycle Phases Influence on Cardiorespiratory Response to Exercise in Endurance-Trained Females. Int J Environ Res Public Health. 2021;18(3):860.
D'Souza AC, Wageh M, Williams JS, Colenso-Semple LM, McCarthy DG, McKay AKA, et al. Menstrual cycle hormones and oral contraceptives: a multimethod systems physiology-based review of their impact on key aspects of female physiology. J Appl Physiol (1985). 2023;135(6):1284-99.
Prado RCR, Silveira R, Kilpatrick MW, Pires FO, Asano RY. The effect of menstrual cycle and exercise intensity on psychological and physiological responses in healthy eumenorrheic women. Physiol Behav. 2021;232:113290.
Halim S. The effect of the menstrual cycle on the speed of female soccer players. Revue algérienne de la recherche et des études. 2022;5(04):282-94.
Domínguez-Muñoz C, del Campo J, García A, Guzmán J, Martínez-Gallego R, Ramón-Llin J. Kinetic, Physiological and Fatigue Level Differences Depending on the Menstrual Cycle Phase and Running Intensity. Appl Sci. 2023;13(21):10879.
Dokumacı B, Hazır T. Effects of the Menstrual Cycle on Running Economy: Oxygen Cost Versus Caloric Cost. Res Q Exerc Sport. 2019;90(3):318-26.
Colenso-Semple LM, D'Souza AC, Elliott-Sale KJ, Phillips SM. Current evidence shows no influence of women's menstrual cycle phase on acute strength performance or adaptations to resistance exercise training. Front Sports Act Living. 2023;5:1054542.
Vargas-Molina S, Petro L, Romance R, Bonilla DA, Schoenfeld BJ, Kreider RB, et al. Menstrual cycle-based undulating periodized program effects on body composition and strength in trained women: A pilot study. Sci Sport. 2022;37(8):753-61.
Niering M, Wolf-Belala N, Seifert J, Tovar O, Coldewey J, Kuranda J, et al. The Influence of Menstrual Cycle Phases on Maximal Strength Performance in Healthy Female Adults: A Systematic Review with Meta-Analysis. Sports (Basel). 2024;12(1):31.
Elliott-Sale KJ, McNulty KL, Ansdell P, Goodall S, Hicks KM, Thomas K, et al. The Effects of Oral Contraceptives on Exercise Performance in Women: A Systematic Review and Meta-analysis. Sports Med. 2020;50(10):1785-812.
Myllyaho MM, Ihalainen JK, Hackney AC, Valtonen M, Nummela A, Vaara E, et al. Hormonal Contraceptive Use Does Not Affect Strength, Endurance, or Body Composition Adaptations to Combined Strength and Endurance Training in Women. J Strength Cond Res. 2021;35(2):449-57.
Thompson BM, Drover KB, Stellmaker RJ, Sculley DV, Janse de Jonge XAK. The Effect of the Menstrual Cycle and Oral Contraceptive Cycle on Muscle Performance and Perceptual Measures. Int J Environ Res Public Health. 2021;18(20):10565.
Sung ES, Han A, Hinrichs T, Vorgerd M, Platen P. Effects of oral contraceptive use on muscle strength, muscle thickness, and fiber size and composition in young women undergoing 12 weeks of strength training: a cohort study. BMC Womens Health. 2022;22(1):150.
Nguyen TM, Do TTT, Tran TN, Kim JH. Exercise and Quality of Life in Women with Menopausal Symptoms: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Int J Environ Res Public Health. 2020;17(19):7049.
Sipilä S, Törmäkangas T, Sillanpää E, Aukee P, Kujala UM, Kovanen V, et al. Muscle and bone mass in middle-aged women: role of menopausal status and physical activity. J Cachexia Sarcopenia Muscle. 2020;11(3):698-709.
Juppi HK, Sipilä S, Cronin NJ, Karvinen S, Karppinen JE, Tammelin TH, et al. Role of Menopausal Transition and Physical Activity in Loss of Lean and Muscle Mass: A Follow-Up Study in Middle-Aged Finnish Women. J Clin Med. 2020;9(5):1588.
Yong EL, Logan S. Menopausal osteoporosis: screening, prevention and treatment. Singapore Med J. 2021;62(4):159-66.
Geraci A, Calvani R, Ferri E, Marzetti E, Arosio B, Cesari M. Sarcopenia and Menopause: The Role of Estradiol. Front Endocrinol (Lausanne). 2021;12:682012.
Szuscik-Niewiadomy K, Plinta R, Niewiadomy P, Knapik A. Past physical activity and its influence on female functioning during perimenopause. Ginekol Pol. 2021;92(5):352-8.