Follicular phase of menstrual cycle is related to higher tendency to suffer from severe injuries among elite female futsal players

Lago-Fuentes, Carlos; Padrón-Cabo, Alexis; Fernández-Villarino, María A.; Mecías-Calvo, Marcos; Pérez, Iker Muñoz; García‐Pinillos, Felipe; Rey, Ezequiel

doi:10.1016/j.ptsp.2021.08.008

Cited by 3 publications

(18 citation statements)

References 28 publications

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“…According to the PRISMA guidelines, the search and selection processes for this systematic review are described in Figure 1 , in a flow chart. After the search and the eligibility criteria, eight studies were considered valid and included [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ]. In addition, the degree of contribution of each study to the systematic review was determined by the quantitative study form described by Law et al [ 22 ], as reflected in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…In this regard, it is shown that the study conducted by Bell et al [ 29 ] was the only one that met all the criteria, making it the reference with the greatest methodological rigour. On the other hand, the remaining studies did not meet all the guidelines established by the form [ 23 , 24 , 26 , 27 , 28 , 30 ], especially Sommerfield et al [ 25 ], which did not address four fundamental aspects and had the lowest score on the methodological scale.…”

Section: Resultsmentioning

confidence: 99%

“…Detailing this table, the sample size appears to be small in all the articles [ 24 , 26 , 27 , 28 , 29 , 30 ] except in two of them, which work with samples of 103 participants [ 25 ] and 179 subjects [ 23 ]. Mostly, the sample was studied without using groups [ 23 , 24 , 25 , 27 , 29 ], except in three articles [ 26 , 28 , 30 ], where a division was made between experimental and control groups [ 26 , 28 ] in men or women and in participants with or without rupture of the anterior cruciate ligament, respectively. Furthermore, in the study by Schmitz and Shultz [ 30 ], they compared knee laxity in two groups of subjects.…”

Section: Resultsmentioning

confidence: 99%

“…The physiological characteristics of weight, height, and body mass index are also shown. Regarding the selection criteria of the studies, the most common were: having a normal MC [ 24 , 26 , 29 , 30 ], no history of pregnancy [ 24 , 27 , 29 , 30 ], and no use of hormonal contraceptives [ 23 , 24 , 26 , 27 , 29 , 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Accordingly, Table 2 also shows the characteristics of the sporting activity. The table shows that football [ 23 , 28 , 29 ] and athletics [ 25 , 27 , 28 ] were the most popular sports in the studies. Similarly, it also shows the level at which the sporting activity is performed, i.e., at a professional level [ 23 , 28 ] or as a recreational activity [ 24 , 25 , 26 , 28 , 28 , 30 ], and the frequency of this exercise per week.…”

Section: Resultsmentioning

confidence: 99%

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Menstrual Cycle and Sport Injuries: A Systematic Review

Martínez-Fortuny

Alonso-Calvete

Carrera

et al. 2023

IJERPH

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The presence of female athletes has only increased in recent years, as has the incidence of injuries in female sports activities. These injuries are conditioned by multiple factors, including hormonal agents. It is estimated that the menstrual cycle may be related to the predisposition to suffer an injury. However, a causal relationship has not yet been established. The aim of this study was to analyse the relationship between the menstrual cycle and injuries in female sports practice. A systematic search of the scientific literature available in PubMed, Medline, Scopus, Web of Science, and Sport Discus was carried out in January 2022. With 138 articles, only eight studies were found that met the selection criteria for this study. Peak estradiol is associated with increased laxity, strength, and poor use of neuromuscular control. Thus, the ovulatory phase is associated with an increased risk of injury. In conclusion, it seems that hormonal fluctuations throughout the menstrual cycle alter values such as laxity, strength, body temperature, and neuromuscular control, among others. This fact causes women to constantly adapt to hormonal variations, which exposes them to a higher risk of injury.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Menstrual Cycle and Sport Injuries: A Systematic Review

Martínez-Fortuny

Alonso-Calvete

Carrera

et al. 2023

IJERPH

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Injury incidence, severity and type across the menstrual cycle in elite female professional footballers: a prospective three season cohort study

Barlow

Blodgett

Williams

et al. 2023

Preprint

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Objectives: The aim of the study was to assess the influence of menstrual cycle phase on injury incidence, severity and type in elite female professional footballers over three seasons. Methods: Time-loss injuries and menstrual cycle data were prospectively recorded for 26 elite female football players across three seasons. The menstrual cycle was categorised into four phases using a standardised model: menstruation (phase 1; P1), remainder of follicular phase (phase 2; P2), early luteal (phase 3; P3), and pre-menstrual phase (phase 4; P4). Injury incidence rates (IRR) and ratios (IIRR) were calculated for overall injuries, injury type, contact vs non-contact, game/training and severity of injury. Results: 593 cycles across 13,390 days were tracked during the study and 74 injuries from 26 players were eligible for analysis. Muscle injuries were the most prevalent sub-type (n=41). When comparing IRR between phases (reference: P1), injury rates were highest in P4 for overall (IIRR: 2.30 [95% CI: 0.99-5.34; p=0.05]), muscle-specific (6.07 [1.34-27.43; p=0.02]), non-contact (3.05 [1.10-8.50; p=0.03]) and ≤7 days time-loss injuries (4.40 [0.93-20.76; p=0.06]). Muscle-specific (IIRR P3:P1: 5.07 [1.16-22.07; p=0.03]) and ≤7 days time-loss (4.47 [1.01-19.68; p=0.05]) injury risk were also significantly higher in P3. No anterior cruciate ligament injuries were recorded across the monitoring period. Conclusion: Injury risk was significantly elevated during the luteal phase of the menstrual cycle ( P3 and P4) among elite female professional footballers. Further research is urgently needed to better understand the influence of the menstrual cycle on injury risk and to develop interventions to mitigate risk.

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Injury Incidence, Severity, and Type Across the Menstrual Cycle in Female Footballers: A Prospective Three Season Cohort Study

BARLOW,

BLODGETT,

WILLIAMS

et al. 2024

Medicine &Amp; Science in Sports &Amp; Exercise

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Purpose The aim of the study was to assess the influence of menstrual cycle phase on injury incidence, severity and type in elite female professional footballers over three seasons. Methods Time-loss injuries and menstrual cycle data were prospectively recorded for 26 elite female football players across three seasons. The menstrual cycle was categorised into four phases using a standardised model: menstruation (phase 1; P1), remainder of follicular phase (phase 2; P2), early luteal (phase 3; P3), and pre-menstrual phase (phase 4; P4). Injury incidence rates (IRR) and ratios (IIRR) were calculated for overall injuries, injury severity, type, contact vs non-contact and game/training. Results 593 cycles across 13,390 days were tracked during the study and 74 injuries from 26 players were eligible for analysis. When comparing IRR between phases (reference: P1), overall injury rates were highest in P4 (IIRR: 2.30 [95% CI: 0.99-5.34; p = 0.05]). When examining rates by injury severity and type, IRR were also highest in P4 for ≤7 days’ time-loss (4.40 [0.93-20.76; p = 0.06]), muscle-specific (6.07 [1.34-27.43; p = 0.02]) and non-contact (3.05 [1.10-8.50; p = 0.03]) injuries. Muscle-specific (IIRR P3:P1: 5.07 [1.16-22.07; p = 0.03]) and ≤ 7 days’ time-loss (4.47 [1.01-19.68; p = 0.05]) injury risk was also significantly higher in P3. Muscle injuries were the most prevalent sub-type (n = 41). No anterior cruciate ligament injuries were recorded across the monitoring period. Conclusions Injury risk was significantly elevated during the luteal phase of the menstrual cycle (P3 and P4) among elite female professional footballers. Further research is urgently needed to better understand the influence of the menstrual cycle on injury risk and to develop interventions to mitigate risk.

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Follicular phase of menstrual cycle is related to higher tendency to suffer from severe injuries among elite female futsal players

Cited by 3 publications

References 28 publications

Menstrual Cycle and Sport Injuries: A Systematic Review

Menstrual Cycle and Sport Injuries: A Systematic Review

Injury incidence, severity and type across the menstrual cycle in elite female professional footballers: a prospective three season cohort study

Injury Incidence, Severity, and Type Across the Menstrual Cycle in Female Footballers: A Prospective Three Season Cohort Study

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