2021
DOI: 10.1136/bmjsem-2021-001047
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Patterns of endogenous and exogenous ovarian hormone modulation on recovery metrics across the menstrual cycle

Abstract: IntroductionAs the number of female athletes competing rises globally, training methodologies should reflect sex differences across critical metrics of adaptation to training. Surrogate markers of the autonomic nervous system (ANS) used for monitoring training load are heart rate variability (HRV) and resting heart rate (RHR). The aim was to investigate ovarian hormone effects on standard recovery metrics (HRV, RHR, respiratory rate (RR) and sleep duration) across a large population of female athletes.MethodsA… Show more

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Cited by 18 publications
(32 citation statements)
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References 39 publications
(54 reference statements)
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“…Participants were asked to wear comfortable clothing at their individual testing day and not eat a large meal or drink beverages with caffeine or smoke immediately before the exercise to avoid confounds in psychophysiological measures. Hormonal status of the participants and menstrual cycle can affect HRV measures ( Sims et al, 2021 ). Hormonal status and menstrual cycle were not controlled in the present study due to random assignment of the participants to the two groups, possibly excluding bias or differences between participants regarding menstrual cycle or any other confounding variables.…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…Participants were asked to wear comfortable clothing at their individual testing day and not eat a large meal or drink beverages with caffeine or smoke immediately before the exercise to avoid confounds in psychophysiological measures. Hormonal status of the participants and menstrual cycle can affect HRV measures ( Sims et al, 2021 ). Hormonal status and menstrual cycle were not controlled in the present study due to random assignment of the participants to the two groups, possibly excluding bias or differences between participants regarding menstrual cycle or any other confounding variables.…”
Section: Methodsmentioning
confidence: 99%
“…One limitation is the small sample size of an N = 30 all-female sample, all healthy, all university students having the same academic, educational background. There is evidence that in women, HRV parameters and heart rate (measured at rest) are modulated by the menstrual cycle ( Sims et al, 2021 ). In a recent study, ANS activity (blood pressure, heart rate) and psychological well-being (self-report measures, e.g., depression, anger) were compared in female yoga practitioners ( n = 25) as well as in controls ( n = 25) across the menstrual cycle to examine whether yoga could influence pre-menstrual stress differently.…”
Section: Limitations and Outlookmentioning
confidence: 99%
“…In the PU group, we observed the greatest decline in HRV at M3, although P4 concentrations were highest at M4. The progestin-only contraceptives in this study used levonorgestrel, which differs from endogenous progesterone and may attenuate the magnitude of the phase-based increase in sympathetic activity caused by endogenous progesterone during the late luteal phase noticed with NM (30). Stadler et al (40) reviewed the effects of endogenous and exogenous progesterone on the ANS and hypothalamic–pituitary–adrenal axis, which are both activated by stressors.…”
Section: Discussionmentioning
confidence: 99%
“…Further, no data and/or results were shared with participants until they completed all experimental sessions. All sessions were conducted during the luteal phase of the female participants’ menstrual cycle [ 33 , 34 ]…”
Section: Methodsmentioning
confidence: 99%
“…Upon arrival at the laboratory and following 15 min of rest in the supine position, HRV was recorded for 5 min before the SIT protocol by using validated equipment (Omega Wave 800, OW, Portland, OR, USA) [ 33 ]. HRV was also recorded for 5 min ~1 min after completing the SIT protocol.…”
Section: Methodsmentioning
confidence: 99%