Academic Journal

Exploring the effect of the menstrual cycle or oral contraception on elite athletes’ training responses when workload is not objectively quantifiable: the MILS approach and findings from female Olympians

التفاصيل البيبلوغرافية
العنوان: Exploring the effect of the menstrual cycle or oral contraception on elite athletes’ training responses when workload is not objectively quantifiable: the MILS approach and findings from female Olympians
المؤلفون: Jean-François Toussaint, Quentin De Larochelambert, Juliana da Silva Antero, Imad Hamri, Tom Chassard, Alice Meignié, Florent Storme, Marine Dupuit, Allison Diry, Pierre Yves Louis, Nicolas Coulmy
المصدر: BMJ Open Sport & Exercise Medicine, Vol 10, Iss 2 (2024)
بيانات النشر: BMJ Publishing Group, 2024.
سنة النشر: 2024
المجموعة: LCC:Medicine (General)
مصطلحات موضوعية: Medicine (General), R5-920
الوصف: Objectives Develop the Markov Index Load State (MILS) model, based on hidden Markov chains, to assess athletes’ workload responses and investigate the effects of menstrual cycle (MC)/oral contraception (OC), sex steroids hormones and wellness on elite athletes’ training.Methods On a 7-month longitudinal follow-up, daily training (volume and perceived effort, n=2200) and wellness (reported sleep quality and quantity, fitness, mood, menstrual symptoms, n=2509) data were collected from 24 female rowers and skiers preparing for the Olympics. 51 MC and 54 OC full cycles relying on 214 salivary hormone samples were analysed. MC/OC cycles were normalised, converted in % from 0% (first bleeding/pill withdrawal day) to 100% (end).Results MILS identified three chronic workload response states: ‘easy’, ‘moderate’ and ‘hard’. A cyclic training response linked to MC or OC (95% CI) was observed, primarily related to progesterone level (p=8.23e-03 and 5.72e-03 for the easy and hard state, respectively). MC athletes predominantly exhibited the ‘easy’ state during the cycle’s first half (8%–53%), transitioning to the ‘hard’ state post-estimated ovulation (63%–96%). OC users had an increased ‘hard’ state (4%–32%) during pill withdrawal, transitioning to ‘easy’ (50%–60%) when on the pill. Wellness metrics influenced the training load response: better sleep quality (p=5.20e-04), mood (p=8.94e-06) and fitness (p=6.29e-03) increased the likelihood of the ‘easy’ state. Menstrual symptoms increased the ‘hard’ state probability (p=5.92e-02).Conclusion The MILS model, leveraging hidden Markov chains, effectively analyses cumulative training load responses. The model identified cyclic training responses linked to MC/OC in elite female athletes.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2055-7647
Relation: https://bmjopensem.bmj.com/content/10/2/e001810.full; https://doaj.org/toc/2055-7647
DOI: 10.1136/bmjsem-2023-001810
URL الوصول: https://doaj.org/article/d3b7c1de59ec4c7692a08642c1429285
رقم الانضمام: edsdoj.3b7c1de59ec4c7692a08642c1429285
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20557647
DOI:10.1136/bmjsem-2023-001810