Improving menstrual health literacy in sport.

Menstrual health represents a state of complete physical, mental, and social well-being in relation to a woman's menstrual cycle. From a health literacy perspective, knowledge acquisition and expertise are dependent upon the degree to which an individual can find, access, understand, critically analyse, and apply health information. Therefore, menstrual health literacy can be used to describe the state of knowledge acquisition and application specific to menstrual health-related issues. Menstrual health literacy is low among female athletes, their coaches, and practitioners, and few evidence-informed education or implementation strategies exist to improve menstrual health literacy in sport. Moreover, athletes seldom discuss their menstrual cycles or hormonal contraceptive use with their coaches, despite experiencing menstrual symptoms and/or disturbances and perceiving their menstrual cycles/hormonal contraceptive use to affect performance. Barriers to communication about menstrual cycle- and hormonal contraceptive-related topics include a perceived lack of knowledge among athletes, coaches, and practitioners, concerns about how conversations on these issues will affect interpersonal relationships, and a lack of formal and informal discussion forums. Whilst evidence relating to the effects of the menstrual cycle phase and hormonal contraceptive use on training and performance is currently limited, with existing studies often lacking methodological rigour, impactful steps can still be made to support female athletes. This cornerstone review highlights the current state of menstrual health literacy among athletes, coaches, and practitioners, and provides recommendations for improving menstrual health literacy in sport.

Biomechanical variables in Icelandic horse riders and the effect on tölt performance: A pilot study.

AIM: To identify how riding rein direction (left and right) and rider asymmetry affect tölt performance in Icelandic horses. METHODS: Two horses were ridden in tölt by four riders on both left and right reins. Riders wore pressure insoles that measured the total absolute force (FAbs) and absolute force difference (FDiff) in their left and right feet in the stirrups. A 3D motion-analysis system recorded the degrees of side-to-side movement in the pelvis (RollP) and in the thoracolumbar region (RollT). Lateral advanced placement (LAP) and duty factor (DF) were calculated to determine tölt performance. One-way ANOVAs were used to assess the effect of rein direction on rider asymmetry variables (FAbs, FDiff, RollP and RollT) and tölt performance (LAP, DF) on a group level (n = 8). Within-subject Spearman rank correlations (ρ) were computed to determine the effect of rider asymmetry variables on tölt performance on an individual level. RESULTS: LAP was closer to 25% on the left rein compared to the right rein (mean difference: 1.8±1.2%; F(1,7) = 16.333; p = 0.005, η2p = 0.700). In addition, DF was lower on the left rein compared to the right rein (mean difference: 1.9±0.8%; F(1,7) = 41.299; p<0.001, η2p = 0.855). Individual relationships between RollT and LAP ranged from small negative to very large positive and reached significance for one rider (ρ = 0.730; p = 0.040). Individual relationships between RollP and DF ranged from very large negative to very large positive and reached significance for two riders (ρ = 0.731; p = 0.040; ρ = -0.723 p = 0.043). CONCLUSION: Rein direction might influence tölt performance. Individual relationships between rider asymmetry and tölt performance were highly variable and reached significance in some instances, indicating that the relationship between rider asymmetry and tölt performance is highly individual. This type of biomechanical data can be used to provide valuable feedback to guide equestrians and coaches.

Effects of carbohydrate dose and frequency on metabolism, gastrointestinal discomfort, and cross-country skiing performance.

This study investigated carbohydrate ingestion of varied doses and frequencies during a simulated cross-country skiing time trial. Ten men and three women (age: 30 ± 7 years; V ˙ O 2 m a x : 59.6 ± 5.7 mL/kg/min) completed four, 30-km classic technique roller skiing time trials on a treadmill. A 1:1 maltodextrin-fructose carbohydrate solution was provided at high (2.4 g/min; HC) and moderate (1.2 g/min; MC) ingestion rates, each at high (six feeds; HF) and low (two feeds; LF) frequencies. In the LF trials, blood glucose was elevated following carbohydrate ingestion (at 4 and 19 km) but was reduced at 14 and 29 km compared with HF strategies (P ≤ 0.05). Gastrointestinal discomfort was higher in HC-LF compared with all other trials (P ≤ 0.05). Whole-body lipid oxidation was lower and carbohydrate oxidation was higher in LF compared with HF trials (P ≤ 0.05). While performance time was not significantly different between trials (140:11 ± 15:31, 140:43 ± 17:40, 139:12 ± 15:32 and 140:33 ± 17:46 min:s in HC-HF, HC-LF, MC-HF, and MC-LF, respectively; P > 0.05), it was improved with trial order (P < 0.001). There was no effect of order on any other variable (P > 0.05). Altering carbohydrate dose or frequency does not affect cross-country ski performance. However, low-frequency carbohydrate ingestion resulted in poorer maintenance of euglycemia, reduced lipid oxidation, and increased gastrointestinal discomfort.

The order of concurrent training does not affect soccer-related performance adaptations.

Despite the wealth of evidence regarding physical training strategies in soccer, there is little information regarding soccer-specific concurrent training and the effects of training order. The current study aimed to: i) quantify the effects of concurrent high-intensity run-based training (HIT) and strength- and power-based training (STR) on soccer-specific performance, and ii) investigate the order effect of completing HIT and STR either first or second within training sessions. Eighteen semi- and fully-professional players completed a battery of field- and gym-based tests before and after a 5-week pre-season training intervention. Players were pair-matched and completed 3 sessions per week of HIT followed by STR (n=9) or STR followed by HIT (n=9). ANCOVA tests revealed no differences between groups for changes in any of the measures (p>0.05). However, a training effect was observed for all measures (p<0.05), with 10-m sprint, 6×30-m repeated sprint, 40-m agility and Yo-Yo test performances improving by 1.8±2.6%, 1.3±1.8%, 1.0±1.5% and 19.4±23.4%, respectively (n=18). In conclusion, there was a positive effect of the concurrent training approach on key measures of soccer performance, but the order of completing HIT and STR appears inconsequential to performance adaptations.

Reliability of a 5 x 6-s maximal cycling repeated-sprint test in trained female team-sport athletes.

The present study examined the reliability of work and power measures during a 5 x 6-s cycle ergometer test of repeated-sprint ability. Nine, well-trained, female soccer players performed five, 5 x 6-s repeated-sprint tests on a front-access cycle ergometer on separate days. Sprints were separated by 24 s of active recovery. Absolute measures of total work done (W (tot)), total peak power (PP(tot)), work done during sprint 1 (W (1)) and peak power output during sprint 1 (PP(1)) were recorded. Decrement scores in work done (W (dec)) and peak power output (PP(dec)), and fatigue indices for work done (FI( W )) and peak power (FI( P )), were calculated. Significant improvements in all of the work and power measures were observed between trial 1 and subsequent trials (P < 0.05), but no significant differences were identified between trials 2, 3, 4 and 5. The same was true for increases in the decrement scores. The coefficient of variation (CV) was established to reflect within-subject reproducibility for each variable. The CV was significantly improved by the third trial for work done (W (tot) CV: trials 1-2 = 5.5%; trials 3-4 = 2.8%), peak power (PP(tot) CV: trials 1-2 = 5.1%; trials 3-4 = 2.7%) and performance decrement scores (P < 0.05). The standard error of measurement (SEM) and intraclass correlation coefficient (ICC) were also calculated for each variable and expressed within 95% confidence intervals. It was concluded that two familiarisation trials are optimal for collecting reliable data from a 5 x 6-s repeated-sprint cycling test. Furthermore, due to the large variation around performance decrement it was suggested that decrement scores ought to be interpreted with caution.