The knowledge, attitudes, and behaviours of pregnant women regarding seafood consumption during the antenatal period: a qualitative study.

BACKGROUND: Maternal nutrition impacts fetal growth and development. The Food Standards Australia New Zealand (FSANZ) guidelines recommend pregnant women consume 2-3 servings (224-336 g) of fish/seafood per week to support intake of long chain omega 3 fatty acids, given adequate consumption supports numerous health benefits including reduced risk of preterm and early preterm birth. Evidence indicates that pregnant women purposely lower their fish/seafood intake, largely due to fears of methylmercury exposure. The aim of this study was to explore pregnant women's knowledge, attitudes, and behaviours regarding their fish/seafood consumption during the antenatal period. METHODS: Semi-structured interviews were conducted between October 2018 and December 2020 among a purposive sample of 12 pregnant women from the Australian Capital Territory (ACT). The interviews were recorded, transcribed verbatim, and analysed using an interpretative phenomenological approach. Themes were developed on the women's lived experience related to fish/seafood knowledge, attitudes, and consumption behaviour. RESULTS: The most prominent finding was widespread non-adherence to fish/seafood consumption guidelines. This was largely owing to a lack of proactive health promotion related to the health benefits of fish/seafood throughout pregnancy, including the health promoting roles of long chain omega 3 fatty acids for fetal growth and development. Three themes were identified: nutrition knowledge; sources of health promotion; and barriers and enablers to fish/seafood consumption. CONCLUSIONS: To support adequate maternal consumption of fish/seafood throughout pregnancy, emphasis should be placed on the benefits of consuming this food group regularly. Additionally, pregnant women should receive education about the health promoting role of long chain omega 3 fatty acids. Dietitians are well placed to provide this information.

Maternal body mass index and country of birth in relation to the adverse outcomes of large for gestational age and gestational diabetes mellitus in a retrospective cohort of Australian pregnant women.

BACKGROUND: The prevalence of gestational diabetes mellitus in Australia has been rising in line with the increased incidence of maternal overweight and obesity. Women with gestational diabetes mellitus, high body mass index or both are at an elevated risk of birthing a large for gestational age infant. The aim was to explore the relationship between country of birth, maternal body mass index with large for gestational age, and gestational diabetes mellitus. In addition to provide additional information for clinicians when making a risk assessment for large for gestational age babies. METHOD: A retrospective cohort study of 27,814 women residing in Australia but born in other countries, who gave birth to a singleton infant between 2008 and 2017 was undertaken. Logistic regression analysis was used to examine the association between the aforementioned variables. RESULTS: A significantly higher proportion of large for gestational age infants was born to overweight and obese women compared to those who were classified as underweight and healthy weight. Asian-born women residing in Australia, with a body mass index of ≥40 kg/m2, had an adjusted odds ratio of 9.926 (3.859-25.535) for birthing a large for gestational age infant. Conversely, Australian-born women with a body mass index of ≥40 kg/m2 had an adjusted odds ratio of 2.661 (2.256-3.139) for the same outcome. Women born in Australia were at high risk of birthing a large for gestational age infant in the presence of insulin-requiring gestational diabetes mellitus, but this risk was not significant for those with the diet-controlled type. Asian-born women did not present an elevated risk of birthing a large for gestational age infant, in either the diet controlled, or insulin requiring gestational diabetes mellitus groups. CONCLUSIONS: Women who are overweight or obese, and considering a pregnancy, are encouraged to seek culturally appropriate nutrition and weight management advice during the periconception period to reduce their risk of adverse outcomes.

Reliability and Usefulness of Time-Motion and Physiological Responses in Simulated Judo Matches.

Franchini, E, Dunn, E, and Takito, MY. Reliability and usefulness of time-motion and physiological responses in simulated judo matches. J Strength Cond Res 34(9): 2557-2564, 2020-Match simulations have been used to investigate different interventions in judo. However, no study has assessed the reliability of actions performed and the physiological responses to the match and its usefulness. Thus, 2 studies were conducted to verify the reliability of time-motion and physiological responses to judo matches. In the first study, 25 judo athletes performed one 5-minute judo match simulation twice, 1 week apart, and had their heart rate and blood lactate measured. In the second, 12 judo athletes performed one 5-minute judo simulation 4 times, 72 hours apart, and had their primary actions and match temporal structure analyzed. Comparisons between conditions, reliability (using intraclass correlation coefficient, ICC), typical error (TE), smallest worthwhile change (SWC), and minimal detectable change were determined. The main findings indicated that: (a) there were no differences between matches for any variable; (b) ICCs were significant (except for blood lactate before matches in both studies) with 6 variables presenting large (number of attacks plus defensive actions, number of scoring actions, efficiency, number of sutemi-waza, time per combat sequence, and time per interval phase time), and the remaining 15 variables presenting very large reliability; (c) TE was higher than SWC for all variables when small differences were considered. Moderate changes in peak blood lactate and the change in blood lactate (in both studies), and time in tachi-waza could be properly detected; however, only large changes could be detected for all other variables, suggesting that investigations using match simulation as an outcome variable may only detect large changes.

Timing of high-intensity intermittent exercise affects ad libitum energy intake in overweight inactive men.

The present study sought to clarify the impact of exercise intensity and timing on energy intake and appetite-related blood variables. Fourteen inactive overweight men were included in the study. Firstly, maximal aerobic power (MAP) was measured. Then, participants randomly performed 5 experimental sessions consisting of 30 min of steady-state exercise (SSE) at 50% of MAP, high-intensity intermittent exercise (HIIE) with 30s repetitions at MAP and 30s of passive recovery or no exercise (CTRL). Sessions were performed 1h (SSE1h and HIIE1h) or 2.5h (SSE2.5h and HIIE2.5h) after the consumption of a standardized breakfast. An ad libitum buffet was offered 3.5h after the completion of the breakfast. Absolute energy intake (EI) and relative energy intake (REI) (relative energy intake = energy intake - energy expenditure from exercise) were measured. Appetite (hunger, fullness and desire for specific foods) scores and circulating concentration of insulin and IL-6 were determined at 1h, 1.75h, 2.5h and 3.25h after breakfast while lactate was measured post-exercise. EI was greater after the CTRL session compared to HIIE2.5h (5045.9 ±â€¯1873.5 kJ vs. 3716.1 ±â€¯1688.7 kJ). REI was greater for the CTRL session (5045.9 ±â€¯1873.5 kJ) than HIIE1h (3386.5 ±â€¯1660.1 kJ), HIIE2.5h (2508.5 ±â€¯1709.3 kJ) and SSE2.5h (3426.6 ±â€¯1788.0 kJ). Higher hunger scores were observed following the CRTL session with respect to those of HIIE2.5h. Insulin and IL-6 concentrations were greater after HIIE1h and SSE1h with respect to those obtained after HIIE2.5h, SSE2.5h and CTRL. Lactate concentrations were higher in HIIE1h and HIIE2.5h compared to those of SSE1h and SSE2.5h. These results show that HIIE performed 2.5h after a breakfast reduced appetite (hunger scores) and EI through mechanism that need to be characterized. This approach can be applied to individuals aiming to create an energetic deficit.

Effects of High-Intensity Interval Training on Olympic Combat Sports Athletes' Performance and Physiological Adaptation: A Systematic Review.

Franchini, E, Cormack, S, and Takito, MY. Effects of high-intensity interval training on Olympic combat sports athletes' performance and physiological adaptation: A systematic review. J Strength Cond Res 33(1): 242-252, 2019-Combat sports represent around 25% of all Olympic medals disputed, and the success in these sports are determined by technical-tactical excellence and supported by physiological and psychological development. Although the training in combat sports is intermittent training by nature, some researchers have started to focus their attention on the effects of complementary high-intensity interval training (HIIT)-coupled standard combat sports-specific training on morphological, physiological, and performance adaptations. Thus, in this systematic review, we aimed to verify the effects of this type of training on these variables. A total of 117 articles in the electronic databases Pubmed, Scopus, and Web of Science were retrieved, and 9 studies remained in the present systematic review. A total of 228 athletes (138 judo athletes, 40 taekwondo athletes, 18 boxers, 17 karate athletes, and 15 wrestlers) were investigated in these 9 studies (5 with judo athletes, 1 with boxers, 1 with karate athletes, 1 with wrestlers, and 1 with taekwondo athletes). The HIIT protocols investigated did not generate any change in body fat percentage or body mass but generally resulted in increases in (Equation is included in full-text article.)max or (Equation is included in full-text article.)peak, varying from 4.4 to 23.0%. However, the most observed benefit of HIIT protocols was an increase in anaerobic fitness, represented by improvements in anaerobic power and capacity.

Effects of Different Fatigue Levels on Physiological Responses and Pacing in Judo Matches.

Franchini, E, Takito, MY, Alves, ED, Shiroma, SA, Julio, UF, and Humberstone, C. Effects of different fatigue levels on physiological responses and pacing in judo matches. J Strength Cond Res 33(3): 783-792, 2019-The objective of this study was to compare athletes' pacing during judo match simulation between different fatigue states. Twelve judo athletes (30.2 ± 3.2 years old, 85.6 ± 10.8 kg, 181.0 ± 5.7 cm, 19 ± 7 years of judo experience) completed three 4-minute matches against the same opponents, at 15-minute intervals in 3 different conditions: after warm-up (Control; C); after a regular training session (totaling 90 minutes); after a high-intensity interval exercise (2 blocks of 10 sets of 20-second all-out uchi-komi, with 10-second interval between sets and 5-minute interval between blocks). All matches were mediated according to the official rules, filmed, and analyzed concerning: rating of perceived recovery (RPR), rating of perceived exertion (RPE), heart rate (before and after match), blood lactate concentrations [La] before, peak after match and delta (peak minus the prematch values), and time-motion measures (frequencies and durations of actions). Time-motion measures included athlete displacement without contact, gripping, attack, feint, groundwork combat, pauses, and high- to low-intensity effort ratio. The experimental conditions resulted in different physiological and perceived responses prematch (HR, [La], RPR) and postmatch simulations (HR and [La]peak), with no change in RPE and few changes in technical variables. There was a decrease in grip dispute time, and increase in time of displacement without contact. These technical changes were enough to preserve the pace during the matches, which seemed to be controlled by the athletes to maintain their number of attacks, feints, and RPE.

Impact and Moderating Variables of an Intervention Promoting Physical Activity Among Children: Results From a Pilot Study.

This pilot study pursued three objectives: to assess the effect of a 1-month multilevel intervention on the PA of children, to assess the impact of the intervention on the theory of planned behavior (TPB) variables, and to evaluate the extent to which the impact of the intervention on PA and TPB variables varied according to personal (i.e., gender and age) and situational (i.e., class and school) moderating variables. Children were aged 7 to 11 years ( n = 306). Analyses revealed a significant increase of PA practice and TPB variables ( ps < .001). Age (i.e., being a younger child) was associated with a higher increase on attitude and perceived control ( ps < .01). The class or the school levels explained a meaningful variance in the evolution of PA or TPB variables (intraclass correlation coefficients > .10). The present study reports the interest and feasibility of a multilevel intervention to increase PA and TPB variables in children.

Educational intervention regarding diet and physical activity for pregnant women: changes in knowledge and practices among health professionals.

BACKGROUND: The knowledge and practices of health professionals have a recognized role in behaviors related to the health of their patients. During pregnancy, this influence can be even stronger because there is frequent contact between women and doctors/nurses at periodic antenatal visits. When trained, supported and motivated, these professionals can act as health promoters. This study aimed to evaluate the effect of a focused educational intervention on improving the knowledge and practices of health professionals concerning diet and physical activity during pregnancy. METHODS: A controlled, non-randomized study was performed to assess the effects of an educational intervention on the knowledge and practices of nurses and doctors who provide primary care to pregnant women. The intervention group, doctors and nurses (n = 22) from the family health units in a medium-sized city of São Paulo State, Brazil, received 16 h of training comprising an introductory course and three workshops, whereas the control group, doctors and nurses (n = 20) from traditional basic health units in Botucatu, did not. The professionals' knowledge was assessed at two time points, 1 month prior to and 1 year after the beginning of the intervention, using an ad hoc self-report questionnaire. The increases in the knowledge scores for walking and healthy eating of the intervention and control groups were calculated and compared using Student's t-test. To analyze the professionals' practice, women in the second trimester of pregnancy were asked whether they received guidance on healthy eating and leisure-time walking; 140 of these women were cared for by professionals in the intervention group, and 141 were cared for by professionals in the control group. The percentage of pregnant women in each group that received guidance was compared using the chi-square test and the Prevalence Ratio (PR), and the corresponding 95 % confidence intervals (CI) were calculated. RESULTS: The intervention improved the professionals' knowledge regarding leisure-time walking (92 % increase in the score, p < 0.001). The women who were cared for by the intervention group were more likely to receive guidance regarding leisure-time walking (PR = 2.65; 95 % CI = 1.82-3.83) and healthy eating (PR = 1.76; 95 % CI = 1.34-2.31) when compared to the control group. CONCLUSION: It is possible to improve the knowledge and practices of health professionals through the proposed intervention aimed at primary health care teams providing antenatal care.

Sex-Related Differences in Self-Paced All Out High-Intensity Intermittent Cycling: Mechanical and Physiological Responses.

The purpose of this study was to compare sex-related responses to a self-paced all out high-intensity intermittent exercise (HIIE). 9 women and 10 men were submitted to a maximal incremental test (to determine maximum aerobic power - MAP and VO2peak), and an HIIE cycling (60x8s:12s, effort:pause). During the protocol the mean value of V̇O2 and heart rate for the entire exercise (VO2total and HRtotal) as well as the values only in the effort or pause (V̇O2effort, VO2pause and HReffort and HRpause) relative to VO2peak were measured. Anaerobic power reserve (APR), blood lactate [La] and the respiratory exchange ratio (RER) were also measured. These variables were compared between men and women using the unpaired t test. Men used greater APR (109 ± 12%MAP vs 92 ± 6%MAP) with similar V̇O2total (74 ± 7 vs 78 ± 8% VO2peak), however, when effort and pause were analysed separately, V̇O2effort (80 ± 9 vs 80 ± 5%VO2peak) was similar between sexes, while V̇O2pause was lower in men (69 ± 6% vs 77 ± 11% VO2peak, respectively). Women presented lower power decrement (30 ± 11 vs 11 ± 3%), RER (1.04 ± 0.03 vs 1.00 ± 0.02) and [La]peak (8.6 ± 0.9 vs 5.9 ± 2.3 mmol.L(-1)). Thus, we can conclude that men self-paced HIIE at higher APR but with the same cardiovascular/aerobic solicitation as women. Key pointsMen self-paced high-intensity intermittent exercise at higher intensities than women.Men utilized greater anaerobic power reserve than women.Men and women had same cardiovascular solicitation.

Blue judogi may bias competitive performance when seeding system is not used: sex, age, and level of competition effects.

This study evaluated whether the judogi colour (blue or white) could influence a combat outcome (victory or defeat) in 1,233 judo official combats. Sex, age group, and level of competition were also considered in the analysis. Binomial probability tests showed a higher probability of an athlete's winning a combat wearing blue judogi for both sexes, levels of competition (regional and state), and for the athletes of the junior and senior categories. Thus, blue judogi may bias competitive outcome for both sexes in regional and state level competitions and for athletes above junior age.

Olympic preparation in Brazilian judo athletes: description and perceived relevance of training practices.

The aim of this study was to describe the training routines used by judo athletes and their perception concerning the relevance, effort made, concentration needed, and pleasure obtained during the training sessions conducted 6 months before their Olympic participation and to compare with medal winners and other competitors in these aspects. Sixty-one Olympic Brazilian judo athletes (men = 39; women = 22), representing 66.3% of all Brazilian participants in this Olympic sport (from 1964 to 2008), including 10 medal winners (9 men and 1 woman) answered a questionnaire concerning their training routines. Mann-Whitney and Student's t-test for independent samples were used. Judo medalists and nonmedalists in the Olympic Games did not differ in: (a) the age when they started to practice and to compete in judo, (b) the age when they competed in the Olympic Games, (c) hours of training per week and per training session and the number of training sessions per day in their preparation for this event, (d) frequency and time spent for performing judo-specific and general exercises and their perceived relevance, effort, pleasure, and concentration for these activities performed during the preparation for the Olympic Games. The only differences found were the groundwork (ne-waza) randori practice, which was less frequently performed by medal winners, and perceived relevance attributed to this activity, which was considered less relevant by the medal winners compared with nonmedal winners. Thus, judo Olympic medal winners and nonmedalists did not differ in many training aspects in the final phase of their preparation to the Olympic Games.

Influence of acute high-intensity aerobic interval exercise bout on selective attention and short-term memory tasks.

Acute moderate intensity continuous aerobic exercise can improve specific cognitive functions, such as short-term memory and selective attention. Moreover, high-intensity interval training (HIT) has been recently proposed as a time-efficient alternative to traditional cardiorespiratory exercise. However, considering previous speculations that the exercise intensity affects cognition in a U-shaped fashion, it was hypothesized that a HIT session may impair cognitive performance. Therefore, this study assessed the effects of an acute HIT session on selective attention and short-term memory tasks. 22 healthy middle-aged individuals (M age = 53.7 yr.) engaged in both (1) a HIT session, 10 1 min. cycling bouts at the intensity corresponding to 80% of the reserve heart rate interspersed by 1 min. active pauses cycling at 60% of the reserve heart rate and (2) a control session, consisting of an active condition with low-intensity active stretching exercise. Before and after each experimental session, cognitive performance was assessed by the Victoria Version of the Stroop test (a selective attention test) and the Digit Span test (a short-term memory test). Following the HIT session, the time to complete the Stroop "Color word" test was significantly lower when compared with that of the control session. The performances in the other subtasks of the Stroop test as well as in the Digit Span test were not significantly different. A HIT session can improve cognitive function.

Cadet and Junior Performance Is Associated With Senior's World Championship and Olympics Achievement in Judo.

Purpose: We determined whether cadet and junior Judo World Championship participation and medal achievement would predict senior performance at World Championship (WC) and Olympic Games (OG). Methods: We analyzed retrospectively a total of 7780 athletes who competed at the OG and WC in the cadet, junior, and senior between 2009 and 2021. Results: There was an increase in the probability of winning a medal in the senior category (WC and OG, and only WC) ranged from 4.3 to 4.5 for medal-winning cadets compared to non-medalists and this probability remained around 3.3-3.8 for medalists in the male and 5.3-5.4 for the female medalists in cadet WC. Moreover, the chance of winning a medal in the senior category (WC and OG) was 8.1-8.5 times greater for medalists when compared to non-medalists in the junior WC. In turn, the probability of winning a medal in the senior (WC) was 1.5-1.7 times greater for athletes who did not compete in the junior WC. In the OG, the probability of winning a medal was 3.5 greater times for medalists when compared to non-medalists at cadet and junior WC. Conclusion: Thus, being a cadet or junior WC medalist increases the probability of winning a senior WC or an Olympic medal.

Effect of Menstrual Cycle Phase on Perceived Exertion During Aerobic Exercise in Eumenorrheic Women: A Systematic Review and Meta-analysis.

Background: The rating of perceived exertion (RPE) is a readily available and practical tool widely used in exercise science to monitor exercise load, but a rigorous review of the effect of menstrual cycle (MC) phases on RPE within continuous aerobic exercise has not yet been completed. Objective: This study investigated the effects of the MC phase on RPE during aerobic exercise. Study Design: This was a systematic review and meta-analysis. Methods: The search strategy was carried out using the 5 most common scientific databases. While qualitative analyses were performed in all included studies, random effects to standard mean difference were calculated and meta-analysis was performed where possible. This study addresses comparison for RPE at the beginning, middle, and end of the exercise adopting 2 mains analysis. The first adopted early cycle (first session of the cycle) as control compared with the subsequent phases, and the second adopted days 1 to 5 (early follicular) as control compared with the subsequent phases. Results: A total of 17 studies (n = 160) were included in the qualitative synthesis. The meta-analysis showed that MC phases did not impact RPE (P > .05). Conclusions: The current meta-analysis showed that MC does not impact RPE. Although acute RPE is not impacted by MC phases, future studies and practitioners should pay attention to the impact of RPE session by session throughout the MC.

Home advantage in judo: a study of the world ranking list.

In 2009, the International Judo Federation established a ranking system (RS) to classify athletes and to distribute the competitor quotas of the Olympic Games. However, the RS does not consider the home advantage. This issue has not been studied in judo, and its implications for the RS have not been determined. The objective was to verify the home advantage in judo in terms of winning a medal or the number of matches won. Therefore, 25 competitions that computed points for the RS in 2009 were analysed. Logistic regression analysis and the Poisson generalised linear model were used for the analyses, which included the relative quality of the athletes. The sample was composed only of athletes who had competed both at home and away. The odds ratio for winning medals was higher for athletes who competed at home for both males and females. The association between the number of matches won and competing at home was significant only for the male athletes. The home advantage was observed in the competitions that used the judo RS. Thus, it is likely that athletes from countries that host competitions using the RS have an advantage in terms of obtaining their Olympic classification.

Different experiences of weight management and physical activity during pregnancy - a qualitative study of women and healthcare professionals in Australia.

OBJECTIVE: Pregnancy is often described as a pivotal life stage for women, where regular contact with health professionals may play an important role in lifestyle awareness. This study explored the knowledge, practices, and beliefs of health professionals and pregnant women regarding physical activity and weight management during the antenatal period. METHODS: A qualitative study was undertaken in southeastern Australia using individual interviews. Recruitment sought women of gestation >12 weeks, experiencing an uncomplicated pregnancy (n = 6), and antenatal health professionals including midwives (n = 4) and an obstetrician (n = 1). Data were analysed using Interpretive Phenomenological Analysis. RESULTS: Three major themes emerged: (1) women rely on multiple sources of pregnancy-related healthy lifestyle information; (2) discussions around healthy lifestyle behaviours are low priority and often inconsistent; and (3) lifestyle-related topics perceived as sensitive make some conversations and actions difficult. CONCLUSIONS: Pregnant women expressed gaps in lifestyle-related knowledge and education being provided by health professionals. In turn, health professionals expressed difficulty discussing sensitive topics such as weight with pregnant women and had limited knowledge of pregnancy-specific physical activity guidelines. The themes generated by this study may form the foundation for further research to inform clinical policy and practice regarding advice in antenatal care.

Relative Age Effect in Judo Competitions: Influence of Age, Weight Category, Sex, and Time Frames.

This study was conducted to determine whether the relative age effect (RAE) is present in different age groups, weight categories, sexes, and across different time frames in international-level judo competition. A total of 9451 judo athletes competing at the Olympic Games and/or World Championships in the Cadet, Junior and/or Senior age groups between 1993 and 2020 were considered. Athletes' birthdate distributions were grouped in four quartiles (Q1: January-March; Q2: April-June; Q3: July-September; Q4: October-December) and compared to a day-corrected theoretical distribution using Chi-squared analysis. Poisson regression was also used to evaluate the ability to explain weekly birth count. RAE was more prevalent in males than females (p < .05), and for Cadets and Juniors compared to Seniors (p < .05). Heavyweight and middleweight categories presented RAEs in Senior and Junior males, while for females it was present in Cadet heavyweights (p < .05). RAE was more prevalent in recent years (2009-2021) for Senior male judo athletes (p < .05). Poisson analysis illustrated some nuanced information, including RAE detection during an earlier time frame, not readily apparent with the traditional analysis.

Impact of Premenstrual Syndrome Symptoms on Sport Routines in Nonelite Athlete Participants of Summer Olympic Sports.

PURPOSE: Most women during their lifetime experience a combination of premenstrual syndrome (PMS) symptoms (eg, menstrual cramps) before and often to the end of menstruation. However, the impact of these symptoms on sport routines (eg, performance, training absence) during phases around menstruation is still unclear. Therefore, we investigated the impact of PMS symptoms on sport routines among nonelite athletes over 3 phases related to menstruation. METHODS: An online questionnaire was developed to recruit nonelite female athletes who participate in summer Olympic sports. Participants were allocated into 2 groups: those who experienced mild to moderate PMS symptoms (no-PMS) and those with severe PMS symptoms (p-PMS). Two hundred thirty-four responses from eumenorrheic women (p-PMS = 78%) were considered valid. An unpaired Student t test was conducted to compare demographic characteristics between groups and chi-square test to evaluate the impact of PMS status on sport routines between groups. RESULTS: A significant (P < .05) proportion of women in the p-PMS group changed their training schedule because of menstrual (55%) and premenstrual (61%) symptoms compared with the no-PMS group. Overall, all participants indicated that training (P = .01) and competitive (P < .01) performance are impacted during menstruation, followed by a greater impact (P < .05) in the p-PMS group before menstruation. CONCLUSION: The presence of PMS symptoms reduces training and competitive performance, primarily during and before menstruation, respectively. Severity of PMS symptoms was significantly associated with alterations in training schedule but not with competitive schedule.

Psychophysiological Responses to Self-Selected Exercise Intensity Over the Menstrual Cycle: A Randomized Crossover Phase Trial.

Purpose: This study investigated the psychophysiological responses during self-selected exercise intensity over the course of the menstrual cycle (MC). Methods: Seventeen healthy women with regular MCs completed three randomized treadmill bouts of 30 min of self-selected exercise intensity during menstruation, mid-follicular, and late luteal phases. Anxiety, menstrual distress (i.e., pain, behavior change, autonomic reaction, fluid retention, and negative affect) and profile of mood (i.e., tension, depression, and anger) were measured before exercise. Arousal, heart rate (HR), motivation, rating of perceived exertion and affective valence were measured before, during and after each exercise session. Results: Anger, anxiety, behavior change, pain, and negative affect were significantly greater (p < .05) during menstruation compared to the mid-follicular phase, whereas fluid retention, anger, behavior change, and autonomic reaction were greater (p < .05) during the late luteal phase compared with the mid-follicular phase. Participants felt more negative affective valence and less motivation to start exercise during menstruation compared with other MC phases. Average treadmill speed (5.8 ± 1.1 vs 6.0 ± 0.7 vs 5.9 ± 0.7 km/h-1, p = .36) and %HRmax (74.9 ± 3.2 vs 77.8 ± 5.4 vs 77.4 ± 7.1%, p = .40) did not differ between menstruation, mid-follicular, and late luteal phases. Also, noteworthy is that participants self-selected an intensity that exceeded the minimum levels recommended for health and cardiorespiratory fitness promotion (64-70% HRmax). Conclusions: Results of this study indicate that psychophysiological responses are negatively impacted mainly during menstruation and the late luteal phase of the MC. These findings may be helpful for professionals who work to promote the initiation and maintenance of exercise in women.