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Daily physical activity patterns across the menstrual cycle in eumenorrheic female athletes

An accelerometry-based study

Bibliographic Data

ID23312378
AuthorsPaula Recacha-Ponce (0000-0003-2092-8212, Universitat Jaume I), Carla Hernando (0000-0002-3918-8384, Universitat Jaume I), Ana Capdevila-Seder (Departament of Educaction and Specifis Diactics, Universitat Jaume I), Ana Capdevila‐Seder (0009-0005-6009-0575, Universitat Jaume I), Eladio Collado (Universitat Jaume I), Eladio Collado-Boira (Facultat de Ciencies de la Salut, Universitat Jaume I), María-Pilar Suárez-Alcázar (Universitat Jaume I), Pablo Salas Medina (Universitat Jaume I), Carlos Hernando (Universitat Jaume I)
Year2026
Volume8
Pages1793624-1793624
Publication date2026-07-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Sports and Active Living (JOURNAL)
Journal identifiersISSN: 2624-9367 • E-ISSN: 2624-9367
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fspor.2026.1793624
PMID42548747
OpenAlexW7169791413
LanguageEN
References cited44

Background Hormonal fluctuations during the menstrual cycle (MC) influence various physiological parameters, yet their impact on daily physical activity (PA) behavior in naturally menstruating women remains under-researched, often lacking rigorous hormonal verification. Methods This prospective observational study aimed to examine variations in daily PA intensity and energy consumption across MC phases in eumenorrheic, female athletes [classification as level II or level III athletes according to McKay et al. (2022)] using accelerometry as an objective tool to measure PA. Twenty female athletes (26.6 ± 5.9 years) with regular cycles were monitored using wrist-worn GENEActiv accelerometers over one complete natural cycle. MC phases were classified into seven stages (early, mid, and late follicular; ovulatory; early, mid, and late luteal) using a combination of self-reported bleeding, daily urinary luteinizing hormone (LH) testing, and serum hormone analysis (progesterone >16 nmol·L− 1 to confirm ovulation). PA intensity was categorized into six levels (sedentary to extremely vigorous) using validated triaxial cut-points, and energy consumption (kcal·kg −1 ·min −1 ) was estimated from accelerometry data. Results No significant differences were found across MC phases for sedentary, light, or moderate PA p > 0.05. However, time spent in vigorous, very vigorous, and extremely vigorous intensities showed significant phase-dependent variations p = 0.004; 0.001 y 0.001 respectively, with the lowest values consistently recorded during the ovulatory phase. Energy consumption also reached its minimum during ovulation p = 0.009, while total wear time remained stable. Conclusion In eumenorrheic athletes, the MC does not substantially modify overall daily activity volume or lower-intensity behaviors. However, high-intensity activity and energy consumption are sensitive to cyclical hormonal fluctuations, specifically decreasing during the ovulatory phase. These findings suggest that higher-intensity activity domains may be more susceptible to menstrual cycle fluctuations than overall activity volume. Therefore, training prescription and load monitoring should consider individual cycle patterns and hormonal profiles rather than assuming behavioral stability across all intensity levels.

Athletes · Follicular phase · Hormone · Luteinizing hormone · Menstrual cycle · Ovulation · Physical activity · Prospective cohort study · Exercise and Physiological Responses · Menstrual Health and Disorders · Muscle metabolism and nutrition

  • Defining Training and Performance Caliber

    Alannah K A McKay, Trent Stellingwerff et al.•International Journal of Sports…•2022

  • Effect size estimates

    Catherine O Fritz, Peter E Morris et al.•Journal of Experimental…•2012

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    Barbara E Ainsworth, William L Haskell et al.•Medicine & Science in Sports &…•2011

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    Barbara E Ainsworth, William L Haskell et al.•Medicine & Science in Sports &…•2000

  • Menstrual cycles and the impact upon performance in elite British track and field athletes

    Open Access•Benjamin P Jones, Ariadne L''Heveder et al.•Frontiers in Sports and Active…•2024

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Highly citedNo

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