In 15 physically active, naturally menstruating women riding 1 h at their maximal-fat-oxidation intensity, cycle phase did not change total fat or carbohydrate oxidised or energy spent, but heart rate was higher around ovulation than in the early follicular phase and RPE was higher in the mid-luteal phase than in the other two (one small crossover, read from its abstract; substrate use is a marker, and no magnitudes are given)
García-Ortiz and colleagues (Del Coso group) asked whether the menstrual cycle changes fat use during an hour of cycling at the intensity of maximal fat oxidation, and, second, how menstrual symptoms vary across the cycle.
Fifteen physically active, naturally menstruating women (age 25 ± 4 years, VO2max 38.15 ± 7.02 mL/kg/min) rode 1 h at Fatmax in the early follicular, peri-ovulatory and mid-luteal phases, in random order, with each phase identified individually by an app, urinary luteinising-hormone tests and daily basal temperature and body mass.
Phase had no main effect on total fat oxidised (P = .388), total carbohydrate oxidised (P = .265) or total energy spent (P = .839). Mean heart rate was higher in the peri-ovulatory than the early follicular phase (P = .004), and mid-luteal RPE exceeded both early follicular (P = .003) and peri-ovulatory RPE (P = .024).
Symptom scores were highest in the early follicular phase (P < .001). The authors conclude that fat oxidation at Fatmax did not depend on phase, while heart rate and perceived exertion may.
Participants
Protocol
Key Results
| Outcome | Result across phases | P |
|---|---|---|
| Total fat oxidised | no main effect of phase | .388 |
| Total carbohydrate oxidised | no main effect of phase | .265 |
| Total energy expenditure | no main effect of phase | .839 |
| Mean heart rate | higher peri-ovulatory than early follicular | .004 |
| RPE (Borg 6-20) | higher mid-luteal than early follicular; higher mid-luteal than peri-ovulatory | .003; .024 |
| Menstrual symptom score | higher early follicular than peri-ovulatory and mid-luteal | < .001 |
Practical Application
Limitations
How this entry was checked and changed
a crossover of 15 (the rubric's B+ band) taken one step down because its main outcome, substrate oxidation, is a marker, and held at B- because it is read from the abstract only, which gives P values but no magnitudes for any outcome