Auditing the representation of hormonal contraceptives in studies assessing exercise performance in women
Journal article
Flood, Tessa R., Clausen, Emma, Kuikman, Megan, Smith, Ella, McKay, Alannah Kelli Anique, Burke, Louise Mary and Elliott-Sale, Kirsty J. (2024). Auditing the representation of hormonal contraceptives in studies assessing exercise performance in women. Journal of Sports Sciences. 42(9), pp. 825-839. https://doi.org/10.1080/02640414.2024.2368762
Authors | Flood, Tessa R., Clausen, Emma, Kuikman, Megan, Smith, Ella, McKay, Alannah Kelli Anique, Burke, Louise Mary and Elliott-Sale, Kirsty J |
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Abstract | Hormonal contraceptive (HC) users have a different ovarian hormonal profile compared to eumenorrheic women. Due to the prevalence of HC use amongst sportswomen, there has been increased research efforts to understand their impact on exercise performance. The aim was to audit this research. Studies identified were assessed for HC type, athlete calibre, performance outcome, study design, and quality of methodological control regarding ovarian hormonal profiles. Sixty-eight different HCs were reported across 61 studies. Monophasic combined oral contraceptive (OCP) pills represented 60% of HCs, followed by other pills [34%, phasic-combined, progestogen-only, and un-specified], phasic and long acting reversible contraceptives [5%, vaginal ring, patch, implant, injection, intrauterine system] and unspecified HCs (1%). Eleven percent of participants using HCs were classified as highly trained or elite/international with no participants being classed as world class. Whilst the number of studies involving HCs has increased two-fold over the past decade, the number of studies ranked as gold standard has not increased (HC; 2003–57%, 2011–55%, 2022–43%. OCP; 2003–14%, 2011–17%, 2022–12%). Future research assessing HCs and exercise performance should adopt high-quality research designs and include a broader range of HCs in highly trained to world-class populations to increase the reach and impact of research in this area. |
Keywords | Hormonal contraceptives; oral contraceptives; exercise performance |
Year | 01 Jan 2024 |
Journal | Journal of Sports Sciences |
Journal citation | 42 (9), pp. 825-839 |
Publisher | Routledge |
ISSN | 0264-0414 |
Digital Object Identifier (DOI) | https://doi.org/10.1080/02640414.2024.2368762 |
Web address (URL) | https://www.tandfonline.com/doi/full/10.1080/02640414.2024.2368762 |
Open access | Published as non-open access |
Research or scholarly | Research |
Page range | 825-839 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 19 Jun 2024 |
Publication process dates | |
Accepted | 09 Jun 2024 |
Deposited | 10 Sep 2024 |
Additional information | © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. |
This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent. | |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/90y48/auditing-the-representation-of-hormonal-contraceptives-in-studies-assessing-exercise-performance-in-women
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Publisher's version
OA_Kuikman_2024_Auditing_the_representation_of_hormonal_contraceptives.pdf | |
License: CC BY-NC-ND 4.0 | |
File access level: Open |
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