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Cohort study, 2019

Do young female athletes have more menstrual problems and PMS than non-athletes?

Yes. Intense exercise before first menstruation delayed when girls got their period. Competitive sport increased risk of PMS and PMDD.

Moderate study design 85 girls ages 15-17 in Poland: 45 professional gymnasts and 40 non-athletic peers

What they did

Prospective comparative study in Poland involving 45 professional female gymnasts (ages 15-17) and 40 non-athletic girls the same age and location. Participants used questionnaires and daily symptom diaries to track menstrual cycles and PMS/PMDD symptoms over time.

What they found

Intensive physical activity before first menstruation was associated with delayed menarche (first period). Competitive sport promoted premenstrual syndrome and premenstrual dysphoric disorder. Alcohol and coffee consumption were identified as risk factors for PMS and PMDD in both groups.

What it means for you

Young female athletes, especially gymnasts, are at higher risk for menstrual problems and PMS/PMDD. This could help coaches and doctors support young female athletes. However, the sample was small (85 girls total) and specific to gymnasts in Poland, so results may not apply to other sports or countries.

45

Professional gymnasts

40

Non-athletic control girls

15-17 years

Age range

About the study

Original title
Menstrual Cycle Disorders in Professional Female Rhythmic Gymnasts
Authors
Czajkowska M, Plinta R, Rutkowska M et al.
Journal
International journal of environmental research and public health
Year
2019
Study design
Cohort study
Participants
85
What was tested
None
Open access
Yes
Original abstract

The aim of this research was to compare menstrual cycles, menstrual disorders, and the prevalence of premenstrual syndrome (PMS)and premenstrual dysphoric disorder (PMDD) in professional female gymnasts and their peers who donot practice any sport, and to identify factors causing a predisposition to premenstrual tension syndrome and premenstrual dysphoric disorders in both groups. The prospective study involved apopulation of 85 girls. The study group consisted of 45 professional female gymnasts (15-17 years of age) who lived inthe territory of Silesia, in the southern area of Poland. The control group consisted of 40 girls of the same age who lived in the same area but did not professionally practice any sport. The research tools included a questionnaire, a daily diary of PMS symptoms, a daily diary of PMDD symptoms, and a premenstrual symptom screening tool (PSST). The study showed that intensive physical activity undertaken by girls before their first menstruation is a menarche-delaying factor andthat competitive sport promotes premenstrual syndrome and premenstrual dysphoric disorder. The risk factors for PMS and PMDD were also identified, andincluded alcohol and coffee consumption.

Reproduced under CC-BY.

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