Clinical trial NCT06744517: Influence of Menstrual Cycle Phase on Adaptations to Sprint Interval Training
Official title: Influence of Menstrual Cycle Phase on Metabolic and Performance Adaptations to Sprint Interval Training
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Healthy
Keywords: exercise
women
Lead sponsor: University of Toronto
Sponsor class: OTHER
First posted: 2024-12-20
Enrollment: 24
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: BASIC_SCIENCE

Brief summary: Sprint interval training improves endurance performance and induces metabolic adaptations in muscle. Most research demonstrating these responses has been conducted in males, with limited studies evaluating changes to endurance performance and skeletal muscle oxidative capacity in females. Moreover, it is currently unknown if training in specific phases of the menstrual cycle influences adaptations to training. Thus, the purpose of the present study is to compare adaptations to 2 weeks of sprint interval training performed in the follicular vs. luteal phase of the menstrual cycle in healthy, eumenorrheic women.

Detailed description: The primary purpose of the present study is to determine if menstrual cycle phase influences adaptations to 2 weeks of sprint interval training. Participants will be randomized to perform 6 sessions of sprint interval training over 2 weeks in either the Follicular Phase or Luteal Phase of their individual menstrual cycle. Blood and urine sampling will be used to confirm menstrual cycle phases. Training will involve 4-6 x 30-second Wingate sprints with 4 minutes of rest in between (\~14-28 min per session). Before and after the training intervention, investigators will measure participant's aerobic and anaerobic performance, cardiorespiratory fitness and skeletal muscle outcomes. Performance and fitness measures are performed on on a stationary bike, and muscle outcomes are measured by taking a small amount of muscle from the vastus lateralis (thigh) muscle.

This study will advance knowledge on how the menstrual cycle influences adaptations to training in females

Eligibility criteria: Inclusion Criteria:

* Participating in 150 min of moderate-vigorous physical activity/week
* VO2peak of 'good' or above based on American College of Sport Medicine (ACSM) normative values(greater than 35.0ml/kg/min)
* Body mass index (BMI) between 18-27 kg/m2
* Performing 2-4 structured exercise sessions/week.
* Weight stable (within ± 2kg for at least 6 months)
* Non-smoker
* Menstrual cycle length of 27-35 days
* Minimal menstrual cycle length variability (less than 3 days)
* Ovulating monthly evidenced by a positive urinary luteinizing hormone surge
* Blood progesterone concentration greater than 16 nmol/L.

Exclusion Criteria:

* Hormonal contraceptive use within the last 3 months
* Polycystic ovarian syndrome (PCOS) or endometriosis
* Failure to meet MC verification criteria.
* Diagnosed with cardiovascular or metabolic disease, hyper- or hypogonadism, and/or PCOS
* The use of medication for managing blood glucose or lipid metabolism
* Current use of oral contraceptives or use within the last 3 months
* Irregular menstrual cycles (\<27 days or \>35 days)
* Pregnant or post-partum in the last 12 months, lactating or breast feeding within 3 months of the start of study, or menopausal
* Recreational smoking tobacco
* Inability to perform the study exercise protocols or follow the pre-trial dietary or physical activity controls
* Taking medications affecting substrate metabolism (corticosteroids or nSAIDs)
* Actively engaging in a low-carbohydrate diet (e.g., ketogenic, Atkins)

Primary outcomes:
measure: Endurance performance
timeFrame: Before and after 2 weeks of exercise training
Secondary outcomes:
measure: Skeletal muscle mitochondrial content
timeFrame: Before and after 2 weeks of exercise training
measure: Skeletal muscle mitochondrial enzyme activity
timeFrame: Before and after 2 weeks of exercise training
measure: Skeletal muscle capillarization
timeFrame: Before and after 2 weeks of exercise training
measure: Skeletal muscle lipid content
timeFrame: Before and after 2 weeks of exercise training
measure: Skeletal muscle protein synthesis
timeFrame: Before and after 2 weeks of exercise training
measure: Cardiorespiratory fitness
timeFrame: Before and after 2 weeks of exercise training
measure: Anaerobic exercise performance
timeFrame: Before and after 2 weeks of exercise training
Other outcomes:
Locations:
city: Toronto
country: Canada
facility: Goldring Centre for High Performance Sport
state: Ontario
Study officials:
References: