MedPath

Hormonal Status, Performance and Health in Elite Female Athlete

Not Applicable
Not yet recruiting
Conditions
Healthy
Interventions
Other: Multidisciplinary monitoring of healthy women
Registration Number
NCT05028959
Lead Sponsor
Université Paris-Saclay-Assistance publique des hôpitaux de Paris
Brief Summary

The repercussions of the hormonal status of high-level sportswomen on their performance and health as well as on the Athlete's Biological Passport (ABP) have been little studied and remain poorly known. The investigators therefore propose to contribute to the improvement of current knowledge by determining, thanks to the implementation of a multidisciplinary monitoring, with the use of various tests and matrices, in female elite athletes and recreational athletes (control group):

* 1) the impact of cycle phase, absence of cycle or contraceptive use on physical and psychological performance, health as well as on ABP;

* 2) the potential confounding effects of the athlete's environment

* 3) correlations between the different matrices analyzed

Detailed Description

Volunteers to be studied: 80 healthy female subjects (16 to 30 years old), divided into 2 groups:

Group 1: 60 athletes, from different sports disciplines, in amenorrhea, with menstrual cycle or taking contraceptives

Group 2: 20 leisure sports subjects with menstrual cycle or taking contraceptives

Following the oral and written information of the project, the subjects have a minimum of 15 days of reflection before signing the written consent form. They will have the possibility, at any time, to voluntarily interrupt the study without having to justify themselves.

Investigations to be performed:

1. Annual complete clinical examination :

2. "Out-of-competition" follow-up, time frame 6 months

* medical, nutritional and respiratory monitoring

* biological monitoring

* psychological monitoring

* performance monitoring

3. Non-invasive "in-competition" monitoring, only for Group 1, once in a year on the day before/after a major competition:

* biological monitoring

* psychological monitoring

* performance monitoring (interview)

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
Female
Target Recruitment
80
Inclusion Criteria
  • Group 1: high-level athletes (qualified for national/international championships and/or training at least 15 hours/week)
  • Group 2: recreational athletes who practice a regular physical activity
Exclusion Criteria
  • Participation in another trial
  • History of cardiac pathology
  • High blood pressure
  • History of ulcers and other gastrointestinal disorders
  • Myasthenia
  • Renal insufficiency
  • Person not affiliated or not benefiting from a social security system

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Leisure sport womenMultidisciplinary monitoring of healthy womenrecreational sportswomen practicing regular physical activity
Female athletesMultidisciplinary monitoring of healthy womenhighly trained subjects
Primary Outcome Measures
NameTimeMethod
Change from baseline metabolic parameters6 months

concentration of blood glucose, blood lactate, lipid profile, insulin, GH, IGF1, T3, IgA, PRL and leptin in mol/L

Change from baseline weight6 months

in kg, by impedancemeter

Change from baseline fat and lean mass6 months

in kg, by impedancemeter

Change from baseline height6 months

in cm, by height gauge

Change from baseline sex and stress hormones6 months

concentration of oestradiol, progesterone, testosterone, DHEA, cortisol, LH and FSH in mol/L

Change from baseline food intake6 months

food intake questionnaire to complete over 3 days, expressed in kcal/day

Change from baseline inflammatory parameters6 months

concentration of cytokines (TNF-alpha, IL-6) in mol/L

Change from baseline executive function6 months

assessed by instability via static and dynamic postures (eyes open/closed) on platform

Change from baseline visual-spatial processing6 months

3 D mental rotation test, assessed by scores: range from 0 - 24, with 24 representing a perfect total score

Change from baseline attention and working memory6 months

Stroop Color Word Task, assessed by scores : range of interference from -15 - +15, with higher scores representing decreased selective attention

Change from baseline performance monitoring6 months

field performance test, performance expressed in time

Change from baseline Athlete Biological Passport (Group 2)6 months

assessed by analysis of the standardized parameters of the Athlete Biological Passport (WADA)

Change from baseline respiratory parameters6 months

measure of FEV1 (forced expiratory volume in 1 second), expressed in % of vital capacity

Change from baseline affects (Group 2)6 months

Positive Affect and Negative Affect Schedule (PANAS), assessed by scores. Positive Affect Score: range from 10 - 50, with higher scores representing higher levels of positive affect. Negative Affect Score: range from 10 - 50, with lower scores representing lower levels of negative affect.

Change from baseline anxiety (Group 2)6 months

Spielberger State-Trait Anxiety Inventory, assessed by scores: range from 20 - 80, with higher scores representing higher anxiety

Change from baseline Athlete Biological Passport (Group 1)8 months

assessed by analysis of the standardized parameters of the Athlete Biological Passport (WADA)

Change from baseline affects (Group 1)8 months

Positive Affect and Negative Affect Schedule (PANAS), assessed by scores. Positive Affect Score: range from 10 - 50, with higher scores representing higher levels of positive affect. Negative Affect Score: range from 10 - 50, with lower scores representing lower levels of negative affect.

Change from baseline anxiety (Group 1)8 months

Spielberger State-Trait Anxiety Inventory, assessed by scores: range from 20 - 80, with higher scores representing higher anxiety

Interview (Group 1)8 months

Self-confrontation interview for questioning the action

Secondary Outcome Measures
NameTimeMethod
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