(WHISPA) Healthy Women in Sport: A Performance Advantage - Meeting One August 2017 - HPSNZ
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0930 – 1000 Arrivals / Morning Tea 1000 – 1040 Setting the scene 1040 – 1140 The Physiological basis of the Menstrual Cycle, “normal” variability and the challenges of monitoring 1140 – 1210 Lunch 1210 – 1310 The impact of the menstrual cycle on endurance training / performance 1310 – 1410 The Menstrual Cycle and ACL rupture 1410 – 1445 Research Proposal / Future Direction 1445 – 1500 Wrap up / Conclusions / next meeting
500 Athletes
Secrets of Success 1. Investing Funding In The Right Places For Decades 2. Prioritizing Women In Sports 3. Working To Particular National Strengths 4. Targeting Niche Sports Alongside Big-Ticket Ones 5. Playing The Long Game Thorpe, JR. Aug 23 2016 https://www.bustle.com/articles/179889-who-will-win-the-2020- olympics-in-tokyo-5-keys-to-a-countys-success
Secrets of Success 1. Investing Funding In The Right Places For Decades 2. Prioritizing Women In Sports 3. Working To Particular National Strengths 4. Targeting Niche Sports Alongside Big-Ticket Ones 5. Playing The Long Game Thorpe, JR. Aug 23 2016 https://www.bustle.com/articles/179889-who-will-win-the-2020- olympics-in-tokyo-5-keys-to-a-countys-success
Introductions • Lynne Coleman • Sarah Beable • Penelope Day • Katherine Oberline-Brown • Stacy Simms • Alison Heather • Ryan Turfrey • Jacinta Horan • Jessica Meyer • Rob Creasy • Dane Baker • Megan Ogilvie What drives you to be part of this team? • Stella Milsom • Louise Davey • Holly Thorpe
“ Chapter 4: Menstruation” “ The Relation to Sport” “…appears to be sufficient evidence… toxic substance in blood, saliva, “…There is no reason to refrain from tears…during menstruation, which participation in ordinary games and …providing support for prohibitions and sports of moderate severity: indeed a precautions: certain amount of exercise is beneficial. The handling of flowers and living But in the case of high grade plants.. competition demanding the highest The refining of sugar… physical efficiency there is a distinct, if The preparation of strings of musical comparatively small, handicap.” instruments…” p38 p35
Female Olympic Medalists
Female Olympic Medalists 44 NZ Women have won at least one Olympic medal 25 NZ Women won Olympic medals in Rio 2016 110 Female athletes in the Rio Olympic team (>50%) 4 NZ Women have won more than 1 Olympic Medal 14 Women (/31) competed in the Rio Paralympics 9 Women won medals (4 multiple medalists)
RIO 2016 Female Competitors: Number by Sport 30 25 20 NUMBER OF COMPETITORS 15 10 5 0 Athletics Canoe/Kayak Cycling Rowing Rugby Sevens Triathlon Football Hockey Other SPORT n = 133
RIO 2016 Female Competitors: Age at Menarche 35 30 25 Number of Athletes 20 15 10 5 0 11 12 13 14 15 16 17 18 d te en cum do Un Age at Menarche
NUMBER OF MENSTRUAL PERIODS IN PRECEDING 12 MONTHS: PERCENTAGE 56 Percentage of Athletes 31 9 4 12 Unknown Number of Menstrual Periods
Rio 2016 Athletes Average Length of Menstrual Period: Percentage 35 33.1 30 25 PERCENTAGE OF ATHLETES 20 17.3 16.5 15 12 10 7.5 6.8 3.8 5 3 0 2 3 4 5 6 7 >8 Not Documented DAYS OF MENSTRUATION
Contraception: 22/133 OCP / Mirena / Depo Provera / Jadelle Gynaecological History: 14/133 Menorrhagia / Endometriosis / Amenorrhea / Pregnant / Hysterectomy Family History: Breast Cancer (15%) / PCOS / Endometriosis / Hysterectomy
321 Events 32 Sports 963 Medals Baseball / Softball Karate Sports Climbing Surfing Skateboarding
WHISPA: GOALS To ensure that HPSNZ is providing the best clinical advice to athletes and coaches to facilitate optimal athletic performance in elite female athletes
WHISPA: GOALS (Secondary) • To establish and disseminate evidence- based guidelines and protocols for practitioners, athletes and coaches that enable optimum health and performance in elite female athletes
WHISPA: GOALS (Secondary) • To establish and disseminate evidence- based guidelines and protocols for practitioners, athletes and coaches that enable optimum health and performance in elite female athletes • To establish educational opportunities for Athletes, coaches, parents and practitioners in the topic of athletic performance in women
WHISPA: GOALS (Secondary) • To establish and disseminate evidence- based guidelines and protocols for practitioners, athletes and coaches that enable optimum health and performance in elite female athletes • To establish educational opportunities for Athletes, coaches, parents and practitioners in the topic of athletic performance in women • To facilitate robust and relevant performance and health related research in the topic of athletic performance in elite female athletes
WHISPA: GOALS (Secondary) • To establish and disseminate evidence- based guidelines and protocols for practitioners, athletes and coaches that enable optimum health and performance in elite female athletes • To establish educational opportunities for Athletes, coaches, parents and practitioners in the topic of athletic performance in women • To facilitate robust and relevant performance and health related research in the topic of athletic performance in elite female athletes • To provide continuously evolving up-to- date support of the above goals
Stakeholders • HPSNZ Carded athletes and coaches • National Sporting Organisations • HPSNZ Athlete Performance Support (APS) practitioners • External athlete support providers / practitioners • Non-elite athletes, coaches and parent
“WHISPA Working Group” Mandates – Provide an evidence based review of current knowledge regarding the potential impact of menstruation on female athlete performance – Facilitate survey based research into the perceived impact of the menstrual cycle on training and competition in NZ Carded athletes – Establish HPSNZ guidelines / protocols for the optimal management of situations where the menstrual cycle may impact on performance (A comprehensive list of clinically relevant topics will be a key function of the first WHISPA working group meeting)
How Do We Choose What to Do?
Performance / Health / Wellbeing Load / Intensity / Volume
Performance / Health / Wellbeing Load / Intensity / Volume
Performance / Health / Wellbeing Load / Intensity / Volume
Performance / Health / Wellbeing Load / Intensity / Volume
The sexual abuse scandal gets deeper: 15 sports coaches and players from multiple sports under investigation November 27 2016 Conference Examines Sexual Abuse in Sports November 18 2012 Sexual Abuse in Women's Sports, Part I: Three-Time Olympic Gold Medalist Nancy Hogshead-Makar June 11 2014 Transgender woman makes NZ weightlifting team March 4 2017 Caster Semenya: The female athlete subjected to a gender test in 2009 expected to take gold at Rio August 5 2016 Understanding the Controversy Over Caster Semenya August 8 2016
Todays Goals • Develop working relationships • Collaboration, buy-in, and commitment • Establish an effective means of operating • Confirm direction and intention for current topics • Determine future topics and priorities
“WHISPA Working Group” – Provide an evidence based review of current knowledge regarding the potential impact of menstruation on female athlete performance – Facilitate survey based research into the perceived impact of the menstrual cycle on training and competition in NZ Carded athletes – Establish HPSNZ guidelines / protocols for the optimal management of situations where the menstrual cycle may impact on performance
The Physiological Basis of the Menstrual Cycle, “Normal” Variability and the Challenges of Monitoring 1040 – 1140 (Katherine) Alison Stacy Lynne Holly (Sarah) Megan Stella
LUNCH 1140 – 1210
The Impact of the Menstrual Cycle on Endurance Training / Performance 1210 – 1310 Penelope Louise Ryan Katherine Dane (Stacy) Rob
The Menstrual Cycle and ACL rupture 1310 – 1410 Jacinta Ryan T Sarah Jess
Research: Step One HPSNZ Women’s Health and Performance Survey Carded Athletes/P2P/Pathway/Development Squads On-line survey considering the impact of the menstrual cycle on performance
Moving Forward • Approach to next meeting • Date for next meeting • Goals for next meeting • Responsibilities for next meeting • Meeting feedback
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