Menstrual symptoms and perceived exertion in U14 and U16 players of the Chilean national women’s handball team
DOI:
https://doi.org/10.47197/retos.v77.117856Keywords:
Dysmenorrhea, female handball, menstrual cycle, perceived exertion, trainingAbstract
Introduction: Sports participation in adolescent girls requires consideration of physiological and emotional factors that may affect performance. Among these, the menstrual cycle is a significant variable, as it can impact perceived exertion and tolerance to training loads. Despite increasing interest in this topic, there is limited evidence in team sports and Latin American youth populations.
Objective: To identify the most frequent symptoms during the menstrual phase and their relationship with perceived exertion in Chilean female handball players.
Method: A cross-sectional study was conducted with 48 players from the Chilean women’s national handball team, including U14 (n = 20; age 12–14) and U16 (n = 28; age 15–16) categories. Perceived exertion was assessed using the modified Borg scale, and menstrual symptoms were recorded through a structured questionnaire.
Results: A total of 18.8% of players reported a Borg level of 6. U14 players mainly reported a Borg score of 6 (25%), while U16 reported a Borg score of 7 (21.4%). The most frequent symptoms were abdominal pain (33.3%), bloating, and cravings (16.7% each). An association between menstrual symptoms and perceived exertion was observed (χ² = 26.36; p = .049), although agreement was weak (Kappa = .016).
Conclusion: Abdominal pain, cravings, and bloating were the most reported symptoms. While associations with perceived exertion were statistically significant, they showed weak agreement. Future studies should consider training load and symptom intensity to gain a more comprehensive understanding of perceived exertion in this population.
References
Aguilar Macías, A. S., Miranda, M. de los Á., & Quintana Díaz, A. (2017). La mujer, el ciclo menstrual y la actividad física. Revista Archivo Médico de Camagüey, 21(2), 294-307.
Arenas-Pareja, M. de L. Á., López-Sierra, P., Ibáñez, S. J., & García-Rubio, J. (2023). Influence of Menstru-al Cycle on Internal and External Load in Professional Women Basketball Players. Healthcare (Basel, Switzerland), 11(6), 822. https://doi.org/10.3390/healthcare11060822
Badkur, D., & Wanjpe, A. R. (2024). Association of Premenstrual Symptoms with Premenstrual Syn-drome. Journal of Primary Care Specialties, 5(1), 46. https://doi.org/10.4103/jopcs.jopcs_27_23
Benito, P. J., Alfaro-Magallanes, V. M., Rael, B., Castro, E. A., Romero-Parra, N., Rojo-Tirado, M. A., Peina-do, A. B., & IronFEMME Study Group. (2023). Effect of Menstrual Cycle Phase on the Recovery Process of High-Intensity Interval Exercise-A Cross-Sectional Observational Study. Internation-al Journal of Environmental Research and Public Health, 20(4), 3266. https://doi.org/10.3390/ijerph20043266
Borg, G. A. (1982). Psychophysical bases of perceived exertion. Medicine and Science in Sports and Ex-ercise, 14(5), 377-381.
Brown, N., Knight, C. J., & Forrest (née Whyte), L. J. (2021). Elite female athletes’ experiences and per-ceptions of the menstrual cycle on training and sport performance. Scandinavian Journal of Medicine & Science in Sports, 31(1), 52-69. https://doi.org/10.1111/sms.13818
Bruinvels, G., Hackney, A. C., & Pedlar, C. R. (2022). Menstrual Cycle: The Importance of Both the Phases and the Transitions Between Phases on Training and Performance. Sports Medicine, 52(7), 1457-1460. https://doi.org/10.1007/s40279-022-01691-2
Carmichael, M. A., Thomson, R. L., Moran, L. J., & Wycherley, T. P. (2021). The Impact of Menstrual Cy-cle Phase on Athletes’ Performance: A Narrative Review. International Journal of Environmen-tal Research and Public Health, 18(4), 1667. https://doi.org/10.3390/ijerph18041667
Dam, T. V., Dalgaard, L. B., Sevdalis, V., Bibby, B. M., Janse DE Jonge, X., Gravholt, C. H., & Hansen, M. (2022). Muscle Performance during the Menstrual Cycle Correlates with Psychological Well-Being, but Not Fluctuations in Sex Hormones. Medicine and Science in Sports and Exercise, 54(10), 1678-1689. https://doi.org/10.1249/MSS.0000000000002961
De la Fuente de la Parte, D., Osmani, F., & Lago-Fuentes, C. (2023). La influencia del ciclo menstrual en el entrenamiento de fuerza: Revisión bibliográfica. MLS Sport Research, 3(1), 1-14. https://doi.org/10.54716/mlssr.v3i1.1719
Dominguez Muñoz, C., del Campo Vecino, J., García Bataller, A., & Llin Más, J. R. (2024). Valoración per-ceptiva del rendimiento físico y psicológico en función del tipo de entrenamiento realizado y las fases del ciclo menstrual en mujeres deportistas. Retos: nuevas tendencias en educación física, deporte y recreación, 51, 864-871. https://doi.org/10.47197/retos.v51.101374
Ekenros, L., von Rosen, P., Solli, G. S., Sandbakk, Ø., Holmberg, H.-C., Hirschberg, A. L., & Fridén, C. (2024). The perceived influence of menstrual cycle and hormonal contraceptives on training and performance: Comparison between football, handball, and orienteering. International Journal of Sports Science & Coaching, 19(4), 1560-1569. https://doi.org/10.1177/17479541231216403
Ergin, E., & Kartal, A. (2020). Menstrual cycle and sporting performance perceptions of elite volleyball players. International Journal of Applied Exercise Physiology, 9(10), 57-64.
Findlay, R. J., Macrae, E. H. R., Whyte, I. Y., Easton, C., & Whyte), L. J. F. (née. (2020). How the menstrual cycle and menstruation affect sporting performance: Experiences and perceptions of elite fe-male rugby players. British Journal of Sports Medicine, 54(18), 1108–1113. https://doi.org/10.1136/bjsports-2019-101486
Giménez-Blasi, N., Latorre, J. A., Martínez-Bebia, M., Sáenz, M., Cantero, L., López-Moro, A., Jimenez-Casquet, M. J., Conde-Pipo, J., & Mariscal-Arcas, M. (2022). Menstrual Cycle and Sport: Effects on the performance and metabolism of the athlete woman. Retos, 46, 565-572. https://doi.org/10.47197/retos.v46.94614
Hantsoo, L., Rangaswamy, S., Voegtline, K., Salimgaraev, R., Zhaunova, L., & Payne, J. L. (2022). Premen-strual symptoms across the lifespan in an international sample: Data from a mobile application. Archives of Women’s Mental Health, 25(5), 903-910. https://doi.org/10.1007/s00737-022-01261-5
Hirschberg, A. L. (2022). Challenging Aspects of Research on the Influence of the Menstrual Cycle and Oral Contraceptives on Physical Performance. Sports Medicine, 52(7), 1453-1456. https://doi.org/10.1007/s40279-021-01616-5
Janse de Jonge, X., Thompson, B., & Han, A. (2019). Methodological Recommendations for Menstrual Cycle Research in Sports and Exercise. Medicine and Science in Sports and Exercise, 51(12), 2610-2617. https://doi.org/10.1249/MSS.0000000000002073
Konovalova, E. (2013). El ciclo menstrual y el entrenamiento deportivo: Una mirada al problema. Re-vista U.D.C.A Actualidad & Divulgación Científica, 16(2). https://doi.org/10.31910/rudca.v16.n2.2013.900
Malina, R. M., Bouchard, C., & Bar-Or, O. (2004). Growth, maturation, and physical activity (2nd ed.). Human Kinetics.
Mamani-Jilaja, D., Huayanca-Medina, P. C., Casa-Coila, M. D., Vilca-Apaza, H.-M., & Romero-Carazas, R. (2023). Análisis bibliométrico de la producción científica en los deportes colectivos (Bibliome-tric analysis of scientific production in collective sports). Retos, 49, 853-861. https://doi.org/10.47197/retos.v49.99002
McNulty, K. L., Elliott-Sale, K. J., Dolan, E., Swinton, P. A., Ansdell, P., Goodall, S., Thomas, K., & Hicks, K. M. (2020). The Effects of Menstrual Cycle Phase on Exercise Performance in Eumenorrheic Women: A Systematic Review and Meta-Analysis. Sports Medicine, 50(10), 1813-1827. https://doi.org/10.1007/s40279-020-01319-3
Mohebbi Dehnavi, Z., Jafarnejad, F., & Sadeghi Goghary, S. (2018). The effect of 8 weeks aerobic exercise on severity of physical symptoms of premenstrual syndrome: A clinical trial study. BMC Wom-en’s Health, 18(1), 80. https://doi.org/10.1186/s12905-018-0565-5
Momma, R., Nakata, Y., Sawai, A., Takeda, M., Natsui, H., Mukai, N., & Watanabe, K. (2021). Comparisons of the Prevalence, Severity, and Risk Factors of Dysmenorrhea between Japanese Female Ath-letes and Non-Athletes in Universities. International Journal of Environmental Research and Public Health, 19(1), 52. https://doi.org/10.3390/ijerph19010052
Niering, M., Wolf-Belala, N., Seifert, J., Tovar, O., Coldewey, J., Kuranda, J., & Muehlbauer, T. (2024). The Influence of Menstrual Cycle Phases on Maximal Strength Performance in Healthy Female Adults: A Systematic Review with Meta-Analysis. Sports, 12(1), Article 1. https://doi.org/10.3390/sports12010031
Oester, C., Norris, D., Scott, D., Pedlar, C., Bruinvels, G., & Lovell, R. (2024). Inconsistencies in the per-ceived impact of the menstrual cycle on sport performance and in the prevalence of menstrual cycle symptoms: A scoping review of the literature. Journal of Science and Medicine in Sport, 27(6), 373-384. https://doi.org/10.1016/j.jsams.2024.02.012
Paludo, A. C., Paravlic, A., Dvořáková, K., & Gimunová, M. (2022). The Effect of Menstrual Cycle on Per-ceptual Responses in Athletes: A Systematic Review With Meta-Analysis. Frontiers in Psycholo-gy, 13. https://doi.org/10.3389/fpsyg.2022.926854
Parker, M. A., Kent, A. L., Sneddon, A., Wang, J., & Shadbolt, B. (2022). The Menstrual Disorder of Teen-agers (MDOT) Study No. 2: Period ImPact and Pain Assessment (PIPPA) Tool Validation in a Large Population-Based Cross-Sectional Study of Australian Teenagers. Journal of Pediatric and Adolescent Gynecology, 35(1), 30-38. https://doi.org/10.1016/j.jpag.2021.06.003
Rael, B., Alfaro-Magallanes, V. M., Romero-Parra, N., Castro, E. A., Cupeiro, R., Janse de Jonge, X. A. K., Wehrwein, E. A., Peinado, A. B., & IronFEMME Study Group. (2021). Menstrual Cycle Phases In-fluence on Cardiorespiratory Response to Exercise in Endurance-Trained Females. Internation-al Journal of Environmental Research and Public Health, 18(3), Article 3. https://doi.org/10.3390/ijerph18030860
Ramos-Angulo, A. B., Medina-Porqueres, I., Ortiz-Bish, A., Ruiz-Martinez, Y., Medina-Jimenez, L., & Ele-na-Gamboa, J. (2018). Perfil antropométrico de jugadoras de balonmano femenino de élite. Re-vista Andaluza de Medicina del Deporte, 11(2), 47-51. https://doi.org/10.1016/j.ramd.2016.09.002
Reynolds, J., Connor, M., Jamil, M., & Beato, M. (2021). Quantifying and Comparing the Match Demands of U18, U23, and 1ST Team English Professional Soccer Players. Frontiers in Physiology, 12. https://doi.org/10.3389/fphys.2021.706451
Serret Montoya, J., Hernández Cabezza, A., Mendoza Rojas, O., & Cárdenas Navarrete, R. (2012). Altera-ciones menstruales en adolescentes. Boletín médico del Hospital Infantil de México, 69(1), 63-76.
Slater, P., & Hasson, F. (2025). Quantitative Research Designs, Hierarchy of Evidence and Validity. Jour-nal of Psychiatric and Mental Health Nursing, 32(3), 656-660. https://doi.org/10.1111/jpm.13135
Solli, G. S., Sandbakk, S. B., Noordhof, D. A., Ihalainen, J. K., & Sandbakk, Ø. (2020). Changes in Self-Reported Physical Fitness, Performance, and Side Effects Across the Phases of the Menstrual Cycle Among Competitive Endurance Athletes. International Journal of Sports Physiology and Performance, 15(9), 1324-1333. https://doi.org/10.1123/ijspp.2019-0616
Thiyagarajan, D. K., Basit, H., & Jeanmonod, R. (2025). Physiology, Menstrual Cycle. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK500020/
Van Lersel, K. C., Kiesner, J., Pastore, M., & Scholte, R. H. J. (2016). The impact of menstrual cycle-related physical symptoms on daily activities and psychological wellness among adolescent girls. Jour-nal of Adolescence, 49(1), 81-90. https://doi.org/10.1016/j.adolescence.2016.03.007
Vogel, K., Larsen, B., McLellan, C., & Bird, S. P. (2023). Female Athletes and the Menstrual Cycle in Team Sports: Current State of Play and Considerations for Future Research. Sports, 12(1), 4. https://doi.org/10.3390/sports12010004
Williams, N. (2017). The Borg Rating of Perceived Exertion (RPE) scale. Occupational Medicine, 67(5), 404-405. https://doi.org/10.1093/occmed/kqx063
Wojtys, E. M., Jannausch, M. L., Kreinbrink, J. L., Harlow, S. D., & Sowers, M. R. (2015). Athletic Activity and Hormone Concentrations in High School Female Athletes. Journal of Athletic Training, 50(2), 185-192. https://doi.org/10.4085/1062-6050-49.3.62
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical Princi-ples for Medical Research Involving Human Subjects. JAMA, 310(20), 2191-2194. https://doi.org/10.1001/jama.2013.281053
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