(WHISPA) Healthy Women in Sport: A Performance Advantage - Meeting One August 2017 - HPSNZ

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(WHISPA) Healthy Women in Sport: A Performance Advantage - Meeting One August 2017 - HPSNZ
Healthy Women in Sport:
A Performance Advantage
        (WHISPA)

        Meeting One
        August 2017
(WHISPA) Healthy Women in Sport: A Performance Advantage - Meeting One August 2017 - HPSNZ
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
(WHISPA) Healthy Women in Sport: A Performance Advantage - Meeting One August 2017 - HPSNZ
(WHISPA) Healthy Women in Sport: A Performance Advantage - Meeting One August 2017 - HPSNZ
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
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   sports under investigation
                                                                   November 27 2016
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                                                                   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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