Hormones, Menopause and Swimming Performance Mary Pohlmann, M.D., Ph.D. Emeritus Clinical Faculty.
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Transcript of Hormones, Menopause and Swimming Performance Mary Pohlmann, M.D., Ph.D. Emeritus Clinical Faculty.
Synonyms for Menopause
• The Change
• Climacteric
• Woman of a certain age
• “Silent Passage” Gail Sheehy
Definition of Menopause
• lack of menses for greater than one year
• usually comes naturally in women ages 45-55
• can occur after oophorectomy, chemotherapy or irradiation
• perimenopause is the 3-6 years prior to menopause
Cause of Menopause
Decrease in production of estrogen by the ovaries
Some estrogen continues to be produced outside the ovaries, particularly in fatty tissue and the adrenal glands
Laboratory evidence of menopause
Pituitary gland secretes
FSH and LH
in response to inability of ovaries to produce estrogen and progesterone
Symptoms of Perimenopause
• menstrual irregularity
• hot flashes or flushes
• night sweats
• insomnia
• vaginal dryness
• Fifteen female competitive Masters swimmers, ages 54 -74, completed a survey.
• They were asked about their training and performance during perimenopause/menopause.
• They were asked to what extent menopause seemed to affect their performance.
S/S Related to Menopause?
• Hot flashes/ flushes/ dehydration• Decreased tolerance to warm water • Muscle cramping• Slower recovery from exercise• Inadequate sleep/ night sweats/ fatigue• Weight gain• Aches and pains• Improvement due to lack of menorrhagia
Other Factors unrelated to Menopause
• Interruptions in training• Injuries (non-swimming activities)• Moving • No place to swim• High blood pressure• Arthritis, bad knees, fibromyalgia• Stress• Loss of strength and stamina• Heart problems• Asthma and other breathing problems
Hormone Replacement Use
• One had never used HRT.
• Four had not used HRT in the past 2 years
• Ten had used HRT in the past 2 years, but have discontinued use or are weaning off.
Bone Health
• 13 had bone densitometry done.• One has osteoporosis and is
taking medication for this.• Two mentioned osteopenia - one
is being treated for this.• Two mentioned calcium
supplementation.• One mentioned weight-bearing
exercise, but 11 indicated they do exercise other than swimming.
Are there gender differences in swimming performance as one
ages?
We compared 2004 USMS records for women over the age span of 40-59 with current USMS records for men over the same age span.
Method
• Current USMS men’s and women’s SCY records in all 18 events for age groups 40-44 through 55-59 were used. All times were converted to seconds.
• The ratio of the record for each event in each age group and for each gender was calculated with respect to the comparable record in the 40-44 age group.
• The ratios for all 18 events in a given age group were averaged (men and women separately).
• The averaged ratios were plotted over age groups for both men and women.
USMS Records By Age Group
11.021.041.061.08
1.11.121.141.161.18
1.21.22
40-44 45-49 50-54 55-59
Age Group
Male
Female
We also did a longitudinal comparison of individual males and females best times in each
age group (40-54)
Individual Swimmer Times By Age Group
11.011.021.031.041.051.061.071.08
40-44 45-49 50-54 55-59
Age Group
Female-BD
Male-FS
Female Individual vs USMS Record Times by Age Group
1
1.04
1.08
1.12
1.16
1.2
1.24
40-44 45-49 50-54 55-59
Age Group
Female Ind.
Female Rec.
Male Individual vs USMS Record Times by Age Group
11.021.041.061.08
1.11.121.14
40-44 45-49 50-54 55-59
Age Group
Male Ind.
Male Rec.