Menstrual Cycle Phase Does Not Affect Carbohydrate Supplementation Ergogenic Effect After Heavy Intensity Cycling
Pablo R Fleitas-Paniagua1,2, Letizia Rasica3, Rafael A Azevedo4
1Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
Scandinavian Journal of Medicine & Science in Sports
|February 27, 2026
Summary
Carbohydrate supplementation enhances endurance performance and affects exercise fatigability similarly across mid-follicular and mid-luteal menstrual cycle phases in recreationally trained females. This study found no significant differences in performance or fatigability between these menstrual phases when tested after heavy exercise.
Area of Science:
- Exercise Physiology
- Sports Nutrition
- Women's Health
Background:
- Menstrual cycle phases can influence physiological responses to exercise.
- The role of carbohydrate (CHO) supplementation on endurance performance and fatigability across different menstrual phases requires further investigation.
- Understanding these interactions is crucial for optimizing training and nutrition strategies in female athletes.
Purpose of the Study:
- To determine if CHO supplementation impacts endurance performance and fatigability during heavy intensity exercise.
- To compare these effects across the mid-follicular and mid-luteal phases of the menstrual cycle.
- To assess perceived and performance fatigability markers in recreationally trained females.
Main Methods:
- Twelve recreationally trained females underwent a graded exercise test to determine gas exchange threshold (GET) and estimated maximal metabolic steady state (MMSSest).
- Participants completed four 90-minute constant-load exercise bouts at 20% above GET (between GET and MMSSest) in both mid-follicular and mid-luteal phases, consuming either a CHO or placebo beverage.
- A 4km time trial (TT) followed each bout, with measurements including rating of perceived exertion (RPE), rating of fatigue (RoF), and neuromuscular function (e.g., isometric maximal voluntary contraction, potentiated twitch).
Main Results:
- Carbohydrate supplementation significantly improved 4km time trial performance (p=0.005) in both menstrual cycle phases compared to placebo.
- CHO supplementation led to a greater decline in potentiated twitch (Qtwpot) (p=0.044), indicating altered performance fatigability.
- Increased dyspnea was reported with CHO in the luteal phase (p=0.020), but no significant differences were found for RPE, RoF, leg pain, or other neuromuscular fatigue markers.
Conclusions:
- No significant differences in endurance performance or performance fatigability were observed between the mid-follicular and mid-luteal phases after heavy exercise in recreationally trained females.
- Carbohydrate supplementation demonstrably improves endurance performance and influences performance fatigability consistently across these menstrual cycle phases.
- These findings suggest that CHO intake is beneficial for endurance regardless of the menstrual cycle phase studied, though it may impact specific fatigue sensations.
More Related Videos
Related Concept Videos
Menses Phase
1.3K
The uterine cycle begins with the menstrual phase, which is considered day one of the cycle and typically lasts about five days. This phase is characterized by the degeneration and shedding of the stratum functionalis, the functional layer of the endometrium.
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
1.3K
The Menstrual Cycle
4.8K
The menstrual cycle is a recurrent sequence of changes in the uterine endometrium, specifically its functional layer, the stratum functionalis. This cycle prepares the uterus for potential pregnancy. This cycle typically spans 21–35 days, averaging 28 days, and aligns with the ovarian cycle, regulated by fluctuating levels of ovarian hormones, primarily estrogen and progesterone.
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a...
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a...
4.8K
Hormonal Regulation of the Menstrual Cycle
1.9K
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
1.9K
Secretory Phase
2.4K
The secretory phase of the menstrual cycle, spanning from day 14 to 28 in a typical 28-day cycle, is a period of significant physiological changes in the female reproductive system. This phase commences immediately after ovulation and is characterized by the preparation of the endometrium for potential embryo implantation.
Following ovulation, the corpus luteum, a temporary endocrine structure, produces progesterone and estrogens. These hormones stimulate the growth and coiling of endometrial...
Following ovulation, the corpus luteum, a temporary endocrine structure, produces progesterone and estrogens. These hormones stimulate the growth and coiling of endometrial...
2.4K
Proliferative Phase
1.5K
The proliferative phase typically occurs after menstruation and lasts between 6 to 13 days in a standard 28-day cycle. This phase involves the reconstruction of the endometrium, guided by estrogen produced by the developing ovarian follicle.
Notably, the stratum basale, the basal layer of the endometrium, including the basal parts of the uterine glands, remains unaffected by menstruation. Stem cells in this layer undergo mitosis, regenerating the stratum functionalis and thickening the...
Notably, the stratum basale, the basal layer of the endometrium, including the basal parts of the uterine glands, remains unaffected by menstruation. Stem cells in this layer undergo mitosis, regenerating the stratum functionalis and thickening the...
1.5K
Hormonal Control of the Ovarian Cycle
7.2K
The ovarian cycle is meticulously regulated by the hypothalamic-pituitary-gonadal axis. This cycle orchestrates the release of a mature oocyte, essential for reproduction.
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
7.2K


