欧足联关于女性足球月经周期跟踪的共识声明
Evert Verhagen1,2, Eva Ferrer3,4, Juliana da Silva Antero5
1Medical & Anti-doping Unit, Football Division, Union of European Football Associations (UEFA), Nyon, Switzerland.
BMJ open sport & exercise medicine
|September 26, 2025
概括
在女子足球中,月经周期跟踪通过识别不规则并管理症状,为运动员的健康提供了至关重要的支持. 这一共识为体育运动中的一致,以运动员为中心的跟踪协议提供了基于证据的指导.
科学领域:
- 运动医学 运动医学
- 女运动员的健康状况
- 妇科 妇科医生 妇科
背景情况:
- 对女性运动员来说,月经周期跟踪至关重要,但在足球中研究不足,应用不一致.
- 缺乏标准化的协议阻碍了女性足球的有效实施.
研究的目的:
- 为女性足球中月经周期跟踪的最佳实践提供基于证据的指导.
- 建立标准化,以运动员为中心的跟踪协议,并确定研究优先事项.
主要方法:
- 使用RAND-UCLA适当性方法开发的共识声明.
- 多学科专家小组审查了文献,并就五个关键领域的82个陈述达成一致.
主要成果:
- 虽然将循环阶段与表现/受伤联系起来的证据是不确定的,但通过识别不规则和管理症状,追踪有助于福祉.
- 建议涵盖跟踪指标,方法,实施和研究考虑,强调道德和文化因素.
结论:
- 标准化,以运动员为中心的月经周期跟踪对女性足球运动员至关重要.
- 需要进一步的研究来完善月经周期跟踪在精英女子足球中的理解和应用.
相关概念视频
Hormonal Regulation of the Menstrual Cycle
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 release.
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 release.
Ovarian Cycle
The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle length...
Hormonal Control of the Ovarian Cycle
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...
The Menstrual Cycle
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 uterine...
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a uterine...
Menses Phase
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...
Infertility in Females
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of endometrial...
Endometriosis, a condition characterized by abnormal growth of endometrial...


