Physiological and nutritional aspects of post-exercise recovery: Specific recommendations for female athletes

Sports Medicine

Volumn 41, Issue 10, 2011, Pages 861-882

  Hausswirth, Christophe ^a   Le Meur, Yann ^a  

^a Institut National du Sport et de l'Education Physique   (France)

Author keywords

Exercise; Nutrition; Sex differences; Sports; Sports medicine

Indexed keywords

BONE DISEASE; CARBOHYDRATE DIET; CONVALESCENCE; DIET SUPPLEMENTATION; DIET THERAPY; EXERCISE; FAT INTAKE; FEMALE; HOSPITALIZATION; HUMAN; MALE; MENSTRUAL CYCLE; METABOLISM; MUSCLE DISEASE; MUSCLE FATIGUE; NUTRITION; PHYSIOLOGY; PROTEIN INTAKE; REVIEW; SEX DIFFERENCE; SPORT INJURY; THERMOREGULATION;

ATHLETIC INJURIES; BODY TEMPERATURE REGULATION; BONE DISEASES; DIETARY CARBOHYDRATES; DIETARY FATS; DIETARY PROTEINS; DIETARY SUPPLEMENTS; EXERCISE; FEMALE; HUMANS; MALE; MENSTRUAL CYCLE; MUSCLE FATIGUE; MUSCULAR DISEASES; NUTRITIONAL PHYSIOLOGICAL PHENOMENA; RECOVERY OF FUNCTION; SEVERITY OF ILLNESS INDEX; SEX FACTORS;

EID: 80053004838     PISSN: 01121642     EISSN: 11792035     Source Type: Journal    
DOI: 10.2165/11593180-000000000-00000     Document Type: Review

References (143)

1. Tarnopolsky MA. Gender differences in metabolism; nutrition and supplements. J Sci Med Sport 2000; 3 (3): 287-98 (Pubitemid 32186668)
2. Clarkson PM, Hubal MJ. Are women less susceptible to exercise-induced muscle damage? Curr Opin Clin Nutr Metab Care 2001; 4 (6): 527-31 (Pubitemid 34755411)
3. Shephard RJ. Exercise and training in women: part I. Influence of gender on exercise and training responses. Can J Appl Physiol 2000; 25 (1): 19-34
4. Bonen A, Haynes FJ, Watson-Wright W, et al. Effects of menstrual cycle on metabolic responses to exercise. J Appl Physiol 1983; 55 (5): 1506-13 (Pubitemid 14231458)
5. Guezennec CY. Oxidation rates, complex carbohydrates and exercise: practical recommendations. Sports Med 1995; 19 (6): 365-72
6. Abbiss CR, Laursen PB. Models to explain fatigue during prolonged endurance cycling. Sports Med 2005; 35 (10): 865-98 (Pubitemid 41464512)
7. Snyder AC. Overtraining and glycogen depletion hypothesis. Med Sci Sports Exerc 1998; 30 (7): 1146-50 (Pubitemid 28317714)
8. Speechly DP, Taylor SR, Rogers GG. Differences in ultraendurance exercise in performance-matched male and female runners. Med Sci Sports Exerc 1996; 28 (3): 359-65 (Pubitemid 26082556)
9. Bam J, Noakes TD, Juritz J, et al. Could women outrun men in ultramarathon races? Med Sci Sports Exerc 1997; 29 (2): 244-7 (Pubitemid 27113521)
10. Froberg K, Pedersen PK. Sex differences in endurance capacity and metabolic response to prolonged, heavy exercise. Eur J Appl Physiol Occup Physiol 1984; 52 (4): 446-50 (Pubitemid 14084868)
11. Friedmann B, Kindermann W. Energy metabolism and regulatory hormones in women and men during endurance exercise. Eur J Appl Physiol Occup Physiol 1989; 59 (1-2): 1-9 (Pubitemid 19214860)
12. Costill DL, Fink WJ, Getchell LH, et al. Lipid metabolism in skeletal muscle of endurance-trained males and females. J Appl Physiol 1979; 47 (4): 787-91 (Pubitemid 10236252)
13. Tarnopolsky MA, Bosman M, Macdonald JR, et al. Postexercise protein-carbohydrate and carbohydrate supplements increase muscle glycogen in men and women. J Appl Physiol 1997; 83 (6): 1877-83 (Pubitemid 28006486)
14. Tarnopolsky LJ, MacDougall JD, Atkinson SA, et al. Gender differences in substrate for endurance exercise. J Appl Physiol 1990; 68 (1): 302-8 (Pubitemid 20075247)
15. Ruby BC, Robergs RA, Waters DL, et al. Effects of estradiol on substrate turnover during exercise in amenorrheic females. Med Sci Sports Exerc 1997; 29 (9): 1160-9 (Pubitemid 27407137)
16. Lamont LS. Gender differences in amino acid use during endurance exercise. Nutr Rev 2005; 63 (12 Pt 1): 419-22 (Pubitemid 43098438)
17. D'Eon TM, Sharoff C, Chipkin SR, et al. Regulation of exercise carbohydrate metabolism by estrogen and progesterone in women. Am J Physiol Endocrinol Metab 2002; 283 (5): E1046-55 (Pubitemid 35216965)
18. Ruby BC, Coggan AR, Zderic TW. Gender differences in glucose kinetics and substrate oxidation during exercise near the lactate threshold. J Appl Physiol 2002; 92 (3): 1125-32 (Pubitemid 34670970)
19. Ettinger SM, Silber DH, Gray KS, et al. Effects of the ovarian cycle on sympathetic neural outflow during static exercise. J Appl Physiol 1998; 85 (6): 2075-81 (Pubitemid 28558061)
20. Horton TJ, Pagliassotti MJ, Hobbs K, et al. Fuel metabolism in men and women during and after long-duration exercise. J Appl Physiol 1998; 85 (5): 1823-32 (Pubitemid 28516418)
21. Roepstorff C, Steffensen CH, Madsen M, et al. Gender differences in substrate utilization during submaximal exercise in endurance-trained subjects. Am J Physiol Endocrinol Metab 2002; 282 (2): E435-47 (Pubitemid 34654815)
22. Ansonoff MA, Etgen AM. Evidence that oestradiol attenuates beta-adrenoceptor function in the hypothalamus of female rats by altering receptor phosphorylation and sequestration. J Neuroendocrinol 2000; 12 (11): 1060-6
23. Vogt M, Puntschart A, Howald H, et al. Effects of dietary fat on muscle substrates, metabolism, and performance in athletes. Med Sci Sports Exerc 2003; 35 (6): 952-60 (Pubitemid 36706283)
24. Steffensen CH, Roepstorff C, Madsen M, et al. Myocellular triacylglycerol breakdown in females but not in males during exercise. Am J Physiol Endocrinol Metab 2002; 282 (3): E634-42 (Pubitemid 34654780)
25. Tarnopolsky MA, Zawada C, Richmond LB, et al. Gender differences in carbohydrate loading are related to energy intake. J Appl Physiol 2001; 91 (1): 225-30 (Pubitemid 32574728)
26. Mittendorfer B, Horowitz JF, Klein S. Gender differences in lipid and glucose kinetics during short-term fasting.Am J Physiol Endocrinol Metab 2001; 281 (6): E1333-9
27. Tarnopolsky MA. Sex differences in exercise metabolism and the role of 17-beta estradiol. Med Sci Sports Exerc 2008; 40 (4): 648-54 (Pubitemid 351416855)
28. Costill DL, Daniels J, Evans W, et al. Skeletal muscle enzymes and fiber composition in male and female track athletes. J Appl Physiol 1976; 40 (2): 149-54
29. Blatchford FK, Knowlton RG, Schneider DA. Plasma ffa responses to prolonged walking in untrained men and women. Eur J Appl PhysiolOccup Physiol 1985; 53 (4): 343-7 (Pubitemid 15120597)
30. Phillips SM, Atkinson SA, Tarnopolsky MA, et al. Gender differences in leucine kinetics and nitrogen balance in endurance athletes. J Appl Physiol 1993; 75 (5): 2134-41 (Pubitemid 23352387)
31. Melanson EL, Sharp TA, Seagle HM, et al. Effect of exercise intensity on 24-h energy expenditure and nutrient oxidation. J Appl Physiol 2002; 92 (3): 1045-52 (Pubitemid 34670959)
32. Riddell MC, Partington SL, Stupka N, et al. Substrate utilization during exercise performed with and without glucose ingestion in female and male endurance trained athletes. Int J Sport Nutr Exerc Metab 2003; 13 (4): 407-21 (Pubitemid 38018246)
33. Zehnder M, Ith M, Kreis R, et al. Gender-specific usage of intramyocellular lipids and glycogen during exercise. Med Sci Sports Exerc 2005; 37 (9): 1517-24 (Pubitemid 41368495)
34. McKenzie S, Phillips SM, Carter SL, et al. Endurance exercise training attenuates leucine oxidation and bcoad activation during exercise in humans. Am J Physiol Endocrinol Metab 2000; 278 (4): E580-7 (Pubitemid 30215166)
35. Boisseau N. Gender differences in metabolism during exercise and recovery. Sci Sports 2004; 19: 220-7 (Pubitemid 39360349)
36. Oosthuyse T, Bosch AN. The effect of the menstrual cycle on exercise metabolism: implications for exercise performance in eumenorrhoeic women. Sports Med 2010; 40 (3): 207-27
37. Hamadeh MJ, Devries MC, Tarnopolsky MA. Estrogen supplementation reduces whole body leucine and carbohydrate oxidation and increases lipid oxidation in men during endurance exercise. J Clin Endocrinol Metab 2005; 90 (6): 3592-9 (Pubitemid 41014331)
38. Devries MC, Hamadeh MJ, Phillips SM, et al. Menstrual cycle phase and sex influence muscle glycogen utilization and glucose turnover during moderate-intensity endurance exercise. Am J Physiol Regul Integr Comp Physiol 2006; 291 (4): R1120-8 (Pubitemid 44498454)
39. Campbell SE, Angus DJ, Febbraio MA. Glucose kinetics and exercise performance during phases of the menstrual cycle: effect of glucose ingestion. AmJ Physiol Endocrinol Metab 2001; 281 (4): E817-25
40. McLay RT, Thomson CD, Williams SM, et al. Carbohydrate loading and female endurance athletes: effect of menstrual-cycle phase. Int J Sport Nutr Exerc Metab 2007; 17 (2): 189-205 (Pubitemid 47124228)
41. Lamont LS, Lemon PW, Bruot BC. Menstrual cycle and exercise effects on protein catabolism. Med Sci Sports Exerc 1987; 19 (2): 106-10 (Pubitemid 17058230)
42. Kriengsinyos W, Wykes LJ, Goonewardene LA, et al. Phase of menstrual cycle affects lysine requirement in healthy women. Am J Physiol Endocrinol Metab 2004; 287 (3): E489-96 (Pubitemid 39095883)
43. Bailey SP, Zacher CM, Mittleman KD. Effect of menstrual cycle phase on carbohydrate supplementation during prolonged exercise to fatigue. J Appl Physiol 2000; 88 (2): 690-7 (Pubitemid 30097115)
44. Casazza GA, Jacobs KA, Suh S, et al. Menstrual cycle phase and oral contraceptive effects on triglyceride mobilization during exercise. J Appl Physiol 2004; 97 (1): 302-9 (Pubitemid 38802532)
45. Kanaley JA, Boileau RA, Bahr JA, et al. Substrate oxidation and gh responses to exercise are independent of menstrual phase and status. Med Sci Sports Exerc 1992; 24 (8): 873-80
46. Henderson GC, Fattor JA, Horning MA, et al. Lipolysis and fatty acid metabolism in men and women during the postexercise recovery period. J Physiol 2007; 584 (Pt 3): 963-81 (Pubitemid 350031935)
47. Donnelly JE, Smith BK. Is exercise effective for weight loss with ad libitum diet? Energy balance, compensation, and gender differences. Exerc Sport Sci Rev 2005; 33 (4): 169-74 (Pubitemid 41513200)
48. Phelain JF, Reinke E, Harris MA, et al. Postexercise energy expenditure and substrate oxidation in young women resulting from exercise bouts of different intensity. J Am Coll Nutr 1997; 16 (2): 140-6 (Pubitemid 27143536)
49. Kuo CC, Fattor JA, Henderson GC, et al. Lipid oxidation in fit young adults during postexercise recovery. J Appl Physiol 2005; 99 (1): 349-56 (Pubitemid 40934502)
50. Henderson GC, Fattor JA, Horning MA, et al. Glucoregulation is more precise in women than in men during postexercise recovery. AmJ ClinNutr 2008; 87 (6): 1686-94 (Pubitemid 351872631)
51. Kuipers H, Saris WH, Brouns F, et al. Glycogen synthesis during exercise and rest with carbohydrate feeding in males and females. Int J Sports Med 1989; 10 Suppl. 1: S63-7 (Pubitemid 19161541)
52. Ivy JL, Goforth HWJ, Damon BM, et al. Early postexercise muscle glycogen recovery is enhanced with a carbohydrate-protein supplement. J Appl Physiol 2002; 93 (4): 1337-44
53. Ivy JL, Lee MC, Brozinick JTJ, et al. Muscle glycogen storage after different amounts of carbohydrate ingestion. J Appl Physiol 1988; 65 (5): 2018-23 (Pubitemid 19012303)
54. Roy BD, Luttmer K, Bosman MJ, et al. The influence of post-exercise macronutrient intake on energy balance and protein metabolism in active females participating in endurance training. Int J Sport Nutr Exerc Metab 2002; 12 (2): 172-88
55. Berardi JM, Price TB, Noreen EE, et al. Postexercise muscle glycogen recovery enhanced with a carbohydrateprotein supplement. Med Sci Sports Exerc 2006; 38 (6): 1106-13 (Pubitemid 43902494)
56. Burke LM, Kiens B, Ivy JL. Carbohydrates and fat for training and recovery. J Sports Sci 2004; 22 (1): 15-30 (Pubitemid 38173087)
57. Burke LM, Collier GR, Hargreaves M. Muscle glycogen storage after prolonged exercise: effect of the glycemic index of carbohydrate feedings. J Appl Physiol 1993; 75 (2): 1019-23 (Pubitemid 23260250)
58. Manore MM. Nutritional needs of the female athlete. Clin Sports Med 1999; 18 (3): 549-63 (Pubitemid 29319156)
59. Manore MM. Dietary recommendations and athletic menstrual dysfunction. Sports Med 2002; 32 (14): 887-901 (Pubitemid 35446297)
60. Larson-Meyer DE, Newcomer BR, Hunter GR. Influence of endurance running and recovery diet on intramyocellular lipid content in women: a 1hNMRstudy. Am J Physiol Endocrinol Metab 2002; 282 (1): E95-106 (Pubitemid 34654112)
61. Larson-Meyer DE, Borkhsenious ON, Gullett JC, et al. Effect of dietary fat on serum and intramyocellular lipids and running performance. Med Sci Sports Exerc 2008; 40 (5): 892-902
62. Beals KA, Manore MM. Nutritional status of female athletes with subclinical eating disorders. J Am Diet Assoc 1998; 98 (4): 419-25 (Pubitemid 28165021)
63. Muoio DM, Leddy JJ, Horvath PJ, et al. Effect of dietary fat on metabolic adjustments to maximal VO2 and endurance in runners.Med Sci Sports Exerc 1994; 26 (1): 81-8 (Pubitemid 24022538)
64. Leddy J, Horvath P, Rowland J, et al. Effect of a high or a low fat diet on cardiovascular risk factors in male and female runners. Med Sci Sports Exerc 1997; 29 (1): 17-25 (Pubitemid 27043137)
65. Pettersson U, Stalnacke B, Ahleius G, et al. Low bone mass density at multiple skeletal sites, including the appendicular skeleton in amenorrheic runners. Calcif Tissue Int 1999; 64 (2): 117-25 (Pubitemid 29059378)
66. Howat PM, Carbo ML, Mills GQ, et al. The influence of diet, body fat,menstrual cycling, and activity upon the bone density of females. J Am Diet Assoc 1989; 89 (9): 1305-7 (Pubitemid 19233914)
67. Hoffman J, Falvo M. Protein: which is best? J Sport Sci Med 2004; 3: 118-30
68. Akabas SR, Dolins KR. Micronutrient requirements of physically active women: what can we learn from iron? Am J Clin Nutr 2005; 81 (5): 1246S-51S (Pubitemid 41724975)
69. Volek JS, Forsythe CE, Kraemer WJ. Nutritional aspects of women strength athletes. Br J Sports Med 2006; 40 (9): 742-8 (Pubitemid 44351907)
70. Manore MM. Exercise and the institute of medicine recommendations for nutrition. Curr Sports Med Rep 2005; 4 (4): 193-8
71. Allen DG. Fatigue in working muscles. J Appl Physiol 2009; 106 (2): 358-9
72. Ahmaidi S, Granier P, Taoutaou Z, et al. Effects of active recovery on plasma lactate and anaerobic power following repeated intensive exercise. Med Sci Sports Exerc 1996; 28 (4): 450-6 (Pubitemid 26117170)
73. Esbjornsson-Liljedahl M, Bodin K, Jansson E. Smaller muscle atp reduction in women than in men by repeated bouts of sprint exercise. J Appl Physiol 2002; 93 (3): 1075-83 (Pubitemid 34919682)
74. Ruby BC, Robergs RA. Gender differences in substrate utilisation during exercise. Sports Med 1994; 17 (6): 393-410 (Pubitemid 24200791)
75. Jacobs I, Tesch PA, Bar-Or O, et al. Lactate in human skeletal muscle after 10 and 30 s of supramaximal exercise. J Appl Physiol 1983; 55 (2): 365-7 (Pubitemid 13041058)
76. Russ DW, Lanza IR, Rothman D, et al. Sex differences in glycolysis during brief, intense isometric contractions. Muscle Nerve 2005; 32 (5): 647-55 (Pubitemid 41504852)
77. Coggan AR, Spina RJ, King DS, et al. Skeletal muscle adaptations to endurance training in 60-to 70-yr-old men and women. J Appl Physiol 1992; 72 (5): 1780-6
78. Wust RCI, Morse CI, de Haan A, et al. Sex differences in contractile properties and fatigue resistance of human skeletal muscle. Exp Physiol 2008; 93 (7): 843-50
79. Burke LM. Nutritional practices of male and female endurance cyclists. Sports Med 2001; 31 (7): 521-32 (Pubitemid 32575378)
80. Deutz RC, Benardot D, Martin DE, et al. Relationship between energy deficits and body composition in elite female gymnasts and runners. Med Sci Sports Exerc 2000; 32 (3): 659-68 (Pubitemid 30158340)
81. Hinton PS, Sanford TC, Davidson MM, et al. Nutrient intakes and dietary behaviors of male and female collegiate athletes. Int J Sport Nutr Exerc Metab 2004; 14 (4): 389-405 (Pubitemid 39159314)
82. Loucks AB. Energy availability, not body fatness, regulates reproductive function in women. Exerc Sport Sci Rev 2003; 31 (3): 144-8 (Pubitemid 36886028)
83. Nutrition and athletic performance: position of the American Dietetic Association, Dieteticians of Canada and theAmerican College of Sports Medicine. J AmDietAssoc 2000; 100 (12): 1543-56 [online]. Available from URL: http://www.wanttoknownow.com/pdfs/Nutrition%20and %20athletic%20performance.pdf [Accessed 2011 Aug 11]
84. Volek JS, Sharman MJ. Diet and hormonal responses: potential impact on body composition. In: Kramer WJ, Rogol AD, editors. The endocrine system in sports and exercise. Malden (MA): Blackwell Publishing, 2005: 426-43
85. Shumate JB, Brooke MH, Carroll JE, et al. Increased serum creatine kinase after exercise: a sex-linked phenomenon. Neurology 1979; 29 (6): 902-4 (Pubitemid 9161001)
86. Apple FS, Rogers MA, Casal DC, et al. Skeletal muscle creatine kinase mb alterations in women marathon runners. Eur J Appl Physiol Occup Physiol 1987; 56 (1): 49-52 (Pubitemid 17009720)
87. Janssen GM, Scholte HR, Vaandrager-Verduin MH et al. Muscle carnitine level in endurance training and running a marathon. Int J Sports Med 1989; 10 (Suppl. 3): S153-5 (Pubitemid 19258764)
88. Nieman DC, Henson DA, Smith LL, et al. Cytokine changes after a marathon race. J Appl Physiol 2001; 91 (1): 109-14 (Pubitemid 32574715)
89. Borsa PA, Sauers EL. The importance of gender on myokinetic deficits before and after microinjury. Med Sci Sports Exerc 2000; 32 (5): 891-6 (Pubitemid 30230668)
90. Rinard J, Clarkson PM, Smith LL, et al. Response of males and females to high-force eccentric exercise. J Sports Sci 2000; 18 (4): 229-36 (Pubitemid 30232374)
91. Hakkinen K. Neuromuscular fatigue and recovery in male and female athletes during heavy resistance exercise. Int J Sports Med 1993; 14 (2): 53-9 (Pubitemid 23097307)
92. Linnamo V, Hakkinen K, Komi PV. Neuromuscular fatigue and recovery in maximal compared to explosive strength loading. Eur J Appl Physiol Occup Physiol 1998; 77 (1-2): 176-81
93. Sayers SP, Clarkson PM. Force recovery after eccentric exercise in males and females. Eur J Appl Physiol 2001; 84 (1-2): 122-6 (Pubitemid 32177880)
94. Sewright KA, Hubal MJ, Kearns A, et al. Sex differences in response to maximal eccentric exercise. Med Sci Sports Exerc 2008; 40 (2): 242-51
95. Tiidus PM, Holden D, Bombardier E, et al. Estrogen effect on post-exercise skeletal muscle neutrophil infiltration and calpain activity. Can J Physiol Pharmacol 2001; 79 (5): 400-6 (Pubitemid 32747878)
96. Enns DL, Tiidus PM. The influence of estrogen on skeletal muscle: sex matters. Sports Med 2010; 40 (1): 41-58
97. Stupka N, Tiidus PM. Effects of ovariectomy and estrogen on ischemia-reperfusion injury in hindlimbs of female rats. J Appl Physiol 2001; 91 (4): 1828-35 (Pubitemid 32900378)
98. MacIntyre DL, Reid WD, Lyster DM, et al. Different effects of strenuous eccentric exercise on the accumulation of neutrophils in muscle in women and men. Eur J Appl Physiol 2000; 81 (1-2): 47-53 (Pubitemid 30008858)
99. Stupka N, Lowther S, Chorneyko K, et al. Gender differences in muscle inflammation after eccentric exercise. J Appl Physiol 2000; 89 (6): 2325-32
100. Tiidus PM, Deller M, Bombardier E, et al. Estrogen supplementation failed to attenuate biochemical indices of neutrophil infiltration or damage in rat skeletal muscles following ischemia. Biol Res 2005; 38 (2-3): 213-23 (Pubitemid 41535622)
101. Peake J, Nosaka K, Suzuki K. Characterization of inflammatory responses to eccentric exercise in humans. Exerc Immunol Rev 2005; 11: 64-85
102. Enwemeka CS, Allen C, Avila P, et al. Soft tissue thermodynamics before, during, and after cold pack therapy. Med Sci Sports Exerc 2002; 34 (1): 45-50 (Pubitemid 34052374)
103. Schaser K, Stover JF, Melcher I, et al. Local cooling restores microcirculatory hemodynamics after closed softtissue trauma in rats. J Trauma 2006; 61 (3): 642-9 (Pubitemid 44400948)
104. Merrick MA, Rankin JM, Andres FA, et al. A preliminary examination of cryotherapy and secondary injury in skeletal muscle. Med Sci Sports Exerc 1999; 31 (11): 1516-21
105. Nattiv A. Stress fractures and bone health in track and field athletes. J Sci Med Sport 2000; 3 (3): 268-79 (Pubitemid 32186666)
106. Weitzmann MN, Pacifici R. Estrogen deficiency and bone loss: an inflammatory tale. J Clin Invest 2006; 116 (5): 1186-94
107. Kameda T, Mano H, Yuasa T, et al. Estrogen inhibits bone resorption by directly inducing apoptosis of the boneresorbing osteoclasts. J Exp Med 1997; 186 (4): 489-95 (Pubitemid 27360793)
108. Kopp-Woodroffe SA, Manore MM, Dueck CA, et al. Energy and nutrient status of amenorrheic athletes participating in a diet and exercise training intervention program. Int J Sport Nutr 1999; 9 (1): 70-88 (Pubitemid 29122763)
109. Josse AR, Tang JE, Tarnopolsky MA, et al. Body composition and strength changes in women with milk and resistance exercise. Med Sci Sports Exerc 2010; 42 (6): 1122-30
110. Laughlin GA, Yen SS. Nutritional and endocrinemetabolic aberrations in amenorrheic athletes. J Clin Endocrinol Metab 1996; 81 (12): 4301-9 (Pubitemid 26412033)
111. De Souza MJ, Williams NI. Beyond hypoestrogenism in amenorrheic athletes: energy deficiency as a contributing factor for bone loss. Curr SportsMedRep 2005; 4 (1): 38-44
112. Marcus R, Cann C, Madvig P, et al. Menstrual function and bone mass in elite women distance runners. endocrine and metabolic features. Ann Intern Med 1985; 102 (2): 158-63 (Pubitemid 15157161)
113. Grinspoon S, Miller K, Coyle C, et al. Severity of osteopenia in estrogen-deficient women with anorexia nervosa and hypothalamic amenorrhea. J Clin Endocrinol Metab 1999; 84 (6): 2049-55 (Pubitemid 30647032)
114. Eastell R. Role of oestrogen in the regulation of bone turnover at the menarche. J Endocrinol 2005; 185 (2): 223-34 (Pubitemid 40691789)
115. Grant WB, Holick MF. Benefits and requirements of vitamin d for optimal health: a review. Altern Med Rev 2005; 10 (2): 94-111 (Pubitemid 40911119)
116. Heyman E, DE Geus B, Mertens I, et al. Effects of four recovery methods on repeated maximal rock climbing performance. Med Sci Sports Exerc 2009; 41 (6): 1303-10
117. Watts PB, Daggett M, Gallagher P, et al. Metabolic response during sport rock climbing and the effects of active versus passive recovery. Int J Sports Med 2000; 21 (3): 185-90 (Pubitemid 30260837)
118. Yoshida T, Watari H, Tagawa K. Effects of active and passive recoveries on splitting of the inorganic phosphate peak determined by 31P-nuclear magnetic resonance spectroscopy. NMR Biomed 1996; 9: 13-9 (Pubitemid 26310154)
119. Fairchild TJ, Armstrong AA, Rao A, et al. Glycogen synthesis in muscle fibers during active recovery from intense exercise.Med Sci Sports Exerc 2003; 35 (4): 595-602 (Pubitemid 36417849)
120. Carter S, McKenzie S, Mourtzakis M, et al. Short-term 17beta-estradiol decreases glucose r(a) but not whole body metabolism during endurance exercise. J Appl Physiol 2001; 90 (1): 139-46 (Pubitemid 32038514)
121. Takahashi T, Miyamoto Y. Influence of light physical activity on cardiac responses during recovery from exercise in humans. Eur J Appl Physiol 1998; 77: 1137-44
122. Jakeman JR, Byrne C, Eston RG. Lower limb compression garment improves recovery from exercise-induced muscle damage in young, active females. Eur J Appl Physiol 2010; 109 (6): 1137-44
123. Morton RH. Contrast water immersion hastens plasma lactate decrease after intense anaerobic exercise. J Sci Med Sport 2007; 10 (6): 467-70 (Pubitemid 47615584)
124. Armstrong L, Casa D, Millard-Stafford M, et al. Exertional heat illness during training and competition. American College of Sports Medicine position stand. Med Sci Sports Exerc 2007; 39: 556-72 (Pubitemid 46667955)
125. Maughan R, Shirreffs S. Exercise in the heat: challenges and opportunities. J Sports Sci 2004; 22 (10): 917-27 (Pubitemid 40045471)
126. Kaciuba-Uscilko H, Grucza R. Gender differences in thermoregulation. Curr Opin Clin NutrMetab Care 2001; 4 (6): 533-6 (Pubitemid 34755412)
127. Bar-Or O, Lundegren HM, Buskirk ER. Heat tolerance of exercising obese and lean women. J Appl Physiol 1969; 26 (4): 403-9
128. Nunneley SA. Physiological responses of women to thermal stress: a review. Med Sci Sports 1978; 10 (4): 250-5 (Pubitemid 9112210)
129. Saat M, Tochihara Y, Hashiguchi N, et al. Effects of exercise in the heat on thermoregulation of Japanese and Malaysian males. J Physiol Anthropol Appl Human Sci 2005; 24 (4): 267-75 (Pubitemid 41451597)
130. Grucza R. Efficiency of thermoregulatory system in man under endogenous and exogenous heat loads. Acta Physiol Pol 1990; 41 (4-6): 123-45
131. Broad EM, Burke LM, Cox GR, et al. Body weight changes and voluntary fluid intakes during training and competition sessions in team sports. Int J Sport Nutr 1996; 6 (3): 307-20
132. Shirreffs SM, Sawka MN, Stone M. Water and electrolyte needs for football training and match-play. J Sports Sci 2006; 24 (7): 699-707 (Pubitemid 43675033)
133. Maughan RJ, Shirreffs SM. Recovery from prolonged exercise: restoration of water and electrolyte balance. J Sports Sci 1997; 15 (3): 297-303 (Pubitemid 27309798)
134. Kenny GP, Jay O. Sex differences in postexercise esophageal and muscle tissue temperature response. Am J Physiol Regul Integr Comp Physiol 2007; 292 (4): R1632-40 (Pubitemid 46557828)
135. Kenny GP, Murrin JE, Journeay WS, et al. Differences in the postexercise threshold for cutaneous active vasodilation between men and women. Am J Physiol Regul Integr Comp Physiol 2006; 290 (1): R172-9
136. Hessemer V, Bruck K. Influence of menstrual cycle on shivering, skin blood flow, and sweating responses measured at night. J Appl Physiol 1985; 59 (6): 1902-10 (Pubitemid 16158273)
137. Pivarnik JM, Marichal CJ, Spillman T, et al. Menstrual cycle phase affects temperature regulation during endurance exercise. J Appl Physiol 1992; 72 (2): 543-8
138. Marsh SA, Jenkins DG. Physiological responses to the menstrual cycle: implications for the development of heat illness in female athletes. Sports Med 2002; 32 (10): 601-14
139. Vaile J, Halson S, Gill N, et al. Effect of cold water immersion on repeat cycling performance and thermoregulation in the heat. J Sports Sci 2008; 26 (5): 431-40 (Pubitemid 351266530)
140. Halson SL, Quod MJ, Martin DT, et al. Physiological responses to cold water immersion following cycling in the heat. Int J Sports Physiol Perform 2008; 3 (3): 331-46
141. Duffield R. Cooling interventions for the protection and recovery of exercise performance from exercise-induced heat stress. Med Sport Sci 2008; 53: 89-103
142. Wendt D, van Loon LJC, Lichtenbelt WDVM. Thermoregulation during exercise in the heat: strategies for maintaining health and performance. Sports Med 2007; 37 (8): 669-82 (Pubitemid 47173809)
143. Martin PG, Marino FE, Rattey J, et al. Reduced voluntary activation of human skeletal muscle during shortening and lengthening contractions in whole body hyperthermia. Exp Physiol 2005; 90 (2): 225-36 (Pubitemid 40364801)