UNASSIGNED: Women\'s football has been booming for a few years now, which has led to an increase in the expectation of the players\' performance, leading to a more detailed study of women\'s physiology in the field of sports.
UNASSIGNED: To analyze the scientific evidence on the influence of menstruation on the performance of female footballers, as well as to analyze the methodological quality of the studies included in this review.
UNASSIGNED: The possible hormonal effects of the menstrual cycle phases on the performance of female footballers were analyzed. The databases used to conduct the searches were Pubmed, Scopus, Virtual Health Library, Web of Science, EBSCO and the Cochrane Library. All included studies met the inclusion criteria. The Cochrane risk of bias tool was used. This systematic review protocol was registered at the International Prospective Register of Systematic Reviews (PROSPERO: CRD42023390652).
UNASSIGNED: A total of nine clinical trials were included in this review. A low quality of evidence was observed in the studies. Not all the results support the idea that the menstrual cycle phases can alter the performance of female footballers.
UNASSIGNED: This systematic review shows that there is a great deal of controversy about the influence of the menstrual cycle phases on the performance of female footballers. Studies are focused on solely biological factors and gender is normally no part of those studies. Further research with larger samples, and taking not only biological but also sociological factors, are necessary to determine the effects of menstruation on the performance of female footballers.

OBJECTIVE: To describe individual sleep habits and nocturnal heart rate variability (HRV) responses, and to explore intra-individual associations of workload with sleep and nocturnal HRV indices in high-level female soccer players throughout a 2-week competitive period.
METHODS: The study followed a descriptive, observational design. Thirty-four high-level female soccer players (aged 20.6 ± 2.3 years) wore wrist actigraph units and heart rate (HR) monitors during night-sleep to record objective sleep and HRV data throughout 14 days [six evening-time training sessions (ET), six rest-days (RD), and two match-days (MD)]. During each ET and MD, exercise HR (HRexe), %HRpeak, training impulse (TRIMP), session rating of perceived exertion (s-RPE) and perceived ratings of wellbeing were monitored.
RESULTS: After ET, a higher number of players (17-22) slept less than 7 h/night, in contrast to the remaining days (i.e., MD and RD), but only 1-6 players had a sleep efficiency < 75%. The coefficient of variation (CV) for sleep duration and sleep efficiency ranged between 9-22% and 2-11%, respectively. A small negative within-subject correlation was found between TRIMP and sleep duration [r = -0.25 (-0.36; -0.12); P < 0.001] and sleep efficiency [r = -0.20 (-0.32; -0.08); P = 0.004]. A moderate and small negative within-subject correlation was found between s-RPE and sleep duration [r = -0.43 (-0.53; -0.32); P < 0.001] and sleep efficiency [r = -0.17 (-0.30; -0.05); P = 0.02]. Nocturnal HRV for the time-domain analyses ranged from 4.1 (3.9; 4.3) to 4.4 (4.1; 4.6) ln[ms], and for the frequency-domain analyses ranged from 6.3 (5.9; 6.7) to 7.5 (7.1; 7.9) ln[ms2]. CV for time-domain HRV ranged from 3 to 23%, and from 4 to 46% for the frequency-domain. Higher CV fluctuations in time- and frequency-domain HRV were particularly observed in four players.
CONCLUSIONS: Overall, this study highlights the individual variability of sleep and nocturnal HRV indices, indicating that sleep duration may be affected by training and match schedules and workloads. Training and matches workload were not associated with nocturnal HRV in high-level female soccer players.