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Functional multilevel modelling of the influence of the menstrual cycle on the performance of female cyclists


S. Golovkine · T. Chassard · A. Meigné · E. Brunet · J.-F. Toussaint · J. Antero

37th International Workshop on Statistical Modelling

July 18th, 2023

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Hormonal fluctuations




cycle
Schema of a menstrual cycle (adapted from McNulty et al., 2020).
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Cycling

route
Road
track
Track
crosscountry
Cross-country
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Estimation of the phases

  • Athletes have been asked to report the beginning and the end of their bleeding for each period.

  • We estimate their ovulation day using a robust linear regression model based on their cycle length (Soumpasis et al., 2020).

  • The menstrual cycle is then split in three phases:

    • Menstruations
    • Follicular
    • Luteal
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Power Data

observation
Examples of data recorded from training.
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Mean Maximal Power Curves

  • Consider some generic exercise which last T seconds.

  • Let Z={zt,t=1,2,,T} a sequence of observation of the power output.

  • Assume that, given t1,t2 two timestamps such that t2>t1, t2t1 is constant.

  • An MMP curve is defined as X(t)=maxt2t1=tzt1++zt2t2t1.

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Mean Maximal Power Curves


ppr
MMP per phase.
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Mean and standard deviation per phase

mean_ppr std_ppr
Mean and standard deviation per phase.
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Model

  • MMP curves consist of random realizations from a stochastic process X={X(t):t[1,T]} with continuous trajectories.

  • We consider the following model Xjklmn(t)=μk(t)+Bjk(t)+Clk(t)+Dmk(t)+Ejklmn(t) where

    • Xjklmn(t): MMP output for a particular observation.
    • μk(t): fixed effect for the phase of the menstrual cycle.
    • Bjk(t): phase-specific functional random intercept accounting for athlete.
    • Clk(t): phase-specific functional random intercept accounting for training intensity.
    • Dmk(t): phase-specific functional random intercept accounting for bike type.
    • Eijl(t): smooth error term accounting for observation-specific variability.
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Mean comparison

  • We are interested in testing the following hypothesis:

(H0):μk=μkv.s(H1):μkμk

  • We consider the test statistic:

SN=NkNkNTT{μk(t)μk(t)}2dt

  • The sampled bootstrap statistics, under the assumption of equality of the mean curves, are compared to SN computed on the observed data.
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Mean comparison


mean_comp
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Variance decomposition

Following Cederbaum (2017):

  • Standardize the curves per phase.

  • Estimate the covariance of each random effects.

  • Perform an eigendecomposition of the covariances.

  • Estimate the variability induced by each random effects.

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Variance decomposition

Variability source Variance explained (in %)
Phase 2.41×10-3
Athlete 22.0
RPE 11.5
Bike type 16.6
Observation 49.8
Error variance 6.60×10-11
Full variance decomposition using a functional random intercept for phase with variance explained of 99.999%.
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Takeaway ideas

  • Power output data exhibits the variable nature of performance in women's professional cycling.

  • We have not proven that there is no variation between phases, we have failed to find evidence of variation between phases.

  • The athletes are likely to achieve their peak performance in each phase.

  • These results may be helpful for coaches who use these curves for training planning or the comprehension of their athletes.


Thank you for your attention!

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References

Cederbaum, J. (2017). “Functional linear mixed models for complex correlation structures and general sampling grids”. Text.PhDThesis.

McNulty, K. L., K. J. Elliott-Sale, E. Dolan, et al. (2020). “The Effects of Menstrual Cycle Phase on Exercise Performance in Eumenorrheic Women: A Systematic Review and Meta-Analysis”. In: Sports Medicine 50.10, pp. 1813–1827. ISSN: 1179-2035. DOI: 10.1007/s40279-020-01319-3.

Soumpasis, I., B. Grace, and S. Johnson (2020). “Real-Life Insights on Menstrual Cycles and Ovulation Using Big Data”. In: Human Reproduction Open 2020.2. DOI: 10.1093/hropen/hoaa011. pmid: pmid. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164578/ (visited on Jul. 18, 2023).

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Hormonal fluctuations




cycle
Schema of a menstrual cycle (adapted from McNulty et al., 2020).
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