{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:05:19Z","timestamp":1787238319019,"version":"build-2736575974"},"reference-count":77,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T00:00:00Z","timestamp":1623283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Despite the steady increase in female participation in sport over the last two decades, comprehensive research on interventions attenuating the influence of female menstrual physiology on performance remains scarce. Studies involving eumenorrheic women often only test in one menstrual phase to limit sex hormone variance, which may restrict the application of these findings to the rest of the menstrual cycle. The impacts of nutrition-based interventions on athletic performance throughout the menstrual cycle have not been fully elucidated. We addressed this gap by conducting a focused critical review of clinical studies that reported athletic outcomes as well as menstrual status for healthy eumenorrheic female participants. In total, 1443 articles were identified, and 23 articles were included. These articles were published between 2011 and 2021, and were retrieved from Google Scholar, Medline, and PubMed. Our literature search revealed that hydration-, micronutrient-, and phytochemical-based interventions can improve athletic performance (measured by aerobic capacity, anaerobic power, and strength performance) or attenuate exercise-induced damage (measured by dehydration biomarkers, muscle soreness, and bone resorption biomarkers). Most performance trials, however, only assessed these interventions in one menstrual phase, limiting the application throughout the entire menstrual cycle. Improvements in athletic performance through nutrition-based interventions may be contingent upon female sex hormone variation in eumenorrheic women.<\/jats:p>","DOI":"10.3390\/ijerph18126294","type":"journal-article","created":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T13:31:39Z","timestamp":1623331899000},"page":"6294","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Impact of Nutrition-Based Interventions on Athletic Performance during Menstrual Cycle Phases: A Review"],"prefix":"10.3390","volume":"18","author":[{"given":"Macy M.","family":"Helm","sequence":"first","affiliation":[{"name":"Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, NV 89154, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham R.","family":"McGinnis","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, NV 89154, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arpita","family":"Basu","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, NV 89154, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.smr.2014.05.001","article-title":"Female athletes, women\u2019s sport, and the sport media commercial complex: Have we really \u2018come a long way, baby\u2019?","volume":"18","author":"Fink","year":"2015","journal-title":"Sport Manag. Rev."},{"key":"ref_2","unstructured":"Smith, M., and Wrynn, A. (2021, February 21). Women in the Olympic and Paralympic Games. Available online: http:\/\/sharp.research.umich.edu\/wp-content\/uploads\/2017\/03\/olympic_report_2012_final-4-11-13.pdf."},{"key":"ref_3","first-page":"442","article-title":"Exercise Performance Is Impaired during the Mid-Luteal Phase of the Menstrual Cycle","volume":"3","author":"Freemas","year":"2020","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1249\/00005768-199503000-00022","article-title":"Effects of menstrual cycle phase on athletic performance","volume":"27","author":"Lebrun","year":"1995","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"207","DOI":"10.2165\/11317090-000000000-00000","article-title":"The effect of the menstrual cycle on exercise metabolism: Implications for exercise performance in eumenorrhoeic women","volume":"40","author":"Oosthuyse","year":"2010","journal-title":"Sports Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/s40279-019-01206-6","article-title":"Fluid Balance and Hydration Considerations for Women: Review and Future Directions","volume":"50","author":"Giersch","year":"2020","journal-title":"Sports Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"833","DOI":"10.2165\/00007256-200333110-00004","article-title":"Effects of the menstrual cycle on exercise performance","volume":"33","year":"2003","journal-title":"Sports Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1136\/bjsports-2016-096279","article-title":"Sport, exercise and the menstrual cycle: Where is the research?","volume":"51","author":"Bruinvels","year":"2017","journal-title":"Br. J. Sports Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1016\/j.jsams.2020.05.014","article-title":"Menstrual cycle and thermoregulation during exercise in the heat: A systematic review and meta-analysis","volume":"23","author":"Giersch","year":"2020","journal-title":"J. Sci. Med. Sport"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e14418","DOI":"10.14814\/phy2.14418","article-title":"Plasma volume variation across the menstrual cycle among healthy women of reproductive age: A prospective cohort study","volume":"8","author":"Aguree","year":"2020","journal-title":"Physiol. Rep."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"5949","DOI":"10.1113\/jphysiol.2012.236752","article-title":"Blood pressure and water regulation: Understanding sex hormone effects within and between men and women","volume":"590","author":"Wenner","year":"2012","journal-title":"J. Physiol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1249\/mss.0b013e31802ca597","article-title":"Exercise and fluid replacement","volume":"39","author":"Sawka","year":"2007","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1111\/j.1600-0838.2010.01230.x","article-title":"Previous-day hypohydration impairs skill performance in elite female field hockey players","volume":"22","author":"MacLeod","year":"2012","journal-title":"Scand. J. Med. Sci. Sport"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1590\/S0100-879X2006005000007","article-title":"Luteal phase of the menstrual cycle increases sweating rate during exercise","volume":"39","author":"Garcia","year":"2006","journal-title":"Brazilian J. Med. Biol. Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1093\/ajcn\/58.5.705","article-title":"Variations menstrual during the menstrual cycle","volume":"58","author":"Kim","year":"1993","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Woods, A., Garvican-Lewis, L.A., Saunders, P.U., Lovell, G., Hughes, D., Fazakerley, R., Anderson, B., Gore, C.J., and Thompson, K.G. (2014). Four weeks of iv iron supplementation reduces perceived fatigue and mood disturbance in distance runners. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0108042"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1503\/cmaj.110950","article-title":"Effect of iron supplementation on fatigue in nonanemic menstruating women with low ferritin: A randomized controlled trial","volume":"184","author":"Vaucher","year":"2012","journal-title":"CMAJ"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Brown, D.M.Y., Graham, J.D., Innes, K.I., Harris, S., Flemington, A., and Bray, S.R. (2020). Effects of Prior Cognitive Exertion on Physical Performance: A Systematic Review and Meta-Analysis, Springer International Publishing.","DOI":"10.1007\/s40279-019-01204-8"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Peinado, A., Alfaro-Magallanes, V., Romero-Parra, N., Barba-Moreno, L., Rael, B., Maestre-Cascales, C., Rojo-Tirado, M., Castro, E., Benito, P., and Ortega-Santos, C. (2021). Methodological Approach of the Iron and Muscular Damage: Female Metabolism and Menstrual Cycle during Exercise Project (IronFEMME Study). Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18020735"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.bone.2017.08.019","article-title":"Effects of reduced energy availability on bone metabolism in women and men","volume":"105","author":"Papageorgiou","year":"2017","journal-title":"Bone"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/s12970-016-0133-z","article-title":"Effects of powdered Montmorency tart cherry supplementation on acute endurance exercise performance in aerobically trained individuals","volume":"13","author":"Levers","year":"2016","journal-title":"J. Int. Soc. Sports Nutr."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"2084","DOI":"10.1039\/C6FO00252H","article-title":"DNA catabolites in triathletes: Effects of supplementation with an aronia-citrus juice (polyphenols-rich juice)","volume":"7","author":"Medina","year":"2016","journal-title":"Food Funct."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1123\/ijsnem.21.4.328","article-title":"Effect of mixed flavonoids, n-3 fatty acids, and vitamin C on oxidative stress and antioxidant capacity before and after intense cycling","volume":"21","author":"McAnulty","year":"2011","journal-title":"Int. J. Sport Nutr. Exerc. Metab."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2281","DOI":"10.1007\/s00421-011-1862-y","article-title":"Phytoestrogens enhance antioxidant enzymes after swimming exercise and modulate sex hormone plasma levels in female swimmers","volume":"111","author":"Ferrer","year":"2011","journal-title":"Eur. J. Appl. Physiol."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Martin-Rincon, M., Gelabert-Rebato, M., Galvan-Alvarez, V., Gallego-Selles, A., Martinez-Canton, M., Lopez-Rios, L., Wiebe, J.C., Martin-Rodriguez, S., Arteaga-Ortiz, R., and Dorado, C. (2020). Supplementation with a mango leaf extract (Zynamite \u00ae) in combination with quercetin attenuated muscle damage and pain and accelerates recovery after strenuous damaging exercise. Nutrients., 12.","DOI":"10.3390\/nu12030614"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1139\/apnm-2015-0152","article-title":"Potential ergogenic activity of grape juice in runners","volume":"40","author":"Toscano","year":"2015","journal-title":"Appl. Physiol. Nutr. Metab."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1139\/apnm-2014-0137","article-title":"The effects of pomegranate extract on blood flow and running time to exhaustion","volume":"39","author":"Trexler","year":"2014","journal-title":"Appl. Physiol. Nutr. Metab."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1123\/ijsnem.2019-0105","article-title":"Influence of Peak Menstrual Cycle Hormonal Changes on Restoration of Fluid Balance After Induced Dehydration","volume":"29","author":"Galloway","year":"2019","journal-title":"Int. J. Sport Nutr. Exerc. Metab."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s12970-019-0282-y","article-title":"Fluid type influences acute hydration and muscle performance recovery in human subjects","volume":"16","author":"Harris","year":"2019","journal-title":"J. Int. Soc. Sports Nutr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"360","DOI":"10.4085\/1062-6050-49.2.23","article-title":"Electrolyte and Plasma Responses After Pickle Juice, Mustard, and Deionized Water Ingestion in Dehydrated Humans","volume":"49","author":"Miller","year":"2014","journal-title":"J. Athl. Train."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1080\/02640414.2017.1344358","article-title":"Carbohydrate mouth rinse does not affect performance during a 60-min running race in women","volume":"36","author":"Chryssanthopoulos","year":"2017","journal-title":"J. Sports Sci."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s12970-017-0200-0","article-title":"Mouth rinsing with a carbohydrate solution attenuates exercise-induced decline in executive function","volume":"14","author":"Konishi","year":"2017","journal-title":"J. Int. Soc. Sports Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Gui, Z., Sun, F., Si, G., and Chen, Y. (2017). Effect of protein and carbohydrate solutions on running performance and cognitive function in female recreational runners. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0185982"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"3739","DOI":"10.3390\/nu7053739","article-title":"Carbohydrate electrolyte solutions enhance endurance capacity in active females","volume":"7","author":"Sun","year":"2015","journal-title":"Nutrients"},{"key":"ref_35","first-page":"644","article-title":"Respuestas fisiol\u00f3gicas asociadas al g\u00e9nero e hidrataci\u00f3n durante el spinning","volume":"29","author":"Viloria","year":"2014","journal-title":"Nutr. Hosp."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1519\/JSC.0b013e31826052c7","article-title":"The Acute Effects of Fluid Intake on Urine Specific Gravity and Fluid Retention in a Mildly Dehydrate State","volume":"27","author":"Spriet","year":"2013","journal-title":"J. Strength Cond. Res."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1123\/ijsnem.22.6.422","article-title":"The effect of 6 days of sodium phosphate supplementation on appetite, energy intake, and aerobic capacity in trained men and women","volume":"22","author":"West","year":"2012","journal-title":"Int. J. Sport Nutr. Exerc. Metab."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1111\/j.1600-0838.2009.01055.x","article-title":"Fluid balance, thermoregulation and sprint and passing skill performance in female soccer players","volume":"21","author":"Ali","year":"2011","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Haakonssen, E.C., Ross, M.L., Knight, E.J., Cato, L.E., Nana, A., Wluka, A., Cicuttini, F.M., Wang, B.H., Jenkins, D.G., and Burke, L.M. (2015). The effects of a calcium-rich pre-exercise meal on biomarkers of calcium homeostasis in competitive female cyclists a randomised crossover trial. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0123302"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1249\/MSS.0000000000000208","article-title":"Iron supplementation improves energetic efficiency in iron-depleted female rowers","volume":"46","author":"Dellavalle","year":"2014","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1601","DOI":"10.1519\/JSC.0000000000002247","article-title":"Effectiveness of fish oil supplementation in attenuating exercise-induced muscle damage in women during midfollicular and midluteal menstrual phases","volume":"32","author":"Andre","year":"2018","journal-title":"J. Strength Cond. Res."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1016\/j.jsams.2020.02.017","article-title":"Dietary supplementation with New Zealand blackcurrant extract enhances fat oxidation during submaximal exercise in the heat","volume":"23","author":"Hiles","year":"2020","journal-title":"J. Sci. Med. Sport"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1111\/bcp.14175","article-title":"Acute caffeine intake increases performance in the 15-s Wingate test during the menstrual cycle","volume":"86","author":"Lara","year":"2020","journal-title":"Br. J. Clin. Pharmacol."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Romero-Moraleda, B., del Coso, J., Guti\u00e9rrez-Hell\u00edn, J., and Lara, B. (2019). The effect of caffeine on the velocity of half-squat exercise during the menstrual cycle: A randomized controlled trial. Nutrients, 11.","DOI":"10.3390\/nu11112662"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1080\/17461391.2018.1502360","article-title":"Montmorency tart cherry (Prunus cerasus L.) supplementation accelerates recovery from exercise-induced muscle damage in females","volume":"19","author":"Brown","year":"2019","journal-title":"Eur. J. Sport Sci."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1899","DOI":"10.1249\/MSS.0000000000001653","article-title":"Effects of p -Synephrine and Caffeine Ingestion on Substrate Oxidation during Exercise","volume":"50","year":"2018","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1007\/s00421-018-3858-3","article-title":"New Zealand blackcurrant extract enhances fat oxidation during prolonged cycling in endurance-trained females","volume":"118","author":"Strauss","year":"2018","journal-title":"Eur. J. Appl. Physiol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1971","DOI":"10.1080\/02640414.2015.1025235","article-title":"Effects of sodium phosphate and caffeine loading on repeated-sprint ability","volume":"33","author":"Buck","year":"2015","journal-title":"J. Sports Sci."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2205","DOI":"10.1007\/s00421-015-3201-1","article-title":"Effects of sodium phosphate and beetroot juice supplementation on repeated-sprint ability in females","volume":"115","author":"Buck","year":"2015","journal-title":"Eur. J. Appl. Physiol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1080\/17461391.2013.785597","article-title":"Effects of dietary antioxidants on training and performance in female runners","volume":"14","author":"Braakhuis","year":"2014","journal-title":"Eur. J. Sport Sci."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1556\/036.103.2016.1.13","article-title":"Effect of sex and menstrual cycle in women on starting speed, anaerobic endurance and muscle power","volume":"103","author":"Wiecek","year":"2016","journal-title":"Acta Physiol. Hung."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/S0016-5085(83)80232-7","article-title":"Regulation of the Gastric Emptying of Glucose","volume":"85","author":"Brener","year":"1983","journal-title":"Gastroenterology"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1172\/JCI106100","article-title":"Effects of sodium concentration and osmolality on water and electrolyte absorption form the intact human colon","volume":"48","author":"Billich","year":"1969","journal-title":"J. Clin. Investig."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1152\/jappl.1991.71.3.871","article-title":"Fluid replacement and glucose infusion during exercise prevent cardiovascular drift","volume":"71","author":"Hamilton","year":"1991","journal-title":"J. Appl. Physiol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1080\/003655299750025697","article-title":"Are there changes in gastric emptying during the menstrual cycle?","volume":"34","year":"1999","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"8367","DOI":"10.1038\/s41598-019-44448-0","article-title":"Progesterone decreases gut permeability through upregulating occludin expression in primary human gut tissues and Caco-2 cells","volume":"9","author":"Zhou","year":"2019","journal-title":"Sci. Rep."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/s00421-020-04542-y","article-title":"Menstrual cycle effects on cardiovascular drift and maximal oxygen uptake during exercise heat stress","volume":"121","author":"Stone","year":"2021","journal-title":"Eur. J. Appl. Physiol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"100865","DOI":"10.1016\/j.mam.2020.100865","article-title":"Oral iron supplementation in iron-deficient women: How much and how often?","volume":"75","author":"Stoffel","year":"2020","journal-title":"Mol. Aspects Med."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/S0002-8223(01)00078-5","article-title":"Dietary reference intakes: Vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc","volume":"101","author":"Trumbo","year":"2001","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Davies, K.J.A., Maguire, J.J., and Brooks, G.A. (1982). Muscle mitochondrial bioenergetics, oxygen supply, and work capacity during dietary iron deficiency and repletion. Am. J. Physiol. Endocrinol. Metab., 5.","DOI":"10.1152\/ajpendo.1982.242.6.E418"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1414","DOI":"10.1249\/MSS.0000000000002252","article-title":"Impact of Menstrual Blood Loss and Oral Contraceptive Use on Oxygen-carrying Capacity","volume":"52","author":"Keller","year":"2020","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_62","unstructured":"Ross, A., Taylor, C., and Yaktine, A. (2011). Committee to Review Dietary Reference Intakes for Vitamin D and Calcium, National Academy Press."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1002\/jbmr.2432","article-title":"PTH signaling during exercise contributes to bone adaptation","volume":"30","author":"Gardinier","year":"2015","journal-title":"J. Bone Miner. Res."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1172\/JCI105117","article-title":"Bone Resorption in Tissue Culture. Factors Influencing the Response To Parathyroid Hormone","volume":"44","author":"Raisz","year":"1965","journal-title":"J. Clin. Investig."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/S8756-3282(97)00108-7","article-title":"Plasma levels of parathyroid hormone that induce anabolic effects in bone of ovariectomized rats can be achieved by stimulation of endogenous hormone secretion","volume":"21","author":"Fox","year":"1997","journal-title":"Bone"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1359\/jbmr.1999.14.4.609","article-title":"Changes in bone resorption during the menstrual cycle","volume":"14","author":"Chiu","year":"1999","journal-title":"J. Bone Miner. Res."},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Kuo, I.Y., and Ehrlich, B.E. (2015). Signaling in muscle contraction. Cold Spring Harb. Perspect. Biol., 7.","DOI":"10.1101\/cshperspect.a006023"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1085\/jgp.52.5.750","article-title":"The relationship between caffeine contracture of intact muscle and the effect of caffeine on reticulum","volume":"52","author":"Weber","year":"1968","journal-title":"J. Gen. Physiol."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1113\/jphysiol.1995.sp020883","article-title":"The effects of caffeine on intracellular calcium, force and the rate of relaxation of mouse skeletal muscle","volume":"487","author":"Allen","year":"1995","journal-title":"J. Physiol."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"2765","DOI":"10.1002\/cncr.24328","article-title":"Relationship between caffeine intake and plasma sex hormone concentrations in premenopausal and postmenopausal women","volume":"115","author":"Kotsopoulos","year":"2009","journal-title":"Cancer"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.bbalip.2004.12.014","article-title":"Gene expression profile of isolated rat adipocytes treated with anthocyanins","volume":"1733","author":"Tsuda","year":"2005","journal-title":"Biochim. Biophys. Acta Mol. Cell Biol. Lipids"},{"key":"ref_72","first-page":"739","article-title":"Mechanism of vascular smooth muscle relaxation by organic nitrates, nitrites, nitroprusside and nitric oxide: Evidence for the involvement of S-Nitrosothiols as active intermediates","volume":"218","author":"Ignarro","year":"1981","journal-title":"J. Pharmacol. Exp. Ther."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/0002-9343(78)90700-3","article-title":"Afterload reduction and cardiac performance","volume":"65","author":"Mason","year":"1978","journal-title":"Am. J. Med."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"3431","DOI":"10.1161\/01.CIR.92.12.3431","article-title":"Modulation of Endoethelium-Dependent Flow-Mediated Dilation of the BRachial Artery by Sex and Menstrual Cycle","volume":"92","author":"Hashimoto","year":"1995","journal-title":"Circulation"},{"key":"ref_75","doi-asserted-by":"crossref","unstructured":"Zhang, Z., Fulgoni, V.L., Kris-Etherton, P.M., and Mitmesser, S.H. (2018). Dietary intakes of EPA and DHA omega-3 fatty acids among US childbearing-age and pregnant women: An analysis of NHANES 2001\u20132014. Nutrients, 10.","DOI":"10.3390\/nu10040416"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1123\/ijsnem.2013-0081","article-title":"Fish oil supplementation reduces markers of oxidative stress but not muscle soreness after eccentric exercise","volume":"24","author":"Gray","year":"2014","journal-title":"Int. J. Sport Nutr. Exerc. Metab."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1023\/A:1012395831685","article-title":"Influence of Estrogen on Markers of Muscle Tissue Damage Following Eccentric Exercise","volume":"27","author":"Carter","year":"2001","journal-title":"Hum. Physiol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/12\/6294\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:12:57Z","timestamp":1760163177000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/12\/6294"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,10]]},"references-count":77,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,6]]}},"alternative-id":["ijerph18126294"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18126294","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,10]]}}}