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Can Technology Support Women’s Health?

  • June 1, 2024
  • Preparation & Recovery
AthletesEducators

Laura Lewis headshot.Should you be tracking your period with an app or trusting a wearable to let you know when it’s about to start? Technology in sport has come a long way, and recently, great strides have been made in the women’s health and technology space. But what does it mean for athletes?

Dr. Laura Lewis is the Director of Science at the U.S. Anti-Doping Agency (USADA) and has worked with athletes tracking a variety of metrics for the last two decades. While she primarily focused on power on the bicycle and altitude training for athletes, she’s watched the developing field of wearables and apps designed to monitor athletes’ health and fitness with great interest. For young women, there are many apps and wearables available now that make it easy to understand and track your menstrual cycle, which can offer important information about your health and athletic performance. Here’s what we know.

 

What can wearables and apps track for women?

While apps and wearables initially started tracking women’s menstrual cycles in order to help women hoping to become pregnant, they’ve begun to focus on other elements of women’s cycles as well. Now, apps and wearables serve as more holistic cycle trackers, designed to help any woman better understand the phase of the menstrual cycle that she’s currently in.

Most smartwatches and apps rely on your input in order to track your cycle, says Lewis. Some simply have you input information about how you’re feeling and when your period starts and ends. Others will ask you to track your temperature as well, for a more nuanced view of where you are in your cycle. Some more expensive wearables and external patches will track and log body temperature and use your input about when your period starts to confirm where you are in your cycle.

 

Why does tracking your cycle matter?

Tracking your cycle as an athlete can give you a better understanding of your body and how different phases of your menstrual cycle affect you physically, mentally, and emotionally. You may find that midway through your cycle is when you have your best performances once you start tracking your period and making notes about how your training and competitions are going. It might also help you spot patterns like a lack of motivation right before your period, says Lewis.

Woman looking at calendar tracking app on phone on yoga mat.A tracker won’t be able to change how your period makes you feel, but it may help get you through your workout if you know your bad mood is based on hormonal fluctuations rather than your athletic abilities. It also might help you realize that you need an extra rest day or easy day in the week before your period in order to perform at your best, says Lewis.

It can also be useful simply because you’ll become more aware of when your period is projected to start each month. This makes it easier to be prepared with a stocked gym bag or other precautions.

A cycle tracker app or wearable can also help flag health concerns. If your periods have been regular and suddenly, you start skipping them more often or the time between them becomes longer, that could be an early warning sign of Relative Energy Deficiency in Sport (REDs) or other health conditions, says Lewis. Having that information to share with your doctor can be helpful in getting a diagnosis and quickly catching problems with underfueling and overtraining.

 

Are there any disadvantages to tracking your cycle on an app or with a wearable?

Tracking your cycle with a wearable can offer interesting information, and it can help flag potential problems to bring up with your doctor. But it is important to remember that race days and big championship games can happen anytime in your cycle, says Lewis. So, while this information may be helpful in training, try not to let it affect how you feel on competition day.

In general, tracking your period and understanding your menstrual cycle is a positive thing and a good way to stay in tune with your body. However, tracking any health metric can lead to increased stress and anxiety if you get too focused on it.

It’s also important to note that if you only got your period within the last couple of years, your cycle may not be standardized yet. Irregular periods are common. Skipping a period or a late period may not be cause for concern, but a wearable or period tracker may make it seem like a major problem, and that can cause a lot of stress!

Finally, it’s important to remember that third-party apps do have privacy concerns, and not all period tracking apps are created equal. Because reproductive health is unfortunately highly politicized, it’s important to at least be aware that your data may be shared if you’re using an app that has your information stored in it. If you prefer to keep your data private, consider simply using an emoji-based note system on your digital or physical calendar to track when you have your period, or keep the dates in a physical or digital note.

_______________________

Takeaway

You can use an app or wearable to track your period, but don’t let your menstrual cycle define what you can or cannot do in competition. Knowing when your period is coming can be helpful from a practical standpoint,  it can inform your training, and it can also help you stay alert for early warning signs of REDs. But be cautious about what tracking apps you’re using, and always talk to your doctor if you have a concern about your menstrual cycle or general health.

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Goal-Setting Lesson Video Transcript

Hi. I’m Trevon, Trey, Jennifer. Team USA wheelchair basketball player, paralympian, and true sport athlete. Today, I want to talk to you about goal setting. And there are three things that I would like you to know. First, successful athletes set goals and a planned roadmap. Second, goals should be written down, assessed over time, and changed if necessary. And third, goals need to be challenging in order to be worthwhile. As a freshmen at Edinboro University, I was a part of a team that made the national championship game. And at that time I recognized I was the low man on the totem pole, but I felt in my heart that I knew my dreams were so much bigger than winning a national title. I wanted to make Team USA. I knew what achieving my lofty goal was not going to be easy and that I would need to work hard every day.

So, as a reminder, I created a pyramid of goals that I kept right above my bed. This pyramid reminded me of the accomplishments that I was working towards and visually represented my need to create a solid foundation underneath me before reaching the top. In the bottom roll of my pyramid of goals I listed goals such as obtaining my bachelor’s degree, becoming a scholar athlete award recipient, and becoming an All-American. The middle row listed winning a national title and playing for a professional team. And at the top row, the most challenging of them all, I listed becoming a gold medalist for Team USA.

By understanding that there are smaller stepping stones to achieving my ultimate goal of being on Team USA, I was able to stay motivated and to stay focused on completing the smaller stepping stones fully before moving onto the next one. Now I’ll be the first to admit that not every goal that I listed on my pyramid was accomplished, but seeing my goals every day when I went to bed, I was able to push through the days that I felt like doing nothing in hopes of achieving the bigger picture. Remember, create a clear goal roadmap, assess your goals often, and continue to challenge yourself. I hope that you never stopped dreaming big or reaching for the stars. And I look forward to seeing where your roadmap takes you.

Body Image Lesson Video Transcript

Hi, I’m Kara Winger, Olympic javelin thrower, and true sport athlete. Today I want to talk to you about body image and I have three things I’d like you to know. First, healthy thoughts often lead to healthier bodies. Second, there are varying body types and no one’s body is exactly like another. And third, true beauty goes deeper than the skin. As a multi-time Olympian, I’ve experienced a lot of variation and progression in my training. My coaches and I adapt to my training frequently, all with the goal of supporting my long-term success and health in the sport of javelin. I’m talking to you about body image today because sometimes even with the best of intentions and a common goal in mind, the changes you make to your training habits can prove to be detrimental if made for the wrong reasons. In the lead up to the 2012 Olympic trials, I was told in order to improve my performance on the field, I should try to become a leaner, skinnier version of myself.

So I changed my diet. I went along with what I was being told to do, even though I’d had great success at a slightly heavier weight and higher body fat percentage, and became much leaner than ever before. It seemed like a successful change at first, but I didn’t have nearly the results I’d had before. And I believe becoming leaner than my body naturally wanted to be was what caused my ACL to tear. In the end, it cost me heavily going into the 2012 London games. The takeaway for me, and hopefully for you, is that it’s important to know what works for you and your body and to not compare yourself to others. You should do your research and experiment with your diet to find what makes you feel the best, rather than focusing on what you look like. Today, if I feel like having a chocolate chip cookie, I have one, just not every day.

I’ve learned what a properly balanced meal for my body looks like and I recognize food as the fuel that keeps me throwing. I hydrate and allow myself time to recover. And I listen to and communicate with my body so that I can be the best version of myself. In the end, you are in control of how you see, treat, and respond to your body. We only get one and it’s amazing to discover how many things our bodies can do. Be a true sport athlete. Love who you are in this moment and get excited for all the places your body will take you.

A Good Sport Lesson Video Transcript

Hi, I’m Izy Isaksen, Team USA, Modern Pentathlon, Olympian, US Army Sergeant, and True Sport Ambassador. Today, I want to talk to you about being a good sport. There are three things I’d like you to know. First, real winners act the same toward their opponent, whether they win or lose. Second, follow the rules and be a gracious winner and respectful loser. And third, sportsmanship reveals your true character.

I started competing in Modern Pentathlon eight years after my older sister and three-time Olympian, Margaux Isaksen, began competing. I soon realized that people often compared the two of us. I would overhear spectators and teammates asking, “Who’s the better athlete,” and “Who’s going to beat the other.” Instead of letting outside pressures create a negative experience for us, I chose to practice winning and losing with grace and respect. I know that it would have been easy to let our hyper competitive mindset affect our relationship, but instead we decided to support and cheer for each other, regardless of our own performance. My experience of competing against and being compared to my older sister, taught me to focus on how to perform at my best, rather than putting wasted energy into wishing for others to fail.

I believe that sportsmanship reveals true character. So, no matter what situation I encounter during competition, I know it’s important to always treat people with respect and be a good sport. Remember, be a fierce competitor, find grace in all your victories and losses. And I hope to see you out there.

What Kind of Coach Do You Want to Be? Video Transcript

Edwin Moses: You’re a coach. Maybe what you want is very simple, for everyone to just run in the right direction, score for their own team, to try and try again and again. Maybe you want your athletes to become all stars. You want them to earn trophies, medals, win titles. You want them to reach the highest height their sport allows. And wanting all of that, of course, that’s good. But as every great coach discovers, developing a great athlete means nurturing, nurturing the even greater person within. Truth is, you have even more influence than you know.

You have the ability to affect even deeper change, to take what’s in your hands and do something even more extraordinary. You can be both the coach who provides the skills needed to win the game and the coach who helps them learn and succeed beyond the sport, to become all stars wherever they land in the future, and to enjoy their lives more now, because the confidence and courage they find working with you will stay with them when they need it the most. There are games to be won, lives to change. Coaches have the power to do both.

I’m Edwin Moses, and the lessons I’ve learned through sport have challenged me, guided me, and shaped my life forever. What kind of coach do you want to be?

THE SIMPLE TRUTH: DECODING THE SUPPLEMENT INDUSTRY VIDEO TRANSCRIPT

At first glance, dietary supplements look the same. They seem safe and healthy, but just because the label says a product is a dietary supplement, that doesn’t mean it’s safe. Unfortunately, you can’t tell whether a product is safe or not just by looking at the label. Most vitamins, minerals, fish oil, and other supplements containing nutrients are probably just fine, but supplements are not evaluated or approved by FDA before they are sold. Although it is rare for vitamins or minerals to be contaminated with drugs, there has been at least one case of a vitamin containing an anabolic steroid.

At the other extreme are products that contain drugs, stimulants, anabolic steroids, or other hormones. Even though these are not technically dietary supplements, many of them are labeled as supplements. For example, body-building products sometimes contain anabolic steroids or Selective Androgen Receptor Modulators, known as SARMs, or other hormones. Some pre-workout or energy products contain illegal stimulants like DMAA, ephedra, or other amphetamine-like stimulants. Weight loss products might contain prescription drugs like sibutramine, or hormones, like human chorionic gonadotropin, also known as hCG. All natural or herbal sexual enhancement products might contain hormones or Viagra-like drugs. Products like these can harm your health and career, but they’re for sale online, in some nutrition stores, and they’re labeled as dietary supplements.

When you pick up a supplement, especially one that promises performance enhancement, you don’t know if it belongs in the “Mostly O.K.” pile or in the “Dangerous” pile. After all, two products might look the same, but one might contain just amino acids and other legitimate ingredients, while the other also contains anabolic steroids. Because of this, FDA has issued a warning about certain categories of supplements: body building products, weight loss products, and sexual enhancement products. Be extremely careful when considering a supplement in one of these categories. We strongly recommend that you avoid products in these categories.

Even when FDA tests supplements and finds dangerous ingredients, companies sometimes refuse to recall them. Sometimes, they simply repackage their product and continue selling it under a new name. Just because a product is on a store shelf doesn’t mean it is safe. You need to do your research and be an informed consumer. The dietary supplement industry is enormous. Supplements that appear to be safe could actually be dangerous products in disguise. If you use dietary supplements without doing your research, you may be taking serious risks with your health and your career. Please visit USADA’s Supplement 411 for more information about dietary supplements.