Influence of Oral Contraceptive Use on Adaptations to Resistance Training
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Introduction: The majority of young women use oral contraceptives (OCs). Use of OCs has been associated with lower myofibrillar protein and tendon collagen synthesis rates, but it is unknown whether OCs will limit the adaptive response of myotendinous tissue to resistance training. Design and Methods: Fourteen healthy untrained young regular OC users (24±1 yrs, fat% 32±1, 35±2 mlO2·min-1·kg-1) and 14 NOC users (non-OC, controls) (24±1 yrs, fat% 32±2, 34±2 mlO2·min-1·kg-1) performed a 10-week supervised progressive resistance lower extremity training program. Before and after the intervention biopsies from the vastus lateralis muscle and the patellar tendon were obtained. Muscle (quadriceps) and tendon cross-sectional area (CSA) was determined by MRI scans, and muscle fiber CSA was determined by histochemistry. Maximal isometric muscle strength was assessed by dynamometry while 1 repetition of maximum (RM) was determined during knee extension. Results: Training enhanced CSA in both muscle (p<0.001) and tendon (p<0.01). A trend towards a greater increase in muscle CSA was observed for OC (11%) compared to NOC (8%)(interaction p=0.06). Analysis of mean muscle fiber type CSA showed a trend towards an increase in type II muscle fiber area in both groups (p=0.11, interaction p=0.98), whereas type I muscle fiber CSA increased in the OC group (n=9, 3821±197 to 4490±313 mm2, p<0.05), but not in NOC (n=7, 4020±348 to 3777±354 mm2, p=0.40)(interaction p<0.05). Post hoc analyses indicated that the effect of OCs on muscle mass increase was induced by the OC-users (n=7), who used OCs containing 30 µg ethinyl estradiol (EE), whereas the response in users taking OCs with 20 µg ethinyl estradiolEE (n=7) did not differ from NOC. Both the OC and NOC group experienced an increase in maximal isometric strength (p<0.001) and 1RM leg extension (p<0.001) after the training period with no difference between groups. Conclusion: Use of OCs during a 10-week supervised progressive resistance training program was associated with a tendency towards a greater increase in muscle mass and a significantly greater increase in type I muscle fiber area compared to controls. Yet, use of OCs did not influence the overall increase in muscle strength related to training.
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Low androgenic activity progestins impair myofibrillar protein fractional synthesis rate at rest and 24 h post-endurance exercise compared to rates observed during the follicular phase of eumenorrheic women, but have no effect on myofibrillar protein breakdown.
“recent data have shown that low androgenic activity progestins impairs myofibrillar protein FSR at rest and 24 h post-endurance exercise as compared to rates observed during the follicular phase of eumenorrheic women, but they have no effect on myofibrillar protein breakdown [226].”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [226]
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International society of sports nutrition position stand: nutritional concerns of the female athlete
Sims, S. T., Kerksick, C. M., Smith-Ryan, A. E., Janse de Jonge, X. A. K., Hirsch, K. R., Arent, S. M., Hewlings, S. J., Kleiner, S. M., Bustillo, E., Tartar, J. L., et al. (2023) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2023.2204066 · Cited by 91 · see citing works
“This study highlights that the dosage provided by ethinyl estradiol may also be a key variable to consider relative to the skeletal muscle adaptations that are observed [227].”
BackgroundEstablishing Reference Values for Isometric Knee Extension and Flexion Strength
Šarabon, N., Kozinc, Ž., & Perman, M. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.767941 · Cited by 72 · see citing works
Hunter, S. K., Angadi, S. S., Bhargava, A., Harper, J., Hirschberg, A. L., Levine, B. D., Moreau, K. L., Nokoff, N. J., Stachenfeld, N. S., & Bermon, S. (2023) · Translational Journal of the American College of Sports Medicine · doi:10.1249/tjx.0000000000000236 · Cited by 43 · see citing works
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Lanng, S. K., Oxfeldt, M., Pedersen, S. S., Johansen, F. T., Risikesan, J., Lejel, T., Bertram, H. C., & Hansen, M. (2022) · European Journal of Nutrition · doi:10.1007/s00394-022-03071-y · Cited by 29 · see citing works
Self-citationOxfeldt, M., Dalgaard, L. B., Jørgensen, E. B., Johansen, F. T., Dalgaard, E. B., Ørtenblad, N., & Hansen, M. (2020) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00562.2020 · Cited by 28 · see citing works
Self-citationOral Contraceptive Use Impairs Muscle Gains in Young Women
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Sung, E.-S., Han, A., Hinrichs, T., Vorgerd, M., & Platen, P. (2022) · BMC Women s Health · doi:10.1186/s12905-022-01740-y · Cited by 30 · see citing works
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Sawan, S. A., Hodson, N. W., Malowany, J. M., West, D. W. D., Tinline‐Goodfellow, C. T., Brook, M. S., Smith, K., Atherton, P. J., Kumbhare, D. A., & Moore, D. R. (2022) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002878 · Cited by 23 · see citing works
Dalgaard, L. B., Jørgensen, E. B., Oxfeldt, M., Dalgaard, E. B., Johansen, F. T., Karlsson, M., Ringgaard, S., & Hansen, M. (2020) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000003735 · Cited by 22 · see citing works
Self-citationProtein Requirements of Pre-Menopausal Female Athletes: Systematic Literature Review
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Karayigit, R., Forbes, S., Naderi, A., Candow, D., Yildirim, U., Akca, F., Aras, D., Yasli, B., Sisman, A., Mor, A., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18073463 · Cited by 15 · see citing works
Sex Hormones and Satellite Cell Regulation in Women
Oxfeldt, M., Dalgaard, L. B., Farup, J., & Hansen, M. (2022) · Translational Sports Medicine · doi:10.1155/2022/9065923 · Cited by 16 · see citing works
Self-citationActive Women Across the Lifespan: Nutritional Ingredients to Support Health and Wellness
Smith‐Ryan, A. E., Cabre, H. E., & Moore, S. R. (2022) · Sports Medicine · doi:10.1007/s40279-022-01755-3 · Cited by 17 · see citing works
Strength and Conditioning Recommendations for Female Athletes: The Gaelic Footballer
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Mckee, J. R., Girard, O., Peiffer, J. J., Hiscock, D. J., Marco, K. D., & Scott, B. R. (2023) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2023-0321 · Cited by 15 · see citing works
Plotkin, D. L., Rodas, M. A., Vigotsky, A. D., McIntosh, M. C., Breeze, E., Ubrik, R., Robitzsch, C., Agyin-Birikorang, A., Mattingly, M. L., Michel, J. M., et al. (2023) · Frontiers in Physiology · doi:10.3389/fphys.2023.1279170 · Cited by 14 · see citing works
Flood, T. R., Clausen, E., Kuikman, M. A., Smith, E. S., McKay, A. K. A., Burke, L. M., & Elliott-Sale, K. J. (2024) · Journal of Sports Sciences · doi:10.1080/02640414.2024.2368762 · Cited by 14 · see citing works
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Dam, T. V., Dalgaard, L. B., Johansen, F. T., Bengtsen, M. B., Mose, M., Lauritsen, K. M., Gravholt, C. H., & Hansen, M. (2022) · European Journal of Applied Physiology · doi:10.1007/s00421-022-05093-0 · Cited by 12 · see citing works
Self-citationBecoming a World Champion Powerlifter at 71 Years of Age: It Is Never Too Late to Start Exercising
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Menstrual Cycle Phase-Based Strength and Conditioning Training for Elite Team Sport Female Athletes
Moore, S. R., Bruinvels, G., & Smith‐Ryan, A. E. (2024) · Strength and conditioning journal · doi:10.1519/ssc.0000000000000879 · Cited by 9 · see citing works
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Effect of Oral Contraceptive Use on Muscle Hypertrophy Following Strength Training
Engstad, M. K., Seynnes, O., Vesterhus, I., Hesseberg, E., Fjeldberg, K., Carlsen, M. H., Ottestad, I. O., Hansen, M., Nordez, A., Lacourpaille, L., et al. (2025) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.70052 · Cited by 8 · see citing works
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Oral Contraception Use and Musculotendinous Injury in Young Female Patients: A Database Study
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Patellar tendon adaptations to resistance training in young women using combined oral contraceptives
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Self-citationWhere sports performance meets reproductive rights: hormonal contraception
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Muscular Hypertrophic Effects of Oral Contraceptive Consumption in Women
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Menstrual Cycle Phase-Based Interval Training Yields Distinct Muscle Changes in Female AthletesPreprint
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The Effects of Oral Contraceptives on Muscle Hypertrophy
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- Authors
- Dalgaard, L. B., Dalgas, U., Andersen, J. L., Rossen, N. B., Møller, A. B., Stødkilde-Jørgensen, H., Jørgensen, J. O., Kovanen, V., Couppé, C., Langberg, H., Kjær, M., & Hansen, M.
- Affiliations
- Aarhus University (DK)
- University of Copenhagen (DK)
- Aarhus University Hospital (DK)
- University of Jyväskylä (FI)
- Corresponding author
- Hansen, Mette
- ORCID
- Venue
- Frontiers in Physiology
- Publisher
- Frontiers Media SA
- Published
- 2019-07-02
- Volume
- 10
- Pages
- 824-824
- ISSN
- 1664-042X (ISSN-L)
- PMC
- PMC6614284
- OpenAlex
- W2954407053
- Cited by
- 58
- References
- 82
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 8 · 2023: 16 · 2022: 9 · 2021: 7 · 2020: 5 · 2019: 1
- FWCI
- 5.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Physiology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
- Jyväskylä University Digital Archive (University of Jyväskylä) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fonden til Lægevidenskabens Fremme
- Steno Diabetes Center Aarhus
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- oral contraceptives, resistance training, muscle hypertrophy, patellar tendon, tendon cross-sectional area, muscle fiber type, maximal isometric strength, young women, quadriceps, knee extension, training effects, sex hormones
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