Latest / 20-Minute Health Talk / ACL tears and the menstrual cycle: Is there a connection?
Transcript
- 0:02Dr. Amy West: Thinking about, you know,
- 0:03things like ACL injuries. Right?
- 0:05When I started med school,
- 0:06people started saying,
- 0:07like women are getting
- 0:08these more often.
- 0:09That's weird. Like, what?
- 0:11What is it?
- 0:17There's a few anatomical
- 0:19reasons, maybe, but to me,
- 0:20in the back of my mind,
- 0:21I always said,
- 0:21is there something
- 0:22hormonal here?
- 0:25That's doctor Amy west,
- 0:26who has carried that question
- 0:28for many years from her
- 0:31college sports career.
- 0:33You know, I played basketball,
- 0:33played soccer,
- 0:34I played all the sports that
- 0:35you're likely to have
- 0:35that happen to you.
- 0:36Sandra Lindsay (Host): To her current position as
- 0:39a physical medicine and
- 0:41rehabilitation doctor
- 0:42at Northwell Health.
- 0:44Dr. Amy West: I essentially treat sports
- 0:46injuries and aches and pains
- 0:48people of all ages, athletes,
- 0:49non athletes.
- 0:51Sandra Lindsay (Host): She also specializes in
- 0:53conditions affecting
- 0:54female athletes,
- 0:56a population that she notes
- 0:58has been almost completely
- 1:00overlooked in medical research.
- 1:03Dr. Amy West: As a physician,
- 1:04it's very difficult to practice
- 1:06evidence based medicine when
- 1:07there's no evidence to
- 1:08base the medicine on.
- 1:17Sandra Lindsay (Host): Hello,
- 1:17and welcome to 20 minutes health
- 1:19talk. I'm Sandra Lindsay.
- 1:22On today's episode,
- 1:23we'll dive into the world of
- 1:25women's sports research
- 1:27with doctor Amy west,
- 1:29who is leading a pivotal study
- 1:32that asks the question,
- 1:34what impact, if any,
- 1:36does the menstrual cycle have
- 1:38uncertain injuries in
- 1:40female athletes?
- 1:50This is part two of our series
- 1:52focusing on women's health.
- 1:55All year long,
- 1:56we'll be covering topics
- 1:58affecting women,
- 1:59from issues around ovarian
- 2:01and lung cancer,
- 2:03to federal funding for women's
- 2:05health research,
- 2:06to the lack of gender
- 2:08specific studies,
- 2:09which we covered in episode one.
- 2:12Sadly,
- 2:12this issue is still so pervasive
- 2:14today that we have more
- 2:16ground to cover.
- 2:26Only 6% of all strength and
- 2:29conditioning research
- 2:31is based on women,
- 2:33and less than 34% of all sports
- 2:36medicine journals have ever
- 2:38published the results of studies
- 2:40that included women.
- 2:42Dr. Amy West: That's just a pretty abysmal
- 2:44number in general.
- 2:45But then you look at that.
- 2:47Even the studies that
- 2:48do include women,
- 2:49roughly a third of those studies
- 2:52actually will publish their data
- 2:54stratified by male and
- 2:55female categories.
- 2:56So even the studies that are
- 2:58including women aren't really
- 2:59parsing out the data such that
- 3:01we can digest it into male
- 3:03and female pieces.
- 3:05Sandra Lindsay (Host): And the deeper you dig into
- 3:08these stats, the worse it gets.
- 3:11Dr. Amy West: Less than a half a percent of
- 3:13research in this field is
- 3:15focused on problems that
- 3:17exclusively affect women.
- 3:20So even if we are
- 3:21studying women,
- 3:22we're looking at a problem
- 3:22that's not necessarily
- 3:23exclusively female.
- 3:24Sandra Lindsay (Host): So why are all these research
- 3:27studies on sports performance
- 3:29excluding women?
- 3:30Doctor west summed
- 3:32it up in three.
- 3:34The menstrual cycle.
- 3:36Dr. Amy West: A lot of times with research
- 3:37in general,
- 3:38women are sort of left out
- 3:39because it's like, oh,
- 3:40they're complicated to study
- 3:41because they have these hormonal
- 3:43changes and stuff,
- 3:43and we don't want to deal with
- 3:44that. It'll confound the data.
- 3:45So they're like, left out.
- 3:46Sandra Lindsay (Host): We asked doctor west how this
- 3:49disparity impacts female
- 3:51athletes like herself.
- 3:54Dr. Amy West: It was always really scary
- 3:55to me that, a,
- 3:56as women were more
- 3:57likely to get it.
- 3:58Sandra Lindsay (Host): Here she's referring to an
- 4:00injury to the anterior
- 4:02cruciate ligament,
- 4:04better known as the ACL,
- 4:06which is one of the four
- 4:07ligaments that connects your
- 4:09thigh and shin bones.
- 4:11Dr. Amy West: But b,
- 4:11that it didn't seem like there
- 4:12was much we could do about it.
- 4:13And I was like,
- 4:14I didn't like the idea
- 4:15of being like,
- 4:15the sitting doc for injury.
- 4:17I was like, oh, my God, what?
- 4:18This can happen at any moment
- 4:20and just end my career,
- 4:20and what can I do about it?
- 4:22So I was like,
- 4:23maybe I could look into studying
- 4:25that and looking into that.
- 4:26Sandra Lindsay (Host): Doctor west recalls many of her
- 4:29teammates in high school and
- 4:31college going down to the
- 4:33devastating injury,
- 4:35which can take up to a
- 4:36year to recover from.
- 4:38It typically happens as
- 4:39a result of jumping,
- 4:41a change in direction,
- 4:43or sudden stops.
- 4:44All movements common in
- 4:46sports like soccer,
- 4:48basketball and football,
- 4:50to name a few.
- 4:51Dr. Amy West: One of the greatest female
- 4:53basketball players of all time,
- 4:54her name is Cheryl Miller,
- 4:55Reggie Miller's sister.
- 4:57So she was playing in, like,
- 4:58the eighties,
- 4:59and she ended up an ACL injury,
- 5:01ended her career.
- 5:02So in that time period,
- 5:03you know,
- 5:04an injury like that
- 5:05ended your career.
- 5:06You did not come back from that.
- 5:07And, you know,
- 5:08what could have been in
- 5:08that situation, right?
- 5:09At least now we're seeing, like,
- 5:11those injuries.
- 5:11Women are back a year later
- 5:12playing, you know,
- 5:14same thing with, like,
- 5:14pregnancy that used to take.
- 5:16That was,
- 5:16that was the end of your career.
- 5:17And now we're seeing women
- 5:18postpartum break records,
- 5:19you know, so there's a lot of.
- 5:21There are a lot of things that,
- 5:22you know,
- 5:23the advances in medicine as such
- 5:24that have really benefited
- 5:25women. So that's great.
- 5:27So now we need to look into,
- 5:28okay, how do we prevent,
- 5:29you know,
- 5:29these injuries from happening
- 5:30and how do we optimize training
- 5:32and recovery if there is one?
- 5:34Sandra Lindsay (Host): As Doctor west noted at
- 5:36the top of the show,
- 5:38there is currently very
- 5:39little data to go on.
- 5:41But heres what we do know.
- 5:43Women are three to six times
- 5:47more likely than men
- 5:48to tear their ACL.
- 5:50Doctor west explained that there
- 5:53are many factors that
- 5:55play into this.
- 5:56Some well established and others
- 5:59light the menstrual cycle in
- 6:02need of greater focus.
- 6:03Dr. Amy West: Our acls are physically smaller
- 6:06just in general.
- 6:08So that also makes them prone to
- 6:10rupturing potentially as
- 6:12far as training goes.
- 6:13So a lot of times a lot of
- 6:15out of the injuries that we ACL.
- 6:17Injuries that we see in women
- 6:18are non contact injuries
- 6:20And many,
- 6:22many times it's related to
- 6:23cutting or twisting,
- 6:25jumping on the knee.
- 6:26And in general women tend to
- 6:27land in a more valgus position,
- 6:29meaning they're more knock kneed
- 6:31when they jump and land.
- 6:32And part of that has to do
- 6:34with gluteal strength,
- 6:35part of that has to do with,
- 6:36you know,
- 6:37are women really training
- 6:39how to do that?
- 6:40Sandra Lindsay (Host): This, doctor west tells us,
- 6:42is a major focus in our clinic.
- 6:44Dr. Amy West: I spend a lot of time in my
- 6:45clinic talking about butts and
- 6:47what I mean by that is that your
- 6:49glute muscles. Are actually,
- 6:50especially in women,
- 6:51are very important in preventing
- 6:53injury in many respects.
- 6:55In your back, your hips,
- 6:56your knees because essentially
- 6:58your glute muscles stabilize
- 7:00your hips, the major joints,
- 7:02including your back.
- 7:04Part of the treatment of
- 7:05rehabilitation for those
- 7:06injuries is training that.
- 7:07But then to prevent injury from
- 7:09coming back is just to
- 7:10strengthen those and stabilize
- 7:12those and maintain
- 7:12that strength.
- 7:13So I think in recent years,
- 7:14that's something that's changed
- 7:16as far as building the
- 7:17strength kind of,
- 7:18and around the glutes and the
- 7:19hips but also teaching girls how
- 7:22to land. Cause in general,
- 7:24boys tend to do that
- 7:26a little better.
- 7:27They just do that naturally
- 7:28better.
- 7:29And women don't necessarily.
- 7:31So can we train that or can we
- 7:34call attention to that so such
- 7:35that girls are aware?
- 7:36So that's another piece of it as
- 7:38far as the training piece is
- 7:39that sometimes we haven't been
- 7:42necessarily trained
- 7:43in the same ways.
- 7:44Sandra Lindsay (Host): Now,
- 7:45you may be asking yourself why.
- 7:48Sadly,
- 7:49the answer is anything
- 7:51but scientific.
- 7:52Dr. Amy West: Well, you know,
- 7:53we talk about like ACL injuries
- 7:54and stuff like that,
- 7:54and it was sort of like,
- 7:55in general,
- 7:56it was like women's sports.
- 7:57Who cares, right?
- 7:58And I think maybe now we're
- 8:01starting to see some
- 8:01of that tide turn,
- 8:02like the Caitlin Clark
- 8:03phenomenon and all that going
- 8:05on. People are, oh, like,
- 8:06these women can actually play.
- 8:07And it's like, yeah, you know,
- 8:09we've known that.
- 8:10I'm a big fan of crossfit and
- 8:11have done that for many years.
- 8:12And seeing women celebrated for
- 8:14how much weight they lift
- 8:15and things like that,
- 8:18I think that's a really great
- 8:20role for sports to play in the
- 8:21public eye as well is showing,
- 8:23hey,
- 8:23these women are appreciated
- 8:24for things they do,
- 8:25not just because they're tiny.
- 8:28Sandra Lindsay (Host): Still worse than the apathy
- 8:30towards women's sports is the
- 8:33obsession with women's
- 8:34appearance rather than
- 8:37their performance.
- 8:38Dr. Amy West: For many years,
- 8:39strength training was sort of,
- 8:40for women,
- 8:41was seen as something like not
- 8:42to do because it can make you
- 8:44bulky and scary and big,
- 8:45which a is not true.
- 8:48It's like saying you don't
- 8:49want to, like,
- 8:50drive a car because you're
- 8:50afraid you're going to become a
- 8:51NASCAR racer or something
- 8:53like that.
- 8:54You don't get to that level
- 8:55without really training and
- 8:57very specific means.
- 8:59But also,
- 9:00instead of worrying
- 9:01about being bulky,
- 9:02the concern really should
- 9:03be about being weak.
- 9:05And that's a much
- 9:05bigger problem.
- 9:06And it's a much more
- 9:07common problem.
- 9:08They get fractures
- 9:08from small falls.
- 9:10Theyre having trouble getting
- 9:12their groceries in and
- 9:13out of the car,
- 9:14going up the stairs
- 9:15is a problem.
- 9:15So strength training can
- 9:17help with all that.
- 9:17I would really not worry about
- 9:19that aesthetic piece.
- 9:20Sandra Lindsay (Host): Not only can build in muscle
- 9:22mass in these target areas
- 9:25help prevent injury,
- 9:27as doctor west explained
- 9:29earlier,
- 9:29it's a predictor of longevity
- 9:32and overall health.
- 9:33Dr. Amy West: Low muscle mass
- 9:35is sort of indicative of many
- 9:39other health problems also
- 9:42physical immobility,
- 9:44something called sarcopenia.
- 9:45As we age it also helps build
- 9:48bone density as we age as
- 9:50estrogen levels decline,
- 9:51bone density makes more prone to
- 9:54osteoporosis and things
- 9:55like that.
- 9:55So the best way to prevent that
- 9:57is to. By building muscle mass.
- 10:00And also, you know,
- 10:01the stronger you are,
- 10:02the more able you are to do
- 10:04things independently
- 10:05as you get older,
- 10:06which is obviously important.
- 10:07Sandra Lindsay (Host): By now,
- 10:08we see a grim picture form in
- 10:11women may feel societal
- 10:12pressures that prevent
- 10:14them from.
- 10:14From training in a way that
- 10:16could protect them from injury.
- 10:18But even if they do train,
- 10:21it's not clear what
- 10:22type works best,
- 10:24given the lack of research
- 10:26on female athletes.
- 10:28Doctor west explains,
- 10:30the main issue is.
- 10:31Dr. Amy West: That
- 10:31because men and women
- 10:33are different,
- 10:35we can't necessarily apply the
- 10:36same. Rules across the board.
- 10:38So when you see a study result.
- 10:40It'S hard to say that this is
- 10:42something that would apply to
- 10:44the patients that you see.
- 10:45In my case
- 10:48does it apply. To women,
- 10:49but also does it apply to a
- 10:51woman who's 14, a woman.
- 10:52Who'S 35, a woman who's 65?
- 10:54Those are very different people
- 10:57very different hormonal
- 10:58situations.
- 10:59So it's hard to say when.
- 11:02We do have the data,
- 11:04how does.
- 11:05This apply in real life?
- 11:11Sandra Lindsay (Host): This brings us back to doctor
- 11:13West's long held curiosity about
- 11:16female hormones and sports
- 11:18injury prevention.
- 11:19Dr. Amy West: The menstrual cycle is basically
- 11:21like two phases.
- 11:22The first 14 days is the
- 11:24follicular phase, essentially.
- 11:26That's another more estrogen
- 11:27dominant part of the cycle.
- 11:29Sandra Lindsay (Host): During this phase,
- 11:31your hormone levels are low,
- 11:33which helps your body handle
- 11:35more intense workouts.
- 11:37You can also build more muscle
- 11:40and even perform at a higher
- 11:42level, doctor west tells us.
- 11:44Dr. Amy West: And then the luteal phase is a.
- 11:46More progesterone dominant
- 11:48part of the cycle.
- 11:49Sandra Lindsay (Host): Here,
- 11:50your estrogen and progesterone
- 11:52levels rise,
- 11:54which has a few consequences.
- 11:56First,
- 11:57your body can't handle
- 11:59as much strain.
- 12:00You're also not storing as much
- 12:02energy from the food you eat
- 12:05because your body isn't using
- 12:07carbohydrates as effectively.
- 12:09During this phase,
- 12:11doctor west advises increasing
- 12:13your carb intake and focusing
- 12:16more on recovery.
- 12:18Dr. Amy West: When we look at these two things
- 12:20we have to then say, well,
- 12:23how does training certain
- 12:25types of exercises,
- 12:26how does that affect
- 12:27your body when.
- 12:29Your body's more primed for
- 12:30stress versus when it's not,
- 12:32as it cannot take.
- 12:33On stress as easily.
- 12:34Sandra Lindsay (Host): Doctor west tells us there are
- 12:36two theories about this as it
- 12:38relates to ACl injuries.
- 12:41Dr. Amy West: Estrogen peaks right before
- 12:42ovulation, which is.
- 12:43Like roughly around day 14.
- 12:45So just before that,
- 12:47it has been documented that
- 12:48that's when ACL injuries are
- 12:49more likely to occur.
- 12:51Estrogen makes ligaments
- 12:52more lax, essentially,
- 12:54the ligaments get looser and
- 12:55therefore they're more likely to
- 12:56tear. And that's one thought.
- 12:58The other thought is that in
- 13:00the. Late luteal phase,
- 13:01so the second half of
- 13:02the menstrual cycle,
- 13:03the progesterone dominant.
- 13:04Part of the cycle, when your.
- 13:06Body'S not able to take on as.
- 13:07Much stress,
- 13:08if women aren't adjusting their
- 13:10training and recovery at the
- 13:13latter part of the
- 13:14menstrual cycle.
- 13:15Does that set them up to have
- 13:16more injury at the sort of the
- 13:18beginning of the next one?
- 13:19So again, we don't know.
- 13:22And maybe it's a little
- 13:23bit of both.
- 13:24So maybe it's a perfect
- 13:25storm of things.
- 13:27So that's one of the things
- 13:28we're kind of looking into or
- 13:30trying to parse out is what are
- 13:32the factors across the menstrual
- 13:34cycle that may lead to more
- 13:35injuries happening at
- 13:36a certain time?
- 13:37Because I don't think it's
- 13:37just simply one thing.
- 13:48Sandra Lindsay (Host): She hopes to move research
- 13:50closer to an answer with a new
- 13:52study for which she is the
- 13:54principal investigator working
- 13:57with the Nicholas Institute of
- 13:59Sports Medicine and
- 14:00Athletic Trauma,
- 14:02which listeners may recall from
- 14:04our 2023 episode on
- 14:06Sports Medicine.
- 14:07Doctor west will track
- 14:08the menstrual cycle,
- 14:10sleep injuries and other data
- 14:13points of female college
- 14:15athletes for one school year.
- 14:18Dr. Amy West: We're now working with
- 14:18Pace University,
- 14:20which is in West Chester with
- 14:21all their female athletes there.
- 14:23So we will be distributing whoop
- 14:26devices to all of the female
- 14:27athletes there who agree
- 14:28to participate.
- 14:29Sandra Lindsay (Host): The whoop tracker doctor west
- 14:32mentions will be worn 24 hours
- 14:35a day, seven days a week.
- 14:37She plans to hand out the
- 14:39devices to approximately 180
- 14:43participants in her study at the
- 14:45start of the school
- 14:46year this fall.
- 14:48The woman will range in age from
- 14:5017 to 23 and are accomplished
- 14:54athletes in various sports.
- 14:56Dr. Amy West: It gives you information about
- 14:58your sleep, about your recovery,
- 15:01about your strain for the day,
- 15:02so your kind of like exercise
- 15:04load for the day and you can
- 15:06track menstrual cycle and all is
- 15:08a lot of things you can track in
- 15:09here your thoughts and feelings
- 15:10as well, if you so choose.
- 15:11Sandra Lindsay (Host): The wearable tracker allows you
- 15:13to set up yes and no questions
- 15:17that pop up every morning
- 15:19on the whoop app.
- 15:20Dr. Amy West: And they basically answer like,
- 15:22do you feel sick today?
- 15:24Mental health questions,
- 15:25things like that
- 15:27are you menstruating today?
- 15:29And they just answer yes,
- 15:30no questions.
- 15:31And we're going to be looking at
- 15:32that data and correlating it
- 15:33with the injury data from the
- 15:34athletic training staff there
- 15:36and looking to see if we can
- 15:37make any correlations between
- 15:41the injuries, the injury rates,
- 15:43but also the types of injuries
- 15:45with the data that we
- 15:47get from the device,
- 15:48either about menstrual cycle,
- 15:49their sleep, their recovery.
- 15:50We're also going to be looking
- 15:50at things like travel schedule
- 15:52and other kind of interventions
- 15:53that happen throughout the year
- 15:55that we're going to find out
- 15:56from the athletic
- 15:57training staff.
- 15:57Is there anything different
- 15:58that occurs?
- 15:58Any trainings cycles
- 16:00that are different?
- 16:01We're gonna have a ton of data
- 16:02from the girls and then we're
- 16:03gonna look at the information
- 16:04from athletic trainers and put
- 16:05it all together and see if we
- 16:06can find any trends
- 16:08with injuries,
- 16:09injury rates and types of
- 16:10injuries with any of
- 16:11those factors.
- 16:12So it'd be kind of cool even.
- 16:13Sandra Lindsay (Host): If the data collected shows no
- 16:15correlation between menstrual
- 16:17cycles and injuries.
- 16:19Doctor west said that would
- 16:21be an important finding.
- 16:22Dr. Amy West: Even if we don't find anything
- 16:25that is actually something
- 16:27because there's no data right
- 16:28now about any of this stuff,
- 16:29right? So if we can say, hey,
- 16:30we looked at this and we didn't
- 16:31find any trends, like,
- 16:32that's actually important
- 16:34information to have.
- 16:35Sandra Lindsay (Host): But if the results do find
- 16:37those correlations,
- 16:38Doctor west said this could have
- 16:41implications across the NCAA,
- 16:44the governing body that
- 16:46regulates college athletics
- 16:48across the United States.
- 16:50Dr. Amy West: If we find any correlations
- 16:52between either the injury rates
- 16:53or the types of injuries with
- 16:56either menstrual cycle or travel
- 16:59or recovery or training
- 17:03protocols, practice schedules.
- 17:05Things like that.
- 17:05If we can find any correlation
- 17:07there.
- 17:07Then that's a statement that
- 17:08we can make to say, okay,
- 17:10having back to back games for
- 17:13three weeks in a row,
- 17:14you're more likely to get
- 17:14injured. Therefore,
- 17:16what can we do to change that?
- 17:18So do we adjust the training
- 17:21schedule? Do we say to the NCAA,
- 17:22hey.
- 17:23This travel schedule
- 17:24isn't ideal?
- 17:27So having some kind of statement
- 17:28at the end of this about the.
- 17:30Injuries and the types,
- 17:30injury rates and types of
- 17:31injuries as it correlates to.
- 17:33Any one of these data points
- 17:33would be helpful.
- 17:34Sandra Lindsay (Host): Beyond the data,
- 17:36doctor west pointed to several
- 17:38additional benefits that could
- 17:40result from the study.
- 17:42First and foremost,
- 17:43it gives these athletes valuable
- 17:46information about their health.
- 17:48Dr. Amy West: To me,
- 17:48it's like there's no better way
- 17:50to empower someone than to give
- 17:53them control over their
- 17:54own health.
- 17:55And you know, by doing this.
- 17:58Project,
- 17:58we're able to kind of put some
- 17:59of the control in the girl's
- 18:01hands and get.
- 18:01By giving them information about
- 18:02their bodies. And then also,
- 18:04you know,
- 18:05allowing them to adjust certain
- 18:06things in their day to day that
- 18:08may affect how they're. Feeling,
- 18:10if they get injured or not,
- 18:11how they're recovering.
- 18:13So that's a really nice tool
- 18:14to be able to give them,
- 18:15and they're.
- 18:15Very appreciative
- 18:16of it thus far.
- 18:17It's been amazing because the
- 18:20girls actually a seem very
- 18:21excited to do it.
- 18:23And they actually been thanking
- 18:25us as the research staff.
- 18:26So myself and doctor Susan
- 18:28Kwiesen, who's been amazing,
- 18:30amazing help in this.
- 18:32Theyre thanking us,
- 18:34thank you so.
- 18:34Much for letting us do this.
- 18:35And that's. To me,
- 18:37I always kind of knew that that
- 18:39would be the reaction.
- 18:40Sandra Lindsay (Host): She added that many of the
- 18:41college female athletes
- 18:43she works with,
- 18:44both in this study and as a
- 18:47team physician for Hofstra
- 18:48University,
- 18:49know little to nothing about
- 18:52the menstrual cycle.
- 18:53Dr. Amy West: If they only understood
- 18:54a little bit.
- 18:55About what's going on in their
- 18:56bodies and can they sort of use
- 18:57that to their advantage?
- 18:59That's another kind
- 19:00of piece of this.
- 19:01We're not making excuses.
- 19:03We're not saying
- 19:07You'Re less than or because
- 19:08you have these problems.
- 19:09We're saying, no,
- 19:10you can actually use these
- 19:12changes to your advantage.
- 19:13Sandra Lindsay (Host): There is yet another benefit she
- 19:15hopes these athletes
- 19:17capitalize on,
- 19:18one that the device manufacturer
- 19:21has noted in previous studies.
- 19:23Dr. Amy West: By using this device,
- 19:24they're able to.
- 19:25Reduce alcohol use in
- 19:27the student. Body,
- 19:28because the students
- 19:28see what the.
- 19:29Alcohol does to their sleep
- 19:30and to. Their performance,
- 19:31and they say, wait a.
- 19:31Second,
- 19:32they could see it in real time.
- 19:33So they drink less alcohol,
- 19:35which is ultimately
- 19:36a great outcome,
- 19:37or that they actually do better
- 19:39in school because they say,
- 19:40wait, if I do this and that,
- 19:42I sleep better.
- 19:43So therefore they perform better
- 19:45in school and athletics. So,
- 19:47you know, then we can.
- 19:48That in and of itself is a tool
- 19:50that we can hand to people.
- 19:51So you know, part of this, too,
- 19:54some of the data we'll be
- 19:54collecting is how do the
- 19:56students like using this?
- 19:57How do the coaches like having
- 19:59access to this the athletic
- 20:01training staff. So even, like,
- 20:03the whole idea of, like,
- 20:05tracking, like,
- 20:06you can't change what
- 20:07you don't track.
- 20:08Sandra Lindsay (Host): But gauging the influence of the
- 20:10menstrual cycle on training and
- 20:12conditioning was a tough
- 20:14sell to start.
- 20:15Dr. Amy West: Honestly,
- 20:15when I was trying to get.
- 20:16This study up and running,
- 20:17I got.
- 20:18Some pushback from people
- 20:19saying, like,
- 20:20why would these girls even
- 20:21want to do this?
- 20:22Sandra Lindsay (Host): As it turns out,
- 20:24the girls were more than
- 20:25willing to sign up.
- 20:26Dr. Amy West: Women want to know about these
- 20:28things, and as providers,
- 20:29we should want to know.
- 20:30Know about these things as well.
- 20:31Sandra Lindsay (Host): Given her sports background,
- 20:33one that she continues today
- 20:35as an Olympic powerlifter,
- 20:38we asked doctor west what it
- 20:40means to her to be the one
- 20:42behind a study like this.
- 20:44Dr. Amy West: I mean,
- 20:44it's all kind of full circle
- 20:46moment for me, right?
- 20:46So you know,
- 20:48it started as just like I said,
- 20:51like as a kid,
- 20:52just like being scared
- 20:53of this stuff.
- 20:54And I've always been like a
- 20:55person of action. It's like,
- 20:56okay, I don't like this.
- 20:57How can I change that?
- 20:57Or how can I improve that?
- 20:59We've hit some bumps along
- 21:00the way, but, you know,
- 21:01the fact to see it actually
- 21:02happening now is very gratifying
- 21:06and I'm just excited to
- 21:07see what comes of it.
- 21:09It's kind of cool that Northwell
- 21:10gets to be the people who
- 21:13are leading this charge.
- 21:14And who's to say,
- 21:16with more research
- 21:17into this field,
- 21:18someone like Caitlin Clark,
- 21:21could we optimize her
- 21:22performance even more?
- 21:24Or the future Caitlin Clarks of
- 21:26the world by understanding
- 21:27their bodies better,
- 21:28can we make these athletes
- 21:31perform even better than they
- 21:33are already performing?
- 21:34Sandra Lindsay (Host): Whichever way the data falls,
- 21:36doctor west believes the results
- 21:39will not only help female
- 21:41athletes, but women everywhere.
- 21:43Dr. Amy West: Ultimately, like,
- 21:44this data is important to
- 21:46collect at this level,
- 21:46but more importantly is how it
- 21:49translates to the
- 21:49everyday person.
- 21:50Because if you have a
- 21:53body and you use it,
- 21:54you're technically an athlete.
- 21:55Most of the people I see in my
- 21:56clinic are not people who you
- 21:58would say are athletes
- 21:59necessarily,
- 21:59but they have to use their body
- 22:01to function in the world.
- 22:02So the musculoskeletal system is
- 22:05the biggest organ system
- 22:06in your body.
- 22:06So it behooves you to take care
- 22:08of it because you need it
- 22:10to have any kind of
- 22:11quality of life.
- 22:12Sandra Lindsay (Host): As she prepares for the start
- 22:14of her new study,
- 22:16doctor west continues to work
- 22:18with patients to help them
- 22:20enhance their quality of life.
- 22:22And when it comes to preventing
- 22:24injuries to your ACL,
- 22:26doctor West reiterated the
- 22:27importance of strength training
- 22:29for all women.
- 22:31Dr. Amy West: Instead of, like, focusing,
- 22:32a lot of women focus
- 22:33on fat loss.
- 22:33And instead of focusing
- 22:34on fat loss,
- 22:35you really should be focusing
- 22:36on muscle gain.
- 22:37If you focus on that a,
- 22:39you'll have some more like,
- 22:40concrete goals to aspire to
- 22:42other than just like,
- 22:43what the scale says.
- 22:44But then also you'll find that
- 22:46the fat loss will follow.
- 22:47So I highly encourage them to
- 22:50really focus on that
- 22:51piece of it.
- 23:01Sandra Lindsay (Host): Thanks again to doctor Amy west,
- 23:04sports medicine physiatrist with
- 23:06Northwell Health and principal
- 23:08investigator on the new study
- 23:10we discussed today.
- 23:18This has been part two of our
- 23:20year long series on
- 23:22women's health.
- 23:23We encourage you to listen to
- 23:25episode one in this series
- 23:27featuring doctors Stacy Rosen
- 23:29and Nisha Parikh,
- 23:31who discussed new federal
- 23:33funding for women's
- 23:34health research.
- 23:37Until next time,
- 23:38I'm Sandra Lindsay,
- 23:40and this has been another
- 23:42exciting edition of 20
- 23:44Minutes health Talk.