Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1987 Jun;55(6):681–685. doi: 10.1038/bjc.1987.139

The effects of moderate physical activity on menstrual cycle patterns in adolescence: implications for breast cancer prevention.

L Bernstein, R K Ross, R A Lobo, R Hanisch, M D Krailo, B E Henderson
PMCID: PMC2002035  PMID: 3620313

Abstract

Girls who engage in strenuous physical activity are often amenorrheic and have recently been reported to be at a reduced risk of breast cancer. To determine whether moderate amounts of exercise affect menstrual cycle patterns and ovulatory frequency in young postmenarcheal girls, the menstrual cycles and physical activity patterns of 168 high school girls were monitored for a 6 month period. Anovulatory cycles were associated with later age at menarche, fewer elapsed years since menarche and greater levels of energy expended per week in physical activity. After adjusting for age at menarche and years since menarche, there was a significant dose-related trend in the risk of anovular menstrual cycles associated with increasing levels of physical activity (1-sided P = 0.03). Major determinants of average cycle length were weekly average energy expenditure (less than or equal to 750 kcal wk-1 associated with cycles that were on average 2.4 days longer), age at menarche (an increase of 0.7 days per year of age) and race (Asians having cycles about 1.9 days longer than Caucasians). Because a major determinant of breast cancer risk may be the cumulative number of ovulatory cycles, these data suggest that regular participation in moderate physical activity, by reducing the frequency of ovulatory cycles in adolescence, may provide an opportunity for the primary prevention of breast cancer.

Full text

PDF
681

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adlercreutz H., Brown J., Collins W., Goebelsman U., Kellie A., Campbell H., Spieler J., Braissand G. The measurement of urinary steroid glucuronides as indices of the fertile period in women. World Health Organization, Task Force on Methods for the Determination of the Fertile Period, special programme of research, development and research training in human reproduction. J Steroid Biochem. 1982 Dec;17(6):695–702. doi: 10.1016/0022-4731(82)90573-8. [DOI] [PubMed] [Google Scholar]
  2. Apter D., Vihko R. Early menarche, a risk factor for breast cancer, indicates early onset of ovulatory cycles. J Clin Endocrinol Metab. 1983 Jul;57(1):82–86. doi: 10.1210/jcem-57-1-82. [DOI] [PubMed] [Google Scholar]
  3. Bonen A., Belcastro A. N., Ling W. Y., Simpson A. A. Profiles of selected hormones during menstrual cycles of teenage athletes. J Appl Physiol Respir Environ Exerc Physiol. 1981 Mar;50(3):545–551. doi: 10.1152/jappl.1981.50.3.545. [DOI] [PubMed] [Google Scholar]
  4. Cann C. E., Martin M. C., Genant H. K., Jaffe R. B. Decreased spinal mineral content in amenorrheic women. JAMA. 1984 Feb 3;251(5):626–629. [PubMed] [Google Scholar]
  5. Casagrande J. T., Louie E. W., Pike M. C., Roy S., Ross R. K., Henderson B. E. "Incessant ovulation" and ovarian cancer. Lancet. 1979 Jul 28;2(8135):170–173. doi: 10.1016/s0140-6736(79)91435-1. [DOI] [PubMed] [Google Scholar]
  6. Cekan S. Z., Beksac M. S., Wang E., Shi S., Masironi B., Landgren B. M., Diczfalusy E. The prediction and/or detection of ovulation by means of urinary steroid assays. Contraception. 1986 Apr;33(4):327–345. doi: 10.1016/0010-7824(86)90095-8. [DOI] [PubMed] [Google Scholar]
  7. Drinkwater B. L., Nilson K., Chesnut C. H., 3rd, Bremner W. J., Shainholtz S., Southworth M. B. Bone mineral content of amenorrheic and eumenorrheic athletes. N Engl J Med. 1984 Aug 2;311(5):277–281. doi: 10.1056/NEJM198408023110501. [DOI] [PubMed] [Google Scholar]
  8. Ellison P. T., Lager C. Moderate recreational running is associated with lowered salivary progesterone profiles in women. Am J Obstet Gynecol. 1986 May;154(5):1000–1003. doi: 10.1016/0002-9378(86)90737-4. [DOI] [PubMed] [Google Scholar]
  9. Feicht C. B., Johnson T. S., Martin B. J., Sparkes K. E., Wagner W. W., Jr Secondary amenorrhoea in athletes. Lancet. 1978 Nov 25;2(8100):1145–1146. doi: 10.1016/s0140-6736(78)92294-8. [DOI] [PubMed] [Google Scholar]
  10. Frisch R. E., Gotz-Welbergen A. V., McArthur J. W., Albright T., Witschi J., Bullen B., Birnholz J., Reed R. B., Hermann H. Delayed menarche and amenorrhea of college athletes in relation to age of onset of training. JAMA. 1981 Oct 2;246(14):1559–1563. [PubMed] [Google Scholar]
  11. Frisch R. E., Wyshak G., Albright N. L., Albright T. E., Schiff I., Jones K. P., Witschi J., Shiang E., Koff E., Marguglio M. Lower prevalence of breast cancer and cancers of the reproductive system among former college athletes compared to non-athletes. Br J Cancer. 1985 Dec;52(6):885–891. doi: 10.1038/bjc.1985.273. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Frisch R. E., Wyshak G., Vincent L. Delayed menarche and amenorrhea in ballet dancers. N Engl J Med. 1980 Jul 3;303(1):17–19. doi: 10.1056/NEJM198007033030105. [DOI] [PubMed] [Google Scholar]
  13. Henderson B. E., Casagrande J. T., Pike M. C., Mack T., Rosario I., Duke A. The epidemiology of endometrial cancer in young women. Br J Cancer. 1983 Jun;47(6):749–756. doi: 10.1038/bjc.1983.127. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Henderson B. E., Ross R. K., Judd H. L., Krailo M. D., Pike M. C. Do regular ovulatory cycles increase breast cancer risk? Cancer. 1985 Sep 1;56(5):1206–1208. doi: 10.1002/1097-0142(19850901)56:5<1206::aid-cncr2820560541>3.0.co;2-9. [DOI] [PubMed] [Google Scholar]
  15. Hoel D. G., Wakabayashi T., Pike M. C. Secular trends in the distributions of the breast cancer risk factors--menarche, first birth, menopause, and weight--in Hiroshima and Nagasaki, Japan. Am J Epidemiol. 1983 Jul;118(1):78–89. doi: 10.1093/oxfordjournals.aje.a113619. [DOI] [PubMed] [Google Scholar]
  16. La Vecchia C., Decarli A., di Pietro S., Franceschi S., Negri E., Parazzini F. Menstrual cycle patterns and the risk of breast disease. Eur J Cancer Clin Oncol. 1985 Apr;21(4):417–422. doi: 10.1016/0277-5379(85)90030-6. [DOI] [PubMed] [Google Scholar]
  17. Mellits E. D., Cheek D. B. The assessment of body water and fatness from infancy to adulthood. Monogr Soc Res Child Dev. 1970 Oct;35(7):12–26. [PubMed] [Google Scholar]
  18. Olsson H., Landin-Olsson M., Gullberg B. Retrospective assessment of menstrual cycle length in patients with breast cancer, in patients with benign breast disease, and in women without breast disease. J Natl Cancer Inst. 1983 Jan;70(1):17–20. [PubMed] [Google Scholar]
  19. Pike M. C., Henderson B. E., Casagrande J. T., Rosario I., Gray G. E. Oral contraceptive use and early abortion as risk factors for breast cancer in young women. Br J Cancer. 1981 Jan;43(1):72–76. doi: 10.1038/bjc.1981.10. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Pike M. C., Krailo M. D., Henderson B. E., Casagrande J. T., Hoel D. G. 'Hormonal' risk factors, 'breast tissue age' and the age-incidence of breast cancer. Nature. 1983 Jun 30;303(5920):767–770. doi: 10.1038/303767a0. [DOI] [PubMed] [Google Scholar]
  21. Russell J. B., Mitchell D., Musey P. I., Collins D. C. The relationship of exercise to anovulatory cycles in female athletes: hormonal and physical characteristics. Obstet Gynecol. 1984 Apr;63(4):452–456. [PubMed] [Google Scholar]
  22. Samarajeewa P., Cooley G., Kellie A. E. The radioimmunoassay of pregnanediol-3 alpha-glucuronide. J Steroid Biochem. 1979 Aug;11(2):1165–1171. doi: 10.1016/0022-4731(79)90169-9. [DOI] [PubMed] [Google Scholar]
  23. Shangold M., Freeman R., Thysen B., Gatz M. The relationship between long-distance running, plasma progesterone, and luteal phase length. Fertil Steril. 1979 Feb;31(2):130–133. doi: 10.1016/s0015-0282(16)43811-2. [DOI] [PubMed] [Google Scholar]
  24. Taylor H. L., Jacobs D. R., Jr, Schucker B., Knudsen J., Leon A. S., Debacker G. A questionnaire for the assessment of leisure time physical activities. J Chronic Dis. 1978;31(12):741–755. doi: 10.1016/0021-9681(78)90058-9. [DOI] [PubMed] [Google Scholar]
  25. Wakat D. K., Sweeney K. A., Rogol A. D. Reproductive system function in women cross-country runners. Med Sci Sports Exerc. 1982;14(4):263–269. doi: 10.1249/00005768-198204000-00002. [DOI] [PubMed] [Google Scholar]
  26. Warren M. P. The effects of exercise on pubertal progression and reproductive function in girls. J Clin Endocrinol Metab. 1980 Nov;51(5):1150–1157. doi: 10.1210/jcem-51-5-1150. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES