The majority of sports nutrition research has been conducted on male subjects, and the default advice reflects this bias. Women have distinct nutritional needs driven by hormonal cycles, different body composition baselines, higher relative iron requirements, and unique risks like relative energy deficiency in sport (RED-S). Ignoring these differences does not create equal treatment: it creates suboptimal outcomes.

Menstrual Cycle and Nutrition Periodisation

The menstrual cycle creates a roughly 28-day hormonal wave that affects energy needs, substrate utilisation, recovery capacity, and even food preferences. During the follicular phase (days 1 to 14), oestrogen rises, insulin sensitivity is higher, and carbohydrate tolerance is generally better. This phase supports higher-intensity training and higher carbohydrate intake. During the luteal phase (days 15 to 28), progesterone rises, basal metabolic rate increases by approximately 5 to 10%, and fat oxidation is enhanced. Cravings increase, and many women benefit from slightly higher caloric intake and relatively more fat in this phase.

Iron Requirements

Women of reproductive age lose iron through menstruation, creating a higher baseline requirement. Iron deficiency, even without clinical anaemia, impairs exercise performance, recovery, and cognitive function. Regular monitoring of ferritin levels (not just haemoglobin) is essential for active women. Ferritin below 30 ng/mL may indicate insufficient iron stores even when haemoglobin is normal.

Relative Energy Deficiency in Sport (RED-S)

RED-S occurs when energy intake is insufficient to support both exercise and basic physiological function. Women are at higher risk due to societal pressure around body weight, lower absolute caloric needs, and the temptation to use severe caloric restriction for body composition goals. Consequences include menstrual irregularity, decreased bone density, impaired immune function, and hormonal disruption.

Frequently Asked Questions

Should women eat differently to men for training? The fundamental principles are similar, but implementation should account for menstrual cycle phases, higher iron needs, greater RED-S risk, and different hormonal responses to caloric restriction.

Does the pill affect nutrition needs? Hormonal contraceptives alter the natural hormonal cycle and may affect nutrient needs including B vitamins, magnesium, and zinc. Discuss with your healthcare provider and nutrition coach.

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