Clinical CommentaryMaximizing Running Participation and Performance Through MenopauseRothschild, Carey E. PT, DPT1; Collingwood, Tara Gidus MS, RDN, CSSD, LDN, ASCM-CPT2 Author Information 1Division of Physical Therapy Program, School of Kinesiology and Rehabilitation Sciences, University of Central Florida, Orlando. 2United States Tennis Association (USTA), Tara Gidus Nutrition Consulting, LLC, Orlando, Florida. Corresponding Author: Carey E. Rothschild, PT, DPT, Division of Physical Therapy Program, School of Kinesiology and Rehabilitation Sciences, University of Central Florida, HS 1-Room 260, 12805 Pegasus Dr, Orlando, FL 32816 ([email protected]). The authors declare no conflicts of interest. Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (http://journals.lww.com/jwhpt/pages/default.aspx). Journal of Women's & Pelvic Health Physical Therapy 47(2):p 133-143, April/June 2023. | DOI: 10.1097/JWH.0000000000000276 Buy SDC Metrics Abstract When approaching menopause, female runners may be unaware of the physiological changes that can affect the body and its ability to participate and perform in recreational and competitive sports. Nearly half of recreational female runners are of menopausal age, and health care professionals, including physical therapists, should be aware of the cardiovascular, musculoskeletal, neuromuscular, and endocrine changes that come with age and menopause to appropriately advise and care for this growing group of female athletes. A comprehensive, integrated approach to training during this time in a woman's life is warranted. By integrating lifestyle behaviors such as sleep, recovery, and nutrition with aerobic and strength training elements, the older female runner is more likely to be able to participate and perform in sport at recreational and competitive levels. Enabling the female athlete to continue running through menopause provides numerous benefits including physical health, psychological wellness, social engagement, and personal accomplishment. This article summarizes the natural changes that occur with aging and menopause and guides physical therapists in developing a comprehensive program of focused training, planned nutrition, and ample recovery for female runners. Supplemental Digital Content video abstract available at: https://links.lww.com/JWHPT/A98 © 2023 Academy of Pelvic Health Physical Therapy, APTA.