Staying A-Breast of Things
by Elzi Volk
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Here in Texas where it is warm people like to show their skin regardless
of size or stature. All too common I see women on the treadmills or in the
aerobics classes who have double-C breasts crammed into flimsy size-B sports
bras, their breast mass bouncing up and down like swinging water balloons.
Many women wear so-called ‘sports’ bras made of non-supportive and flimsy
fabric, opting for appearances rather than functionality. They make me
cringe in pain. Most of these women don’t realize that they are destroying
their natural breast support and, if continued, their breasts will become
"belly ornaments" in a matter of years.
As a personal trainer, I have several female clients who are pregnant or
lactating mothers. Their breasts become a more functional part of their
anatomy than usually considered and they are justifiably concerned with
taking care of them. Additionally, overweight female clients are also urged
to provide for the welfare of their breasts while exercising to minimize
damage to the supportive tissues. This article presents anatomical features
of the breast, discussion of changes in breast structures, and sports bra
design.
Although breast motion and sports bra design have been given little
attention in most of the sports and athletic journals, a 1987 biomechanical
study which analyzed breast motion while jogging, reported 56% of their
female subjects experienced sports-related breast discomfort. Not
surprisingly, excessive breast motion was the most common cause of the
discomfort. Page and Steele, of the University of Wollongong, Australia,
authored the most current review (Sports Medicine, April, 1999). As
their article pointedly mentions, current sports bra design does not always
place function as the major design criteria. Why is this so important? Let
us first look at the anatomy of the breast.
Breast Anatomy 101
Major development of female breasts occurs during puberty. Internally,
milk ducts grow longer and form a tree-like formation. The duct branches
result in lobules and terminal ducts with fibrous and fatty tissue between
them. Researchers have not determined if breasts are fully developed during
puberty or if the final stages are during pregnancy.
The breast lies on the anterior serratus and pectoralis major and over
the upper rib cage. In women of reproductive age, glandular tissue makes up
about 20% of the breast volume. Enclosed by skin and fascia is the major
structural components of the female breast: the subcutaneous tissue and the
glandular, or functional, section. Two subcomponents make up the glandular
mass: the parenchyma, which consists of ductular, lobular and alveolar
structures, and the stroma consisting of connective tissue, lymphatics, fat
tissue, blood vessels and nerves. In physiology texts the connective tissue
is often referred to as ligamentous tissue (Cooper’s ligaments); however,
they are actually thin sheets of fibrous bands located in the superficial
fascia and which separate the lobules. These fibrous bands attach to the
deep fascia which overlays the pectoralis muscles.
Although their mechanical properties have not been fully reported in the
literature, the Cooper’s ligaments are thought to provide the primary
anatomical support since the breast has no muscle tissue. Because the
overlying skin of the breast offers only secondary support, these ligaments
are easily stretched, especially from repeated loading during any type of
physical activity. As many of us know, over time the result is breast sag.
Consequently, external physical support should be the prime consideration
when choosing a bra for sports and other physical activity.
The extensive vascular supply of the stroma can make the breast
vulnerable to internal bleeding from impact of some sports. Therefore, some
sports bras are designed with padding in the cups for breast protection in
addition to providing support. The padding dissipates the brunt of a blow
over a greater period of time lessening the potential damage.
Breast size and shape vary tremendously. Although no reason has ever been
stated, typically, the left breast is larger than the right. Generally, each
adult female breast weighs approximately 200 grams; differences in size is
usually due to variations in the amount of fat tissue in the breast. The
breast increases in volume during pregnancy and generally weighs between
400-600 grams, increasing up to 800 grams during lactation. Additionally,
breast volume changes during the menstrual cycle and menopause. Let us see
how various hormonal factors affect the breast.
Factors that affect the breast
Although the breasts of non-pregnant women are generally considered
inactive, they undergo cyclic changes associated with normal ovulation. Many
women experience a premenstrual increase in breast size and density. Many
women also feel breast tenderness in relation to these changes. This slight
engorgement is probably due to tissue edema (holding water in the tissue).
Older women who have fibrotic lumps may experience an increase in pain,
usually along the perimeter of the breast mass. The volume and density
changes are thought to be resultant of the changing levels of estrogens and
progesterone during the menstrual cycle.
Hormone therapy, such as birth contraceptives, can also influence breast
density. A constant inrush of estrogens and progestins can simulate
premenstrual breast changes, often making the breasts tender. During
menopause the changes in gonadotropins, estrogens and progesterone induce
changes in both glandular and ductal components. Without hormone replacement
therapy, the number and size of the glandular elements decrease and the
volume of the breast becomes smaller. Likewise, there is a loss of contour
due to the decrease in structure.
During pregnancy, the numerous changes in the breast induce gradual
increases in weight and size as it produces and stores milk. The lactating
breast is continually changing density, and the sensitive nipple is
extremely vulnerable to chaffing by fabric rubbing. Therefore, pregnant and
lactating women are highly encouraged to wear appropriate supportive bras
while participating in physical activities.
As we have seen, the lack of internal anatomical support of the breast
structures requires some type of external support. Excessive movement of the
breasts during physical exercise may increase this need for some women
because of the structural changes during pregnancy and menstruation. Since
this support can come in many guises, some inadequate, let us turn to sports
bra design.
Sports bra design
The first sports bras appeared in the late 1970’s based on the male
jockstrap. Since then there are many types on the market to choose from.
However, there are basic design factors that should be considered when
choosing a sports bra based on overall structure and fit. Ironically, the
most popular sports bras being worn in the gyms today are designed more for
appearance than support. Depending on the individual’s specific needs,
support and sizing should be the major considerations. Cosmetics should be
secondary.
Sports bras are of two major design types: compression and encapsulation.
The compression-type bra is designed to restrict movement of the breasts by
flattening them against the body. This design may be more effective for
smaller breasted women, sizes A or B. However, larger breasted women, sizes
C and above, need more support. The encapsulation design bra normally has
molded cups that support and separate the individual breasts. This type may
be more effective for large breasted female athletes than the compression
bras.
Basically, sports bras attempt to limit breast movement by holding them
to the body. The fabric used can affect the effectiveness of the support and
should be closely considered when choosing a bra. It should have enough
elasticity to accommodate upper torso movement but prevent breast movement.
It should also allow the skin to ‘breath’ since perspiration may increase
during most physical exercise. Lycraâ and Coolmaxâ are two fabrics that allow sweat evaporation and are
commonly included in sports bras, especially under the arms and in between
the breasts. Some bras contain vented panels, such as mesh. These may
enhance perspiration evaporation. Also, cotton is recommended as the primary
fiber because it is non-allergenic to avoid rashes.
The sports bra should be sufficiently elastic in the horizontal plane to
allow for chest expansion while breathing. On the other hand, elasticity in
the vertical plane should be limited to minimize vertical breast movement.
Straps should have limited elasticity as well for the same reason. To
prevent chaffing, cups should be seamless or have covered seams. Cotton
lining in cups also helps prevent discomfort during exercise. Fasteners,
hooks and underwires should be covered to avoid irritations.
Some women prefer cross-strap bras, or commonly called ‘racerback’
straps, because they do not slip off the shoulders during activity like some
of the conventional style straps. Some women also find the cross-strap
designs more supportive. In either style, the front straps should be
positioned so that they lie in a direct line of pull over the nipples,
allowing for optimal vertical breast support. The strap fabric should also
be wide to allow for greater force distribution.
Fit
Regardless of a sports bra design, if it is the wrong size it will be
ineffectual. Probably one-half of all women in the gym wear the incorrect
bra size. Wearing the wrong-sized sports bra reduces its ability to
effectively minimize breast movement. As well, the sizing system used can be
confusing. Some brands size their bras very generally, for example, as
small, medium and large. For small-breasted women who wear a
compression-type bra, this may be adequate. However, larger breasted women
who require more support have to consider cup size (usually A-D and up) and
the measurement around the bust (generally a dress size measurement).
Unfortunately, these two measurements are relative to each other. In
other words, a B-cup is not the same across all dress-size measurements. As
well, for a female bodybuilder whose chest/back measurement is normally
larger than the average woman’s, finding a cup size to fit her often
presents problems. The best approach is to talk to other female athletes who
are of similar size and search for the brands that best fit and support
their needs. Additionally, always try on a prospective sports bra. Consider
shrinkage as well. I prefer bras made of cotton, but I found quickly that
they would shrink. I therefore choose a size accordingly. Another
consideration, especially for those whose breast size may fluctuate due to
changes in breast volume (influenced by hormones or dieting), is to have
bras of two sizes to accommodate breast size differences.
An additional consideration is breast implants. As one female bodybuilder
friend remarked to me: "I paid a lot for these things; I take good care of
them!" She suggests choosing a good supportive encapsulation-type sports
bra, preferably with light padding to protect the tissue from compression or
direct pressure of certain movements and equipment. Wide straps are also
recommended to restrict vertical movement of the breasts and chafing of
nipples.
Consideration of a suitable sports bra design and fit can enhance
enjoyment and reduce embarrassment when participating in physical activity.
As well, taking care of your breasts now will ensure their pleasing shape
and appearance many years ahead. So invest in a proper sport bra to wear
when exercising. |