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Sex and vasodilator responses to hypoxia at rest and during exercise
Journal article   Open access   Peer reviewed

Sex and vasodilator responses to hypoxia at rest and during exercise

Darren P Casey, John R. A Shepherd and Michael J Joyner
Journal of applied physiology (1985), Vol.116(7), pp.927-936
Hypoxia
04/01/2014
DOI: 10.1152/japplphysiol.00409.2013
PMCID: PMC3972743
PMID: 23823148
url
https://doi.org/10.1152/japplphysiol.00409.2013View
Published (Version of record) Open Access

Abstract

In humans, β-adrenergic receptor activation causes a substantial portion of hypoxic vasodilation in skeletal muscle at rest and during forearm exercise. Recent evidence suggests that β-adrenergic receptors are either more sensitive or upregulated in young women vs. men. Therefore, we examined whether sex influences hypoxic vasodilation in 31 young subjects (15 women/16 men; 26 ± 1 yr). We also examined whether potential sex-related differences existed in a group of older adults (6 women/5 men; 61 ± 2 yr). All subjects performed forearm exercise at 10 and 20% of maximum under normoxic and hypoxic [80% arterial O 2 saturation (S o 2 )] conditions. Forearm vascular conductance (FVC; ml·min −1 ·100 mmHg −1 ) was calculated from blood flow (ml/min) and blood pressure (mmHg). At rest, young women demonstrated a greater vasodilator response to hypoxia compared with men (39 ± 12 vs. 13 ± 6%, P < 0.05). The absolute compensatory vasodilator response (hypoxic FVC-normoxic FVC) during exercise was similar between sexes, but the relative change was greater in young women at 10% (28 ± 5 vs. 17 ± 3%, P < 0.05) and 20% exercise (29 ± 4% vs. 15 ± 3%, P < 0.01). Additionally, the absolute changes in vasodilation after normalizing the response to forearm volume or workload were greater in young women during exercise ( P < 0.05). Interestingly, the compensatory vasodilator responses between older women and men were similar at 10 and 20% exercise, regardless of whether the response is expressed as absolute, relative, or absolute change normalized for forearm volume or workload ( P = 0.054–0.97). Our data suggest that the compensatory vasodilator response to hypoxic exercise is greater in young women compared with men. However, sex-specific differences appear to be lost with aging.
hypoxia exercise Highlighted Topic vasodilation sex

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