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Menstrual cycle effects on cardiovascular drift and maximal oxygen uptake during exercise heat stress

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European Journal of Applied Physiology Aims and scope Submit manuscript

Abstract

Aim

Compared to other modulators of physiological strain associated with exercise heat stress, hyperthermia results in the greatest magnitude of cardiovascular (CV) drift and associated decrements in maximal oxygen uptake (\(\dot{V}{\text{O}}_{2\max }\)).

Purpose

To determine if elevated core temperature in the luteal phase (LP) of the menstrual cycle results in greater CV drift and reductions in \(\dot{V}{\text{O}}_{2\max }\) versus the follicular phase (FP).

Methods

Seven women performed 15- and 45-min cycling bouts on separate occasions (60% \(\dot{V}{\text{O}}_{2\max }\), 35 °C) followed by a \(\dot{V}{\text{O}}_{2\max }\) test during the FP and LP. CV drift was measured between 15 and 45 min during the 45-min bout, and the 15-min bout was for measuring \(\dot{V}{\text{O}}_{2\max }\) over the same time interval that CV drift occurred.

Results

Core temperature during LP was ~ 0.3 °C higher than FP (P < 0.05), but changes from rest during exercise were similar between phases (all P > 0.05). Heart rate increased significantly over time but was not different between phases (P = 0.78). Stroke volume decreased more over time during LP compared to FP (P = 0.02), but the values were similar at the end of exercise between phases (both time points P > 0.05). \(\dot{V}{\text{O}}_{2\max }\) decrements for FP (13%) and LP (16%) were also comparable (P = 0.97).

Conclusions

The LP–FP difference in core temperature in this study was not sufficient to amplify CV strain and decrements in \(\dot{V}{\text{O}}_{2\max }\). Greater differences in core temperature may be required to independently modulate CV drift and accompanying decrements in \(\dot{V}{\text{O}}_{2\max }\) during prolonged exercise heat stress.

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Availability of data and material

All data generated or analyzed during this study are included in this published article.

Abbreviations

15FP:

15-Min trial during the follicular phase

15LP:

15-Min trial during the luteal phase

45FP:

45-Min trial during the follicular phase

45LP:

45-Min trial during the luteal phase

ANOVA:

Analysis of variance

CON:

Control data

CV:

Cardiovascular

DBP:

Diastolic blood pressure

ELISA:

Enzyme-linked immunosorbent assay

FP:

Follicular phase

GXT:

Graded exercise test

HR:

Heart rate

LP:

Luteal phase

PV:

Plasma volume

\(\dot{Q}\) :

Cardiac output

RH:

Relative humidity

RPE:

Rating of perceived exertion

SV:

Stroke volume

\(\overline{T}_{{\text{b}}}\) :

Mean body temperature

Tc :

Core temperature

Tre :

Rectal temperature

\(\overline{T}_{{{\text{sk}}}}\) :

Mean skin temperature

\(\dot{V}{\text{CO}}_{2}\) :

Carbon dioxide production

\(\dot{V}{\text{O}}_{2}\) :

Oxygen uptake

\(\dot{V}{\text{O}}_{2\max }\) :

Maximal oxygen uptake

W :

Work rate (mechanical power)

References

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Acknowledgments

The authors are especially grateful to Bjoern Hornikel and Clifton Holmes for their assistance with data collection.

Funding

This work was supported by The University of Alabama Graduate School.

Author information

Authors and Affiliations

Authors

Contributions

TS conceived and designed the study, collected and analyzed data, and drafted the manuscript. SB collected and reduced data and edited the manuscript. RE analyzed and interpreted data and edited the manuscript. JW conceived and designed the study, analyzed and interpreted data, and edited the manuscript. All authors read and approved the manuscript.

Corresponding author

Correspondence to Tori Stone.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

Approval was obtained from the ethics committee of University 1 (protocol 19-01-1899). The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

Consent to participate

Written, informed consent was obtained before each test in this study.

Consent for publication

Not applicable.

Code availability

Not applicable.

Additional information

Communicated by Narihiko Kondo.

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Stone, T., Earley, R.L., Burnash, S.G. et al. Menstrual cycle effects on cardiovascular drift and maximal oxygen uptake during exercise heat stress. Eur J Appl Physiol 121, 561–572 (2021). https://doi.org/10.1007/s00421-020-04542-y

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  • DOI: https://doi.org/10.1007/s00421-020-04542-y

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