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.
Similar content being viewed by others
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
American College of Sports Medicine, Riebe D, Ehrman JK, Liguori G, Magal M (2018) ACSM's Guidelines for Exercise Testing and Prescription. Tenth edn. Wolters Kluwer, Philadelphia
Baker FC, Siboza F, Fuller A (2020) Temperature regulation in women: effects of the menstrual cycle. Temperature. https://doi.org/10.1080/23328940.2020.1735927
Boodhram R, Moodley D, Abbai N, Ramjee G (2019) Association of endogenous progesterone levels in young women using hormonal contraception with recent HIV-1 infection. BMC Womens Health 19:63. https://doi.org/10.1186/s12905-019-0761-y
Borg G (1982) Psychophysical bases of perceived exertion. Med Sci Sports Exerc 14:377–381
Bryner RW, Toffle RC, Ullrich IH, Yeater RA (1996) Effect of low dose oral contraceptives on exercise performance. Br J Sports Med 30:36–40. https://doi.org/10.1136/bjsm.30.1.36
Charkoudian N, Johnson JM (1997) Modification of active cutaneous vasodilation by oral contraceptive hormones. J Appl Physiol 83:2012–2018. https://doi.org/10.1152/jappl.1997.83.6.2012
Charkoudian N, Joyner MJ (2004) Physiologic considerations for exercise performance in women. Clin Chest Med 25:247–255. https://doi.org/10.1016/j.ccm.2004.01.001
Charkoudian N, Stachenfeld NS (2014) Reproductive hormone influences on thermoregulation in women. Compr Physiol 4:793–804. https://doi.org/10.1002/cphy.c130029
Chou TH, Allen JR, Hahn D, Leary BK, Coyle EF (2018) Cardiovascular responses to exercise when increasing skin temperature with narrowing of the core-to-skin temperature gradient. J Appl Physiol 125:697–705. https://doi.org/10.1152/japplphysiol.00965.2017
Coyle EF, Gonzalez-Alonso J (2001) Cardiovascular drift during prolonged exercise: new perspectives. Exerc Sport Sci Rev 29:88–92
Daniels K, Abma JC (2018) Current contraceptive status among women aged 15–49: United States, 2015–2017. NCHS Data Brief, no 327. National Center for Health Statistics, Hyattsville
Dill DB, Costill DL (1974) Calculation of percentage changes in volumes of red blood cells and plasma in dehydration. J Appl Physiol 37:247–248. https://doi.org/10.1152/jappl.1974.37.2.247
Fritzsche RG, Switzer TW, Hodgkinson BJ, Coyle EF (1999) Stroke volume decline during prolonged exercise is influenced by the increase in heart rate. J Appl Physiol 86:799–805. https://doi.org/10.1152/jappl.1999.86.3.799
Fukuoka Y, Kaneko Y, Takitac C, Hirakawa M, Kagawa H, Nakamura Y (2002) The effects of exercise intensity on thermoregulatory responses to exercise in women. Physiol Behav 76:567–574. https://doi.org/10.1016/S0031-9384(02)00781-3
Ganio MS, Wingo JE, Carrolll CE, Thomas MK, Cureton KJ (2006) Fluid ingestion attenuates the decline in VO2peak associated with cardiovascular drift. Med Sci Sports Exerc 38:901–909. https://doi.org/10.1249/01.mss.0000218127.14107.08
Gonzalez-Alonso J, Calbet JAL (2003) Reductions in systemic and skeletal muscle blood flow and oxygen delivery limit maximal aerobic capacity in humans. Circulation 107:824–830. https://doi.org/10.1161/01.CIR.0000049746.29175.3F
Gorman AJ, Proppe DW (1984) Mechanisms producing tachycardia in conscious baboons during environmental heat stress. J Appl Physiol 56:441–446
Jackson AS, Pollock ML (1985) Practical assessment of body composition. Phys Sportsmed 13:76–90. https://doi.org/10.1080/00913847.1985.11708790
Janse De Jonge XAK, Thompson MW, Chuter VH, Silk LN, Thom JM (2012) Exercise performance over the menstrual cycle in temperate and hot, humid conditions. Med Sci Sports Exerc 44:2190–2198. https://doi.org/10.1249/MSS.0b013e3182656f13
Jones NL (1997) Conduct of stages 2, 3, and 4 exercise tests. Clinical Exercise Testing, 4th edn. W.B. Saunders Company, Philadelphia
Kenny GP et al (2008) Menstrual cycle and oral contraceptive use do not modify postexercise heat loss responses. J Appl Physiol 105:1156–1165. https://doi.org/10.1152/japplphysiol.00194.2008
Kolka MA, Stephenson LA (1997) Effect of luteal phase elevation in core temperature on forearm blood flow during exercise. J Appl Physiol 82:1079–1083. https://doi.org/10.1152/jappl.1997.82.4.1079
Kuwahara T, Inoue Y, Abe M, Sato Y, Kondo N (2005) Effects of menstrual cycle and physical training on heat loss responses during dynamic exercise at moderate intensity in a temperate environment. Am J Physiol Regul Integr Comp Physiol 288:R1347–R1353. https://doi.org/10.1152/ajpregu.00547.2004
Lafrenz AJ, Wingo JE, Ganio MS, Cureton KJ (2008) Effect of ambient temperature on cardiovascular drift and maximal oxygen uptake. Med Sci Sports Exerc 40:1065–1071. https://doi.org/10.1249/MSS.0b013e3181666ed7
Lei TH, Cotter JD, Schlader ZJ, Stannard SR, Perry BG, Barnes MJ, Mündel T (2019) On exercise thermoregulation in females: interaction of endogenous and exogenous ovarian hormones. J Physiol 597:71–88. https://doi.org/10.1113/JP276233
Marsh SA, Jenkins DG (2002) Physiological responses to the menstrual cycle: implications for the development of heat illness in female athletes. Sports Med 32:601–614. https://doi.org/10.2165/00007256-200232100-00001
Montain SJ, Coyle EF (1992) Influence of graded dehydration on hyperthermia and cardiovascular drift during exercise. J Appl Physiol 73:1340–1350. https://doi.org/10.1152/jappl.1992.73.4.1340
Moran D, Epstein Y, Keren G, Laor A, Sherez J, Shapiro Y (1995) Calculation of mean arterial pressure during exercise as a function of heart rate. Appl Hum Sci 14:293–295
Myers J, Walsh D, Sullivan M, Froelicher V (1990) Effect of sampling on variability and plateau in oxygen uptake. J Appl Physiol 68:404–410. https://doi.org/10.1152/jappl.1990.68.1.404
Norton KH, Gallagher KM, Smith SA, Querry RG, Welch-O’Connor RM, Raven PB (1999) Carotid baroreflex function during prolonged exercise. J Appl Physiol 87:339–347. https://doi.org/10.1152/jappl.1999.87.1.339
Notley SR, Dervis SM, Poirier MP, Kenny GP (2019) Menstrual cycle phase does not modulate whole body heat loss during exercise in hot, dry conditions. J Appl Physiol 126:286–293. https://doi.org/10.1152/japplphysiol.00735.2018
Park I, Schutz RW (1999) “Quick and easy” formulae for approximating statistical power in repeated measures ANOVA. Meas Phys Educ Exerc Sci 3:249–270. https://doi.org/10.1207/s15327841mpee0304_5
Poole DC, Jones AM (2017) Measurement of the maximum oxygen uptake VO2max: VO2peak is no longer acceptable. J Appl Physiol 122:997–1002. https://doi.org/10.1152/japplphysiol.01063.2016
Ramanathan NL (1964) A new weighting system for mean surface temperature of the human body. J Appl Physiol 19:531–533. https://doi.org/10.1152/jappl.1964.19.3.531
Rogers SM, Baker MA (1996) Thermoregulation during exercise in women who are taking oral contraceptives. Eur J Appl Physiol 75:34–38. https://doi.org/10.1007/s004210050123
Rowell LB (1974) Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev 54:75–159. https://doi.org/10.1152/physrev.1974.54.1.75
Rowell LB (1986a) Circulatory adjustments to dynamic exercise and heat stress: competing controls. In: Human circulation: regulation during physical stress. Oxford University Press, New York, pp 363–406
Rowell LB (1986) Human circulation: regulation during physical stress. Oxford University Press, New York
Rowell LB, Marx HJ, Bruce RJ, Conn RD, Kusumi F (1966) Reductions in cardiac output, central blood volume, and stroke volume with thermal stress in normal men during exercise. J Clin Investig 45:1801–1816. https://doi.org/10.1172/JCI105484
Shaffrath JD, Adams WC (1984) Effects of airflow and work load on cardiovascular drift and skin blood flow. J Appl Physiol 56:1411–1417. https://doi.org/10.1152/jappl.1984.56.5.1411
Stachenfeld NS, Silva C, Keefe DL (2000) Estrogen modifies the temperature effects of progesterone. J Appl Physiol 88:1643–1649. https://doi.org/10.1152/jappl.2000.88.5.1643
Stephenson LA, Kolka MA (1985) Menstrual cycle phase and time of day alter reference signal controlling arm blood flow and sweating. Am J Physiol 249:R186-191
Stephenson LA, Kolka MA (1999) Esophageal temperature threshold for sweating decreases before ovulation in premenopausal women. J Appl Physiol 86:22–28. https://doi.org/10.1152/jappl.1999.86.1.22
Tenaglia SA, McLellan TM, Klentrou PP (1999) Influence of menstrual cycle and oral contraceptives on tolerance to uncompensable heat stress. Eur J Appl Physiol 80:76–83. https://doi.org/10.1007/s004210050561
Vaiksaar S, Jurimae J, Maestu J, Purge P, Kalytka S, Shakhlina L, Jurimae T (2011) No effect of menstrual cycle phase and oral contraceptive use on endurance performance in rowers. J Strength Cond Res 25:1571–1578. https://doi.org/10.1519/JSC.0b013e3181df7fd2
Williams CG et al (1962) Circulatory and metabolic reactions to work in heat. J Appl Physiol 17:625–638. https://doi.org/10.1152/jappl.1962.17.4.625
Wingo JE (2013) Exercise science: research to sustain and enhance performance. Proc SPIE 8723:872301–872306. https://doi.org/10.1117/12.2020042
Wingo JE, Cureton KJ (2006a) Body cooling attenuates the decrease in maximal oxygen uptake associated with cardiovascular drift during heat stress. Eur J Appl Physiol 98:97–104. https://doi.org/10.1007/s00421-006-0249-y
Wingo JE, Cureton KJ (2006b) Maximal oxygen uptake after attenuation of cardiovascular drift during heat stress. Aviat Space Environ Med 77:687–694
Wingo JE, Lafrenz AJ, Ganio MS, Edwards GL, Cureton KJ (2005) Cardiovascular drift is related to reduced maximal oxygen uptake during heat stress. Med Sci Sports Exerc 37:248–255. https://doi.org/10.1249/01.mss.0000152731.33450.95
Wingo JE, Ganio MS, Cureton KJ (2012) Cardiovascular drift during heat stress: implications for exercise prescription. Exerc Sport Sci Rev 40:88–94. https://doi.org/10.1097/JES.0b013e31824c43af
Wingo JE, Salaga LJ, Newlin MK, Cureton KJ (2012) Cardiovascular drift and VO2max during cycling and walking in a temperate environment. Aviat Space Environ Med 83:660–666. https://doi.org/10.3357/ASEM.3246.2012
Wingo JE, Ng J, Katica CP, Carter SJ (2019) Fan cooling after cardiovascular drift does not reverse decrements in maximal oxygen uptake during heat stress. Temperature 6:260–270. https://doi.org/10.1080/23328940.2019.1657344
Wingo JE, Stone T, Ng J (2020) Cardiovascular drift and maximal oxygen uptake during running and cycling in the heat. Med Sci Sports Exerc 52:1924–1932. https://doi.org/10.1249/mss.0000000000002324
Zar JH (1996) Biostatistical analysis, 3rd edn. Prentice Hall, Upper Saddle River
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
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
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.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00421-020-04542-y