American Journal of Medical and Biological Research. 2015, 3(4), 95-101
DOI: 10.12691/AJMBR-3-4-3
Original Research

A Gender comparison of Cardiovascular Responses to Lower Body Negative Pressure Exposure

Thais Russomano1, 2, Francisca May3, Gustavo Dalmarco1, Rafael R. Baptista1, , Peter Gauger3, Guido Petrat3 and Luis Beck3

1Microgravity Centre/FENG- PUCRS, Porto Alegre, Brazil

2Centre of Human Aerospace and Physiological Sciences, School of Biomedical Sciences, King’s College London, UK

3Institute of Aerospace Medicine/DLR, Cologne, Germany

Pub. Date: June 03, 2015

Cite this paper

Thais Russomano, Francisca May, Gustavo Dalmarco, Rafael R. Baptista, Peter Gauger, Guido Petrat and Luis Beck. A Gender comparison of Cardiovascular Responses to Lower Body Negative Pressure Exposure. American Journal of Medical and Biological Research. 2015; 3(4):95-101. doi: 10.12691/AJMBR-3-4-3

Abstract

The purpose of this study was to compare the LBNP tolerance between genders. Twenty healthy subjects (8 men, 12 women) were exposed to 10 min of 45mmHg LBNP. Baseline was taken in the sitting and supine positions. Finger blood pressure and heart rate (HR) were recorded continuously. Stroke volume (SV), cardiac output (CO) and total peripheral resistance (TPR) were calculated by a pulse contour method. Baseline cardiovascular variables were similar in all females, independently of the menstrual cycle phase and they were considered as one group. Seven of 8 men and 7 of 12 women completed the 10 min of LBNP. Non-finishers (n=6) increased heart rate, decreased systolic blood pressure, mean blood pressure, calculated SV and CO in comparison with the Finisher (n=14) group (p<0.05). Both groups, however, maintained TPR unchanged during the exposure to LBNP. This suggests the tolerance to LBNP is related to the capability of both avoiding too large a decrease in SV, and inducing an adequate vasoconstriction response.

Keywords

gender differences; menstrual cycle; LBNP tolerance; cardiovascular response

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Baisch, F., Beck, L., Blomqvist, G., et al. Cardiovascular response to lower body negative pressure (LBNP) stimulation before, during, and after spaceflight. Eur. J. Clin. Invest. 30, 1055-1065, 2000.
 
[2]  Beck, L., Baisch, F., Gaffney, F.A., et al. Cardiovascular response to lower body negative pressure before, during, and after ten days head-down tilt bed rest. Acta Physiol. Scand. 144, 43-52, 1992.
 
[3]  Convertino, V.A. Gender differences in autonomic functions associated with blood pressure regulation. Am. J. Physiol. 275, R1909-R1920, 1998.
 
[4]  Custaud, M.A., Neto, E.P., Abry, P. et al. Orthostatic tolerance and spontaneous baroreflex sensitivity in men versus women after 7 days of head-down bed rest. Auton. Neurosci. 100, 66-76, 2002.
 
[5]  Franke, W.D., Johnson, C.P., Steinkamp, J.A., et al. Cardiovascular and autonomic responses to lower body negative pressure do not explain gender differences in orthostatic tolerance. Clin. Auton. Res. 13, 36-44, 2003.
 
[6]  Fu, Q., Arbab-Zadeh, A., Perhonen, M.A. et al. Hemodynamics of orthostatic intolerance: implications for gender differences. Am. J. Physiol. Heart Circ. Physiol. 286, H449-H457, 2004.
 
[7]  Garshnek, V. Soviet space flight: the human element. Aviat. Space Envir. Med. 60, 695-705, 1989.
 
[8]  Güel, A., Braak, L., Pavy Le Traon, A. et al. Cardiovascular adaptation during simulated microgravity, Lower body negative pressure at counter orthostatic hypothension. Aviat. Space Envi. Med. 62, 331-335, 1991.
 
[9]  Hachiya, T., Hashimoto, I., Saito, M. et al. Peripheral Vascular Responses of Men and Women to LBNP. Aviat. Space Envir. Med. 83, 118-124, 2012.
 
[10]  Hisdal, J., Toska, K., Walloe, L. Design of a chamber for lower body negative pressure with controlled onset rate. Aviat. Space Envir. Med. 74, 874-878, 2003.
 
[11]  Johnston, R.L., Dietlein, L.F. (Eds.), Biomedical results from Skylab. NASA SP-377. Washington, DC: U.S. Government Printing Office, 1977.
 
[12]  Lee, S.M., Schneider, S.M., Boda, W.L., et al. Supine LBNP exercise maintains exercise capacity in male twins during 30-d bed rest. Med. Sci. Sports Exer. 39, 1315-1326, 2007.
 
[13]  Meck, J.V., Waters, W.W., Ziegler, M.G., et al. Mechanisms of postspaceflight orthostatic hypotension: low alfa-1-adrenergic receptor responses before flight and central autonomic dysregulation postflight. Am. J. Physiol. Heart Circ. Physiol. 286, H1486-H1495, 2004.
 
[14]  Meendering, J.R., Torgrimson, B.N., Houghton, B.L., et al. Menstrual cycle and sex affect hemodynamic responses to combined orthostatic and heat stress. Am. J. Physiol. Heart Circ. Physiol. 289, H631-H642, 2005.
 
[15]  Monahan, K.D., Ray, C.A. Gender Affects Calf Venous Compliance at Rest and during Baroreceptor Unloading in Humans. Am. J. Physiol. Heart Circ. Physiol. 286, H895-H901, 2004.
 
[16]  Russomano, T., Allan, J., Beck, L., et al. Development of a Lower Body Negative Pressure Box With an Environmental Control System for Physiological Studies. Adv. Space Res. 38, 1233-1239, 2005.
 
[17]  Schneider, S.M., Lee, S.M.C., MacIas, B.R. et al. WISE-2005: Exercise and Nutrition Countermeasures for Upright v̇o2pk during Bed Rest. Med. Sci. Sports Exerc. 41, 2165-2176, 2009.
 
[18]  Shoemaker, J.K., Hughson, R.L., Sinoway, L.I. Gender affects sympathetic neurovascular control during postural stress. J. Gravit. Physiol. 9, 83-84, 2002.
 
[19]  Stok, W.J., Baisch, F., Hillebrecht, A. et al. Noninvasive cardiac output measurement by arterial pulse analysis compared with inert gas rebreathing. J. Appl. Physiol. 74, 2687-2693, 1993.
 
[20]  Wallace, J.P., Trail, G.T., Franke, W.D. LBNP Tolerance Analyzed Retrospectively using a Structural Equation Model. Aviat. Space Envir. Med. 81, 363-368, 2010.
 
[21]  Waters, W.W., Ziegler, M.G., Meck, J.V. Postspaceflight orthostatic hypotension occurs mostly in women and is predicted by low vascular resistance. J. Appl. Physiol. 92, 586-94, 2002.
 
[22]  Wesseling, K.H., Jansen, J.R., Settels, J.J. et al. Computation of aortic flow from pressure in humans using a nonlinear, three element model. J. Appl. Physiol. 74, 2566-2573, 1993.