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March 16, 2022AJP Regulatory Integrative and Comparative PhysiologyOpen Access

Sex differences in sympathetic neurovascular and neurohemodynamic relationships during cold pressor test

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Key result

During a cold pressor test, women exhibited smaller increases in mean arterial pressure (7 vs 10 mmHg; P=0.03) and femoral vascular resistance than men, unpredicted by sympathetic nerve activity.

Why the study?

Muscle sympathetic nerve activity affects vascular resistance differently in women and men, but whether this sex difference persists during pronounced increases in sympathetic activity remains unclear.

Do sex differences exist in neurovascular and neurohemodynamic relationships during cold pressor test-mediated sympathoexcitation in young healthy adults?

Population

11 young healthy women and 10 young healthy men

Comparison

Women vs men during cold pressor test

Authors

YCYasmine CoovadiaTATessa E. AdlerPMPatrick W. Martin-Arrowsmith

Discussion

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Member takes

Overview

Sex-specific hemodynamic responses to sympathoexcitation may occur independently of nerve activity; hypothesis-generating and requires prospective validation before clinical consideration.

Study Design

Type

Cross-Sectional (n=21)

Structured PICO

Do sex differences exist in neurovascular and neurohemodynamic relationships during cold pressor test-mediated sympathoexcitation in young healthy adults?

P
Population
21 young healthy adults (11 women, 10 men) evaluated for sex differences in neurovascular transduction during a 3-minute cold pressor test.
E
Exposure
3-min cold pressor test (CPT)
C
Comparator
Rest (baseline) and comparison between sexes
O
Outcome
Changes in mean arterial pressure (MAP), femoral vascular resistance (FVR), and muscle sympathetic nerve activity (MSNA) to assess neurovascular transductionsurrogate

Main Result

Absolute Event Rate: 7% vs 10%

p-value: p=0.03

In young healthy adults, men experience robust blood pressure responses driven by neurovascular coupling during sympathetic activation, whereas this relationship is absent in women.

Cite This Study

Coovadia et al. (2022) conducted a cross-sectional in Healthy (n=21). Female sex vs. Male sex was evaluated on CPT-induced increase in mean arterial pressure (mmHg) (p=0.03). During a cold pressor test, women exhibited smaller increases in mean arterial pressure (7 vs 10 mmHg; P=0.03) and femoral vascular resistance than men, unpredicted by sympathetic nerve activity.

synapsesocial.com/papers/6a207f49df4cd797f4f41fbfhttps://doi.org/10.1152/ajpregu.00223.2021
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of age and sex on neural cardiovascular responsiveness to cold pressor test in humans2020 · 33 citations
  2. 2Sex differences in the modulation of vasomotor sympathetic outflow during static handgrip exercise in healthy young humans2011 · 155 citations
  3. 3Neurovascular control of blood pressure is influenced by aging, sex, and sex hormones2016 · 98 citations
  4. 4Spontaneous bursts of muscle sympathetic nerve activity decrease leg vascular conductance in resting humans2013 · 143 citations
  5. 5Menstrual cycle and sex effects on sympathetic responses to acute chemoreflex stress2014 · 61 citations