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November 13, 2024Scientific Reports14 citationsOpen Access

Effect of menstrual cycle phase on physiological responses in healthy women at rest and during submaximal exercise at high altitude

GTGuia TagliapietraTCTom CitherletARAntoine Raberin

Key Result

The menstrual cycle phase had negligible effects on physiological responses to high-altitude during exercise, although resting ventilation was higher during the early-follicular phase compared to the mid-luteal phase (15.2 vs. 13.2 L/min).

Study Design

Type

Observational (n=16)

Multicenter

No

Structured PICO

Does the menstrual cycle phase affect physiological responses at rest and during submaximal exercise at high altitude in healthy women?

P
Population
16 healthy, physically active eumenorrheic women aged 18 to 43 years underwent physiological testing at low and high altitude during their early-follicular and mid-luteal menstrual phases.
E
Exposure
Early-follicular (EF) phase during high-altitude exposure (3375 m)
C
Comparator
Mid-luteal (ML) phase during high-altitude exposure (3375 m)
O
Outcome
Physiological responses (gas exchange, hemodynamic responses, heart rate variability and heart rate recovery) at rest and during submaximal exercisesurrogate

Menstrual cycle phases have negligible effects on physiological responses during submaximal exercise at high altitude in healthy women.

Main Result

Absolute Event Rate: 15.2% vs 13.2%

p-value: p=0.039

Limitations

  • Baseline assessments were conducted at low altitude (1224 m) rather than sea-level.
  • Participants living at 500-1220 m may have had some low-altitude acclimatization.
  • Logistical constraints resulted in unequal order of high-altitude exposure (6 EF first, 10 ML first).
  • Small sample size.

Abstract

Abstract As more women engage in high-altitude activities, understanding how ovarian hormone fluctuations affect their cardiorespiratory system is essential for optimizing acclimatization to these environments. This study investigates the effects of menstrual cycle (MC) phases on physiological responses at rest, during and after submaximal exercise, at high-altitude (barometric pressure 509 ± 6 mmHg; partial pressure of inspired oxygen 96 ± 1 mmHg; ambient temperature 21 ± 2 °C and relative humidity 27 ± 4%) in 16 eumenorrheic women. Gas exchange, hemodynamic responses, heart rate variability and heart rate recovery (HRR) were monitored at low altitude, and then at 3375 m on the Mont Blanc (following nocturnal exposure) during both the early-follicular (EF) and mid-luteal (ML) phases. Significant differences were observed between low and high-altitude in ventilation, heart rate and cardiac output. Resting ventilation (15.2 ± 1.9 vs. 13.2 ± 2.5 L.min -1 ; p = 0.039) and tidal volume (812 ± 217 vs. 713 ± 190 mL; p = 0.027) were higher during EF than ML at high-altitude. These differences between EF and ML were no longer evident during exercise, with comparable responses in oxygen uptake kinetics, cycling efficiency and HRR. The MC had negligible effects on physiological responses to high-altitude. An individualized approach, tailored to each woman’s specific responses to hypoxia across the MC, may be more beneficial in optimizing high-altitude sojourns than general guidelines.

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Cite This Study

Tagliapietra et al. (2024) conducted an observational in Healthy eumenorrheic women (n=16). Early-follicular phase vs. Mid-luteal phase was evaluated on Resting ventilation at high altitude (p=0.039). The menstrual cycle phase had negligible effects on physiological responses to high-altitude during exercise, although resting ventilation was higher during the early-follicular phase compared to the mid-luteal phase (15.2 vs. 13.2 L/min).

synapsesocial.com/papers/6a29075fb0f4fb308d7044f1https://doi.org/10.1038/s41598-024-79702-7
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