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September 5, 2009Experimental Physiology

Sex differences in vasoconstrictor reserve during 70 deg head‐up tilt

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Key result

Women exhibited a blunted splanchnic vasoconstrictor response during head-up tilt compared to men (SpVC decrease 1.70 vs 4.81 ml/min/mmHg), tending to have lower orthostatic tolerance.

Why the study?

Do women have less splanchnic vasoconstriction during head-up tilt compared to men, leading to lower orthostatic tolerance?

Population

30 healthy individuals (14 women, mean age 23 +/- 6 years; 16 men, mean age 23 +/- 5 years)

Comparison

70 degree head-up tilt (HUT) for up to 45 minutes vs Supine baseline conditions and comparison…

Design

Other

Follow-up

45 minutes

Authors

SJSara S. JarvisNorthern Arizona UniversityJFJohn P. FlorianGovernment of the United States of AmericaMCMichael J. CurrenPennsylvania State University

Discussion

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Implication

Women showed smaller splanchnic vasoconstrictor reserve during tilt; leaves open its causal role in sex differences in orthostatic tolerance.

Study Design

Type

Observational (n=30)

Structured PICO

Do women have less splanchnic vasoconstriction during head-up tilt compared to men, leading to lower orthostatic tolerance?

P
Population
30 healthy young adults (14 women, 16 men, mean age 23 years) evaluated for cardiovascular and splanchnic responses during 70 degree head-up tilt.
E
Exposure
70 degree head-up tilt (HUT) for up to 45 minutes
C
Comparator
Supine baseline conditions and comparison between sexes
O
Outcome
Splanchnic vasoconstrictor reserve (change in splanchnic vascular conductance from baseline to tilt) and orthostatic tolerance (survival of 45 min HUT)surrogate

Main Result

Absolute Event Rate: 1.7% vs 4.81%

Women exhibit a blunted splanchnic vasoconstrictor response during orthostatic stress compared to men, which may contribute to their lower orthostatic tolerance.

Cite This Study

Jarvis et al. (2009) conducted an observational in Healthy (n=30). Female sex vs. Male sex was evaluated on Decrease in splanchnic vascular conductance (SpVC) from baseline to tilt. Women exhibited a blunted splanchnic vasoconstrictor response during head-up tilt compared to men (SpVC decrease 1.70 vs 4.81 ml/min/mmHg), tending to have lower orthostatic tolerance.

synapsesocial.com/papers/6a62ecf37480d51a54093c8dhttps://doi.org/10.1113/expphysiol.2009.048819
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Also Consider

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

  1. 1Association of sex and age with responses to lower-body negative pressure1988 · 105 citations
  2. 2Leg vasoconstriction during dynamic exercise with reduced cardiac output1992 · 114 citations
  3. 3CLINICAL CALORIMETRY1916 · 4,357 citations
  4. 4Menstrual cycle effects on sympathetic neural responses to upright tilt2009 · 146 citations
  5. 5Portal vein cross-sectional area and flow and orthostatic tolerance: a 90-day bed rest study.2005 · 39 citations