Why the study?
Because progesterone and its analogues are known to influence ventilation, this study investigated the role of endogenous and pharmaceutical female sex hormones in ventilatory control during metaboreflex, mechanoreflex, and CO2 chemoreflex activation.
Do oral contraceptives and menstrual cycle phases influence autonomic reflex function (hemodynamics and ventilation) in young women?
Do oral contraceptives and menstrual cycle phases influence autonomic reflex function (hemodynamics and ventilation) in young women?
Answers are grounded in this paper and cite their sources.
Oral contraceptive use attenuates the pressor response to metaboreflex and mechanoreflex activation while increasing the ventilatory response, suggesting chronic upregulation of beta-adrenergic receptors.
Progesterone and its analogues are known to influence ventilation. Therefore, the purpose of this study was to investigate the role of endogenous and pharmaceutical female sex hormones in ventilatory control during the activation of the metaboreflex, mechanoreflex, and CO2 chemoreflex. Women aged 18–30 taking (n = 14) or not taking (n = 12) oral contraceptives (OC and NOC, respectively) were tested in the low hormone (LH) and high hormone (HH) conditions corresponding to the early follicular and mid-luteal phases (NOC) or placebo and high-dose pills (OC). Women underwent three randomized trials: (a) 3 min of passive leg movement (PLM), (b) 2 min of 40% maximal voluntary handgrip exercise followed by 2 min of post-exercise circulatory occlusion (PECO), and (c) 5 min of breathing 5% CO2. We primarily measured hemodynamics and ventilation. During PLM, the OC group had a smaller pressor response (p = .012). During PECO, the OC group similarly exhibited a smaller pressor response (p = .043) and also exhibited a greater ventilatory response (p = .024). Lastly, in response to breathing 5% CO2, women in the HH phase had a greater ventilatory response (p = .022). We found that OC use attenuates the pressor response to both the metaboreflex and mechanoreflex while increasing the ventilatory response to metaboreflex activation. We also found evidence of an enhanced CO2 chemoreflex in the HH phase. We hypothesize that OC effects are from the chronic upregulation of pulmonary and vascular β-adrenergic receptors. We further suggest that the increased cyclic progesterone in the HH phase enhances the chemoreflex.
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Assadpour et al. (2020) studied this question.
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