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Title: Long-term estrogen deficiency lowers regional blood flow, resting systolic blood pressure, and heart rate in exercising premenopausal women.
Authors: O'Donnell, Emma
Harvey, Paula J.
Goodman, Jack M.
De Souza, Mary Jane
Keywords: Humans
Amenorrhea
Estrone
Pregnanediol
Luteinizing Hormone
Estrogens
Exercise
Menstrual Cycle
Premenopause
Blood Pressure
Heart Rate
Regional Blood Flow
Adult
Female
Issue Date: 2007
Publisher: © American Physiological Society
Citation: O'DONNELL, E. ...et al., 2007. Long-term estrogen deficiency lowers regional blood flow, resting systolic blood pressure, and heart rate in exercising premenopausal women.. American Journal of Physiology. Endocrinology and Metabolism, 292(5), pp. E1401-E1409.
Abstract: The cardiovascular consequences of hypoestrogenism in premenopausal women are unclear. Accordingly, the influence of menstrual status and endogenous estrogen (E(2)) exposure on blood pressure (BP), heart rate (HR), and calf blood flow in young (18-35 yr) regularly exercising premenopausal women with exercise-associated menstrual aberrations was investigated. Across consecutive menstrual cycles, daily urinary ovarian steroid levels were analyzed, and the area under the curve was calculated to determine menstrual status and E(2) exposure. BP, HR, blood flow, vascular conductance, and resistance were measured at baseline and following ischemic calf exercise. Exercising subjects consisted of 14 ovulatory (ExOv), 10 short-term (anovulatory and <or=100 days amenorrhea; ST-E(2) Def), and 8 long-term (>100 days amenorrhea; LT-E(2) Def) E(2)-deficient women. Nine sedentary ovulatory subjects (SedOv) were also studied. All groups were similar in age (24.8 +/- 0.7 yr), height (164.8 +/- 1.3 cm), weight (57.9 +/- 0.9 kg), and body mass index (21.3 +/- 0.3 kg/m(2)). E(2)-deficient groups had lower (P < 0.002) E(2) exposure compared with ovulatory groups. Resting systolic BP, HR, blood flow, and vascular conductance were lower (P < 0.05) and vascular resistance higher (P < 0.05) in LT-E(2) Def compared with both ovulatory groups. Peak ischemic blood flow, vascular conductance, and HR were also lower (P < 0.05) and vascular resistance higher (P < 0.05) in LT-E(2) Def compared with all other groups. Our findings show that exercising women with long-term E(2) deficiency have impaired regional blood flow and lower systolic BP and HR compared with exercising and sedentary ovulatory women. These cardiovascular alterations represent markers of altered vascular function and autonomic regulation of which the long-term effects remain unknown.
Description: This paper is in closed access.
Version: Published
DOI: 10.1152/ajpendo.00547.2006
URI: https://dspace.lboro.ac.uk/2134/20616
Publisher Link: http://dx.doi.org/10.1152/ajpendo.00547.2006
ISSN: 0193-1849
Appears in Collections:Closed Access (Sport, Exercise and Health Sciences)

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