Influence of endogenous and exogenous hormones on the cardiovascular response to lower extremity exercise and group III/IV activation in young females.

ABSTRACT

Oral contraceptive (OC) use can increase resting blood pressure (BP) in females as well as contribute to greater activation of group III/IV afferents during upper body exercise. It is unknown, however, whether an exaggerated BP response occurs during lower limb exercise in OC users. We sought to elucidate the group III/IV afferent activity-mediated BP and heart rate responses, while performing lower extremity tasks during early and late follicular phases in young, healthy females. Females not taking OCs (NOC n=8; age 25±4 years) and taking OCs (OC n=10; age 23±2 years) completed a continuous knee extension/flexion passive stretch (mechanoreflex) and cycling exercise with sub-systolic cuff occlusion (exercise pressor reflex), which was followed by a two-minute post-exercise circulatory occlusion (PECO) (metaboreflex). Data collection occurred on two occasions once during the early follicular phase (days 1-4) and once during the late follicular phase (days 10-14) of their menstrual cycle (NOC), or during the placebo and active pill phases (OC). Resting mean arterial BP and heart rate were not different between phases in NOC and OC participants (p>0.05). Hemodynamic responses to metaboreflex, mechanoreflex, and collective exercise pressor reflex activation were not different between phases in both groups (p>0.05). In conclusion, although OCs are known to increase BP at rest, our findings indicate that neither endogenous nor exogenous (OC) sex hormones modulate BP during large, lower-limb muscle exercise, with or without group III/IV afferent activation in young, healthy females.