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The Journal of Experimental Biology 205, 233-239 (2002)
© 2002 The Company of Biologists Limited

Effect of menstrual cycle phase on exercise performance of high-altitude native women at 3600 m

Tom D. Brutsaert1, Hilde Spielvogel2, Esperanza Caceres2, Mauricio Araoz2, Robert T. Chatterton3 and Virginia J. Vitzthum4

1 Department of Anthropology, The University at Albany, State University of New York, 12222, USA,
2 Instituto Boliviano de Biología de Altura, La Paz, Bolivia,
3 Department of Obstetrics/Gynecology, Northwestern University Medical School, Chicago, Illinois, USA and
4 Department of Anthropology, Binghamton University, State University of New York, 13901, USA

*Author for correspondence (e-mail: tbrutsae{at}csc.albany.edu)

Accepted 30 October 2001

At sea level normally menstruating women show increased ventilation (E) and hemodynamic changes due to increased progesterone (P) and estrogen (E2) levels during the mid-luteal (L) compared to the mid-follicular (F) phase of the ovarian cycle. Such changes may affect maximal exercise performance. This repeated-measures, randomized study, conducted at 3600 m, tests the hypothesis that a P-mediated increase in E increases maximal oxygen consumption (O2max) during the L phase relative to the F phase in Bolivian women, either born and raised at high altitude (HA), or resident at HA since early childhood. Subjects (N=30) enrolled in the study were aged 27.7±0.7 years (mean ± S.E.M.) and non-pregnant, non-lactating, relatively sedentary residents of La Paz, Bolivia, who were not using hormonal contraceptives. Mean salivary P levels at the time of the exercise tests were 63.3 pg ml–1 and 22.9 pg ml–1 for the L and F phases, respectively. Subset analyses of submaximal (N=23) and maximal (N=13) exercise responses were conducted only with women showing increased P levels from F to L and, in the latter case, with those also achieving true O2max. Submaximal exercise E and ventilatory equivalents were higher in the L phase (P<0.001). P levels were significantly correlated to the submaximal exercise E (r=0.487, P=0.006). Maximal work output (W) was higher (approximately 5 %) during the L phase (P=0.044), but O2max (l min–1) was unchanged (P=0.063). Post-hoc analyses revealed no significant relationship between changes in P levels and changes in O2max from F to L (P=0.072). In sum, the menstrual cycle phase has relatively modest effects on ventilation, but no effect on O2max of HA native women.

Key words: progesterone, O2max, luteal, follicular, ovarian cycle, woman.







© The Company of Biologists Ltd 2002