Int J Sports Med 2013; 34(11): 939-944
DOI: 10.1055/s-0033-1337948
Physiology & Biochemistry
© Georg Thieme Verlag KG Stuttgart · New York

Gender Influence on Post-resistance Exercise Hypotension and Hemodynamics

A.C. C. Queiroz
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of Sao Paulo, São Paulo, Brazil
C. C. Rezk
2   Physical Education, University Center FIEO, São Paulo, Brazil
L. Teixeira
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of Sao Paulo, São Paulo, Brazil
T. Tinucci
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of Sao Paulo, São Paulo, Brazil
D. Mion
3   Hypertension Unit, General Hospital, University of Sao Paulo, São Paulo, Brazil
C.L. M. Forjaz
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of Sao Paulo, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

accepted after revision 13 February 2013

Publication Date:
19 April 2013 (online)


Post-resistance exercise hypotension has been extensively described in men and women. However, gender influence on this response has not yet been clear. Gender might change post-exercise hemodynamics, since men and women respond differently during exercise. Thus, the purpose was to compare post-resistance exercise hypotension and its hemodynamic determinants in men and women. Normotensive subjects (22-male, 22-female) underwent 2 sessions: control (40 min of rest) and exercise (6 resistance exercises, 3 sets, 20 repetitions, at 40–50% of 1RM). Blood pressure, heart rate, and cardiac output were measured prior to and following interventions. Blood pressure decrease after exercise was similar between the genders. However, hemodynamic determinants responded differently in men and women. Systemic vascular resistance reduced in women (−4.6±1.9U, P<0.05), while cardiac output decreased in men (−0.6±0.2 L/min, P<0.05). This response was accompanied by a decrease in stroke volume in men (−21.6±5.1 ml, P<0.05) and a more pronounced increase in heart rate in men than in women (+11.3±1.3 vs. +6.5±1.7 bpm, P<0.05, respectively). In conclusion, post-resistance exercise hypotension was similar in men and women. However, its hemodynamic determinants differ between the genders, depending on cardiac output decrease in men and on systemic vascular resistance decrease in women.

  • References

  • 1 Barantke M, Krauss T, Ortak J, Lieb W, Reppel M, Burgdorf C, Pramstaller PP, Schunkert H, Bonnemeier H. Effects of gender and aging on differential autonomic responses to orthostatic maneuvers. J Cardiovasc Electrophysiol 2008; 19: 1296-1303
  • 2 Barnett SR, Morin RJ, Kiely DK, Gagnon M, Azhar G, Knight EL, Nelson JC, Lipsitz LA. Effects of age and gender on autonomic control of blood pressure dynamics. Hypertension 1999; 33: 1195-1200
  • 3 Bush JA, Kraemer WJ, Mastro AM, Triplett-McBride NT, Volek JS, Putukian M, Sebastianelli WJ, Knuttgen HG. Exercise and recovery responses of adrenal medullary neurohormones to heavy resistance exercise. Med Sci Sports Exerc 1999; 31: 554-559
  • 4 Carter 3rd R, Watenpaugh DE, Smith ML. Gender differences in cardiovascular regulation during recovery from exercise. J Appl Physiol 2001; 91: 1902-1907
  • 5 Collins MA, Cureton KJ, Hill DW, Ray CA. Relation of plasma volume change to intensity of weight lifting. Med Sci Sports Exerc 1989; 21: 178-185
  • 6 Deschenes MR, Hillard MN, Wilson JA, Dubina MI, Eason MK. Effects of gender on physiological responses during submaximal exercise and recovery. Med Sci Sports Exerc 2006; 38: 1304-1310
  • 7 Esformes JI, Norman F, Sigley J, Birch KM. The influence of menstrual cycle phase upon postexercise hypotension. Med Sci Sports Exerc 2006; 38: 484-491
  • 8 Frye AJ, Kamon E. Responses to dry heat of men and women with similar aerobic capacities. J Appl Physiol 1981; 50: 65-70
  • 9 Harriss DJ, Atkinson G. Update – ethical standards in sport and exercise science research. Int J Sports Med 2011; 32: 819-821
  • 10 Huxley VH. Sex and the cardiovascular system: the intriguing tale of how women and men regulate cardiovascular function differently. Adv Physiol Educ 2007; 31: 17-22
  • 11 Jones NL, Campbell EJ, McHardy GJ, Higgs BE, Clode M. The estimation of carbon dioxide pressure of mixed venous blood during exercise. Clin Sci 1967; 32: 311-327
  • 12 Kraemer WJ, Fry AC. Strength testing: development and evaluation of methodology. In: Physiological assessement of human fitness. Maud PJ, Foster C. eds. Champaign: Human Kinetics; 1995: 115-13813
  • 13 Kublickiene K, Luksha L. Gender and the endothelium. Pharmacol Rep 2008; 60: 49-60
  • 14 Lizardo J, Simoes H. Effects of different resistance exercise sessions on post-exercise hypotention. Rev Bras Fisioter 2005; 9: 289-295
  • 15 Lynn BM, McCord JL, Halliwill JR. Effects of the menstrual cycle and sex on postexercise hemodynamics. Am J Physiol 2007; 292: R1260-1270
  • 16 McCord JL, Halliwill JR. H1 and H2 receptors mediate postexercise hyperemia in sedentary and endurance exercise-trained men and women. J Appl Physiol 2006; 101: 1693-1701
  • 17 Mediano M, Paravidino V, Simao R, Pontes F, Polito M. Subacute behavior of the blood pressure after power training in controlled hypertensive individuals. Rev Bras Med Esporte 2005; 11: 337-340
  • 18 O’Brien E, Asmar R, Beilin L, Imai Y, Mancia G, Mengden T, Myers M, Padfield P, Palatini P, Parati G, Pickering T, Redon J, Staessen J, Stergiou G, Verdecchia P. Practice guidelines of the European Society of Hypertension for clinic, ambulatory and self blood pressure measurement. J Hypertens 2005; 23: 697-701
  • 19 Parker BA, Smithmyer SL, Pelberg JA, Mishkin AD, Herr MD, Proctor DN. Sex differences in leg vasodilation during graded knee extensor exercise in young adults. J Appl Physiol 2007; 103: 1583-1591
  • 20 Queiroz AC, Gagliardi JF, Forjaz CL, Rezk CC. Clinic and ambulatory blood pressure responses after resistance exercise. J Strength Cond Res 2009; 23: 571-578
  • 21 Queiroz ACC, Kanekusuku H, Chehuen MR, Costa LAR, Wallerstein LF, Mello MT, Ugrinowitsch C, Forjaz CLM. Cardiac work remains high after strength exercise in elderly. Int J Sports Med 2012; in press
  • 22 Rezk CC, Marrache RC, Tinucci T, Mion Jr D, Forjaz CL. Post-resistance exercise hypotension, hemodynamics, and heart rate variability: influence of exercise intensity. Eur J Appl Physiol 2006; 98: 105-112
  • 23 Sandstede J, Lipke C, Beer M, Hofmann S, Pabst T, Kenn W, Neubauer S, Hahn D. Age- and gender-specific differences in left and right ventricular cardiac function and mass determined by cine magnetic resonance imaging. Eur Radiol 2000; 10: 438-442
  • 24 Scher LM, Ferriolli E, Moriguti JC, Scher R, Lima NK. The effect of different volumes of acute resistance exercise on elderly individuals with treated hypertension. J Strength Cond Res 2011; 25: 1016-1023
  • 25 Senitko AN, Charkoudian N, Halliwill JR. Influence of endurance exercise training status and gender on postexercise hypotension. J Appl Physiol 2002; 92: 2368-2374
  • 26 Tank J, Diedrich A, Szczech E, Luft FC, Jordan J. Baroreflex regulation of heart rate and sympathetic vasomotor tone in women and men. Hypertension 2005; 45: 1159-1164
  • 27 Teixeira L, Ritti-Dias RM, Tinucci T, Mion Jr D, Forjaz CL. Post-concurrent exercise hemodynamics and cardiac autonomic modulation. Eur J Appl Physiol 2011; 111: 2069-2078
  • 28 Virdis A, Taddei S. Endothelial aging and gender. Maturitas 2012; 71: 326-330