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Sex Differences in Reflex Responses to Intermittent Hypoxia

Not Applicable
Completed
Conditions
Healthy Participants
Interventions
Other: Hypoxic exposure
Registration Number
NCT03606434
Lead Sponsor
University of Missouri-Columbia
Brief Summary

The purpose of the present study is to determine whether there are sex differences in the reflex responses to hypoxia in humans.

Detailed Description

Over 35% of the US population will develop sleep apnea at some point in their life. Sleep apnea is the most common form of sleep disordered breathing and patients with sleep apnea are at increased risk of developing high blood pressure. Intermittent, repeated exposures to low oxygen during sleep (intermittent hypoxia, IH) has been implicated as the primary stimulus for increases in sympathetic nervous system activity and blood pressure with sleep apnea. Interestingly there are some reports of a lower incidence of hypertension in women with sleep apnea when compared to men. Results from the present study will provide information important to the investigator's understanding of potential sex-differences in clinical outcomes for conditions related to acute/chronic hypoxia and may have important implications for treatments which may improve blood pressure control in patients with sleep apnea.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • healthy adult men and women;
  • BMI <30 kg/m2;
  • non-pregnant;
  • non-breastfeeding;
  • non-smokers;
  • premenopausal women with a normal menstrual cycle unaffected by hormonal contraceptive use;
  • taking no medications known to affect autonomic or cardiovascular function (PI discretion).
Exclusion Criteria
  • taking any medications known to affect the cardiovascular or autonomic nervous system (e.g. alpha-blockers, beta-blockers, etc);
  • a self-reported history of hepatic, renal, pulmonary, cardiovascular, or neurological diseases;
  • stroke or neurovascular disease;
  • bleeding/clotting disorder;
  • sleep apnea or other sleep disorders;
  • diabetes;
  • smoking;
  • history of alcoholism or substance abuse;
  • hypertension.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Hypoxic ExposureHypoxic exposureMen, and women in early or late follicular phase of menstrual cycle will be exposed to acute and intermittent hypoxic episodes.
Primary Outcome Measures
NameTimeMethod
Change from baseline Hypoxic Ventilatory Response after intermittent hypoxiaThrough completion of intermittent hypoxia, an average of 3 hours

Hypoxia breathing will be recorded before and after intermittent hypoxia

Change from baseline Blood Pressure after intermittent hypoxiaThrough completion of intermittent hypoxia, an average of 3 hours

Systolic and diastolic blood pressure will be recorded before and after intermittent hypoxia

Change from baseline Forearm Blood Flow after intermittent hypoxiaThrough completion of intermittent hypoxia, an average of 3 hours

Blood flow in the forearm will be recorded before and after intermittent hypoxia

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Missouri-Columbia

🇺🇸

Columbia, Missouri, United States

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