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ORIGINAL ARTICLE
Year : 2013  |  Volume : 13  |  Issue : 2  |  Page : 78-80

Comparison of adaptability of the pulmonary system to exercise in proliferative phase of menstrual cycle in a group of trained and untrained perimenopausal women


1 Department of Physiology, PES Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh, India
2 Department of Anesthesiology, Basaveshwara Medical College, Chitradurga, Karnataka, India
3 Department of Physiology, Basaveshwara Medical College, Chitradurga, Karnataka, India

Date of Web Publication20-Dec-2013

Correspondence Address:
Amrith Pakkala
Department of Physiology, PES Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh
India
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DOI: 10.4103/1319-6308.123375

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  Abstract 

Background: The role of estrogen on pulmonary function test (PFT) was well-known in the normal course of the menstrual cycle. Significant increase in both progesterone (37%) and estradiol (13.5%), whereas no change in plasma follicle stimulating hormone and leutinising hormone (FSH and LH)was observed in exercising women in previous studies. Therefore, this study was intended to see the limitations of the pulmonary system in adaptability to exercise in proliferative phase of the menstrual cycle in perimenopausal women. Materials and Methods: 10 Subjects in each group were subjected to treadmill exercise testing and cardio-respiratory parameters were recorded. Results: It was observed that exercise per se does not cause a statistically significant change in dynamic lung function parameters maximum mid expiratory flow (MMEF), peak expiratory flow rate, mid expiratory flow 25-75% in either of the groups. Conclusion: This finding supports the hypothesis that the respiratory system is not normally the most limiting factor in the delivery of oxygen even under the predominant influence of estrogen in proliferative phase, which is further accentuated by exercise.

  Abstract in Arabic 

قارنة قابلية التكيف الجهاز التنفسي في الطور التكاثري من الدورة الطمثية في مجموعة من النساء المدربات وغير المدربات القريبات من الإياس

ملخص : إن دور الاستروجين في تجربة وظائف الرئة كان معلوماً جداً في المسار الطبيعي لدورة الحيض . ثم ملاحظة وجود زيادة واضحة في كلا من البروجسترون (37% ) والايستراديول (5ر13%) مع عدم تغير مستويات الهورمون المنبة للجريب والهورمون المصغر في النساء الممارسات للتمارين في الدراسات السابقة ، لذلك فإن هدف هذه الدراسة كان رؤية محدودية ثلاؤمية الجهاز التنفسي للتمارين الرياضية في طور التكاثر .

Keywords: Adaptability, estrogen in exercise, proliferative, proliferative phase


How to cite this article:
Pakkala A, Ragavendra T, Ganashree C P. Comparison of adaptability of the pulmonary system to exercise in proliferative phase of menstrual cycle in a group of trained and untrained perimenopausal women. Saudi J Sports Med 2013;13:78-80

How to cite this URL:
Pakkala A, Ragavendra T, Ganashree C P. Comparison of adaptability of the pulmonary system to exercise in proliferative phase of menstrual cycle in a group of trained and untrained perimenopausal women. Saudi J Sports Med [serial online] 2013 [cited 2021 Jun 25];13:78-80. Available from: https://www.sjosm.org/text.asp?2013/13/2/78/123375


  Introduction Top


The role of hormones on the healthy pulmonary system in delivering oxygen to meet the demands of various degrees of exercise has been a matter of differences in opinion. There are conflicting reports that the respiratory system is not normally the most limiting factor in the delivery of oxygen to the muscles during maximal muscle aerobic metabolism whereas others do not subscribe to this. [1] Within this context, it is appropriate to study the effect of proliferative phase of the menstrual cycle on ventilator functions after exercise.

Mechanical constraints on exercise hyperpnea have been studied as a factor limiting performance in endurance athletes. [2] Others have considered the absence of structural adaptability to physical training as one of the "weaknesses" inherent in the healthy pulmonary system response to exercise. [3]

Ventilator functions are an important part of functional diagnostics, [4] aiding selection and optimization of training and early diagnosis of sports pathology. Assessment of exercise response of dynamic lung functions in the healthy pulmonary system in the trained and the untrained has a role in clearing gaps in the above areas especially a special group like perimenopausal women.


  Materials and Methods Top


The present study was conducted as a part of cardio-pulmonary efficiency studies on two groups of non-athletes (n = 10) and athletes (n = 10) comparable in age and sex.

Informed consent was obtained and clinical examination to rule out any underlying disease was carried out. Healthy young adult females between 42 years and 45 years who regularly undergo training and participate in competitive middle distance running events for at least past 3 years were considered in the athlete group, whereas the non-athlete group did not have any such regular exercise program. Smoking, clinical evidence of anemia, obesity, involvement of cardio-respiratory system was considered as exclusion criteria. Menstrual history was ascertained to confirm proliferative phase of the menstrual cycle.

Detailed procedure of exercise treadmill test and computerized spirometry was explained to the subjects.

Dynamic lung functions were measured in both groups before exercise was evaluated following standard procedure of spirometry using the computerized spirometer Spl-95. All subjects were made to undergo maximal exercise testing to VO 2 max levels on a motorized treadmill.

After exercise, the assessment of dynamic lung functions was repeated. All these set of recordings were carried out on both the non-athlete as well as the athlete groups.

Statistical analysis was carried out the using paired Students t-test for comparing parameters within the group before and after exercise testing and unpaired t-test for comparing the two groups of subjects.

A P < 0.01 was considered as significant.


  Results Top


It is clear from [Table 1] that the subjects in the study and control group were anthropometrically similar. The VO2 max was significantly higher in athletes.

From [Table 2] and [Table 3] it is clear that there was no significant changes in either of the two groups after exercise testing in dynamic lung function parameters.
Table 1: Comparison of anthropometric data and VO2 max of non‑athletes and athletes with statistical analysis

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Table 2: Comparison of dynamic lung functions of non‑athletes BE testing and AE testing with statistical analysis

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Table 3: Comparison of dynamic lung functions of athletes BE testing and AE testing with statistical analysis

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  Discussion Top


Considerable information can be obtained by studying the exercise response of dynamic lung functions in untrained and trained subjects.

Intra-group comparison is helpful in noting the exercise response and inter-group comparison in evaluating adaptations of the respiratory system to training.

On comparing the anthropometric data of the two study groups, it is clear that age and sex matched subjects have no statistically significant difference in height, weight and body mass index taking a P < 0.01 as significant.

VO 2 max values were higher in athletes and was statistically significant (P < 0.001). This observation is expected in view of the training stimulus and adaptability of both the pulmonary system and the cardio vascular system. VO 2 max is an objective index of the functional capacity of the body's ability to generate power.

Forced vital capacity (FVC) is the volume expired with the greatest force and speed from total lung capacity (TLC) and forced expiratory volume in first second (FEV1) that expired in the 1 st s during the same maneuver. The FEV1 was initially used as an indirect method of estimating its predecessor as the principal pulmonary function test, the maximal breathing capacity. [5]

On comparing the response of exercise within the two study groups and in between them, there is no statistically significant difference in FVC and FEV1 under any condition.

A normal FEV1/FVC ratio is observed always.

Another way of looking at forced expiration is to measure both expiratory flow and the volume expired. The maximum flow obtained can be measured from a flow-volume curve is the peak expiratory flow rate (PEFR). The peak flow occurs at high lung volumes and is effort dependent. Flow at lower lung volumes is effort independent. Flow at lower lung volumes depends on the elastic recoil pressure of the lungs and the resistance of the airways upstream or distal to the point at which dynamic compression occurs. Measurements of flow at low lung volumes, mid expiratory flow (MEF 25-75%) are often used as indices of peripheral or small airways resistance. [5]

On examining [Table 2] and [Table 3], it is clear that exercise per se does not cause a statistically significant change in dynamic lung function parameters MMEF, PEFR, MEF 25-75% in either of the groups. This finding supports the hypothesis that the respiratory system is not normally the most limiting factor in the delivery of oxygen. [6]

Thirty minutes of exercise at 74% of VO 2 was found to cause a significant increase in both progesterone (37%) and estradiol (13.5%), whereas no change in plasma FSH and LH was observed in exercising women; [7] others have confirmed these findings. [8] This finding supports the hypothesis that the respiratory system is not normally the most limiting factor in the delivery of oxygen even under the predominant influence of estrogen in proliferative phase, which is further accentuated by exercise.

 
  References Top

1.Guyton AC, Hall JE, editors. Text Book of Medical Physiology. 11 th ed. USA: Saunders; 2006. p. 1061-62.  Back to cited text no. 1
    
2.Johnson BD, Saupe KW, Dempsey JA. Mechanical constraints on exercise hyperpnea in endurance athletes. J Appl Physiol 1992;73:874-86.  Back to cited text no. 2
[PUBMED]    
3.Dempsey JA, Johnson BD, Saupe KW. Adaptations and limitations in the pulmonary system during exercise. Chest 1990;97 Suppl 3:81S-7.  Back to cited text no. 3
    
4.Andziulis A, Gocentas A, Jascaniniene N, Jaszczanin J, Juozulynas A, Radzijewska M. Respiratory function dynamics in individuals with increased motor activity during standard exercise testing. Fiziol Zh 2005;51:86-95.  Back to cited text no. 4
[PUBMED]    
5.Seaton A, Seaton D, Leitch AG, editors. Crofton and Douglas′s Respiratory Diseases. 5 th ed. Oxford: Oxford University Press; 2000. p. 43-5.  Back to cited text no. 5
    
6.Ganong WF. Review of Medical Physiology. 22 nd ed. Lange publications, USA; 2005. p. 444.  Back to cited text no. 6
    
7.Bonen A, Ling WY, MacIntyre KP, Neil R, McGrail JC, Belcastro AN. Effects of exercise on the serum concentrations of FSH, LH, progesterone, and estradiol. Eur J Appl Physiol Occup Physiol 1979;42:15-23.  Back to cited text no. 7
[PUBMED]    
8.Jurkowski JE, Jones NL, Walker C, Younglai EV, Sutton JR. Ovarian hormonal responses to exercise. J Appl Physiol 1978;44:109-14.  Back to cited text no. 8
[PUBMED]    



 
 
    Tables

  [Table 1], [Table 2], [Table 3]



 

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Introduction
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Results
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