Sex differences in muscle excitation and oxygenation, but not in force fluctuations or active hyperemia resulting from a fatiguing, bilateral isometric task

Examination of sex differences in fatigability and neuromuscular responses during continuous, maximal, isometric leg extension

Objective.This study examined sex-related differences in fatigability and neuromuscular responses using surface electromyographic (sEMG) and mechanomyographic (sMMG) amplitude (AMP) and frequency (MPF) during fatiguing, maximal, bilateral isometric leg extensions.Approach.Twenty recreationally active males and females with resistance training experience performed continuous, maximal effort, bilateral isometric leg extensions until their force reduced by 50%. Linear mixed effect models analyzed patterns of force, sEMG, and sMMG AMP and MPF responses in the dominant limb. An independent samples t-test compared time-to-task failure (TTF) between sexes.Main Results.There were no significant differences in TTF between males and females. However, males experienced a greater rate of force loss compared to females. Furthermore, sEMG AMP and MPF and sMMG AMP responses followed similar linear trends for both sexes, while sMMG MPF showed non-linear responses with sex-dependent differences.Significance.These data suggest that although TTF was similar, males had a higher rate of force reduction, likely due to greater absolute strength. Furthermore, despite parallel changes in sEMG AMP and MPF, as well as sMMG AMP, the divergent responses observed in sMMG MPF highlight sex-dependent differences in how males and females experience changes in the firing rates of active motor units during sustained maximal contractions.

No sex differences in time-to-task failure and neuromuscular patterns of response during submaximal, bilateral, isometric leg extensions

BACKGROUND

In general, it has been suggested that females are more fatigue-resistant than males, with the magnitude of difference being most pronounced during low-intensity sustained contractions. However, the mechanisms for the apparent sex difference have not yet been fully elucidated in the literature. This study aimed to examine sex-related differences in fatigability and patterns of neuromuscular responses for surface electromyographic (sEMG) and mechanomyographic (sMMG) amplitude and frequency (MPF) characteristics during a sustained submaximal bilateral, isometric leg extension muscle action.

METHODS

A sample of 20 young recreationally active males and females with previous resistance training experience performed a sustained, submaximal, bilateral isometric leg extension until task failure. Time-to-task failure was compared using a nonparametric bootstrap of the 95% confidence interval for the mean difference between males and females. Additionally, patterns of response for sEMG and sMMG amplitude and MPF of the dominant limb were examined using linear mixed effect models.

RESULTS

There were no differences in time-to-task failure between males and females. Additionally, neuromuscular responses revealed similar patterns of responses between males and females. Interestingly, sEMG amplitude and sMMG amplitude and MPF all revealed non-linear responses, while sEMG MPF demonstrated linear responses.

CONCLUSION

These data revealed that time-to-task failure was not different between males and females during sustained submaximal bilateral, isometric leg extension. Interestingly, the parallel, non-linear, increases in sEMG and sMMG amplitude may indicate fatigue induced increases in motor unit recruitment, while the parallel decreases in sMMG MPF may be explained by the intrinsic properties of later recruited motor units, which may have inherently lower firing rates than those recruited earlier.

The effects of sex and contraction intensity on fatigability and muscle oxygenation in trained individuals

Fatigability varies depending on sex and contraction intensity during sustained exercise. This study examined the responses of time to task failure (TTF), performance fatigability (PF), and muscle oxygenation (SmO2) in males and females during isometric handgrip holds to failure (HTF) at 30% and 60% maximum voluntary isometric contraction (MVIC). Males (n = 12) and females (n = 12) performed a pre-MVIC, handgrip HTF at randomly ordered percentages of MVIC (either 30% or 60%), followed by a post-MVIC on the dominant arm. During the HTF testing, the TTF and SmO2 responses were recorded, and PF was determined from the pre- to post-MVICs. TTF for 30% MVIC HTF was greater than 60% MVIC HTF (p < 0.001), but was not different between males and females (p = 0.117). PF exhibited an inverse relationship with intensity for each sex, while males demonstrated greater PF than females for both 30% and 60% MVIC HTF. For the 60% MVIC HTF, males demonstrated greater desaturation than females (CI95% = [-28.1, -2.6%], p = 0.021, d = 0.621), but not for the 30% MVIC HTF (CI95% = [-12.2, 7.9%], p = 0.315, d = 0.621). Sex differences in PF and SmO2 may be attributed to the differences in muscle mass, absolute strength, contractile properties, and muscle metabolism between males and females. However, these proposed differences between males and females may not fully inform exercise performance (e.g., TTF). Sex-specific fatigue responses may be affected by complex physio-psychological mechanisms, and therefore, additional investigations under diverse exercise conditions are required to better prescribe exercise for both males and females.

The effects of low vs. high rating of perceived exertion clamp exercise on performance, neuromuscular, and muscle oxygen saturation responses in females

PURPOSE

This study examined the time course of changes in force, relative to critical force (CF), electromyographic amplitude (EMG AMP), neuromuscular efficiency (NE), and muscle oxygen saturation (SmO2), as well as time to task failure (TTF) and performance fatigability (PF) during isometric handgrip holds to failure (HTF) anchored to the rating of perceived exertion (RPE) at 3 and 7.

METHODS

Ten females completed pre-test maximal voluntary isometric contractions (MVICs), submaximal HTF at four percentages of MVIC, an HTF at RPE = 3 and 7, and post-test MVICs. Analyses included paired samples t-tests, repeated measures ANOVAs and planned comparisons.

RESULTS

TTF was not different between RPE 3 (540.4 ± 262.1 s) and 7 (592.2 ± 299.6 s), but PF for RPE 7 (42.1 ± 19.1%) was greater than RPE 3 (33.5 ± 15.4%) (p < 0.05). There were RPE-dependent decreases in force, EMG AMP, and NE across three discernable phases during the HTF (p < 0.01), but there were no significant changes in SmO2 across time.

CONCLUSION

Although there were overall similar patterns across time for force, neuromuscular, and muscle metabolic responses between the RPE holds, the greater PF at RPE 7 than RPE 3 may be explained by the longer sustained time above CF at RPE 7, resulting in greater accumulation of intramuscular metabolites and afferent feedback. Throughout each trial, it is possible that force was adjusted to avoid the sensory tolerance limit, and the task was ended when force could no longer be reduced to maintain the assigned RPE, resulting in a similar TTF for RPE 7 and RPE 3.

Physiological and perceptual response to critical power anchored HIIT: a sex comparison study

PURPOSE

The aim of this study was to test the hypothesis that using threshold-based high intensity interval training (HIITTHR) prescribed at an intensity above critical power (CP) in males and females matched for maximal oxygen uptake ( V ˙ O2max) (mL/kg lean mass/min) will yield no sex differences in time to fatigue.

METHODS

Thirteen males (mean ± SD: 22.0 ± 2.48 years, 181 ± 8.36 cm, 78.8 ± 11.4 kg) and eleven females (mean ± SD: 22.4 ± 2.69 years, 170 ± 5.73 cm, 65.2 ± 7.66 kg) initially undertook an incremental test to exhaustion to determine V ˙ O2max, and a CP test. Then, one HIIT session (4 min on, 2 min off) was performed to exhaustion at the work rate associated with 105%CP. Acute physiological and cardiovascular responses were recorded.

RESULTS

No sex differences were recorded in time to fatigue [Female vs. Male (min): 36.0 ± 18.5 vs. 39.3 ± 16.3], heart rate, rate of perceived exertion, or %oxygenated [haem]. Females displayed lower %deoxygenated [haem] at the end of interval 1, 2, 3, and 4 [Female vs. Male (%): 89.4 ± 21.2 vs. 110 ± 27.3, 92.0 ± 21.5 vs. 115 ± 27.6, 87.1 ± 23.7 vs. 112 ± 22.8, 88.9 ± 26.3 vs. 113 ± 23.5]. Large interindividual variability in performance, and physiological and perceptual response were present despite the use of threshold-based prescription.

CONCLUSION

The present study suggests that threshold-based prescription may help standardize the mean response exercise across sexes but does not eliminate physiological or perceptual variability. Furthermore, the lack of sex differences in TTF was accompanied by greater %deoxy[haem] in males, indicating tissue oxygenation is an unlikely determinant of HIIT performance. This study has been retrospectively registered at Trial Registration https://doi.org/10.17605/OSF.IO/KZVGC January 17th, 2023, following data collection but prior to data analyses.

Sex differences in intra-set kinematics and electromyography during different maximum repetition sets in the barbell back squat?

Barbell squats are commonly utilized in resistance training for rehabilitation, daily living enhancement, and improving sports performance. The current study investigated the kinematic and electromyographic (EMG) parameters in the squat between sexes across different repetition ranges (1-, 3-, 6-, and 10-RM) among recreationally strength-trained subjects. A total of 26 subjects (13 men: age 25 ± 3.5 years, height 178.2 ± 5.8 cm, weight 82.3 ± 9.1 kg; 13 women: age 24 ± 4.1 years, height 165.4 ± 6.3 cm, weight 68.2 ± 8.7 kg) participated in the study. The level of significance was set at p<0.05. The findings revealed no sex-specific differences in average barbell velocity across repetition ranges. However, the 1-RM showed a significantly lower average velocity compared to the final repetition of other repetition ranges (p<0.001), with the last repetition at 10-RM revealing a significantly higher velocity (p<0.001). Women had greater maximal angular hip extension velocity in the final repetitions of the 6- and 10-RM (p≤0.035, ηp2≤0.20), while both sexes displayed lower maximal angular knee extension velocity in the final repetition of the 10-RM (p = 0.028, ηp2 = 0.15). Moreover, men had lower EMG amplitude in the rectus femoris (3- and 10-RM), soleus, and lateral vastus (10-RM) compared to women (p≥0.011, ηp2≥0.26). It was concluded that 10-RM differed greatly in kinematics and EMG, suggesting different fatigue mechanisms compared to other repetition ranges with heavier loads. Furthermore, sex differences in EMG and angular hip extension velocity might imply sex-specific fatiguing mechanisms during high-repetition squats. These considerations could be important when prescribing training programs.

Sex-specific microvascular and hemodynamic responses to passive limb heating in young adults

OBJECTIVE

We examined sex-specific microvascular reactivity and hemodynamic responses under conditions of augmented resting blood flow induced by passive heating compared to normal blood flow.

METHODS

Thirty-eight adults (19 females) completed a vascular occlusion test (VOT) on two occasions preceded by rest with or without passive heating in a randomized, counterbalanced order. Skeletal muscle tissue oxygenation (StO2, %) was assessed with near-infrared spectroscopy (NIRS), and the rate of desaturation and resaturation as well as maximal StO2 (StO2max) and prolonged hypersaturation (area under the curve, StO2AUC) were quantified. Before the VOT, brachial artery blood flow (BABF), vascular conductance, and relative BABF (BABF normalized to forearm lean mass) were determined. Sex × condition ANOVAs were used. A p-value ≤.05 was considered statistically significant.

RESULTS

Twenty minutes of heating increased BABF compared to the control (102.9 ± 28.3 vs. 36.0 ± 20.9 mL min-1; p < .01). Males demonstrated greater BABF than females (91.9 ± 34.0 vs. 47.0 ± 19.1 mL min-1; p < .01). There was no sex difference in normalized BABF. There were no significant interactions for NIRS-VOT outcomes, but heat did increase the rate of desaturation (-0.140 ± 0.02 vs. -0.119 ± 0.03% s-1; p < .01), whereas regardless of condition, males exhibited greater rates of resaturation and StO2max than females.

CONCLUSIONS

These results suggest that blood flow is not the primary factor causing sex differences in NIRS-VOT outcomes.

Sex differences in muscle contraction-induced limb blood flow limitations

PURPOSE

To determined sex differences in absolute- and %-reductions in blood flow during intermittent muscular contractions as well as relationships between blood flow reductions and time to task failure (TTF).

METHODS

Thirteen males (25 ± 4 years) and 13 females (22 ± 5 years) completed intermittent isometric trapezoidal forearm flexion at 50% maximal voluntary contraction until task failure. Doppler ultrasound was used to measure brachial artery blood flow (BABF) during the 12-s plateau phase and 12-s relaxation phase.

RESULTS

Target torque was less in females than males (24 ± 5 vs. 42 ± 7 Nm; p < 0.001); however, TTF was not different between sexes (F: 425 ± 187 vs. M: 401 ± 158 s; p = 0.72). Relaxation-phase BABF at end-exercise was less in females than males (435 ± 161 vs. 937 ± 281 mL/min; p < 0.001) but contraction-phase BABF was not different (127 ± 46 vs. 190 ± 99 mL/min; p = 0.42). Absolute- and %-reductions in BABF by contraction were less in females than males (309 ± 146 vs. 747 ± 210 mL/min and 69 ± 10 vs. 80% ± 6%, respectively; both p < 0.01) and were associated with target torque independent of sex (r = 0.78 and 0.56, respectively; both p < 0.01). Absolute BABF reduction per target torque (mL/min/Nm) and TTF were positively associated in males (r = 0.60; p = 0.031) but negatively associated in females (r = - 0.61; p = 0.029).

CONCLUSIONS

This study provides evidence that females incur less proportional reduction in limb blood flow from muscular contraction than males at a matched relative intensity suggesting females may maintain higher levels of muscle oxygen delivery and metabolite removal than males across the contraction-relaxation cycle of intermittent exercise.

Myofascial release induces declines in heart rate and changes to microvascular reactivity in young healthy adults

OBJECTIVES

The purpose of this study was to compare physiological responses to myofascial release (MFR) and passive limb movement (PLM).

DESIGN

Nineteen (23 ± 2.6yrs) adults (10 men and 9 women) completed two experiments on separate days: MFR and PLM. Participation included collecting ultrasound images, blood pressure, and heart rate (HR) as well as performing a vascular occlusion test (VOT). The VOT assessed muscle tissue oxygenation (StO2) with near-infrared spectroscopy. Experiments consisted of moving the upper limb to release subtle barriers of resistance in the muscle/fascia (MFR) and passive, assisted range of motion (PLM).

RESULTS

There was a significantly (p = 0.012) greater decrease in HR following MFR (-7.3 ± 5.2 BPM) than PLM (-1.3 ± 0.9 BPM). There was an equivalent change in brachial blood flow (-17.3 ± 23.0 vs. -11.9 ± 14.9 mL min-1; p = 0.37) and vascular conductance (-19.3 ± 31.1 vs. -12.4 ± 15.3 mL min-1 mmHg-1; p = 0.38). Microvascular responses differed between the experiments such that MFR exhibited greater area under the curve (AUC, 1503 ± 499.1%∙s-1 vs. 1203 ± 411.1%∙s-1; p = 0.021) and time to maximum StO2 (40.0 ± 8.4s vs. 35.8 ± 7.3s; p = 0.009).

CONCLUSIONS

As evidenced by HR, MFR induced greater parasympathetic activity than PLM. The greater AUC and time to StO2max following MFR suggested a spillover effect to induce prolonged hyper-saturation. These results may be of interest to those investigating possible MFR-related rehabilitative benefits.

Effects of Sex and Cuff Pressure on Physiological Responses during Blood Flow Restriction Resistance Exercise in Young Adults

PURPOSE

The purpose of this study was to examine the physiological responses resulting from an acute blood flow restriction resistance exercise bout with two different cuff pressures in young, healthy men and women.

METHODS

Thirty adults (18-30 yr) completed a bilateral leg extension blood flow restriction bout consisting of four sets (30-15-15-15 repetitions), with cuffs applied at pressures corresponding to 40% and 60% of the minimum arterial occlusion pressure (AOP) needed to completely collapse the femoral arteries. During each of these conditions (40% and 60% AOP), physiological measures of near-infrared spectroscopy (NIRS) and EMG amplitude (EMG AMP) were collected from the dominant or nondominant vastus lateralis. After each set, ratings of perceived exertion (RPE) were collected, whereas only at baseline and at the end of the bout, mean arterial pressure (MAP) was assessed. Separate mixed-factorial ANOVA models were used to examine mean differences in the change in EMG AMP and NIRS parameters during each set. The absolute RPE and MAP values were also examined with separate ANOVAs. A P value ≤0.05 was considered statistically significant.

RESULTS

Regardless of sex or cuff pressure, the change in EMG AMP was lower in set 1 (14.8%) compared with the remaining sets (22.6%-27.0%). The 40% AOP condition elicited the greatest changes in oxy[heme] and deoxy[heme], while also providing lower RPEs. For MAP, there was an effect for time such that MAP increased from preexercise (87.5 ± 4.3 mm Hg) to postexercise (104.5 ± 4.1 mm Hg).

CONCLUSIONS

The major findings suggested that the 40% AOP condition permitted the greatest amount of recovery during the interset rest. In addition, there did not seem to be any meaningful sex-related difference in this sample of young healthy adults.