ArticleActa physiologica (Oxford, England)2014
Sex differences in human fatigability: mechanisms and insight to physiological responses.
Article in Acta physiologica (Oxford, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 251 papers, 11 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
251 citing papers in PubMed, 11 syntheses or guidelines pooled it, 542 citations in OpenAlex.
- Effects of Citrulline Malate Supplementation on Exercise Performance: A Systematic Review and Three-Level Meta-Analysis.Nutrients · 2026Pooled it
- Disuse-Induced Muscle Atrophy and Muscle Weakness From Hospitalization to Spaceflight: Exercise Succeeds in Prevention and Treatment-A Meta-Analysis.Journal of cachexia, sarcopenia and muscle · 2026Pooled it
- Acute caffeine supplementation and resistance exercise performance in female participants: a systematic review and three-level meta-analysis.Frontiers in physiology · 2026Pooled it
- Effects of different exercise modes on the risk factors of arteriosclerosis in postmenopausal women: A systematic review and network meta-analysis.Journal of human hypertension · 2025Pooled it
- Could work-related muscle activity explain sex differences in neck pain? A meta-analysis of a pooled dataset.Scandinavian journal of work, environment & health · 2025Pooled it
- Pooled it
- Concurrent Strength and Endurance Training: A Systematic Review and Meta-Analysis on the Impact of Sex and Training Status.Sports medicine (Auckland, N.Z.) · 2024Pooled it
- Analysis of sex-based differences in energy substrate utilization during moderate-intensity aerobic exercise.European journal of applied physiology · 2022Pooled it
- Test-retest reliability of the 30-15 Intermittent Fitness Test: A systematic review.Journal of sport and health science · 2021Pooled it
- The Effect of Resistance Training in Women on Dynamic Strength and Muscular Hypertrophy: A Systematic Review with Meta-analysis.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- The Acute Neuromuscular Responses to Cluster Set Resistance Training: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2019Pooled it
- Catecholaminergic Contributions to Inhibitory Control Following Physical Fatigue: Behavioral and Neurophysiological Findings.European journal of sport science · 2026Trial
- Sex-specific effects of progressive whole-body vibration combined with active exercises on muscle mass, strength, and function in sarcopenic older adults.Scientific reports · 2026Trial
- Acute ingestion of acetaminophen improves cognitive and repeated high intensity short-term maximal performance in well-trained female athletes: a randomized placebo-controlled trial.European journal of applied physiology · 2024Trial
- Low-load Resistance Exercise with Perceptually Primed Practical Blood Flow Restriction Induces Similar Motor Performance Fatigue, Physiological Changes, and Perceptual Responses Compared to Traditional Blood Flow Restriction in Males and Females.Journal of sports science & medicine · 2024Trial
- Evaluating the effects of embedded self-massage practice on strength performance: A randomized crossover pilot trial.PloS one · 2021Trial
- Influence of Sex on the Recovery Response Following Isometric Exercise Performed at Long Muscle Length.Journal of strength and conditioning research · 2026Article
- Sex-Based Differences in Anthropometric Profiles and Physiological Responses to High-Intensity Strength-Endurance Exercise in Paramedic Students: A Cross-Sectional Study.Journal of functional morphology and kinesiology · 2026Article
- Real-Time Physiological Fatigue Prediction for Human-Robot Collaborative Manufacturing Using Wearable Sensor Fusion and Hybrid Deep Learning: An In Silico Digital Twin Study.Sensors (Basel, Switzerland) · 2026Article
- Classifying Endurance Runners by Kinematics Strengthens Relationships of Muscle-Tendon Unit Function with Running Economy and Performance.Medicine and science in sports and exercise · 2026Article
191 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
Abstract
Sex-related differences in physiology and anatomy are responsible for profound differences in neuromuscular performance and fatigability between men and women. Women are usually less fatigable than men for similar intensity isometric fatiguing contractions. This sex difference in fatigability, however, is task specific because different neuromuscular sites will be stressed when the requirements of the task are altered, and the stress on these sites can differ for men and women. Task variables that can alter the sex difference in fatigability include the type, intensity and speed of contraction, the muscle group assessed and the environmental conditions. Physiological mechanisms that are responsible for sex-based differences in fatigability may include activation of the motor neurone pool from cortical and subcortical regions, synaptic inputs to the motor neurone pool via activation of metabolically sensitive small afferent fibres in the muscle, muscle perfusion and skeletal muscle metabolism and fibre type properties. Non-physiological factors such as the sex bias of studying more males than females in human and animal experiments can also mask a true understanding of the magnitude and mechanisms of sex-based differences in physiology and fatigability. Despite recent developments, there is a tremendous lack of understanding of sex differences in neuromuscular function and fatigability, the prevailing mechanisms and the functional consequences. This review emphasizes the need to understand sex-based differences in fatigability to shed light on the benefits and limitations that fatigability can exert for men and women during daily tasks, exercise performance, training and rehabilitation in both health and disease.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.