Evidence map›Paper›PMID 41351760›Full record

ArticleEuropean journal of applied physiology2026

Examination of sex differences in fatigability, muscle oxygenation, and neuromuscular responses during low-intensity isometric handgrip exercise.

Minyoung Kwak, Brian Benitez, Pasquale J Succi, Clara J Mitchinson, Erik R Snell, Haley C Bergstrom

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Article in European journal of applied physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Minyoung KwakKinesiology and Health Promotion, University of Kentucky, Lexington, KY, 40506, USA. mkw223@uky.edu.ORCID http://orcid.org/0009-0003-8617-2611
Brian BenitezHealth Sciences, Stetson University, DeLand, FL, 32723, USA.
Pasquale J SucciExercise Science, Chestnut Hill College, Philadelphia, PA, 11918, USA.
Clara J MitchinsonKinesiology and Health Promotion, University of Kentucky, Lexington, KY, 40506, USA.
Erik R SnellKinesiology and Health Promotion, University of Kentucky, Lexington, KY, 40506, USA.
Haley C BergstromKinesiology and Health Promotion, University of Kentucky, Lexington, KY, 40506, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study investigated sex-dependent physiological responses and fatigability for a single bout of unilateral, low-intensity isometric handgrip hold to failure.

methodsEighteen young adults (9 males, 9 females) performed pre-test maximal voluntary isometric contractions (MVICs), a handgrip exercise at 30% MVIC with their dominant (exercised) hand, followed by post-test MVICs with both hands. During the exercise, time to task failure (TTF), electromyography (EMG), mechanomyography (MMG), and near-infrared spectroscopy (NIRS)-derived muscle oxygen saturation (SmO₂) were recorded. EMG and MMG amplitude (AMP) and mean power frequency (MPF), and SmO₂ were analyzed using the initial and final timepoints of the exercise.

resultsEMG AMP and MMG AMP significantly increased (p = 0.009 and p < 0.001), while EMG MPF and MMG MPF significantly decreased (p < 0.001) during the exercise, collapsed across sex. Males exhibited significantly lower SmO₂ than females at task failure (p = 0.005). TTF did not significantly differ between sexes (p = 0.705). MVIC force significantly decreased in post-test in the exercised hand (p < 0.001), but not in the non-exercised hand (p = 1.000), with males exhibiting greater overall strength than females (p < 0.001), collapsed across time and hand.

conclusionAlthough males demonstrated greater muscle deoxygenation during the handgrip exercise, likely due to greater absolute strength, these differences did not lead to sex differences in neuromuscular (EMG and MMG parameters) or global fatigability (TTF and MVIC changes following exercise) nor did this unilateral task cause non-local muscle fatigue. This study offers insight into sex-based physiological differences that should be considered when prescribing or evaluating low-intensity, upper-body muscular fatiguing exercise.

Indexed as

ExerciseHand StrengthIsometric ContractionMuscle FatigueMuscle, SkeletalOxygen ConsumptionAdultElectromyographyFemaleHumansMaleSex CharacteristicsYoung AdultIsometric handgrip exerciseMuscle fatigueNon-local muscle fatigueSex difference

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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.