Trial reportEuropean journal of applied physiology2026
Exercise-induced bronchodilation is not impacted by beta-adrenergic receptor blockade in males or females.
Trial report 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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8 authors.
Funding
Abstract
purposeExercise-induced bronchodilation (EIBD) is primarily driven by parasympathetic withdrawal; however, the role of sympathetic activity via beta-adrenergic receptors (β-AR) remains unclear. We sought to determine the contribution of β-AR to EIBD in healthy males and females following fatiguing single-leg knee extension exercise.
methodsFourteen healthy young adults (7 males, 7 females) completed two randomized exercise visits with or without systemic β-AR blockade (propranolol). Participants performed forced vital capacity (FVC) maneuvers before and immediately after exercise to quantify EIBD. Spirometric outcomes included forced expiratory volume in one second (FEV₁), FEV₁/FVC, peak expiratory flow (PEF), and flows at 25%, 50%, and 75% of FVC. Mean slope ratio (SR) of the maximal expiratory flow-volume (MEFV) was also quantified from the effort-independent portion of the MEFV.
resultsEIBD was confirmed by increases in FEV₁ (Δ4 ± 3% and Δ5 ± 3%) and FEV1/FVC (Δ3 ± 1% and Δ3 ± 4%) during the control condition in males and females respectively. Propranolol did not significantly alter these global markers of bronchodilation. Compared to control, propranolol significantly blunted airflow at 25% FVC (Δ0 ± 0.4L·s−1 vs. Δ0.3 ± 0.3L·s−1; p = 0.05) and 50% FVC (Δ0.1 ± 0.4L·s−1 vs. Δ0.4 ± 0.4L·s−1; p = 0.05). Females (Δ0.08 ± 0.11; p = 0.03) but not males (Δ-0.04 ± 0.07; p = 0.96) exhibited a significant increase in mean SR with propranolol.
conclusionsWhile β-AR blockade did not affect typical markers of EIBD, it impaired airflow in small airways, especially in females, suggesting sex-specific sympathetic regulation of bronchodilation. These findings highlight a nuanced role for β-AR in modulating EIBD.
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