Evidence map›Paper›PMID 41635023›Full record

ArticlePhysiological reports2026

The effect of sex on the isolated and combined α- and β-adrenergic control of blood flow during handgrip in adults at high altitude: An exploratory study.

Lauren E Maier, Emily R Vanden Berg, Lydia Simpson, Michiel Ewalts, Katharine Foster, Jared Baylis, Christopher Gasho, David Macleod, Sean van Diepen, James Anholm and 6 more

Abstract read
In one paragraph

Article in Physiological reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Lauren E MaierNeurovascular Health Laboratory, Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada.
Emily R Vanden BergNeurovascular Health Laboratory, Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada.ORCID 0009-0003-8939-5263
Lydia SimpsonUniversity of Bristol, Bristol, UK.
Michiel EwaltsBangor University, Bangor, UK.
Katharine FosterLoma Linda University, Loma Linda, California, USA.
Jared BaylisSouthern Medicine Program, University of British Columbia, Kelowna, British Columbia, Canada.
Christopher GashoLoma Linda University, Loma Linda, California, USA.
David MacleodDuke University, Durham, North Carolina, USA.
Sean van DiepenFaculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
James AnholmLoma Linda University, Loma Linda, California, USA.
Justin LawleyUniversity of Innsbruck, Innsbruck, Austria.
Philip N AinslieCentre for Heart, Lung and Vascular Health, School of Health and Exercise Sciences, University of British Columbia-Okanagan, Kelowna, British Columbia, Canada.
Travis D GibbonsNorthern Arizona University, Flagstaff, Arizona, USA.
Michael StembridgeCardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK.
Jonathan MooreBangor University, Bangor, UK.ORCID 0000-0002-4244-8220
Craig D SteinbackNeurovascular Health Laboratory, Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0001-7190-7046

Funding

Gouvernement du Canada | Natural Sciences and Engineering Research Council of Canada (NSERC) RGPIN 06637Heart and Stroke Foundation of Canada (HSF) NNIA
6 · The paper itself

Abstract

This study examined how sex influences blood flow during exercise at altitude and relative contributions of adrenergic mechanisms. Thirteen participants (8 M/5F) were tested at low and high altitude (days 3-11). Participants performed rhythmic handgrip for 3 min at 25% maximal voluntary contraction during local infusions of saline, propranolol (β-adrenergic blockade), and phentolamine with propranolol (α-β-adrenergic blockade). Doppler ultrasound was used to examine brachial artery blood flow (FBF) and calculate forearm vascular conductance (FVC). Resting FBF and FVC were higher in males compared to females across all conditions (p = 0.024; p = 0.025, respectively). Blockade condition significantly altered FBF and FVC (p < 0.001 for both) but there was no effect of altitude (p = 0.330; p = 0.718, respectively). During exercise, ΔFBF was influenced by condition (p < 0.001), but not by sex (p = 0.696) or altitude (p = 0.813). Similarly, ΔFVC was different across conditions (control: 9.4 ± 2.3 mL/min/mmHg/FAV; β-blockade: 11.4 ± 12.8 mL/min/mmHg/FAV; α-β-blockade: 3.9 ± 1.1 mL/min/mmHg/FAV; p < 0.001), with no effect of sex (p = 0.646) or altitude (p = 0.889). These results suggest males and females do not respond differently to exercise at altitude, and light-intensity exercise hyperemia may be preserved during early acclimatization. α-adrenergic receptors appear important for exercising blood flow, but β-adrenergic receptors may not be critical in this response.

Indexed as

AltitudeHand StrengthReceptors, Adrenergic, betaRegional Blood FlowAdrenergic alpha-AntagonistsAdrenergic beta-AntagonistsAdultBrachial ArteryExerciseFemaleForearmHumansMalePhentolaminePropranololYoung AdultAdrenergic alpha-AntagonistsAdrenergic beta-AntagonistsPhentolaminePropranololReceptors, Adrenergic, betaexercisehandgriphigh altitudehypoxiasex differences

Identifiers

PMID41635023
PMCPMC12867950

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Registered trials

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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.