Soedirdjo Subaryani D H, Rodriguez Luis A, Chung Yu-Chen, Casey Ellen, Dhaher Yasin Y
Department of Physical Medicine and Rehabilitation, UT Southwestern Medical Center, Dallas, TX, United States.
Department of Bioengineering, University of Texas at Dallas, Richardson, TX, United States.
Front Physiol. 2023 Mar 7;14:1104578. doi: 10.3389/fphys.2023.1104578. eCollection 2023.
The goal of the study was to characterize muscle activation/deactivation dynamics across the menstrual cycle in healthy young women. Twenty-two healthy eumenorrheic women (age: 27.0 ± 4.4 years; mean ± SD) were tested every other day for one menstrual cycle. Serum estradiol and progesterone were quantified at the time of testing. Peak torque (PT), time to peak torque (TPT), and half relaxation time (HRT) of soleus muscle twitch were measured. Muscle twitch was elicited by delivering 1 ms width electrical pulses to the tibial nerve at an intensity that generated a maximum motor response (S-100) and at supramaximal intensity (S-120; 1.2 × S-100). The analyses were performed for each menstrual cycle phase: 1) the follicular phase to analyze the effect of estradiol while the progesterone concentrations remained at low concentrations; 2) the luteal phase to analyze the effect of progesterone with background estradiol concentrations. In the follicular phase, there was no association of estradiol for PT, TPT, and HRT. In the luteal phase, while estradiol had no association on PT, TPT, and HRT, progesterone expressed a significant association with HRT reduction but no association on PT or TPT. Also, there was a significant estradiol and progesterone interaction for HRT. However, the regression parameters are nearly zero, suggesting that the change in HRT may not have an impact on muscle performance across the menstrual cycle but implications on other women's health conditions with elevated sex hormone concentrations, such as pregnancy, may prove critical.
该研究的目的是描述健康年轻女性月经周期中肌肉激活/去激活的动态变化。22名月经周期正常的健康女性(年龄:27.0±4.4岁;平均值±标准差)在一个月经周期内每隔一天接受测试。在测试时对血清雌二醇和孕酮进行定量。测量比目鱼肌抽搐的峰值扭矩(PT)、达到峰值扭矩的时间(TPT)和半松弛时间(HRT)。通过以产生最大运动反应的强度(S-100)和超最大强度(S-120;1.2×S-100)向胫神经传递1毫秒宽度的电脉冲来引发肌肉抽搐。对每个月经周期阶段进行分析:1)卵泡期,分析孕酮浓度保持在低水平时雌二醇的作用;2)黄体期,分析在有背景雌二醇浓度的情况下孕酮的作用。在卵泡期,雌二醇与PT、TPT和HRT无关联。在黄体期,虽然雌二醇与PT、TPT和HRT无关联,但孕酮与HRT降低有显著关联,而与PT或TPT无关联。此外,HRT存在显著的雌二醇和孕酮相互作用。然而,回归参数几乎为零,这表明HRT的变化可能不会对整个月经周期的肌肉性能产生影响,但对于性激素浓度升高的其他女性健康状况(如怀孕)可能具有关键意义。