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血压调节中的年龄和性别差异:聚焦于血管压力反射通路。

Age and sex differences in blood pressure regulation: A focus on the vascular baroreflex limb.

作者信息

Watanabe Darcianne K, Hong Suzi, Williams DeWayne P, Kohn Jordan, Koenig Julian, Reyes Del Paso Gustavo A, Thayer Julian F

机构信息

School of Social Ecology, University of California Irvine, Irvine, California, USA.

Herbert Wertheim School of Public Health & Human Longevity Science; Department of Psychiatry, School of Medicine, University of California San Diego, La Jolla, California, USA.

出版信息

Physiol Rep. 2025 Jun;13(12):e70413. doi: 10.14814/phy2.70413.


DOI:10.14814/phy2.70413
PMID:40538081
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12179341/
Abstract

Despite the vasculature's role in long-term blood pressure (BP) regulation, limited work exists on vascular baroreflex function. This study focused on hypothesized age and sex differences in the vascular-sympathetic baroreflex limb and explored the role of hormone replacement therapy (HRT). Resting cardiac and hemodynamic measures were recorded. Baroreflex sensitivity (BRS) and baroreflex effectiveness (BEI) were calculated for each baroreflex limb (cardiac, myocardial, and vascular). In younger adults, women had significantly lower SBP, total peripheral resistance (TPR), and vascular-BEI than men (r's > 0.245, p's < 0.012). In older adults with managed-hypertension, post-menopausal women had significantly higher SBP, TPR, and vBEI, than men (r's > 0.228, p's < 0.018), while younger women had significantly higher vBRS (r's > 0.199, p's < 0.027) and lower TPR (r's > 0.281, p's < 0.002). Younger men showed significantly higher vascular-BRS and vascular-BEI (r's > 0.318, p's < 0.002), higher TPR and TPR-variability (r's > 0.314, p ≤ 0.003), and lower SBP (r's > 0.295, p's < 0.005) than older men. Compared to non-HRT women, HRT-women had only significantly lower SBP (r = 0.243, p = 0.035). We provide the first evidence of age and sex differences in vascular baroreflex-mediated BP control using the sequence method.

摘要

尽管血管系统在长期血压(BP)调节中发挥作用,但关于血管压力反射功能的研究却很有限。本研究聚焦于血管交感神经压力反射支中假定的年龄和性别差异,并探讨了激素替代疗法(HRT)的作用。记录静息时的心脏和血流动力学指标。计算每个压力反射支(心脏、心肌和血管)的压力反射敏感性(BRS)和压力反射有效性(BEI)。在年轻成年人中,女性的收缩压(SBP)、总外周阻力(TPR)和血管BEI显著低于男性(r值>0.245,p值<0.012)。在患有高血压的老年人中,绝经后女性的SBP、TPR和血管BEI显著高于男性(r值>0.228,p值<0.018),而年轻女性的血管BRS显著更高(r值>0.199,p值<0.027),TPR更低(r值>0.281,p值<0.002)。与老年男性相比,年轻男性的血管BRS和血管BEI显著更高(r值>0.318,p值<0.002),TPR和TPR变异性更高(r值>0.314,p≤0.003),SBP更低(r值>0.295,p值<0.005)。与未接受HRT的女性相比,接受HRT的女性仅SBP显著更低(r = 0.243,p = 0.035)。我们首次使用序列法证明了血管压力反射介导的血压控制存在年龄和性别差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679a/12179341/414d1a560362/PHY2-13-e70413-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679a/12179341/f0fff0324799/PHY2-13-e70413-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679a/12179341/4cdaf89c1cfe/PHY2-13-e70413-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679a/12179341/3a42bf745fa9/PHY2-13-e70413-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679a/12179341/414d1a560362/PHY2-13-e70413-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679a/12179341/f0fff0324799/PHY2-13-e70413-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679a/12179341/4cdaf89c1cfe/PHY2-13-e70413-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679a/12179341/3a42bf745fa9/PHY2-13-e70413-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679a/12179341/414d1a560362/PHY2-13-e70413-g004.jpg

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Age and sex differences in blood pressure regulation: A focus on the vascular baroreflex limb.

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本文引用的文献

[1]
The cardiac, vasomotor and myocardial branches of the baroreflex in hypotension: indications of reduced venous return to the heart.

Clin Auton Res. 2025-2

[2]
Racial differences in baroreflex function: Implications for the cardiovascular conundrum.

Am Heart J Plus. 2024-5-20

[3]
Blood Pressure Variability, Central Autonomic Network Dysfunction, and Cerebral Small-Vessel Disease in Carriers.

J Am Heart Assoc. 2024-5-7

[4]
The benefits and risks of menopause hormone therapy for the cardiovascular system in postmenopausal women: a systematic review and meta-analysis.

BMC Womens Health. 2024-1-23

[5]
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Am J Physiol Heart Circ Physiol. 2024-1-1

[6]
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Am J Physiol Heart Circ Physiol. 2023-10-1

[7]
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J Am Heart Assoc. 2023-6-20

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Circulation. 2023-2-14

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J Hypertens. 2022-11-1

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