Gender-based differences in Cardiovascular Response in the magnitude and mechanisms of Isometric Exercise

Session

Sport, Health and Society

Description

To synthesize evidence on gender specific cardiovascular responses to isometric exercise and clarify implications for exercise prescription and risk assess-ment. Methods: A narrative synthesis of human studies examining acute cardiovascu-lar responses during isometric tasks focused on heart rate, blood pressure, and peripheral vascular resistance, with comparisons by sex or gender and consider-ation of moderating factors such as fitness level and menopausal status. Results: Isometric exercise produced increases in heart rate, blood pressure, and peripheral vascular resistance. Men generally showed greater pressor responses with higher systolic and diastolic blood pressure, which is consistent with larger muscle mass, stronger sympathetic activation, and greater vasoconstrictive activ-ity. Women typically exhibited larger heart rate elevations and a greater reliance on cardiac output, patterns plausibly linked to estrogen mediated vasodilation and comparatively reduced vascular reactivity. These differences were evident across studies but appeared attenuated in individuals with higher fitness levels and in relation to menopausal status. Conclusion: Gender meaningfully modulates cardiovascular reactivity to iso-metric exercise, with men tending to display greater blood pressure elevations and women relying more on heart rate and cardiac output. These distinctions, rooted in hormonal, autonomic, and morphological factors, support personalized exercise programming and risk stratification. Future research should investigate molecular pathways including sex hormone receptor signaling and assess the im-pact of gender affirming therapies on exercise responses.

Keywords:

Isometric Exercise, Cardiovascular Reactivity, Sex Differences

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-982-41-2

Location

UBT Lipjan, Kosovo

Start Date

25-10-2025 9:00 AM

End Date

26-10-2025 6:00 PM

DOI

10.33107/ubt-ic.2025.312

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Oct 25th, 9:00 AM Oct 26th, 6:00 PM

Gender-based differences in Cardiovascular Response in the magnitude and mechanisms of Isometric Exercise

UBT Lipjan, Kosovo

To synthesize evidence on gender specific cardiovascular responses to isometric exercise and clarify implications for exercise prescription and risk assess-ment. Methods: A narrative synthesis of human studies examining acute cardiovascu-lar responses during isometric tasks focused on heart rate, blood pressure, and peripheral vascular resistance, with comparisons by sex or gender and consider-ation of moderating factors such as fitness level and menopausal status. Results: Isometric exercise produced increases in heart rate, blood pressure, and peripheral vascular resistance. Men generally showed greater pressor responses with higher systolic and diastolic blood pressure, which is consistent with larger muscle mass, stronger sympathetic activation, and greater vasoconstrictive activ-ity. Women typically exhibited larger heart rate elevations and a greater reliance on cardiac output, patterns plausibly linked to estrogen mediated vasodilation and comparatively reduced vascular reactivity. These differences were evident across studies but appeared attenuated in individuals with higher fitness levels and in relation to menopausal status. Conclusion: Gender meaningfully modulates cardiovascular reactivity to iso-metric exercise, with men tending to display greater blood pressure elevations and women relying more on heart rate and cardiac output. These distinctions, rooted in hormonal, autonomic, and morphological factors, support personalized exercise programming and risk stratification. Future research should investigate molecular pathways including sex hormone receptor signaling and assess the im-pact of gender affirming therapies on exercise responses.