Int J Sports Med
DOI: 10.1055/a-2605-5548
Physiology & Biochemistry

Sex differences in arterial stiffness and blood pressure following resistance exercise

Rebecca M. Kappus
1   Public Health and Exercise Science, Appalachian State University, Boone, USA
,
Caroline C. Rushing
1   Public Health and Exercise Science, Appalachian State University, Boone, USA
,
Kaitlin T. McShea
1   Public Health and Exercise Science, Appalachian State University, Boone, USA
› Author Affiliations

Abstract

Physiological responses to stressors provide insight into future disease risk and sex differences in response to and recovery from stressors, such as a hypertensive stimulus, provide understanding of cardiovascular control. The purpose of this study was to determine sex specific responses to an acute resistance exercise bout in central and peripheral blood pressures and arterial stiffness. Twenty-five young males and females who had not engaged in resistance training over the previous year underwent measurements of aortic, carotid, and brachial blood pressures, and carotid and aortic arterial stiffness measurements before, immediately after, and 30 minutes following a full-body resistance exercise bout. Resistance exercise resulted in increased carotid systolic pressure and increased aortic in males only. Both males and females increased carotid stiffness, but males had a greater increase in stiffness that remained elevated while females returned to baseline by 30 minutes post. These findings highlight that blood pressure and arterial stiffness responses to an acute bout of resistance exercise are sex-specific and vary based on measurement timing and location within the arterial tree. Females do not display the same increases in aortic stiffness and central pressures and did not have the same magnitude of carotid stiffness increases as seen in males.



Publication History

Received: 10 June 2024

Accepted: 08 May 2025

Article published online:
12 June 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 
  • References

  • 1 Matthews KA, Katholi CR, McCreath H. et al. Blood pressure reactivity to psychological stress predicts hypertension in the CARDIA study. Circulation 2004; 110: 74-78
  • 2 Kim A, Deo SH, Vianna LC. et al. Sex differences in carotid baroreflex control of arterial blood pressure in humans: relative contribution of cardiac output and total vascular conductance. Am J Physiol Heart Circ Physiol 2011; 301: H2454-H2465
  • 3 Kappus RM, Ranadive SM, Yan H. et al. Sex differences in autonomic function following maximal exercise. Biol Sex Differ 2015; 6: 28
  • 4 MacDougall JD, Tuxen D, Sale DG, Moroz JR, Sutton JR. Arterial blood pressure response to heavy resistance exercise. J Appl Physiol (1985) 1985; 58: 785-790
  • 5 Mitchell GF, Guo CY, Benjamin EJ. et al. Cross-sectional correlates of increased aortic stiffness in the community: the Framingham Heart Study. Circulation 2007; 115: 2628-2636
  • 6 Genkel VV, Salashenko AO, Shamaeva TN, Sumerkina VA, Shaposhnik II. Association between Carotid Wall Shear Rate and Arterial Stiffness in Patients with Hypertension and Atherosclerosis of Peripheral Arteries. Int J Vasc Med 2018; 2018: 6486234
  • 7 Yoon ES, Jung SJ, Cheun SK, Oh YS, Kim SH, Jae SY. Effects of acute resistance exercise on arterial stiffness in young men. Korean Circ J 2010; 40: 16-22
  • 8 Miyachi M, Donato AJ, Yamamoto K. et al. Greater age-related reductions in central arterial compliance in resistance-trained men. Hypertension 2003; 41: 130-135
  • 9 DeVan AE, Anton MM, Cook JN, Neidre DB, Cortez-Cooper MY, Tanaka H. Acute effects of resistance exercise on arterial compliance. J Appl Physiol (1985) 2005; 98: 2287-2291
  • 10 Kingsley JD, Mayo X, Tai YL, Fennell C. Arterial Stiffness and Autonomic Modulation After Free-Weight Resistance Exercises in Resistance Trained Individuals. J Strength Cond Res 2016; 30: 3373-3380
  • 11 Natoli AK, Medley TL, Ahimastos AA. et al. Sex steroids modulate human aortic smooth muscle cell matrix protein deposition and matrix metalloproteinase expression. Hypertension 2005; 46: 1129-1134
  • 12 Stone RM, Ainslie PN, Kerstens TP, Wildfong KW, Tymko MM. Sex differences in the circulatory responses to an isocapnic cold pressor test. Exp Physiol 2019; 104: 295-305
  • 13 Thiebaud RS, Fahs CA, Rossow LM. et al. Effects of age on arterial stiffness and central blood pressure after an acute bout of resistance exercise. Eur J Appl Physiol 2016; 116: 39-48
  • 14 Mattace-Raso FU, van der Cammen TJ, Hofman A. et al. Arterial stiffness and risk of coronary heart disease and stroke: the Rotterdam Study. Circulation 2006; 113: 657-663
  • 15 Heffernan KS, Jae SY, Edwards DG, Kelly EE, Fernhall B. Arterial stiffness following repeated Valsalva maneuvers and resistance exercise in young men. Appl Physiol Nutr Metab 2007; 32: 257-264
  • 16 Lefferts WK, Augustine JA, Heffernan KS. Effect of acute resistance exercise on carotid artery stiffness and cerebral blood flow pulsatility. Front Physiol 2014; 5: 101
  • 17 Heffernan KS, Lefferts WK, Yoon ES, Park SH, Lee YH, Jae SY. Carotid artery reactivity during sympathetic activation following acute resistance exercise. Clin Auton Res 2017; 27: 417-421
  • 18 El Assaad MA, Topouchian JA, Darné BM, Asmar RG. Validation of the Omron HEM-907 device for blood pressure measurement. Blood Press Monit 2002; 7: 237-241
  • 19 Ostchega Y, Nwankwo T, Sorlie PD, Wolz M, Zipf G. Assessing the validity of the Omron HEM-907XL oscillometric blood pressure measurement device in a National Survey environment. J Clin Hypertens (Greenwich) 2010; 12: 22-28
  • 20 Pauca AL, O'Rourke MF, Kon ND. Prospective evaluation of a method for estimating ascending aortic pressure from the radial artery pressure waveform. Hypertension 2001; 38: 932-937
  • 21 Wilkinson IB, Hall IR, MacCallum H. et al. Pulse-wave analysis: clinical evaluation of a noninvasive, widely applicable method for assessing endothelial function. Arterioscler Thromb Vasc Biol 2002; 22: 147-152
  • 22 Kawasaki T, Sasayama S, Yagi S, Asakawa T, Hirai T. Non-invasive assessment of the age related changes in stiffness of major branches of the human arteries. Cardiovasc Res 1987; 21: 678-687
  • 23 Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enterprises: Part II: the aging heart in health: links to heart disease. Circulation 2003; 107: 346-354
  • 24 O'Rourke M. Arterial stiffness, systolic blood pressure, and logical treatment of arterial hypertension. Hypertension 1990; 15: 339-347
  • 25 Roman MJ, Devereux RB, Kizer JR. et al. Central pressure more strongly relates to vascular disease and outcome than does brachial pressure: the Strong Heart Study. Hypertension 2007; 50: 197-203
  • 26 Grigoriadis G, Rosenberg AJ, Lefferts WK, Wee SO, Schroeder EC, Baynard T. Similar Effects of Acute Resistance Exercise on Carotid Stiffness in Males and Females. Int J Sports Med 2020; 41: 82-88
  • 27 Ettinger SM, Silber DH, Collins BG. et al. Influences of gender on sympathetic nerve responses to static exercise. J Appl Physiol (1985) 1996; 80: 245-251
  • 28 Carter R, Watenpaugh DE, Smith ML. Gender differences in cardiovascular regulation during recovery from exercise. J Appl Physiol (1985) 2001; 91: 1902-1907
  • 29 Myers TR, Schneider MG, Schmale MS, Hazell TJ. Whole-body aerobic resistance training circuit improves aerobic fitness and muscle strength in sedentary young females. J Strength Cond Res 2015; 29: 1592-1600
  • 30 MacDougall JD, McKelvie RS, Moroz DE, Sale DG, McCartney N, Buick F. Factors affecting blood pressure during heavy weight lifting and static contractions. J Appl Physiol (1985) 1992; 73: 1590-1597
  • 31 Augustine JA, Lefferts WK, Heffernan KS. Sex differences in aortic stiffness following acute resistance exercise. Artery Research 2018; 23: 52-55
  • 32 Kingsley JD, Tai YL, Mayo X, Glasgow A, Marshall E. Free-weight resistance exercise on pulse wave reflection and arterial stiffness between sexes in young, resistance-trained adults. Eur J Sport Sci 2017; 17: 1056-1064
  • 33 Townsend RR, Wilkinson IB, Schiffrin EL. et al. Recommendations for Improving and Standardizing Vascular Research on Arterial Stiffness: A Scientific Statement From the American Heart Association. Hypertension 2015; 66: 698-722
  • 34 Garber CE, Blissmer B, Deschenes MR. et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 43: 1334-1359
  • 35 London GM, Guerin AP, Pannier B, Marchais SJ, Stimpel M. Influence of sex on arterial hemodynamics and blood pressure. Role of body height. Hypertension 1995; 26: 514-519
  • 36 London GM, Guerin AP, Pannier BM, Marchais SJ, Metivier F. Body height as a determinant of carotid pulse contour in humans. J Hypertens Suppl 1992; 10: S93-S95