2022
DOI: 10.1016/j.niox.2021.11.001
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Moving beyond inclusion: Methodological considerations for the menstrual cycle and menopause in research evaluating effects of dietary nitrate on vascular function

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Cited by 16 publications
(7 citation statements)
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“…The participant exclusion criteria were individuals with contraindications to exercise, cardiometabolic disease, on ergogenic supplementation, females, and smokers. Females were excluded given that sex-differences in the physiological responses to nitrate ingestion may exist [47]. The experimental protocols, risks, and benefits of participating were explained prior to participants providing written informed consent.…”
Section: Participantsmentioning
confidence: 99%
“…The participant exclusion criteria were individuals with contraindications to exercise, cardiometabolic disease, on ergogenic supplementation, females, and smokers. Females were excluded given that sex-differences in the physiological responses to nitrate ingestion may exist [47]. The experimental protocols, risks, and benefits of participating were explained prior to participants providing written informed consent.…”
Section: Participantsmentioning
confidence: 99%
“…However, we cannot discount that the menstrual cycle phase and/or hormonal contraceptive use may be playing some role in the vascular responses to exercise. Specifically, some studies have found that endothelial function is higher during the late follicular phase of the menstrual cycle, 69 , 70 compared with the early follicular phase, 71 whereas multiple studies have demonstrated that vascular function is stable across the menstrual cycle and oral hormonal contraceptive cycle. 70 , 72 , 73 , 74 While it is possible that the greater proportion of women in the high-fitness group may have impacted our results, all but one of the women in that group were either in the early follicular phase or were taking hormonal contraceptives.…”
Section: Discussionmentioning
confidence: 99%
“…It is extremely unfortunate that females have been underappreciated in sports and exercise medicine research for so long [ 95 ], and thus it is unsurprising that the impact of sex differences on the efficacy of dietary NO 3 − remains unexplored. However, the scientific community is progressively becoming cognizant of potential sex differences in NO 3 − research, and open questions for investigation include examining sex-based physiological [ 96 ] and hormonal [ 97 ] influences on the mechanisms and performance effects of NO 3 − . To date, only eight studies have exclusively included females in dietary NO 3 − research, and there are inconsistencies between studies regarding the control for the menstrual cycle and hormonal contraceptives [see review: 96].…”
Section: Discussionmentioning
confidence: 99%
“…However, whether this physiological difference has an influence on the bioavailability and bioactivity of NO and its subsequent effects on NO 3 − -induced mechanisms and performance have yet to be elucidated, making this a ripe area for research. Lastly, although hormonal controls may be barriers to include females, scientists are encouraged to examine if their laboratories are capable of incorporating as many methodological considerations for testing females if possible [ 97 ].…”
Section: Discussionmentioning
confidence: 99%