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Influence of oral contraceptive use on lipid levels and cardiorespiratory responses among healthy sedentary women

OBJECTIVE: To evaluate the influence of oral contraceptive use on lipid levels, heart rate (HR) variability and aerobic capacity among sedentary young women. METHODS: The subjects were 20 healthy women (23.55±1.88 years): ten used oral contraceptives (TG) and ten did not (CG). Ergospirometric test on a cycle ergometer was used to determine the aerobic capacity at the anaerobic threshold and at the exercise peak. In addition, recordings of HR and R-R (iRR) intervals in the supine and seated positions, for 15 minutes, and biochemical blood analysis were performed. The iRR (ms) indices were analyzed in the time domain (TD) for RMSSD, RMSM and pNN50 (%), and in the frequency domain (FD) using fast Fourier transforms from low (LF) and high (HF) frequency bands in normalized units, obtaining the LF/HF ratio. Mann-Whitney and Kruskal-Wallis, with α=5%, were used for statistical analyses. RESULTS: The triglyceride and cholesterol levels in the TG were greater than those in the CG (p<0.05). At the anaerobic threshold and at the exercise peak, the power (W), oxygen uptake (VO2), carbon dioxide production (VCO2), (VO2/VCO2) ratio, pulmonary ventilation and HR were not significantly different between the groups. The indices for HR variability in the TD and FD for the two groups in the supine and seated positions were also not different. CONCLUSIONS: The use of oral contraceptives did not influence the aerobic capacity or the autonomic modulation of the HR. However, it influenced the total cholesterol and triglyceride levels. These assessments are important for determining protocols for physical training for cardiovascular disease prevention.

contraceptive therapy; heart rate; aerobic capacity


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