Journal of Applied Physiology
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J Appl Physiol 86: 1092-1096, 1999;
8750-7587/99 $5.00
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Vol. 86, Issue 3, 1092-1096, March 1999

RAPID COMMUNICATION
Physiological variability of fluid-regulation hormones in young women

Nina S. Stachenfeld1, Loretta DiPietro1, Cheryl A. Kokoszka1, Celso Silva4, David L. Keefe4, and Ethan R. Nadel1,2,3

1 The John B. Pierce Laboratory, Departments of 2 Epidemiology and Public Health, and 3 Cellular and Molecular Physiology, Yale University School of Medicine, New Haven, Connecticut 06519; and 4 Women and Infants Hospital, Brown University School of Medicine, Providence, Rhode Island 02905

We tested the physiological reliability of plasma renin activity (PRA) and plasma concentrations of arginine vasopressin (P[AVP]), aldosterone (P[ALD]), and atrial natriuretic peptide (P[ANP]) in the early follicular phase and midluteal phases over the course of two menstrual cycles (n = 9 women, ages 25 ± 1 yr). The reliability (Cronbach's alpha  >= 0.80) of these hormones within a given phase of the cycle was tested 1) at rest, 2) after 2.5 h of dehydrating exercise, and 3) during a rehydration period. The mean hormone concentrations were similar within both the early follicular and midluteal phase tests; and the mean concentrations of P[ALD] and PRA for the three test conditions were significantly greater during the midluteal compared with the early follicular phase. Although Cronbach's alpha  for resting and recovery P[ANP] were high (0.80 and 0.87, respectively), the resting and rehydration values for P[AVP], P[ALD], and PRA were variable between trials for the follicular (alpha  from 0.49 to 0.55) and the luteal phase (alpha  from 0.25 to 0.66). Physiological reliability was better after dehydration for P[AVP] and PRA but remained low for P[ALD]. Although resting and recovery P[AVP], P[ALD], and PRA were not consistent within a given menstrual phase, the differences in the concentrations of these hormones between the different menstrual phases far exceeded the variability within the phases, indicating that the low within-phase reliability does not prevent the detection of menstrual phase-related differences in these hormonal variables.

aldosterone; renin; atrial natriuretic peptide; arginine vasopressin; estrogen; progesterone


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