Lower body negative pressure

Lower body negative pressure has been studied in 4 papers since 2019: 3 observational studies in people, 1 review. The newest paper, Aug 1, 2024: “Compensatory reserve index during central hypovolemia and volume loading in healthy young and older hyperthermic adults: A pilot study”.

Intervention

4 papers study it4 findingsUpdated

MeSH

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“LBNP increased circulating EPO in young women (p = 0.023) but not in young men or older individuals.”
Acute regulation of erythropoietin via lower body negative pressure: Influence of sex and ageScandinavian journal of medicine & science in sports2023doi:10.1111/sms.14314

None of its findings points the other way.

  • 3 independent labs in 4 countries
  • Funders: National Heart, Lung, and Blood Institute and 5 more
  • Humans3

What did studies of Lower body negative pressure find?

4

Studies of Lower body negative pressure measured 4 outcomes; the most studied are carotid baroreflex heart rate gain (1 study), copeptin (1) and EPO (1).

Carotid baroreflex heart rate gain

downin humans1

1 study
  1. Lower body negative pressure is linked with lower carotid baroreflex heart rate gain in humans (P = 0.003).

    “it depressed CBR-HR gains in both groups (LBNP factor P = 0.003).”

    Humansfemales

    Habitual physical activity improves vagal cardiac modulation and carotid baroreflex function in elderly women

    Experimental biology and medicine (Maywood, N.J.)

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Copeptin

upin humans1

1 study
  1. Lower body negative pressure increases copeptin in humans (acute hemodynamic regulation).

    “Copeptin was increased in all individuals with LBNP but was exclusively associated with EPO in men (r = 0.39, p = 0.013).”

    Human trialacute hemodynamic regulation

    Acute regulation of erythropoietin via lower body negative pressure: Influence of sex and age

    Scandinavian journal of medicine & science in sports

More on Copeptin

EPO

upin humans1

1 study
  1. Lower body negative pressure increases EPO in humans (acute hemodynamic regulation).

    “LBNP increased circulating EPO in young women (p = 0.023) but not in young men or older individuals.”

    Human trialacute hemodynamic regulationfemales

    Acute regulation of erythropoietin via lower body negative pressure: Influence of sex and age

    Scandinavian journal of medicine & science in sports

More on EPO

Carotid compliance coefficient

downin humans1

1 study
  1. Lower body negative pressure is linked with lower carotid compliance coefficient in young but not middle-age/older adults (young: Δ-0.04±0.01; MA/O: Δ0.001±0.008 mm2/mmHg).

    “whereas carotid compliance coefficient during lower body negative pressure was significantly reduced in young but not MA/O (young: Δ-0.04±0.01 versus MA/O: Δ0.001±0.008 mm2·mm Hg−1, P<0.01)”

    Humansin young but not middle-age/older adultsgraded levels

    Elevated Muscle Sympathetic Nerve Activity Contributes to Central Artery Stiffness in Young and Middle-Age/Older Adults

    Hypertension (Dallas, Tex. : 1979)

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