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The effects of relative hyperglycemia on neurovascular coupling magnitude in healthy participants: Impact of biological sex

2025· article· en· W4411548159 on OpenAlexaffabout
Santina Duarte, Jack K. Leacy, Jan Elaine Soriano, Jason Chan, Eric Chalmers, Sarah Hewitt, Ken D. O’Halloran, Trevor A. Day

Bibliographic record

VenuePhysiology · 2025
Typearticle
Languageen
FieldMedicine
TopicHeart Rate Variability and Autonomic Control
Canadian institutionsMount Royal University
Fundersnot available
KeywordsNeurovascular bundleInternal medicineBiologyMedicineEndocrinologyPhysiologyAnatomy

Abstract

fetched live from OpenAlex

Neurovascular coupling (NVC) is a process that ensures adequate blood flow to brain regions with higher metabolic demands, and is one of several mechanisms in place to maintain cerebral blood flow (CBF) and support neuronal homeostasis. Previous research demonstrated the robustness of NVC responses to blood gas challenges. However, other studies found attenuation in NVC responses in individuals with metabolic disorders, and there are well-documented differences in glucose metabolism between males and females. We investigated NVC responses before and after acute oral glucose ingestion, including possible sex-specific differences in healthy males and females. We recruited 36 participants (18 males:18 females) and used transcranial Doppler ultrasound to measure (a) resting cerebral blood velocity (CBV) in the posterior cerebral artery (PCAv) and (a) NVC responses using a series of five visual stimuli (VS) trials (360rpm/6Hz strobe light). Testing occurred before (fasted; FAST) and 30-min after participants ingested a standard 75g/300ml oral glucose drink (glucose loaded; GL) to elicit acute relative hyperglycemia, confirmed via capillary blood sample and glucometer (FAST:4.79±0.36mmol/L; GL:7.55±1.23mmol/L; p<0.0001). We then compared measures of PCAv at rest and during VS to evaluate any sex-specific differences in NVC between FAST and GL states. GL increased baseline PCAv (P=0.005), but this baseline elevation did not affect the dynamic peak NVC response, as evidenced by no changes in metrics of peak responses during the VS post GL (Delta peak: P=0.591; Time-to-peak: P=0.124; Slope: P=0.864). However, the NVC trials resulted in decreased delta mean responses post-GL compared to FAST (P=0.001). When comparing sexes, these responses were observed in males only, with increased baseline PCAv in GL compared to FAST (males:P=0.004; females:P=0.233). This increased baseline CBV resulted in a decreased delta mean NVC responses in males (P=0.002), but not in females (P=0.100). This study adds to the growing body of literature highlighting the stability of peak NVC responses in healthy humans, and demonstrates novel sex-specific baseline CBV and mean NVC responses in acute relative hyperglycemia. In male participants only, we observed an increase in baseline CBV and an attenuated mean NVC response in GL, due to the increased baseline CBV. This work points to future opportunities to explore the acute and chronic effects of clinical hyperglycemia on NVC between sexes. Natural Sciences and Engineering Research Council of Canada (TAD, RGPIN-2016-04915) This abstract was presented at the American Physiology Summit 2025 and is only available in HTML format. There is no downloadable file or PDF version. The Physiology editorial board was not involved in the peer review process.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.944
Threshold uncertainty score0.224

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.023
GPT teacher head0.334
Teacher spread0.311 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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