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Updated: Mar 17, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
Published on: March 21, 2013
Effect of postural changes on cardiovascular parameters across gender
Kieran Patel1, Andreas Rössler, Helmut Karl Lackner
1Gravitational Physiology and Medicine Research Unit, Institute of Physiology, Medical University of Graz, Graz, Austria Kings College, London, UK Department of Neurophsiology, University of Linkoping, Sweden Institute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany.
This study found no significant gender differences in cardiovascular responses to postural changes. Lower body negative pressure (LBNP) showed similar effects to head-up tilt (HUT), suggesting its use for hypovolemia.
Area of Science:
- Cardiovascular Physiology
- Human Physiology
- Exercise Physiology
Background:
- Investigated cardiovascular parameter responses to postural changes in healthy adults.
- Included head-down tilt (HDT), HDT with lower body negative pressure (LBNP), and head-up tilt (HUT) interventions.
- Assessed responses across gender (16 male, 12 female).
Purpose of the Study:
- To determine gender-specific cardiovascular responses to various postural challenges.
- To evaluate the physiological effects of LBNP compared to HUT.
- To assess the utility of LBNP in counteracting central hypovolemia.
Main Methods:
- Measured heart rate (HR), blood pressure (BP), and heart rate variability (HRV) parameters.
- Included indices of cardiac function like stroke index (SI) and cardiac index (CI).
- Utilized supine rest, HDT, HDT+LBNP, and HUT protocols, each for 10 minutes.
Main Results:
- Significant main effects observed for interventions on cardiovascular parameters.
- No significant main effect of gender was found across all measured cardiovascular parameters.
- LBNP partially mimicked cardiovascular responses seen during HUT.
Conclusions:
- Healthy subjects exhibit no significant gender differences in cardiovascular responses to the tested postural changes.
- LBNP appears to elicit cardiovascular responses similar to HUT, supporting its use for central hypovolemia.
- Findings suggest LBNP as a potential intervention for managing conditions related to reduced central blood volume.
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