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Related Experiment Video

Updated: Dec 7, 2025

Conducting Maximal and Submaximal Endurance Exercise Testing to Measure Physiological and Biological Responses to Acute Exercise in Humans
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Physiological sex differences affect the integrative response to exercise: acute and chronic implications.

Paul Ansdell1, Kevin Thomas1, Kirsty M Hicks1

  • 1Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.

Experimental Physiology
|October 1, 2020
PubMed
Summary

Biological sex significantly influences physiological responses to exercise, impacting metabolic thresholds and fatigability. Understanding these sex differences is crucial for optimizing exercise prescriptions and long-term training adaptations for both males and females.

Keywords:
exercisefatiguesextraining

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Area of Science:

  • Exercise Physiology
  • Human Performance
  • Sex Differences in Physiology

Background:

  • Anatomical and physiological differences between sexes influence human performance limits.
  • Studying sex as a biological variable is vital for advancing biosciences and enhancing human health.
  • Biological sex impacts acute and chronic responses to exercise, necessitating consideration in exercise prescription.

Purpose of the Study:

  • To review sex differences in physiological systems related to exercise performance, focusing on metabolic thresholds and fatigability.
  • To discuss the implications of these sex differences for long-term exercise adaptation.
  • To highlight the need for research diversity in physiological responses to exercise interventions.

Main Methods:

  • Collated evidence from recent physiological studies investigating sex as a biological variable.
  • Analyzed how physiological systems integrate to determine metabolic thresholds and fatigability.
  • Examined the influence of sex hormones on physiological responses to exercise.

Main Results:

  • Physiological responses to equivalent exercise dosages differ between males and females.
  • Integrative metabolic thresholds during exercise are influenced by sex differences across physiological systems.
  • Female skeletal muscle exhibits greater resistance to fatigue from high-intensity exercise.

Conclusions:

  • Biological sex must be accounted for when prescribing aerobic exercise for optimizing physiological function.
  • Differences in acute responses may affect long-term trainability, suggesting tailored exercise approaches.
  • Understanding sex-based physiological diversity can advance exercise science and optimize outcomes for all individuals.