Tamiris Schaeffer Fontoura, Tuany Mageste Limongi, Diane Michela Nery, Daniel Godoy Martinez, Mateus Camaroti Laterza, Ana Eliza Andreazzi, Moacir Marocolo
Post-exercise vagal reactivation is crucial for cardiovascular recovery and serves as a prognostic marker of cardiovascular system health. In premenopausal women, hormonal fluctuations during the menstrual cycle, particularly in estradiol and progesterone levels, can influence autonomic regulation, leading to different cardiac responses after physical exercise. These variations underscore the importance of considering the menstrual cycle when assessing cardiac vagal reactivity. Systematically review the literature on post-exercise cardiac vagal reactivity in different phases of the menstrual cycle. This systematic review was conducted following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and was registered in the International Prospective Register of Systematic Reviews (PROSPERO, registration number CDR42022341890). 4 studies were included in this systematic review. The studies evaluated sedentary women, and only one study evaluated both sedentary and athletic women, aged between 20 and 24 years, comparing the phases of the menstrual cycle in different ways. The exercise protocols in 3 studies were aerobic, and one study was anaerobic. No significant difference was found between studies in post-exercise cardiac vagal reactivity in the different phases of the menstrual cycle; only one study showed that both regular aerobic exercise and the phase of the menstrual cycle influenced T30.