World Journal of Medical Sciences 1 (2): 90-92, 2006
ISSN 1817-3055
© IDOSI Publications, 2006
Corresponding Author: Mr. A.S. Oyadeyi, Department of Physiology, Ladoke Akintola University of Technology,
P.M.B. 4000, Ogbomoso, Oyo State, Nigeria
90
Resting Blood Pressure and Blood Pressure Reactivity:
Contributions to Experimental Pain Report in Healthy Males
A.S. Oyadeyi, A.O. Afolabi, F.O. Ajao and G.F. Ibironke
Department of Physiology, Ladoke Akintola University of Technology,
P.M.B. 4000, Ogbomoso, Oyo State, Nigeria
Abstract: It is not known whether it is the resting blood pressure or the pain-induced blood pressure changes
(blood pressure reactivity) that contributes to sex differences in nociception. The study investigated whether
the relationship between sex and experimental pain report was explained by blood pressure at rest, or during
pain task, or both in healthy, young adult males. Fifty-eight apparently healthy male subjects had their blood
pressure, heart rate measured pre- and post- a cold pressor test. Pain threshold and tolerance were calculated.
Univariate analyses indicated significant positive correlation between baseline systolic blood pressure, systolic
blood pressure reactivity, heart rate, reactivity, but not baseline diastolic blood pressure, diastolic blood
pressure reactivity, heart rate, weight, height and pain sensitivity. However none of the positively correlated
parameters cloud significantly product pain threshold or pain tolerance. Both resting blood pressure and blood
pressure reactivity contribute significantly to nocicepyive processing in males, however they do not completely
explain nociceptive behaviour in males.
Key words: Blood pressure %heart rate %pain %blood pressure reactivity
INTRODUCTION greater blood pressure increases [5]. It is therefore
Experimentally induced pain in healthy human blood pressure reactivity i.e. pain-induced changes in
subjects under controlled laboratory conditions often blood pressure may be positively associated with pain
yields differentiated results, with women reporting more threshold and/or pain sensitivity. This was the
pain than men [1, 2]. Scientific efforts to explain sex- hypothesis tested in the study using healthy male
related difference in pain sensitivity between the sexes volunteers. Since there is a possible link between
have focused on first order biological factors including anthropometric indices and blood pressure, the study
genetic and anatomical differences. However, given the further examined the possible correlation between
well-established differences between men and women in height and weight and pain sensitivity.
many cardiovascular parameters, blood pressure must be
considered in any attempt to explain sex differences in METHODS
pain sensitivity [3].
Fillingim and Mixner [4] assessed the impact of Participants: Fifty-eight female undergraduate students
resting blood pressure on sex differences in pain aged 21 to 31 years (means = 22.4, SD 2.78) participated in
reactivity in 23 female and 25 male subjects. Sex the study after informed consent was obtained in
differences occurred only in the ratings of intensity accordance with guidelines of the research ethics
for suprathreshold heat stimuli and in ischemic pain committee at the Ladoke Akintola University. Exclusion
tolerance thresholds with women appearing more criteria were ill-health, smoking, recent caffeine intake and
sensitive to pain. However the men had higher blood prior experience with the cold pressor a test.
pressure then the women. Consequently, blood pressure
could be a powerful influence on sex differences in pain Blood pressure measurement: Baseline blood pressure
sensitivity. (BBP) and baseline heart rate (BHR) were calculated as the
Women and men differ in their blood pressure mean of three measures during the resting baseline period.
responses to acute stress, with men generally showing The BP and HR readings taken after hand immersion
conceivable that apart from resting blood pressure,