About this trial
The overall objective of this study is to examine the physiological responses that occur during a hot flush in postmenopausal women. The following specific aims will be executed to reach the overall objective of this study. Aim 1: To determine if hot flushes can be reliably induced with a temperature-controlled, water- circulating (TCWC) heating pad. Based on previous research, the investigators hypothesize that hot flushes will be inducible with the TCWC in symptomatic women, but not in asymptomatic women. Aim 2: To determine if heat-induced hot flushes in symptomatic women will cause reproducible cardiovascular and respiratory responses. The investigators hypothesize that heat-induced hot flushes produce similar and reproducible cardiovascular and respiratory responses to spontaneous hot flushes. Aim 3: To determine if body fat percentage influences hot flush severity or frequency during spontaneous or induced hot flushes. The investigators hypothesize that women with higher body fat have reduced hot flash severity and frequency.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Postmenopausal (may have or may not have hot flushes)
Have not started hormone therapy and/or will discontinue hormone therapy for the duration of the study
Disqualifiers
Reported nicotine/tobacco use within the last six months
Diabetic or asthmatic
Diagnosed significant carotid stenosis
History of significant autonomic dysfunction, heart disease, respiratory disease, or severe neurologic condition such as stroke or traumatic brain injury
Trial population
40-70-year-old postmenopausal women who experience hot flushes and those who do not. Women who have not started hormone therapy and/or will discontinue hormone therapy for the duration of the study.
Trial design
Cohort
Prospective
Treatments tested in this trial
Hot Flush Induction
Other interventionA temperature-controlled, water-circulating heating pad at a constant temperature of 107˚F will be placed on the participant's torso, a microwaved heating neck pad will be placed on the participant's neck, and two warm balloons will be placed in the participant's hands for 30 min. Subjective (verbal start and end point to be marked on LabChart software) and objective (skin conductance and skin temperature) measures of hot flushes will be recorded.
Treatment groups
Trial outcomes
Primary outcomes
Systolic Blood pressure (mmHg)
Blood pressure will be measured using a non-invasive blood pressure cuff and measured in units of mmHG and assessed at Visit 2.
Diastolic Blood pressure
Blood pressure will be measured using a non-invasive blood pressure cuff and measured in units of mmHG and assessed at Visit 2.
Mean arterial Blood pressure
Blood pressure will be measured using a non-invasive blood pressure cuff and measured in units of mmHG and assessed at Visit 2.
Skin conductance
Skin conductance is measured using galvanic skin response and is measured in umho. Skin conductance will be assessed at Visit 2.
Secondary outcomes
Heart rate
Heart rate will be measured with a three lead electrocardiogram and measured in beats-per minute Heart rate will be assessed at Visit 2.
Respiratory rate
Respiratory rate will be measured a respiratory belt and reported in breaths per minute. Respiratory rate will be assessed at Visit 2.
Heart rate variability
Heart rate will be measured with a three lead electrocardiogram and reported in units of Hertz and milliseconds. Heart rate variability will be assessed at Visit 2.
Numerical pain rating scale
The numerical pain rating scale consists of 1 item with scores ranging from 1-10, where higher scores represent greater pain. The numerical pain rating scale will be assessed at Visit 2.
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