Tolerability of statokinetic load by female servicemen in different phases of the ovarian–menstrual cycle

Abstract

Currently, women in the Armed Forces of the Russian Federation are trained in higher flight educational institutions, including the Faculty of Fighter Aviation. In 2022, the first issue of female pilots was conducted. However, the existing selection system, including assessment and training of statokinetic stability, is based on male physiological characteristics and does not consider cyclic hormonal changes occurring in a woman’s body during the ovarian–menstrual cycle. Although the practice of allowing women to fly has been practiced for approximately 100 years, studies in the field of tolerability of statokinetic effects by women, including in different phases of the ovarian–menstrual cycle, have shown contradictory results. The tolerability of the statokinetic load by female servicemen in different phases of the ovarian–menstrual cycle was investigated, considering the nature of its course. Sixty-three female servicemen participated in the study. Taking into account the course of the ovarian–menstrual cycle, the patients were divided into three groups. Group 1 (n = 28) had a regular ovarian–menstrual cycle without premenstrual syndrome, group 2 (n = 26) had a regular ovarian–menstrual cycle with premenstrual syndrome, and group 3 (n = 9) were taking combined oral contraceptives. Physiological parameters (blood pressure and heart rate) were recorded before, during, and after the test. The statokinetic load was modeled by performing a rotational test of V.I. Voyachek “otolith reaction-10” in the follicular and luteal phases of the ovarian–menstrual cycle. The tolerability of statokinetic load in groups 1 and 3 in different phases of the ovarian–menstrual cycle were not different. In group 2, the luteal phase of the ovarian–menstrual cycle was characterized by a significant deterioration in the tolerability of the statokinetic load compared with the follicular phase of the ovarian–menstrual cycle and with the luteal phase in groups 1 and 3. In addition, in group 2, in the luteal phase of the ovarian–menstrual cycle, a change in the reactivity of the circulatory system to the presentation of a statokinetic load was noted, manifested by higher heart rates. Thus, the phases of the ovarian–menstrual cycle did not affect the tolerability of the statokinetic load in female servicemen with a regular ovarian–menstrual cycle without premenstrual syndrome and in women taking combined oral contraceptives. In female servicemen with a regular ovarian–menstrual cycle and premenstrual syndrome, the tolerance of statokinetic load was dependent on the phases of the ovarian–menstrual cycle and worsened in the luteal phase.

Keywords

female servicemen / female pilots / vestibular test otolith reaction-10 / vegetative reactions / ovarian-menstrual cycle / premenstrual syndrome / combined oral contraceptives / statokinetic resistance

References

[1] Buynov LG. Statokinetic stability and approaches to its pharmacological correction. Reviews on clinical pharmacology and drug therapy. 2002;1(2):27–50. (In Russ.). EDN: HVENAT.

[2] Буйнов Л.Г. Статокинетическая устойчивость и подходы к ее фармакологической коррекции // Обзоры по клинической фармакологии и лекарственной терапии. 2002. Т. 1, № 2. С. 27–50. EDN: HVENAT

[3] Buynov LG. Statokinetic stability and approaches to its pharmacological correction. Reviews on clinical pharmacology and drug therapy. 2002;1(2):27–50. (In Russ.). EDN: HVENAT.

[4] Litvinenko IV, Samartsev IN, Zhivolupov SA, Morozova MV. Current concepts of the pathogenesis, prevention and treatment of the motion disease (seasickness). Marine Medicine. 2017;3(2):25–33. doi: 10.22328/2413-5747-2017-3-2-25-33

[5] Литвиненко И.В., Самарцев И.Н., Живолупов С.А., Морозова М.В. Современные представления о патогенезе, профилактике и лечении болезни движения («морской болезни») // Морская медицина. 2017. Т. 3, № 2. С. 25–33. doi: 10.22328/2413-5747-2017-3-2-25-33

[6] Litvinenko IV, Samartsev IN, Zhivolupov SA, Morozova MV. Current concepts of the pathogenesis, prevention and treatment of the motion disease (seasickness). Marine Medicine. 2017;3(2):25–33. doi: 10.22328/2413-5747-2017-3-2-25-33

[7] Glaznikov LA, Buynov LG, Sorokina LA, Syroezhkin FA. Promising approaches in development of tools and techniques for enhancement the balance stability of aerospace specialists. Bulletin of the Russian Military medical academy. 2014;(2):104–110. EDN: SFEWYB

[8] Глазников Л.А., Буйнов Л.Г., Сорокина Л.А., Сыроежкин Ф.А. Перспективные подходы в разработке средств и способов повышения статокинетической устойчивости операторов авиакосмического профиля // Вестник Российской военно-медицинской академии. 2014. № 2. С. 104–110. EDN: SFEWYB

[9] Glaznikov LA, Buynov LG, Sorokina LA, Syroezhkin FA. Promising approaches in development of tools and techniques for enhancement the balance stability of aerospace specialists. Bulletin of the Russian Military medical academy. 2014;(2):104–110. EDN: SFEWYB

[10] Collins WE, Lentz JM. Some psychological correlates of motion sickness susceptibility. Aviation, Space, and Environmental Medicine. 1977;48(7):587–594.

[11] Collins W.E., Lentz J.M. Some psychological correlates of motion sickness susceptibility // Aviation, Space, and Environmental Medicine. 1977. Vol. 48, N. 7. P. 587–594.

[12] Collins WE, Lentz JM. Some psychological correlates of motion sickness susceptibility. Aviation, Space, and Environmental Medicine. 1977;48(7):587–594.

[13] Lindseth G, Lindseth PD. The relationship of diet to airsickness. Aviation, Space, and Environmental Medicine. 1995;66(6):537–541.

[14] Lindseth G., Lindseth P.D. The relationship of diet to airsickness // Aviation, Space, and Environmental Medicine. 1995. Vol. 66, N. 6. P. 537–541.

[15] Lindseth G, Lindseth PD. The relationship of diet to airsickness. Aviation, Space, and Environmental Medicine. 1995;66(6):537–541.

[16] Grunfeld E, Gresty MA. Relationship between motion sickness, migraine, and menstruation in crew members of a “round-the-world” yacht race. Brain Res Bull. 1998;47(5):433–436. doi: 10.1016/s0361-9230(98)00099-9

[17] Grunfeld E., Gresty M.A. Relationship between motion sickness, migraine, and menstruation in crew members of a “round-the-world” yacht race // Brain Res Bull. 1998. Vol. 47, N. 5. P. 433–436. doi: 10.1016/s0361-9230(98)00099-9

[18] Grunfeld E, Gresty MA. Relationship between motion sickness, migraine, and menstruation in crew members of a “round-the-world” yacht race. Brain Res Bull. 1998;47(5):433–436. doi: 10.1016/s0361-9230(98)00099-9

[19] Lawther A, Griffin MJ. The motion of a ship at sea and the consequent motion sickness amongst passengers. Ergonomics. 1986;29(4):535–552. doi: 10.1080/00140138608968289

[20] Lawther A., Griffin M.J. The motion of a ship at sea and the consequent motion sickness amongst passengers // Ergonomics. 1986. Vol. 29, N. 4. P. 535–552. doi: 10.1080/00140138608968289

[21] Lawther A, Griffin MJ. The motion of a ship at sea and the consequent motion sickness amongst passengers. Ergonomics. 1986;29(4):535–552. doi: 10.1080/00140138608968289

[22] Turner M, Griffin MJ. Motion sickness in public road transport: Passenger behaviour and susceptibility. Ergonomics. 1999;42(12):1646–1664. doi: 10.1080/001401399184730

[23] Turner M., Griffin M.J. Motion sickness in public road transport: Passenger behaviour and susceptibility // Ergonomics. 1999. Vol. 42, N. 12. P. 1646–1664. doi: 10.1080/001401399184730

[24] Turner M, Griffin MJ. Motion sickness in public road transport: Passenger behaviour and susceptibility. Ergonomics. 1999;42(12):1646–1664. doi: 10.1080/001401399184730

[25] Mark S, Scott GBI, Donoviel DB, et al. The impact of sex and gender on adaptation to space: executive summary. J Women’s Health. 2014;23(11):941–947. doi: 10/1089/jwh.2014.4914

[26] Mark S., Scott G.B.I., Donoviel D.B., et al. The impact of sex and gender on adaptation to space: executive summary // J Women’s Health. 2014. Vol. 23, N. 11. P. 941–947. doi: 10/1089/jwh.2014.4914

[27] Mark S, Scott GBI, Donoviel DB, et al. The impact of sex and gender on adaptation to space: executive summary. J Women’s Health. 2014;23(11):941–947. doi: 10/1089/jwh.2014.4914

[28] Moriyama H, Itoh M, Shimada K, Otsuka N. Morphometric analysis of fibers of the human vestibular nerve: Sex differences. Eur Arch Otorhinolaryngol. 2007;264(5):471–475. doi: 10.1007/s00405-006-0197-5

[29] Moriyama H., Itoh M., Shimada K., Otsuka N. Morphometric analysis of fibers of the human vestibular nerve: Sex differences // Eur Arch Otorhinolaryngol. 2007. Vol. 264, N. 5. P. 471–475. doi: 10.1007/s00405 -006-0197-5

[30] Moriyama H, Itoh M, Shimada K, Otsuka N. Morphometric analysis of fibers of the human vestibular nerve: Sex differences. Eur Arch Otorhinolaryngol. 2007;264(5):471–475. doi: 10.1007/s00405-006-0197-5

[31] Friptu VG, Moldovanu IV, Mazur IA. A relationship of cyclic changes in sexual hormones to vegetative disorders in the development of premenstrual symptoms. Russian bulletin of obstetrician-gynecologist. 2015;15(6):24–29. EDN: VJLVIJ doi: 10.17116/rosakush201515624-29

[32] Фрипту В.Г., Молдовану И.В., Мазур И.А. Взаимосвязь циклических изменений половых гормонов и вегетативных нарушений в развитии предменструальных симптомов // Российский вестник акушера-гинеколога. 2015. Т. 15, № 6. С. 24–29. EDN: VJLVIJ doi: 10.17116/rosakush201515624-29

[33] Friptu VG, Moldovanu IV, Mazur IA. A relationship of cyclic changes in sexual hormones to vegetative disorders in the development of premenstrual symptoms. Russian bulletin of obstetrician-gynecologist. 2015;15(6):24–29. EDN: VJLVIJ doi: 10.17116/rosakush201515624-29

[34] Girdler SS, Light KC. Hemodynamic stress responses in men and women examined as a function of the female menstrual cycle. Int J Psychophysiol. 1994;17(3):233–248. doi: 10.1016/0167-8760(94)90066-3

[35] Girdler S.S., Light K.C. Hemodynamic stress responses in men and women examined as a function of the female menstrual cycle // Int J Psychophysiol. 1994. Vol. 17, N. 3. P. 233–248. doi: 10.1016/0167-8760(94)90066-3

[36] Girdler SS, Light KC. Hemodynamic stress responses in men and women examined as a function of the female menstrual cycle. Int J Psychophysiol. 1994;17(3):233–248. doi: 10.1016/0167-8760(94)90066-3

[37] Hastrup JL, Light KC. Sex differences in cardiovascular stress responses: Modulation as a function of menstrual cycle phases. J Psychosom Res. 1984;28(6):475–483. doi: 10.1016/0022-3999(84)90081-3

[38] Hastrup J.L., Light K.C. Sex differences in cardiovascular stress responses: Modulation as a function of menstrual cycle phases // J Psychosom Res. 1984. Vol. 28, N. 6. P. 475–483. doi: 10.1016/0022-3999(84)90081-3

[39] Hastrup JL, Light KC. Sex differences in cardiovascular stress responses: Modulation as a function of menstrual cycle phases. J Psychosom Res. 1984;28(6):475–483. doi: 10.1016/0022-3999(84)90081-3

[40] Heitkemper MM, Jarett M, Caudell KA, Bond E. Women with gastrointestinal symptoms: Implications for nursing research and practice. Gastroenterol Nurs. 1998;21(2):52–58. doi: 10.1097/00001610-199803000-00005

[41] Heitkemper M.M., Jarett M., Caudell K.A., Bond E. Women with gastrointestinal symptoms: Implications for nursing research and practice // Gastroenterol Nurs. 1998. Vol. 21, N. 2. P. 52–58. doi: 10.1097/00001610-199803000-00005

[42] Heitkemper MM, Jarett M, Caudell KA, Bond E. Women with gastrointestinal symptoms: Implications for nursing research and practice. Gastroenterol Nurs. 1998;21(2):52–58. doi: 10.1097/00001610-199803000-00005

[43] Mayer EA, Naliboff B, Lee O, et al. Review article: Gender-related differences in functional gastrointestinal disorders. Aliment Pharmacol Ther. 1999;13(2):65–69. doi: 10.1046/j.1365-2036/1999.00008.x

[44] Mayer E.A., Naliboff B., Lee O., et al. Review article: Gender-related differences in functional gastrointestinal disorders // Aliment Pharmacol Ther. 1999. Vol. 13, N. 2. P. 65–69. doi: 10.1046/j.1365-2036/1999.00008.x

[45] Mayer EA, Naliboff B, Lee O, et al. Review article: Gender-related differences in functional gastrointestinal disorders. Aliment Pharmacol Ther. 1999;13(2):65–69. doi: 10.1046/j.1365-2036/1999.00008.x

[46] Mills PJ, Berry CC. Menstrual cycle, race, and task recovery effects on blood pressure recovery from acute stress. J Psychosom Res. 1999;46(5):445–454. doi: 10.1016/s0022-3999(99)00015-x

[47] Mills P.J., Berry C.C. Menstrual cycle, race, and task recovery effects on blood pressure recovery from acute stress // J Psychosom Res. 1999. Vol. 46, N. 5. P. 445–454. doi: 10.1016/s0022-3999(99)00015-x

[48] Mills PJ, Berry CC. Menstrual cycle, race, and task recovery effects on blood pressure recovery from acute stress. J Psychosom Res. 1999;46(5):445–454. doi: 10.1016/s0022-3999(99)00015-x

[49] Clemes SA, Howarth PA. The menstrual cycle and susceptibility to virtual simulation sickness. J Biol Rhythms. 2005;20(1):71–82. doi: 10.1177/0748730404272567

[50] Clemes S.A., Howarth P.A. The menstrual cycle and susceptibility to virtual simulation sickness // J Biol Rhythms. 2005. Vol. 20, N. 1. P. 71–82. doi: 10.1177/0748730404272567

[51] Clemes SA, Howarth PA. The menstrual cycle and susceptibility to virtual simulation sickness. J Biol Rhythms. 2005;20(1):71–82. doi: 10.1177/0748730404272567

[52] Matchock RL, Levine ME, Gianaros PJ, Stern RM. Susceptibility to nausea and motion sickness as a function of the menstrual cycle. Womens Health Issues. 2008;18(4):328–335. doi: 10.1016/j.whi.2008.01.006

[53] Matchock R.L., Levine M.E., Gianaros P.J., Stern R.M. Susceptibility to nausea and motion sickness as a function of the menstrual cycle // Womens Health Issues. 2008. Vol. 18, N. 4. P. 328–335. doi: 10.1016/j.whi.2008.01.006

[54] Matchock RL, Levine ME, Gianaros PJ, Stern RM. Susceptibility to nausea and motion sickness as a function of the menstrual cycle. Womens Health Issues. 2008;18(4):328–335. doi: 10.1016/j.whi.2008.01.006

[55] Prilepskaya VN, Dovletkhanova ER. Premenstrual syndrome: symptoms, diagnostics, phytotherapy (clinical lecture). Medical council. 2020;(13):106–115. EDN: QSTBIA doi: 10.21518/2079-701Х-2020-13-106-115

[56] Прилепская В.Н., Довлетханова Э.Р. Предменструальный синдром: клиника, диагностика, фитотерапия (клиническая лекция) // Медицинский совет. 2020. № 13. С. 106–115. EDN: QSTBIA doi: 10.21518/2079-701Х-2020-13-106-115

[57] Prilepskaya VN, Dovletkhanova ER. Premenstrual syndrome: symptoms, diagnostics, phytotherapy (clinical lecture). Medical council. 2020;(13):106–115. EDN: QSTBIA doi: 10.21518/2079-701Х-2020-13-106-115

[58] Loginova KB, Dyukova GM, Dobrokhotova YuE. Premenstrual syndrome in the population of women of the Russian Federation (epidemiological survey). Russian journal of human reproduction. 2019;25(1):34–40. EDN: ZDDFFR doi: 10.17116/repro20192501134

[59] Логинова К.Б., Дюкова К.М., Доброхотова Ю.Э. Предмеснструальный синдром в популяции женщин Российской Федерации (эпидемиологическое исследование) // Проблемы репродукции. 2019. Т. 25, № 1. С. 34–40. EDN: ZDDFFR doi: 10.17116/repro20192501134

[60] Loginova KB, Dyukova GM, Dobrokhotova YuE. Premenstrual syndrome in the population of women of the Russian Federation (epidemiological survey). Russian journal of human reproduction. 2019;25(1):34–40. EDN: ZDDFFR doi: 10.17116/repro20192501134

[61] Blaginin AA, Zhiltsova II, Annenkov OA. Assessment of pilot functional state with computer posturography in conditions of statokinetic stress. Bulletin of the Russian Military Medical Academy. 2014;(2):134–137. EDN: SFEXAJ

[62] Благинин А.А., Жильцова И.И., Анненков О.А. Оценка функционального состояния организма летчика с помощью компьютерной стабилографии в условиях статокинетических нагрузок // Вестник Российской военно-медицинской академии. 2014. № 2. С. 134–137. EDN: SFEXAJ

[63] Blaginin AA, Zhiltsova II, Annenkov OA. Assessment of pilot functional state with computer posturography in conditions of statokinetic stress. Bulletin of the Russian Military Medical Academy. 2014;(2):134–137. EDN: SFEXAJ

[64] Blaginin AA, Sinelnikov SN, Lyashed’ko SP. Influence of different types of loads on quality of spatial orientation and operator activity of operators of an aviation profile. Bulletin of the Russian Military Medical Academy. 2018;(2):99–104. EDN: XRZEUH

[65] Благинин А.А., Синельников С.Н. Ляшедько С.П. Влияние различных видов нагрузок на качество пространственного ориентирования и операторской деятельности операторов авиационного профиля // Вестник Российской военно-медицинской академии. 2018. № 2. С. 99–104. EDN: XRZEUH

[66] Blaginin AA, Sinelnikov SN, Lyashed’ko SP. Influence of different types of loads on quality of spatial orientation and operator activity of operators of an aviation profile. Bulletin of the Russian Military Medical Academy. 2018;(2):99–104. EDN: XRZEUH

[67] Agajanian NA, Radysh IV, Krayushkin SI. Chronostructure of reproductive function. Moscow: KRUK; 1998. 248 p. (In Russ.).

[68] Агаджанян Н.А., Радыш И.В., Краюшкин С.И. Хроноструктура репродуктивной функции. Москва: КРУК, 1998. 248 c.

[69] Agajanian NA, Radysh IV, Krayushkin SI. Chronostructure of reproductive function. Moscow: KRUK; 1998. 248 p. (In Russ.).

RIGHTS & PERMISSIONS

Eco-Vector