Background: Men have higher cold-induced neuroendocrine response than women; nevertheless, it is not known whether a different stress hormone rise elicits different effects on cognition during whole body cooling.

Objective: The objective was to compare the effect of cold-induced neuroendocrine responses on the performance of working memory sensitive tasks between men and women.

Materials And Methods: The cold stress continued until rectal temperature reached 35.5 degree C or for a maximum of 170 min. Working memory performance and stress hormone concentrations were monitored.

Results: During cold stress, body temperature variables dropped in all subjects (P < 0.001) and did not differ between sexes. Cold stress raised plasma epinephrine and serum cortisol levels only in men (P < 0.05). Cold stress adversely affected memory performance in men but not in women (P < 0.05).

Conclusion: The present study indicated that similar moderate cold stress in men and women induces sex-specific neuroendocrine and working memory responses.

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