Hughes William E, Ueda Kenichi, Treichler David P, Casey Darren P
Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine University of Iowa, Iowa City, Iowa.
Department of Anesthesia, Carver College of Medicine University of Iowa, Iowa City, Iowa.
Physiol Rep. 2015 Aug;3(8). doi: 10.14814/phy2.12516.
The influence of aging on contraction-induced rapid vasodilation has been well characterized in the forearm. We sought to examine the impact of aging on contraction-induced rapid vasodilation in the leg following single muscle contractions and determine whether potential age-related impairments were similar between limbs (leg vs. arm). Fourteen young (23 ± 1 years) and 16 older (66 ± 1 years) adults performed single leg knee extensions at 20%, 40%, and 60% of work rate maximum. Femoral artery diameter and blood velocity were measured using Doppler ultrasound. Limb vascular conductance (VC) was calculated using blood flow (mL·min(-1)) and mean arterial pressure (mmHg). Peak and total vasodilator responses in the leg (change [Δ] in VC from baseline) were blunted in older adults by 44-50% across exercise intensities (P < 0.05 for all). When normalized for muscle mass, age-related differences were still evident (P < 0.05). Comparing the rapid vasodilator responses between the arm and the leg of the same individuals at similar relative intensities (20% and 40%) reveals that aging influences peak and total vasodilation equally between the limbs (no significant age × limb interaction at either intensity, P = 0.28-0.80). Our data demonstrate that (1) older adults exhibit an attenuated rapid hyperemic and vasodilator response in the leg; and (2) the age-related reductions in rapid vasodilation are similar between the arm and the leg. The mechanisms contributing to the age-related differences in contraction-induced rapid vasodilation are perhaps similar to those seen with the forearm model, but have not been confirmed.
衰老对收缩诱导的快速血管舒张的影响在前臂已得到充分表征。我们试图研究衰老对单次肌肉收缩后腿部收缩诱导的快速血管舒张的影响,并确定肢体(腿部与手臂)之间潜在的与年龄相关的损伤是否相似。14名年轻成年人(23±1岁)和16名年长成年人(66±1岁)以工作率最大值的20%、40%和60%进行单腿膝关节伸展运动。使用多普勒超声测量股动脉直径和血流速度。肢体血管传导率(VC)通过血流量(mL·min⁻¹)和平均动脉压(mmHg)计算得出。在所有运动强度下,老年人腿部的峰值和总血管舒张反应(VC相对于基线的变化[Δ])均减弱了44% - 50%(所有P < 0.05)。按肌肉质量进行标准化后,与年龄相关的差异仍然明显(P < 0.05)。在相似的相对强度(20%和40%)下比较同一受试者手臂和腿部的快速血管舒张反应,结果显示衰老对肢体间的峰值和总血管舒张影响相同(在任一强度下均无显著的年龄×肢体交互作用,P = 0.28 - 0.80)。我们的数据表明:(1)老年人腿部表现出减弱的快速充血和血管舒张反应;(2)手臂和腿部与年龄相关的快速血管舒张减少相似。导致收缩诱导的快速血管舒张与年龄相关差异的机制可能与在前臂模型中观察到的相似,但尚未得到证实。