VasoActive Research Group, School of Health and Sport Sciences, University of the Sunshine Coast, Locked bag 4, Maroochydore DC, Sunshine Coast, QLD, Australia.
Centre for Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia.
Eur J Appl Physiol. 2018 Aug;118(8):1673-1688. doi: 10.1007/s00421-018-3900-5. Epub 2018 May 30.
Increased arterial stiffness is observed with ageing and in individuals with low cardiorespiratory fitness ([Formula: see text]O), and associated with cardiovascular risk. Following an exercise bout, transient arterial stiffness reductions offer short-term benefit, but may depend on exercise intensity. This study assessed the effects of exercise intensity on post-exercise arterial stiffness in older adults with varying fitness levels.
Fifty-one older adults (72 ± 5 years) were stratified into fitness tertiles ([Formula: see text]O: low-, 22.3 ± 3.1; mid-, 27.5 ± 2.4 and high-fit 36.3 ± 6.5 mL kg min). In a randomised order, participants underwent control (no-exercise), moderate-intensity continuous exercise (40% of peak power output; PPO), and higher-intensity interval exercise (70% of PPO) protocols. Pulse wave velocity (PWV), augmentation index (AIx75) and reflection magnitude (RM) were assessed at rest and during 90 min of recovery following each protocol.
After control, delta PWV increased over time (P < 0.001) and delta RM was unchanged. After higher-intensity interval exercise, delta PWV (P < 0.001) and delta RM (P < 0.001) were lower to control in all fitness groups. After moderate-intensity continuous exercise, delta PWV was not different from control in low-fit adults (P = 0.057), but was lower in the mid- and higher-fit older adults. Post-exercise AIx75 was higher to control in all fitness groups (P = 0.001).
In older adults, PWV increases during seated rest and this response is attenuated after higher-intensity interval exercise, regardless of fitness level. This attenuation was also observed after moderate-intensity continuous exercise in adults with higher, but not lower fitness levels. Submaximal exercise reveals differences in the arterial stiffness responses between older adults with higher and lower cardiorespiratory fitness.
随着年龄的增长和心肺功能较低的个体([公式:见文本]O),动脉僵硬度增加,并与心血管风险相关。运动后,短暂的动脉僵硬度降低会带来短期益处,但可能取决于运动强度。本研究评估了不同健康水平的老年人运动强度对运动后动脉僵硬度的影响。
51 名老年人(72±5 岁)按健康水平分为三分位组([公式:见文本]O:低健康水平组,22.3±3.1;中健康水平组,27.5±2.4;高健康水平组,36.3±6.5 mL·kg·min)。参与者按随机顺序进行对照(无运动)、中等强度连续运动(40%的峰值功率输出;PPO)和高强度间歇运动(70%的 PPO)方案。在每个方案后,在休息时和恢复 90 分钟期间评估脉搏波速度(PWV)、增强指数(AIx75)和反射幅度(RM)。
在对照后,PWV 随时间增加(P<0.001),RM 无变化。在高强度间歇运动后,所有健康水平组的 PWV(P<0.001)和 RM(P<0.001)都低于对照。在中等强度连续运动后,低健康水平的成年人与对照无差异(P=0.057),但中、高健康水平的老年人的 PWV 较低。在所有健康水平组中,运动后的 AIx75 均高于对照(P=0.001)。
在老年人中,坐姿休息时 PWV 增加,无论健康水平如何,高强度间歇运动后这种反应都会减弱。在较高健康水平的成年人中,也观察到了中等强度连续运动后的这种减弱,但在较低健康水平的成年人中则没有。亚最大运动揭示了较高和较低心肺健康水平的老年人之间动脉僵硬度反应的差异。