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习惯性运动训练可减轻老年人单肢下肢运动时腿部血管扩张动力学的年龄相关延长。

Habitual exercise training in older adults offsets the age-related prolongation in leg vasodilator kinetics during single-limb lower body exercise.

机构信息

Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa , Iowa City, Iowa.

Abboud Cardiovascular Research Center, Carver College of Medicine, University of Iowa , Iowa City, Iowa.

出版信息

J Appl Physiol (1985). 2018 Sep 1;125(3):746-754. doi: 10.1152/japplphysiol.00235.2018. Epub 2018 Jun 1.

Abstract

We tested the hypothesis that aging is associated with prolonged leg vasodilator kinetics and habitual exercise training in older adults improves these responses relative to untrained older adults. Additionally, we examined the relationship between contraction-induced rapid onset vasodilation (ROV) and vasodilator kinetics. Young ( n = 10), older untrained ( n = 13), and older trained ( n = 14) adults performed single and rhythmic knee-extension contractions at 20% and 40% work-rate maximum (WR). Femoral artery diameter and mean blood velocity were measured by Doppler ultrasound. Vascular conductance (VC; ml·min·mmHg) was calculated using blood flow (ml/min) and mean arterial pressure (mmHg). The primary outcome was the kinetic response (mean response time; MRT), modeled using an exponential model, expressed as the number of duty cycles to change 63% of the steady-state amplitude. There were no age- or training-related differences in VC MRT between the groups at 20% WR. Older untrained adults exhibited prolonged VC MRT at 40% WR relative to young (37 ± 16 vs. 24 ± 10 duty-cycles; P < 0.05) and older trained adults (37 ± 16 vs. 23 ± 14 duty-cycles; P < 0.05). There were no differences in VC MRT between young and older trained adults at 40% WR ( P = 0.96). There were no associations between peak ROV and VC MRT at 20% or 40% WR ( r = -0.08 and 0.22; P = 0.67 and 0.20, respectively) in the group as a whole. Our data suggest 1) advancing age prolongs leg vasodilator kinetics; 2) habitual exercise training in older adults offsets this age-related prolongation; and 3) contraction-induced ROV is not related to vasodilator kinetics within a group of young and older adults. NEW & NOTEWORTHY Aging is associated with reductions in exercise hyperemia and vasodilation at the onset of exercise, as well as during steady-state exercise. Habitual endurance exercise training offsets these age-related reductions. We found that aging prolongs vasodilator kinetics in the leg of older untrained but not older trained adults. Finally, our results demonstrate that contraction-induced rapid vasodilation is not associated with vasodilator kinetics within the leg of young and older adults.

摘要

我们验证了这样一个假设,即衰老与腿部血管扩张动力学时间延长有关,而习惯性的运动训练可改善老年人的这些反应,使其优于未经训练的老年人。此外,我们还研究了收缩诱导的快速起始血管扩张(ROV)与血管扩张动力学之间的关系。年轻组(n=10)、未经训练的老年组(n=13)和经训练的老年组(n=14)的成年人以 20%和 40%最大工作率(WR)进行单次和节奏性膝关节伸展收缩。使用多普勒超声测量股动脉直径和平均血流速度。使用血流(ml/min)和平均动脉压(mmHg)计算血管传导性(VC;ml·min·mmHg)。主要结果是动力学反应(平均反应时间;MRT),使用指数模型建模,以改变稳态幅度 63%所需的功循环数表示。在 20%WR 时,各组之间 VC MRT 没有年龄或训练相关的差异。与年轻组(37±16 个功循环与 24±10 个功循环;P<0.05)和经训练的老年组(37±16 个功循环与 23±14 个功循环;P<0.05)相比,未经训练的老年组在 40%WR 时 VC MRT 延长。在 40%WR 时,年轻组和经训练的老年组之间的 VC MRT 没有差异(P=0.96)。整个组中,在 20%或 40%WR 时,峰值 ROV 与 VC MRT 之间没有关联(r=-0.08 和 0.22;P=0.67 和 0.20,分别)。我们的数据表明 1)随着年龄的增长,腿部血管扩张动力学时间延长;2)习惯性的运动训练可抵消老年人的这种年龄相关延长;3)收缩诱导的 ROV 与年轻和老年人腿部的血管扩张动力学无关。本研究的创新之处在于:1)衰老与运动后充血和运动起始时的血管扩张减少有关,也与稳定状态的运动减少有关;2)习惯性的耐力运动训练可抵消这些与年龄相关的减少;3)我们发现,衰老延长了未经训练的老年人大腿的血管扩张动力学,但对经训练的老年人没有影响。最后,我们的结果表明,收缩诱导的快速血管扩张与年轻和老年人腿部的血管扩张动力学无关。

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