Unidade de Hipertensao, Instituto do Coracao, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil.
Human Movement Lab, São Judas Tadeu University (USJT), São Paulo, SP, Brazil.
Sci Rep. 2024 Apr 3;14(1):7835. doi: 10.1038/s41598-024-52883-x.
Cardiovascular risk increases during the aging process in women with atherosclerosis and exercise training is a strategy for management of cardiac risks in at-risk populations. Therefore, the aims of this study were to evaluate: (1) the influence of the aging process on cardiac function, hemodynamics, cardiovascular autonomic modulation, and baroreflex sensitivity in females with atherosclerosis at the onset of reproductive senescence; and (2) the impact of exercise training on age-related dysfunctions in this model. Eighteen Apolipoprotein-E knockout female mice were divided equally into young (Y), middle-aged (MA), and trained middle-aged (MAT). Echocardiographic exams were performed to verify cardiac morphology and function. Cannulation for direct recording of blood pressure and heart rate, and analysis of cardiovascular autonomic modulation, baroreflex sensitivity were performed. The MA had lower cardiac diastolic function (E'/A' ratio), and higher aortic thickness, heart rate and mean arterial pressure, lower heart rate variability and baroreflex sensitivity compared with Y. There were no differences between Y and MAT in these parameters. Positive correlation coefficients were found between aortic wall thickness with hemodynamics data. The aging process causes a series of deleterious effects such as hemodynamic overload and dysautonomia in female with atherosclerosis. Exercise training was effective in mitigating aged-related dysfunctions.
心血管风险在动脉粥样硬化女性的衰老过程中增加,运动训练是管理高危人群心脏风险的一种策略。因此,本研究的目的是评估:(1)在生殖衰老开始时,动脉粥样硬化女性衰老过程对心脏功能、血液动力学、心血管自主调节和压力反射敏感性的影响;(2)运动训练对该模型与年龄相关的功能障碍的影响。将 18 只载脂蛋白 E 基因敲除雌性小鼠平均分为年轻(Y)、中年(MA)和训练中年(MAT)组。进行超声心动图检查以验证心脏形态和功能。进行插管以直接记录血压和心率,并分析心血管自主调节和压力反射敏感性。MA 组舒张功能(E'/A' 比值)降低,主动脉厚度、心率和平均动脉压升高,心率变异性和压力反射敏感性降低与 Y 组相比。这些参数在 Y 和 MAT 之间没有差异。主动脉壁厚度与血液动力学数据之间存在正相关系数。衰老过程会导致动脉粥样硬化女性出现一系列有害影响,如血液动力学过载和自主神经功能障碍。运动训练对减轻与年龄相关的功能障碍有效。