Suppr超能文献

年龄改变脑血管和心血管对运动的综合动态反应:来自系统建模方法的见解

Age Alters Integrated Cerebrovascular and Cardiovascular Dynamic Responses to Exercise: Insights from a Systems Modeling Approach.

作者信息

Billinger Sandra A, Vidoni Eric D, Motwani Keshav, Bartsch Bria L, Baldridge Tyler, Walker Madeline, Shojaie Ali

机构信息

Department of Neurology, University of Kansas Medical Center, Kansas City, KS, USA.

University of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.

出版信息

medRxiv. 2025 May 6:2025.05.02.25326897. doi: 10.1101/2025.05.02.25326897.

Abstract

Understanding the dynamic interaction between cardiovascular and cerebrovascular systems during exercise is essential to evaluate the mechanisms supporting brain perfusion. This study examined age- and sex-specific differences in cardiovascular and cerebrovascular kinetics and used systems modeling to assess physiological coupling during moderate intensity exercise. We recruited adults to complete a single session of moderate intensity exercise on a recumbent stepper. Middle cerebral artery blood velocity (MCAv), mean arterial pressure (MAP), heart rate (HR), and end-tidal CO (PCO) were continuously recorded. In 164 participants, the kinetic profiles were analyzed using mono-exponential modeling and functional data analysis. Granger causality within a subject-specific vector autoregression framework evaluated directional influence among physiological signals. Advancing age was associated with an attenuated dynamic response for MCAv, PCO, and HR while MAP was elevated. Older adults exhibited significantly smaller MCAv amplitude and slower time constants than young and middle-aged groups. While sex did not influence overall MCAv, MAP, or HR kinetics, men had significantly higher PCO throughout exercise. Granger causality analysis revealed bidirectional coupling among MCAv, HR, MAP, and PCO. Prior PCO levels significantly predicted MCAv while MAP had both short- and long-lag predictive effects on MCAv. MCAv also influenced subsequent changes in MAP and PCO, indicating feedback regulation. PCO emerged as a dominant driver of MCAv, though systemic interactions reflect an integrated physiological network with multi-component feedback loops. This study advances understanding of cerebrovascular regulation and highlights the utility of systems modeling during exercise.

摘要

了解运动期间心血管系统和脑血管系统之间的动态相互作用对于评估支持脑灌注的机制至关重要。本研究调查了心血管和脑血管动力学的年龄和性别特异性差异,并使用系统建模来评估中等强度运动期间的生理耦合。我们招募成年人在卧式踏步机上完成一次中等强度运动。连续记录大脑中动脉血流速度(MCAv)、平均动脉压(MAP)、心率(HR)和呼气末二氧化碳分压(PCO)。在164名参与者中,使用单指数建模和功能数据分析动力学特征。在受试者特异性向量自回归框架内的格兰杰因果关系评估了生理信号之间的方向性影响。年龄增长与MCAv、PCO和HR的动态反应减弱相关,而MAP升高。老年人的MCAv振幅明显小于年轻和中年组,时间常数也较慢。虽然性别不影响总体MCAv、MAP或HR动力学,但男性在整个运动过程中的PCO显著更高。格兰杰因果关系分析揭示了MCAv、HR、MAP和PCO之间的双向耦合。先前的PCO水平显著预测MCAv,而MAP对MCAv具有短期和长期滞后预测作用。MCAv也影响随后的MAP和PCO变化,表明存在反馈调节。PCO成为MCAv的主要驱动因素,尽管全身相互作用反映了一个具有多组分反馈回路的综合生理网络。本研究增进了对脑血管调节的理解,并突出了运动期间系统建模的实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f39/12083624/32ac267b155d/nihpp-2025.05.02.25326897v1-f0001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验