Aerobic exercise training improves not only brachial artery flow‐mediated vasodilatation but also carotid artery reactivity: A randomized controlled, cross‐over trial in older men
Abstract It is well‐known that aerobic exercise training beneficially affects endothelial function as measured by brachial artery flow‐mediated vasodilation (FMD). This trial with older sedentary overweight and obese men, therefore, examined the effects of aerobic training on other non‐invasive mark...
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Wiley
2022-08-01
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Online Access: | https://doi.org/10.14814/phy2.15395 |
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author | Jordi P. D. Kleinloog Ronald P. Mensink Jos op’t. Roodt Dick H. J. Thijssen Matthijs K. C. Hesselink Peter J. Joris |
author_facet | Jordi P. D. Kleinloog Ronald P. Mensink Jos op’t. Roodt Dick H. J. Thijssen Matthijs K. C. Hesselink Peter J. Joris |
author_sort | Jordi P. D. Kleinloog |
collection | DOAJ |
description | Abstract It is well‐known that aerobic exercise training beneficially affects endothelial function as measured by brachial artery flow‐mediated vasodilation (FMD). This trial with older sedentary overweight and obese men, therefore, examined the effects of aerobic training on other non‐invasive markers of the vasculature, which have been studied in less detail. Seventeen men (67 ± 2 years, BMI: 30.3 ± 2.8 kg/m2) participated in this controlled cross‐over study. Study participants followed in random order a fully supervised, progressive, aerobic exercise training (three 50‐min sessions each week at 70% maximal power) and a no‐exercise control period for 8 weeks, separated by a 12‐week wash‐out period. At the end of each period, endothelial function was assessed by the carotid artery reactivity (CAR) response to a cold pressor test and FMD, and local carotid and regional aortic stiffness by the carotid‐to‐femoral pulse wave velocity (PWVc–f). The retinal microvasculature, the serum lipid profile, 24‐h ambulatory blood pressure, and 96‐h continuous glucose concentrations were also determined. Aerobic training increased CAR from 1.78% to 4.01% (Δ2.23 percentage point [pp]; 95% CI: 0.58, 3.89 pp; p = 0.012) and FMD from 3.88% to 6.87% (Δ2.99 pp; 95% CI: 0.58, 5.41 pp; p = 0.019). The stiffness index β0 increased by 1.1 (95% CI: 0.3, 1.9; p = 0.012), while PWVc–f did not change. Retinal arteriolar width increased by 4 μm (95% CI: 0, 7 μm; p = 0.041). Office blood pressure decreased, but ambulatory blood pressure, and serum lipid and continuous glucose concentrations did not change. Aerobic exercise training improved endothelial function and retinal arteriolar width in older sedentary overweight and obese men, which may reduce cardiovascular risk. |
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spelling | doaj.art-484a271a78c241fbafd3ed0d3d7e03ca2022-12-22T03:07:51ZengWileyPhysiological Reports2051-817X2022-08-011016n/an/a10.14814/phy2.15395Aerobic exercise training improves not only brachial artery flow‐mediated vasodilatation but also carotid artery reactivity: A randomized controlled, cross‐over trial in older menJordi P. D. Kleinloog0Ronald P. Mensink1Jos op’t. Roodt2Dick H. J. Thijssen3Matthijs K. C. Hesselink4Peter J. Joris5Department of Nutrition and Movement Sciences, NUTRIM School of Nutrition and Translational Research in Metabolism Maastricht University Maastricht The NetherlandsDepartment of Nutrition and Movement Sciences, NUTRIM School of Nutrition and Translational Research in Metabolism Maastricht University Maastricht The NetherlandsDepartment of Internal Medicine Maastricht University Medical Centre Maastricht The NetherlandsDepartment of Physiology Radboud University Medical Centre Nijmegen The NetherlandsDepartment of Nutrition and Movement Sciences, NUTRIM School of Nutrition and Translational Research in Metabolism Maastricht University Maastricht The NetherlandsDepartment of Nutrition and Movement Sciences, NUTRIM School of Nutrition and Translational Research in Metabolism Maastricht University Maastricht The NetherlandsAbstract It is well‐known that aerobic exercise training beneficially affects endothelial function as measured by brachial artery flow‐mediated vasodilation (FMD). This trial with older sedentary overweight and obese men, therefore, examined the effects of aerobic training on other non‐invasive markers of the vasculature, which have been studied in less detail. Seventeen men (67 ± 2 years, BMI: 30.3 ± 2.8 kg/m2) participated in this controlled cross‐over study. Study participants followed in random order a fully supervised, progressive, aerobic exercise training (three 50‐min sessions each week at 70% maximal power) and a no‐exercise control period for 8 weeks, separated by a 12‐week wash‐out period. At the end of each period, endothelial function was assessed by the carotid artery reactivity (CAR) response to a cold pressor test and FMD, and local carotid and regional aortic stiffness by the carotid‐to‐femoral pulse wave velocity (PWVc–f). The retinal microvasculature, the serum lipid profile, 24‐h ambulatory blood pressure, and 96‐h continuous glucose concentrations were also determined. Aerobic training increased CAR from 1.78% to 4.01% (Δ2.23 percentage point [pp]; 95% CI: 0.58, 3.89 pp; p = 0.012) and FMD from 3.88% to 6.87% (Δ2.99 pp; 95% CI: 0.58, 5.41 pp; p = 0.019). The stiffness index β0 increased by 1.1 (95% CI: 0.3, 1.9; p = 0.012), while PWVc–f did not change. Retinal arteriolar width increased by 4 μm (95% CI: 0, 7 μm; p = 0.041). Office blood pressure decreased, but ambulatory blood pressure, and serum lipid and continuous glucose concentrations did not change. Aerobic exercise training improved endothelial function and retinal arteriolar width in older sedentary overweight and obese men, which may reduce cardiovascular risk.https://doi.org/10.14814/phy2.15395aerobic exerciseagingarterial stiffnessendothelial function |
spellingShingle | Jordi P. D. Kleinloog Ronald P. Mensink Jos op’t. Roodt Dick H. J. Thijssen Matthijs K. C. Hesselink Peter J. Joris Aerobic exercise training improves not only brachial artery flow‐mediated vasodilatation but also carotid artery reactivity: A randomized controlled, cross‐over trial in older men Physiological Reports aerobic exercise aging arterial stiffness endothelial function |
title | Aerobic exercise training improves not only brachial artery flow‐mediated vasodilatation but also carotid artery reactivity: A randomized controlled, cross‐over trial in older men |
title_full | Aerobic exercise training improves not only brachial artery flow‐mediated vasodilatation but also carotid artery reactivity: A randomized controlled, cross‐over trial in older men |
title_fullStr | Aerobic exercise training improves not only brachial artery flow‐mediated vasodilatation but also carotid artery reactivity: A randomized controlled, cross‐over trial in older men |
title_full_unstemmed | Aerobic exercise training improves not only brachial artery flow‐mediated vasodilatation but also carotid artery reactivity: A randomized controlled, cross‐over trial in older men |
title_short | Aerobic exercise training improves not only brachial artery flow‐mediated vasodilatation but also carotid artery reactivity: A randomized controlled, cross‐over trial in older men |
title_sort | aerobic exercise training improves not only brachial artery flow mediated vasodilatation but also carotid artery reactivity a randomized controlled cross over trial in older men |
topic | aerobic exercise aging arterial stiffness endothelial function |
url | https://doi.org/10.14814/phy2.15395 |
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