Age-related alterations in the cardiovascular responses to acute exercise in males and females: role of the exercise pressor reflex

Autonomic adjustments of the cardiovascular system are critical for initiating and sustaining exercise by facilitating the redistribution of blood flow and oxygen delivery to meet the metabolic demands of the active skeletal muscle. Afferent feedback from active skeletal muscles evokes reflex increa...

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Main Authors: A. K. Grotle, J. V. Langlo, E. Holsbrekken, A. J. Stone, H. Tanaka, P. J. Fadel
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2023.1287392/full
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author A. K. Grotle
J. V. Langlo
E. Holsbrekken
A. J. Stone
H. Tanaka
P. J. Fadel
author_facet A. K. Grotle
J. V. Langlo
E. Holsbrekken
A. J. Stone
H. Tanaka
P. J. Fadel
author_sort A. K. Grotle
collection DOAJ
description Autonomic adjustments of the cardiovascular system are critical for initiating and sustaining exercise by facilitating the redistribution of blood flow and oxygen delivery to meet the metabolic demands of the active skeletal muscle. Afferent feedback from active skeletal muscles evokes reflex increases in sympathetic nerve activity and blood pressure (BP) (i.e., exercise pressor reflex) and contributes importantly to these primary neurovascular adjustments to exercise. When altered, this reflex contributes significantly to the exaggerated sympathetic and BP response to exercise observed in many cardiovascular-related diseases, highlighting the importance of examining the reflex and its underlying mechanism(s). A leading risk factor for the pathogenesis of cardiovascular disease in both males and females is aging. Although regular exercise is an effective strategy for mitigating the health burden of aging, older adults face a greater risk of experiencing an exaggerated cardiovascular response to exercise. However, the role of aging in mediating the exercise pressor reflex remains highly controversial, as conflicting findings have been reported. This review aims to provide a brief overview of the current understanding of the influence of aging on cardiovascular responses to exercise, focusing on the role of the exercise pressor reflex and proposing future directions for research. We reason that this review will serve as a resource for health professionals and researchers to stimulate a renewed interest in this critical area.
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spelling doaj.art-dee9188aa5d649179ec33857b3a136e12023-11-02T11:14:15ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-11-011410.3389/fphys.2023.12873921287392Age-related alterations in the cardiovascular responses to acute exercise in males and females: role of the exercise pressor reflexA. K. Grotle0J. V. Langlo1E. Holsbrekken2A. J. Stone3H. Tanaka4P. J. Fadel5Department of Sports, Food and Natural Science, Western Norway University of Applied Sciences, Bergen, NorwayDepartment of Sports, Food and Natural Science, Western Norway University of Applied Sciences, Bergen, NorwayDepartment of Sports, Food and Natural Science, Western Norway University of Applied Sciences, Bergen, NorwayDepartment of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, United StatesDepartment of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, United StatesDepartment of Kinesiology, The University of Texas at Arlington, Arlington, TX, United StatesAutonomic adjustments of the cardiovascular system are critical for initiating and sustaining exercise by facilitating the redistribution of blood flow and oxygen delivery to meet the metabolic demands of the active skeletal muscle. Afferent feedback from active skeletal muscles evokes reflex increases in sympathetic nerve activity and blood pressure (BP) (i.e., exercise pressor reflex) and contributes importantly to these primary neurovascular adjustments to exercise. When altered, this reflex contributes significantly to the exaggerated sympathetic and BP response to exercise observed in many cardiovascular-related diseases, highlighting the importance of examining the reflex and its underlying mechanism(s). A leading risk factor for the pathogenesis of cardiovascular disease in both males and females is aging. Although regular exercise is an effective strategy for mitigating the health burden of aging, older adults face a greater risk of experiencing an exaggerated cardiovascular response to exercise. However, the role of aging in mediating the exercise pressor reflex remains highly controversial, as conflicting findings have been reported. This review aims to provide a brief overview of the current understanding of the influence of aging on cardiovascular responses to exercise, focusing on the role of the exercise pressor reflex and proposing future directions for research. We reason that this review will serve as a resource for health professionals and researchers to stimulate a renewed interest in this critical area.https://www.frontiersin.org/articles/10.3389/fphys.2023.1287392/fullblood pressuresympathetic nerve activitymetaboreflexmechanoreflexgroup III and IV muscle afferentsautonomic control
spellingShingle A. K. Grotle
J. V. Langlo
E. Holsbrekken
A. J. Stone
H. Tanaka
P. J. Fadel
Age-related alterations in the cardiovascular responses to acute exercise in males and females: role of the exercise pressor reflex
Frontiers in Physiology
blood pressure
sympathetic nerve activity
metaboreflex
mechanoreflex
group III and IV muscle afferents
autonomic control
title Age-related alterations in the cardiovascular responses to acute exercise in males and females: role of the exercise pressor reflex
title_full Age-related alterations in the cardiovascular responses to acute exercise in males and females: role of the exercise pressor reflex
title_fullStr Age-related alterations in the cardiovascular responses to acute exercise in males and females: role of the exercise pressor reflex
title_full_unstemmed Age-related alterations in the cardiovascular responses to acute exercise in males and females: role of the exercise pressor reflex
title_short Age-related alterations in the cardiovascular responses to acute exercise in males and females: role of the exercise pressor reflex
title_sort age related alterations in the cardiovascular responses to acute exercise in males and females role of the exercise pressor reflex
topic blood pressure
sympathetic nerve activity
metaboreflex
mechanoreflex
group III and IV muscle afferents
autonomic control
url https://www.frontiersin.org/articles/10.3389/fphys.2023.1287392/full
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