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      Chronic endurance exercise training offsets the age-related attenuation in contraction-induced rapid vasodilation

      1 , 2 , 1 , 3 , 4
      Journal of Applied Physiology
      American Physiological Society

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          Abstract

          <p class="first" id="d745175e175"> <i>Aging is associated with attenuated exercise hyperemia and vasodilation. Chronic endurance exercise training augments exercise hyperemia and vasodilation during steady-state exercise in older adults. In the current study, we found that chronic exercise improves contraction-induced rapid vasodilation in both the arm and leg of older adults. Furthermore, our current results suggest that exercise capacity is associated with peak dilator responses in both the arm and leg of older adults </i>. </p><p class="first" id="d745175e182">Aging is associated with attenuated contraction-induced rapid onset vasodilation (ROV). We sought to examine whether chronic exercise training would improve ROV in older adults. Additionally, we examined whether a relationship between cardiorespiratory fitness and ROV exists in young and older adults. Chronically exercise-trained older adults ( <i>n</i> = 16; 66 ± 2 yr, mean ± SE) performed single muscle contractions in the forearm and leg at various intensities. Brachial and femoral artery diameter and blood velocity were measured using Doppler ultrasound. Vascular conductance (VC) was calculated as the quotient of blood flow (ml/min) and mean arterial pressure (mmHg). These data were compared with our previously published work from an identical protocol in 16 older untrained (66 ± 1 yr, mean ± SE) and 14 young (23 ± 1 yr) adults. Peak (ΔVC <sub>peak</sub>) and total vasodilator (VC <sub>total</sub>) responses were greater in trained compared with untrained older adults across leg exercise intensities ( <i>P</i> &lt; 0.05). There were no differences in responses between trained older and young adults in the arm or leg at any exercise intensity ( <i>P</i> &gt; 0.05). Comparison of ΔVC <sub>peak</sub> in a subset of subjects at an absolute workload in the leg revealed that trained older adults exhibited augmented responses relative to untrained older adults. Exercise capacity (V̇ <span style="font-variant: small-caps">o</span> <sub>2 peak</sub>) was associated with ΔVC <sub>peak</sub> and VC <sub>total</sub> across arm ( <i>r</i> = 0.59–0.64) and leg exercise intensities ( <i>r</i> = 0.55–0.68, <i>P</i> &lt; 0.05) in older adults. Our data demonstrate that <i>1</i>) chronic exercise training improves ROV in the arm and leg of trained older adults, such that age-related differences in ROV are abolished, and <i>2</i>) VO <sub>2</sub>peak is associated with ΔVC <sub>peak</sub> responses in both limbs of older adults. </p>

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          Evidence for prescribing exercise as therapy in chronic disease.

          Considerable knowledge has accumulated in recent decades concerning the significance of physical activity in the treatment of a number of diseases, including diseases that do not primarily manifest as disorders of the locomotive apparatus. In this review we present the evidence for prescribing exercise therapy in the treatment of metabolic syndrome-related disorders (insulin resistance, type 2 diabetes, dyslipidemia, hypertension, obesity), heart and pulmonary diseases (chronic obstructive pulmonary disease, coronary heart disease, chronic heart failure, intermittent claudication), muscle, bone and joint diseases (osteoarthritis, rheumatoid arthritis, osteoporosis, fibromyalgia, chronic fatigue syndrome) and cancer, depression, asthma and type 1 diabetes. For each disease, we review the effect of exercise therapy on disease pathogenesis, on symptoms specific to the diagnosis, on physical fitness or strength and on quality of life. The possible mechanisms of action are briefly examined and the principles for prescribing exercise therapy are discussed, focusing on the type and amount of exercise and possible contraindications.
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            Age-related decrease in physical activity and functional fitness among elderly men and women

            Aim To determine differences in physical activity level and functional fitness between young elderly (60–69 years) and old elderly (70–80 years) people with the hypothesis that an age-related decline would be found. Methods A total of 1288 participants’ level of physical activity was evaluated using the International Physical Activity Questionnaire: 594 were male (mean ± standard deviation: body height 175.62 ± 9.78 cm; body weight 82.26 ± 31.33 kg) and 694 female (mean ± standard deviation: body height 165.17 ± 23.12 cm; body weight 69.74 ± 12.44 kg). Functional fitness was also estimated using the Senior Fitness Test: back scratch, chair sit and reach, 8-foot up and go, chair stand up for 30 seconds, arm curl, and 2-minute step test. Results Significant differences (P < 0.05) were found for all Senior Fitness tests between young elderly (60–69 years) and old elderly (70–80) men. Similar results were found for the women, except no significant differences were found for the chair sit and reach and the 2-minute step test. From the viewpoint of energy consumption estimated by the International Physical Activity Questionnaire, moderate physical activity is dominant. In addition, with aging, among men and women older than 60 years, the value of the Metabolic Equivalent of Task in total physical activity significantly reduces (P < 0.05). Conclusions This study found that the reduction in physical activity level and functional fitness was equal for both men and women and was due to the aging process. These differences between young and old elderly people were due to the reduction of muscle strength in both upper and lower limbs and changes in body-fat percentage, flexibility, agility, and endurance.
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              Regular aerobic exercise prevents and restores age-related declines in endothelium-dependent vasodilation in healthy men.

              In sedentary humans endothelium-dependent vasodilation is impaired with advancing age contributing to their increased cardiovascular risk, whereas endurance-trained adults demonstrate lower age-related risk. We determined the influence of regular aerobic exercise on the age-related decline in endothelium-dependent vasodilation. In a cross-sectional study, 68 healthy men 22 to 35 or 50 to 76 years of age who were either sedentary or endurance exercise-trained were studied. Forearm blood flow (FBF) responses to intra-arterial infusions of acetylcholine and sodium nitroprusside were measured by strain-gauge plethysmography. Among the sedentary men, the maximum FBF response to acetylcholine was 25% lower in the middle aged and older compared with the young group (P:<0.01). In contrast, there was no age-related difference in the vasodilatory response to acetylcholine among the endurance-trained men. FBF at the highest acetylcholine dose was almost identical in the middle aged and older (17.3+/-1.3 mL/100 mL tissue per minute) and young (17.7+/-1.4 mL/100 mL tissue per minute) endurance-trained groups. There were no differences in the FBF responses to sodium nitroprusside among the sedentary and endurance- trained groups. In an exercise intervention study, 13 previously sedentary middle aged and older healthy men completed a 3-month, home-based aerobic exercise intervention (primarily walking). After the exercise intervention, acetylcholine-mediated vasodilation increased approximately 30% (P:<0.01) to levels similar to those in young adults and middle aged and older endurance-trained men. Our results indicate that regular aerobic exercise can prevent the age-associated loss in endothelium-dependent vasodilation and restore levels in previously sedentary middle aged and older healthy men. This may represent an important mechanism by which regular aerobic exercise lowers the risk of cardiovascular disease in this population.
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                Author and article information

                Journal
                Journal of Applied Physiology
                Journal of Applied Physiology
                American Physiological Society
                8750-7587
                1522-1601
                June 2016
                June 2016
                : 120
                : 11
                : 1335-1342
                Affiliations
                [1 ]Department of Physical Therapy and Rehabilitation Science;
                [2 ]Department of Anesthesia, Carver College of Medicine, University of Iowa, Iowa City, Iowa
                [3 ]Abboud Cardiovascular Research Center;
                [4 ]Fraternal Order of Eagles Diabetes Research; and
                Article
                10.1152/japplphysiol.00057.2016
                4891932
                27032899
                9b059a67-6e41-48e5-a2c8-dfd9eee69e61
                © 2016
                History

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