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
- PMID: 36030401
 - PMCID: PMC9419153
 - DOI: 10.14814/phy2.15395
 
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 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.
Keywords: aerobic exercise; aging; arterial stiffness; endothelial function.
© 2022 The Authors. Physiological Reports published by Wiley Periodicals LLC on behalf of The Physiological Society and the American Physiological Society.
Conflict of interest statement
The project is organized by and executed under the auspices of TiFN, a public‐private partnership on precompetitive research in food and nutrition. Funding was obtained from the Netherlands Organization for Scientific Research. The authors have declared that no competing interests exist. The datasets analyzed during the current study are available from the last author on reasonable request.
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                References
- 
    
- Atkinson, G. , & Batterham, A. M. (2013). Allometric scaling of diameter change in the original flow‐mediated dilation protocol. Atherosclerosis, 226, 425–427. - PubMed
 
 - 
    
- Bateman, L. A. , Slentz, C. A. , Willis, L. H. , Shields, A. T. , Piner, L. W. , Bales, C. W. , Houmard, J. A. , & Kraus, W. E. (2011). Comparison of aerobic versus resistance exercise training effects on metabolic syndrome (from the studies of a targeted risk reduction intervention through defined exercise ‐ strride‐at/rt). The American Journal of Cardiology, 108, 838–844. - PMC - PubMed
 
 - 
    
- Benjamin, E. J. , Virani, S. S. , Callaway, C. W. , Chamberlain, A. M. , Chang, A. R. , Cheng, S. , Chiuve, S. E. , Cushman, M. , Delling, F. N. , Deo, R. , De Ferranti, S. D. , Ferguson, J. F. , Fornage, M. , Gillespie, C. , Isasi, C. R. , Jiménez, M. C. , Jordan, L. C. , Judd, S. E. , Lackland, D. , … Muntner, P. (2018). Heart disease and stroke statistics ‐ 2018 update: A report from the American Heart Association. Circulation, 137, e67–e492. - PubMed
 
 - 
    
- Buckley, B. J. R. , Watson, P. M. , Murphy, R. C. , Graves, L. E. F. , Whyte, G. , & Thijssen, D. H. J. (2019). Carotid artery function is restored in subjects with elevated cardiovascular disease risk after a 12‐week physical activity intervention. The Canadian Journal of Cardiology, 35, 23–26. - PubMed
 
 
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