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  • Wakeham_et_al_2023_Aortic_stiffness_contributes_to_greater_pressor_responses_during_static_hand_grip_exercise_in_healthy_young_and_middle_aged_normotensive_men

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    Embargo ends: 5/07/24

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DOI

  • Denis J Wakeham
    Cardiff Metropolitan University
  • Rachel Lord
    Cardiff Metropolitan University
  • Jack Talbot
    Cardiff Metropolitan University
  • Freya Lodge
    Cardiff and Vale University Local Health Board
  • Bryony Curry
    Cardiff Metropolitan University
  • Tony Dawkins
    Cardiff Metropolitan University
  • Lydia Simpson
    University of Innsbruck
  • Christopher Pugh
    Cardiff Metropolitan University
  • Rob Shave
    University of British Columbia, Okanagan
  • Jonathan Moore
Central arterial stiffness can influence exercise blood pressure (BP) by increasing the rise in arterial pressure per unit increase in aortic inflow. Whether central arterial stiffness influences the pressor response to isometric handgrip exercise (HG) and post-exercise muscle ischemia (PEMI), two common laboratory tests to study sympathetic control of BP, is unknown. We studied 46 healthy non-hypertensive males (23 young and 23 middle-aged) during HG (which increases in cardiac output [Q̇c]) and isolated metaboreflex activation PEMI (no change or decreases in Q̇c). Aortic stiffness (aortic pulse wave velocity [aPWV]; applanation tonometry via SphygmoCor) was measured during supine rest and was correlated to the pressor responses to HG and PEMI. BP (photoplethysmography) and muscle sympathetic nerve activity (MSNA) were continuously recorded at rest, during HG to fatigue (35 % maximal voluntary contraction) and 2-min of PEMI. aPWV was higher in middle-aged compared to young males (7.1 ± 0.9 vs 5.4 ± 0.7 m/s, P < 0.001). Middle-aged males also exhibited greater increases in systolic pressure (∆30 ± 11 vs 10 ± 8 mmHg) and MSNA (∆2313 ± 2006 vs 1387 ± 1482 %/min) compared to young males during HG (both, P < 0.03); with no difference in the Q̇c response (P = 0.090). Responses to PEMI were not different between groups. Sympathetic transduction during these stressors (MSNA-diastolic pressure slope) was not different between groups (P > 0.341). Middle-aged males displayed a greater increase in SBP per unit change of Q̇c during HG (∆SBP/∆Q̇c; 21 ± 18 vs 6 ± 10 mmHg/L/min, P = 0.004), with a strong and moderate relationship between the change in systolic (r = 0.53, P < 0.001) and diastolic pressure (r = 0.34, P = 0.023) and resting aPWV, respectively; with no correlation during PEMI. Central arterial stiffness can modulate pressor responses during stimuli associated with increases in cardiac output and sympathoexcitation in healthy males. [Abstract copyright: Copyright © 2023 Elsevier B.V. All rights reserved.]

Keywords

  • Age, Arterial stiffness, Blood pressure, Exercise, Metaboreflex
Original languageEnglish
Pages (from-to)103106
JournalAutonomic Neuroscience: Basic and Clinical
Volume248
Early online date5 Jul 2023
DOIs
Publication statusE-pub ahead of print - 5 Jul 2023
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