5.4 EFFECT OF ACUTE RESISTANCE EXERCISE ON ARTERIAL HEMODYNAMICS AND CEREBRAL BLOOD FLOW DYNAMICS: DOES SEX MATTER?
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- 10.1016/j.artres.2017.10.050How to use a DOI?
- Abstract
High-intensity resistance exercise (RE) acutely increases arterial stiffness and blood pressure (BP), coupled with reduced cerebral blood flow velocity (CBFv) and greater flow pulsatility in the cerebral circulation, which may be detrimental to cerebral microvasculature. Because females have different CV control mechanisms, it is important to assess potential sex differences in cerebrovascular responses to acute RE.
Purpose: To examine the effect of sex on hemodynamics and cerebral vasculature following acute RE.
Methods: Men (n = 18, 27 yrs, BMI = 24.2) and women (n = 14, 25 yrs, BMI = 23.8) performed RE (3 × 10, isokinetic knee flexion/extension). Measurements were obtained at baseline and post-exercise (1, 5, 30-minute). Beat-to-beat heart rate (HR), brachial BP, cardiac output (CO), stroke volume and end-tidal CO2 were collected. CBFv was measured by transcranial Doppler, carotid BP by applanation tonometry and central pulse wave velocity (PWV) by an automated ambulatory BP monitor.
Results: Table 1. CBFv pulsatility increased following RE at 1-minute post (p < 0.05) in men and was elevated above baseline 5-minute post-exercise (p < 0.05) in both groups (Figure 1). Mean CBFv increased 1-min post-exercise and decreased below baseline 5-minute post-exercise (p < 0.05) in both sexes. PWV increased 1-minute post-exercise (p < 0.05) in both groups.
Variables Baseline 1-minute 5-minute 30-minute Heart Rate(bpm)*† Men 63 ± 9 82 ± 9 71 ± 10 70 ± 8 Women 70 ± 7 93 ± 13 79 ± 10 76 ± 9 CO (L/min) * Men 4.9 ± 0.7 7.9 ± 1.3 6.1 ± 1.3 5.2 ± 0.9 Women 5.4 ± 1.0 8.2 ± 1.4 6.3 ± 1.0 5.7 ± 0.8 SV (ml/min)*‡ Men 77 ± 16ab 95 ± 17bc 85 ± 17c 72 ± 13 Women 80 ± 17a 91 ± 20bc 81 ± 14 76 ± 16 bSBP (mmHg)* Men 124 ± 10 140 ± 12 127 ± 10 127 ± 9 Women 124 ± 9 136 ± 15 122 ± 13 123 ± 9 bDBP (mmHg)* Men 72 ± 8 74 ± 7 72 ± 7 76 ± 6 Women 73 ± 5 76 ± 9 71 ± 7 73 ± 5 bMAP (mmHg)* Men 92 ± 8 100 ± 8 93 ± 8 96 ± 7 Women 95 ± 6 101 ± 11 93 ± 8 95 ± 6 cSBP (mmHg)* Men 120 ± 12 129 ± 18 125 ± 13 126 ± 10 Women 1 22 ± 12 124 ± 13 119 ± 18 123 ± 8 cDBP (mmHg)* Men 75 ± 7 74 ± 7 75 ± 7 79 ± 6 Women 74 ± 6 73 ± 6 75 ± 7 74 ± 5 cMAP (mniHg)* Men 93 ± 8 94 ± 8 94 ± 7 97 ± 7 Women 94 ± 6 93 ± 8 95 ± 9 96 ± 5 PWV (m/s)* Men 5.2 ± 0.5 5.6 ± 0.5 5.4 ± 0.5 5.2 ± 0.3 Women 5.0 ± 0.4 5.3 ± 0.5 5.1 ± 0.3 5.0 ± 0.3 CBFv Mean (cm/s)*† Men 55.8 ± 7.6 63.9 ± 9.6 51.4 ± 6.9 53.7 ± 7.9 Women 69.8 ± 14.4 81.0 ± 23.1 63.7 ± 12.9 65.8 ± 12.0 CBFv Pulsatility Index*†‡ Men 0.91 ± 0.12ab 1.10 ± 0.16* 1.13 ± 0.17c 0.89 ± 0.13 Women 0.81 ± 0.09b 0.90 ± 0.18 0.95 ± 0.13c 0.81 ± 0.11 End-Tidal CO2 (%)* Men 4.86 ± 0.48 5.72 ± 0.66 4.64 ± 0.51 4.51 ± 0.58 Women 4.41 ± 0.60 5.44 ± 0.65 4.26 ± 0.39 4.24 ± 0.50 Table 1All Data are mean ± SD; *Exercise effect, p < 0.05. †Group effect. p < 0.05. ‡Interaction effect. p < 0.05. a Significantly different from 1-minute, b Significantly different from 5-minute. c Significantly different from 30-minute. p < 0.05). Brachial systolic BP (bSBP), brachial diastolic BP (bDBP), brachial mean BP (bMAP), Carotid systolic BP (cSBP),carotid diastolic BP (cDBP), cardiac output (CO), stroke volume (SV) and central pulse wave velocity (PWV), cerebral blood flow velocity (CBFv).
Conclusion: Men increased CBFv pulsatility at 1-minute post-RE compared to women, demonstrating a sex difference in cerebral vascular reactivity. RE increased central arterial stiffness, mean CBFv, HR, and BP similarly for both sexes. CO was also elevated at 5-minute, but CBFv dropped below baseline and pulsatility continued to rise above baseline. This temporary disruption in cerebral autoregulation may impact brain health in both sexes.
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TY - JOUR AU - Alexander Rosenberg AU - Tommy Wee AU - Elizabeth Schroeder AU - Kanokwan Bunsawat AU - Georgios Grigoriadis AU - Garett Griffith AU - Bo Fernhall AU - Tracy Baynard PY - 2017 DA - 2017/12/06 TI - 5.4 EFFECT OF ACUTE RESISTANCE EXERCISE ON ARTERIAL HEMODYNAMICS AND CEREBRAL BLOOD FLOW DYNAMICS: DOES SEX MATTER? JO - Artery Research SP - 59 EP - 60 VL - 20 IS - C SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2017.10.050 DO - 10.1016/j.artres.2017.10.050 ID - Rosenberg2017 ER -