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Division of Gerontology and Geriatrics and Cardiovascular Division, Washington University School of Medicine, St. Louis, Missouri 63110
We hypothesized that abnormal
endothelium-dependent vasodilation (EDD) found in older otherwise
healthy subjects can be attenuated with long-term endurance training.
Ten endurance-trained men, 68.5 ± 2.3 yr old, and 10 healthy
sedentary men, 64.7 ± 1.4 yr old, were studied. Aerobic exercise
capacity (
O2 max),
fasting plasma cholesterol, insulin, and homocysteine concentrations
were measured. Master athletes had higher
O2 max (42 ± 2.3 vs. 27 ± 1.4 ml · kg
1 · min
1,
P < 0.001), slightly higher total cholesterol (226 ± 8 vs.
199 ± 8 mg/dl, P = 0.05), similar insulin, and
higher homocysteine (10.7 ± 1.3 vs. 9.2 ± 1.4 µmol/ml, p = 0.02) concentrations. Brachial arterial diameter, determined with
vascular ultrasound, during the hyperemic response was greater in the
master athletes than in controls (P = 0.005). Peak vasodilatory
response was 109.1 ± 2 vs. 103.6 ± 2% (P < 0.05) in the
athletes and controls, respectively. Endothelium-independent
vasodilation in response to nitroglycerin was similar between the two
groups. The increased arterial diameter during the hyperemic response
correlated significantly with the
O2 max in the
entire population (r = 0.66, P < 0.002). Our results suggest that long-term endurance exercise training in older men is
associated with systemic enhanced EDD, which is even detectable in the
conduit arteries of untrained muscle.
training; elderly
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