Cardiovascular consequences of the inspiratory muscle metaboreflex: effects of age and sex

With inspiratory muscle metaboreflex activation, we hypothesized that, compared with their younger counterparts, older men and women would exhibit greater ) increases in mean arterial pressure (MAP) and limb vascular resistance (LVR) and ) decreases in limb blood flow (Q̇ ) but ) no sex differences...

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Veröffentlicht in:American journal of physiology. Heart and circulatory physiology 2017-05, Vol.312 (5), p.H1013-H1020
Hauptverfasser: Smith, Joshua R, Alexander, Andrew M, Hammer, Shane M, Didier, Kaylin D, Kurti, Stephanie P, Broxterman, Ryan M, Barstow, Thomas J, Harms, Craig A
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container_issue 5
container_start_page H1013
container_title American journal of physiology. Heart and circulatory physiology
container_volume 312
creator Smith, Joshua R
Alexander, Andrew M
Hammer, Shane M
Didier, Kaylin D
Kurti, Stephanie P
Broxterman, Ryan M
Barstow, Thomas J
Harms, Craig A
description With inspiratory muscle metaboreflex activation, we hypothesized that, compared with their younger counterparts, older men and women would exhibit greater ) increases in mean arterial pressure (MAP) and limb vascular resistance (LVR) and ) decreases in limb blood flow (Q̇ ) but ) no sex differences would be present in older adults. Sixteen young adults [8 young men (YM) and 8 young women (YW), 18-24 yr] and 16 older adults [8 older men (OM) and 8 older women (OW), 60-73 yr] performed inspiratory resistive breathing tasks (IRBTs) at 2% and 65% of their maximal inspiratory pressure. During the IRBTs, breathing frequency was 20 breaths/min with a 50% duty cycle. At baseline and during the IRBTs, MAP was measured via automated oscillometry, Q̇ was determined via Doppler ultrasound, and LVR was calculated. The 65% IRBT led to significantly greater increases in MAP in OW (15.9 ± 8.1 mmHg) compared with YW (6.9 ± 1.4 mmHg) but not ( > 0.05) between OM (12.3 ± 5.7 mmHg) and YM (10.8 ± 5.7 mmHg). OW (-20.2 ± 7.2%) had greater ( < 0.05) decreases in Q̇ compared with YW (-9.4 ± 10.2%), but no significant differences were present between OM (-22.8 ± 9.7%) and YM (-22.7 ± 11.3%) during the 65% IRBT. The 65% IRBT led to greater ( < 0.05) increases in LVR in OW (48.2 ± 25.5%) compared with YW (19.7 ± 15.0%), but no differences ( > 0.05) existed among OM (54.4 ± 17.8%) and YM (47.1 ± 23.3%). No significant differences were present in MAP, Q̇ , or LVR between OM and OW. These data suggest that OW exhibit a greater inspiratory muscle metaboreflex compared with YW, whereas no differences between OM and YM existed. Finally, sex differences in the inspiratory muscle metaboreflex are not present in older adults. Premenopausal women exhibit an attenuated inspiratory muscle metaboreflex compared with young men; however, it is unknown whether these sex differences are present in older adults. Older women exhibited a greater inspiratory muscle metaboreflex compared with premenopausal women, whereas no differences were present between older and younger men.
doi_str_mv 10.1152/ajpheart.00818.2016
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Sixteen young adults [8 young men (YM) and 8 young women (YW), 18-24 yr] and 16 older adults [8 older men (OM) and 8 older women (OW), 60-73 yr] performed inspiratory resistive breathing tasks (IRBTs) at 2% and 65% of their maximal inspiratory pressure. During the IRBTs, breathing frequency was 20 breaths/min with a 50% duty cycle. At baseline and during the IRBTs, MAP was measured via automated oscillometry, Q̇ was determined via Doppler ultrasound, and LVR was calculated. The 65% IRBT led to significantly greater increases in MAP in OW (15.9 ± 8.1 mmHg) compared with YW (6.9 ± 1.4 mmHg) but not ( &gt; 0.05) between OM (12.3 ± 5.7 mmHg) and YM (10.8 ± 5.7 mmHg). OW (-20.2 ± 7.2%) had greater ( &lt; 0.05) decreases in Q̇ compared with YW (-9.4 ± 10.2%), but no significant differences were present between OM (-22.8 ± 9.7%) and YM (-22.7 ± 11.3%) during the 65% IRBT. The 65% IRBT led to greater ( &lt; 0.05) increases in LVR in OW (48.2 ± 25.5%) compared with YW (19.7 ± 15.0%), but no differences ( &gt; 0.05) existed among OM (54.4 ± 17.8%) and YM (47.1 ± 23.3%). No significant differences were present in MAP, Q̇ , or LVR between OM and OW. These data suggest that OW exhibit a greater inspiratory muscle metaboreflex compared with YW, whereas no differences between OM and YM existed. Finally, sex differences in the inspiratory muscle metaboreflex are not present in older adults. Premenopausal women exhibit an attenuated inspiratory muscle metaboreflex compared with young men; however, it is unknown whether these sex differences are present in older adults. 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Heart and circulatory physiology</title><addtitle>Am J Physiol Heart Circ Physiol</addtitle><description>With inspiratory muscle metaboreflex activation, we hypothesized that, compared with their younger counterparts, older men and women would exhibit greater ) increases in mean arterial pressure (MAP) and limb vascular resistance (LVR) and ) decreases in limb blood flow (Q̇ ) but ) no sex differences would be present in older adults. Sixteen young adults [8 young men (YM) and 8 young women (YW), 18-24 yr] and 16 older adults [8 older men (OM) and 8 older women (OW), 60-73 yr] performed inspiratory resistive breathing tasks (IRBTs) at 2% and 65% of their maximal inspiratory pressure. During the IRBTs, breathing frequency was 20 breaths/min with a 50% duty cycle. At baseline and during the IRBTs, MAP was measured via automated oscillometry, Q̇ was determined via Doppler ultrasound, and LVR was calculated. 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Premenopausal women exhibit an attenuated inspiratory muscle metaboreflex compared with young men; however, it is unknown whether these sex differences are present in older adults. 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Heart and circulatory physiology</jtitle><addtitle>Am J Physiol Heart Circ Physiol</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>312</volume><issue>5</issue><spage>H1013</spage><epage>H1020</epage><pages>H1013-H1020</pages><issn>0363-6135</issn><eissn>1522-1539</eissn><abstract>With inspiratory muscle metaboreflex activation, we hypothesized that, compared with their younger counterparts, older men and women would exhibit greater ) increases in mean arterial pressure (MAP) and limb vascular resistance (LVR) and ) decreases in limb blood flow (Q̇ ) but ) no sex differences would be present in older adults. Sixteen young adults [8 young men (YM) and 8 young women (YW), 18-24 yr] and 16 older adults [8 older men (OM) and 8 older women (OW), 60-73 yr] performed inspiratory resistive breathing tasks (IRBTs) at 2% and 65% of their maximal inspiratory pressure. During the IRBTs, breathing frequency was 20 breaths/min with a 50% duty cycle. At baseline and during the IRBTs, MAP was measured via automated oscillometry, Q̇ was determined via Doppler ultrasound, and LVR was calculated. The 65% IRBT led to significantly greater increases in MAP in OW (15.9 ± 8.1 mmHg) compared with YW (6.9 ± 1.4 mmHg) but not ( &gt; 0.05) between OM (12.3 ± 5.7 mmHg) and YM (10.8 ± 5.7 mmHg). OW (-20.2 ± 7.2%) had greater ( &lt; 0.05) decreases in Q̇ compared with YW (-9.4 ± 10.2%), but no significant differences were present between OM (-22.8 ± 9.7%) and YM (-22.7 ± 11.3%) during the 65% IRBT. The 65% IRBT led to greater ( &lt; 0.05) increases in LVR in OW (48.2 ± 25.5%) compared with YW (19.7 ± 15.0%), but no differences ( &gt; 0.05) existed among OM (54.4 ± 17.8%) and YM (47.1 ± 23.3%). No significant differences were present in MAP, Q̇ , or LVR between OM and OW. These data suggest that OW exhibit a greater inspiratory muscle metaboreflex compared with YW, whereas no differences between OM and YM existed. Finally, sex differences in the inspiratory muscle metaboreflex are not present in older adults. Premenopausal women exhibit an attenuated inspiratory muscle metaboreflex compared with young men; however, it is unknown whether these sex differences are present in older adults. Older women exhibited a greater inspiratory muscle metaboreflex compared with premenopausal women, whereas no differences were present between older and younger men.</abstract><cop>United States</cop><pub>American Physiological Society</pub><pmid>28235792</pmid><doi>10.1152/ajpheart.00818.2016</doi><orcidid>https://orcid.org/0000-0003-4803-9054</orcidid><orcidid>https://orcid.org/0000-0002-3687-6261</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Adults
Age factors
Aged
Aging
Arterial Pressure
Blood flow
Blood pressure
Cardiovascular Physiological Phenomena
Cardiovascular system
Extremities - blood supply
Female
Gender aspects
Gender differences
Humans
Lung - physiology
Male
Men
Middle Aged
Muscles
Older people
Regional Blood Flow - physiology
Respiratory Muscles - growth & development
Respiratory Muscles - physiology
Sex
Sex Characteristics
Ultrasonic imaging
Vascular Resistance - physiology
Women
Young Adult
Young adults
title Cardiovascular consequences of the inspiratory muscle metaboreflex: effects of age and sex
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