TCD Cerebral Hemodynamic Changes during Moderate‐Intensity Exercise in Older Adults

ABSTRACT BACKGROUND AND PURPOSE Exercise plays an important role in supporting overall brain health. However, the mechanisms by which exercise supports brain health are imprecisely defined. Further, brain hemodynamic changes during exercise are not clearly understood, especially in older adults. The...

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Veröffentlicht in:Journal of neuroimaging 2020-01, Vol.30 (1), p.76-81
Hauptverfasser: Alwatban, Mohammed R., Liu, Yumei, Perdomo, Sophy J., Ward, Jaimie L., Vidoni, Eric D., Burns, Jeffrey M., Billinger, Sandra A.
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container_end_page 81
container_issue 1
container_start_page 76
container_title Journal of neuroimaging
container_volume 30
creator Alwatban, Mohammed R.
Liu, Yumei
Perdomo, Sophy J.
Ward, Jaimie L.
Vidoni, Eric D.
Burns, Jeffrey M.
Billinger, Sandra A.
description ABSTRACT BACKGROUND AND PURPOSE Exercise plays an important role in supporting overall brain health. However, the mechanisms by which exercise supports brain health are imprecisely defined. Further, brain hemodynamic changes during exercise are not clearly understood, especially in older adults. The primary aim of this study was to compare cerebral blood flow velocity and pulsatility index (PI) during moderate‐intensity exercise between older adults with normal pulsatile flow (normal PI) and older adults with elevated pulsatile flow (elevated PI). Secondary aims were to compare cardiovascular disease risk and cognitive function between individuals with elevated and nonelevated PI. METHODS Using transcranial Doppler ultrasound (TCD), middle cerebral artery blood velocity (MCAv) and PI were recorded during the rest and moderate‐intensity exercise. End tidal carbon dioxide (PETCO2) and beat‐to‐beat mean arterial blood pressure were also recorded. RESULTS We enrolled 104 older adults into the study. The change in PI was greater in normal PI group (35.5% vs. 21.3%, P = .005). The change in MCAv was similar in both groups (11.6% for normal PI vs. 10.6% for elevated PI; P = .22). There was no significant difference in cardiovascular disease risk between the two groups (P = .77). Individuals with elevated PI performed significantly worse in WAIS‐R Digit Symbol and Trail Making Test A (P = .04 and = .01, respectively). CONCLUSIONS The percent increase in PI from rest to moderate‐intensity exercise was attenuated in the older adults with elevated resting PI. Higher resting PI may negatively affect brain health as evidenced by the slower processing speed scores.
doi_str_mv 10.1111/jon.12675
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However, the mechanisms by which exercise supports brain health are imprecisely defined. Further, brain hemodynamic changes during exercise are not clearly understood, especially in older adults. The primary aim of this study was to compare cerebral blood flow velocity and pulsatility index (PI) during moderate‐intensity exercise between older adults with normal pulsatile flow (normal PI) and older adults with elevated pulsatile flow (elevated PI). Secondary aims were to compare cardiovascular disease risk and cognitive function between individuals with elevated and nonelevated PI. METHODS Using transcranial Doppler ultrasound (TCD), middle cerebral artery blood velocity (MCAv) and PI were recorded during the rest and moderate‐intensity exercise. End tidal carbon dioxide (PETCO2) and beat‐to‐beat mean arterial blood pressure were also recorded. RESULTS We enrolled 104 older adults into the study. The change in PI was greater in normal PI group (35.5% vs. 21.3%, P = .005). The change in MCAv was similar in both groups (11.6% for normal PI vs. 10.6% for elevated PI; P = .22). There was no significant difference in cardiovascular disease risk between the two groups (P = .77). Individuals with elevated PI performed significantly worse in WAIS‐R Digit Symbol and Trail Making Test A (P = .04 and = .01, respectively). CONCLUSIONS The percent increase in PI from rest to moderate‐intensity exercise was attenuated in the older adults with elevated resting PI. Higher resting PI may negatively affect brain health as evidenced by the slower processing speed scores.</description><identifier>ISSN: 1051-2284</identifier><identifier>ISSN: 1552-6569</identifier><identifier>EISSN: 1552-6569</identifier><identifier>DOI: 10.1111/jon.12675</identifier><identifier>PMID: 31750593</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adults ; Aged ; Aged, 80 and over ; aging ; Arterial Pressure - physiology ; Blood flow ; Blood Flow Velocity - physiology ; Blood pressure ; Brain ; Brain - diagnostic imaging ; Brain - physiology ; Carbon dioxide ; Cardiovascular disease ; Cardiovascular diseases ; Cerebral blood flow ; Cerebrovascular Circulation - physiology ; Cognition - physiology ; Cognitive ability ; Doppler effect ; Exercise - physiology ; Female ; Flow velocity ; Health risk assessment ; Health risks ; hemodynamic ; Hemodynamics ; Hemodynamics - physiology ; Humans ; Male ; Middle Cerebral Artery - diagnostic imaging ; Middle Cerebral Artery - physiology ; Neuroimaging ; Neuropsychological Tests ; Older people ; Pulsatile Flow ; pulsatility index ; Transcranial Doppler ultrasound ; Ultrasonography, Doppler, Transcranial ; Ultrasound</subject><ispartof>Journal of neuroimaging, 2020-01, Vol.30 (1), p.76-81</ispartof><rights>2019 by the American Society of Neuroimaging</rights><rights>2019 by the American Society of Neuroimaging.</rights><rights>2020 American Society of Neuroimaging</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4435-80c0b81a02482c37de462871f41c575843e4376538f436b672214169f3c206623</citedby><cites>FETCH-LOGICAL-c4435-80c0b81a02482c37de462871f41c575843e4376538f436b672214169f3c206623</cites><orcidid>0000-0002-1618-7207 ; 0000-0003-0945-4212</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjon.12675$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjon.12675$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31750593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alwatban, Mohammed R.</creatorcontrib><creatorcontrib>Liu, Yumei</creatorcontrib><creatorcontrib>Perdomo, Sophy J.</creatorcontrib><creatorcontrib>Ward, Jaimie L.</creatorcontrib><creatorcontrib>Vidoni, Eric D.</creatorcontrib><creatorcontrib>Burns, Jeffrey M.</creatorcontrib><creatorcontrib>Billinger, Sandra A.</creatorcontrib><title>TCD Cerebral Hemodynamic Changes during Moderate‐Intensity Exercise in Older Adults</title><title>Journal of neuroimaging</title><addtitle>J Neuroimaging</addtitle><description>ABSTRACT BACKGROUND AND PURPOSE Exercise plays an important role in supporting overall brain health. However, the mechanisms by which exercise supports brain health are imprecisely defined. Further, brain hemodynamic changes during exercise are not clearly understood, especially in older adults. The primary aim of this study was to compare cerebral blood flow velocity and pulsatility index (PI) during moderate‐intensity exercise between older adults with normal pulsatile flow (normal PI) and older adults with elevated pulsatile flow (elevated PI). Secondary aims were to compare cardiovascular disease risk and cognitive function between individuals with elevated and nonelevated PI. METHODS Using transcranial Doppler ultrasound (TCD), middle cerebral artery blood velocity (MCAv) and PI were recorded during the rest and moderate‐intensity exercise. End tidal carbon dioxide (PETCO2) and beat‐to‐beat mean arterial blood pressure were also recorded. RESULTS We enrolled 104 older adults into the study. The change in PI was greater in normal PI group (35.5% vs. 21.3%, P = .005). The change in MCAv was similar in both groups (11.6% for normal PI vs. 10.6% for elevated PI; P = .22). There was no significant difference in cardiovascular disease risk between the two groups (P = .77). Individuals with elevated PI performed significantly worse in WAIS‐R Digit Symbol and Trail Making Test A (P = .04 and = .01, respectively). CONCLUSIONS The percent increase in PI from rest to moderate‐intensity exercise was attenuated in the older adults with elevated resting PI. Higher resting PI may negatively affect brain health as evidenced by the slower processing speed scores.</description><subject>Adults</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>aging</subject><subject>Arterial Pressure - physiology</subject><subject>Blood flow</subject><subject>Blood Flow Velocity - physiology</subject><subject>Blood pressure</subject><subject>Brain</subject><subject>Brain - diagnostic imaging</subject><subject>Brain - physiology</subject><subject>Carbon dioxide</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cerebral blood flow</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Cognition - physiology</subject><subject>Cognitive ability</subject><subject>Doppler effect</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Flow velocity</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>hemodynamic</subject><subject>Hemodynamics</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Cerebral Artery - diagnostic imaging</subject><subject>Middle Cerebral Artery - physiology</subject><subject>Neuroimaging</subject><subject>Neuropsychological Tests</subject><subject>Older people</subject><subject>Pulsatile Flow</subject><subject>pulsatility index</subject><subject>Transcranial Doppler ultrasound</subject><subject>Ultrasonography, Doppler, Transcranial</subject><subject>Ultrasound</subject><issn>1051-2284</issn><issn>1552-6569</issn><issn>1552-6569</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1OFTEYhidGI4guvAHTxI0sBvrfzsaEDCgY9Gxg3fR0vjn0ZKbFdkY4Oy_Ba-RKqB4kamI3bfI9ffK9eavqNcEHpJzDdQwHhEolnlS7RAhaSyGbp-WNBakp1XynepHzGmNKOGXPqx1GlMCiYbvV5UV7jFpIsEx2QKcwxm4T7Ogdaq9sWEFG3Zx8WKHPsYNkJ7j7_uMsTBCynzbo5BaS8xmQD2gxFAAddfMw5ZfVs94OGV493HvV5YeTi_a0Pl98PGuPzmvHORO1xg4vNbGYck0dUx1wSbUiPSdOKKE5A86UFEz3nMmlVLQEILLpmaNYSsr2qvdb7_W8HKFzEKYSw1wnP9q0MdF68_ck-Cuzit-MbARvlCyCdw-CFL_OkCcz-uxgGGyAOGdDGZFKc4V5Qd_-g67jnEKJVygmCoOVLtT-lnIp5pygf1yGYPOzrPIrmF9lFfbNn9s_kr_bKcDhFrjxA2z-bzKfFl-2ynviwZ0t</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Alwatban, Mohammed R.</creator><creator>Liu, Yumei</creator><creator>Perdomo, Sophy J.</creator><creator>Ward, Jaimie L.</creator><creator>Vidoni, Eric D.</creator><creator>Burns, Jeffrey M.</creator><creator>Billinger, Sandra A.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1618-7207</orcidid><orcidid>https://orcid.org/0000-0003-0945-4212</orcidid></search><sort><creationdate>202001</creationdate><title>TCD Cerebral Hemodynamic Changes during Moderate‐Intensity Exercise in Older Adults</title><author>Alwatban, Mohammed R. ; 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However, the mechanisms by which exercise supports brain health are imprecisely defined. Further, brain hemodynamic changes during exercise are not clearly understood, especially in older adults. The primary aim of this study was to compare cerebral blood flow velocity and pulsatility index (PI) during moderate‐intensity exercise between older adults with normal pulsatile flow (normal PI) and older adults with elevated pulsatile flow (elevated PI). Secondary aims were to compare cardiovascular disease risk and cognitive function between individuals with elevated and nonelevated PI. METHODS Using transcranial Doppler ultrasound (TCD), middle cerebral artery blood velocity (MCAv) and PI were recorded during the rest and moderate‐intensity exercise. End tidal carbon dioxide (PETCO2) and beat‐to‐beat mean arterial blood pressure were also recorded. RESULTS We enrolled 104 older adults into the study. The change in PI was greater in normal PI group (35.5% vs. 21.3%, P = .005). The change in MCAv was similar in both groups (11.6% for normal PI vs. 10.6% for elevated PI; P = .22). There was no significant difference in cardiovascular disease risk between the two groups (P = .77). Individuals with elevated PI performed significantly worse in WAIS‐R Digit Symbol and Trail Making Test A (P = .04 and = .01, respectively). CONCLUSIONS The percent increase in PI from rest to moderate‐intensity exercise was attenuated in the older adults with elevated resting PI. Higher resting PI may negatively affect brain health as evidenced by the slower processing speed scores.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31750593</pmid><doi>10.1111/jon.12675</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1618-7207</orcidid><orcidid>https://orcid.org/0000-0003-0945-4212</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adults
Aged
Aged, 80 and over
aging
Arterial Pressure - physiology
Blood flow
Blood Flow Velocity - physiology
Blood pressure
Brain
Brain - diagnostic imaging
Brain - physiology
Carbon dioxide
Cardiovascular disease
Cardiovascular diseases
Cerebral blood flow
Cerebrovascular Circulation - physiology
Cognition - physiology
Cognitive ability
Doppler effect
Exercise - physiology
Female
Flow velocity
Health risk assessment
Health risks
hemodynamic
Hemodynamics
Hemodynamics - physiology
Humans
Male
Middle Cerebral Artery - diagnostic imaging
Middle Cerebral Artery - physiology
Neuroimaging
Neuropsychological Tests
Older people
Pulsatile Flow
pulsatility index
Transcranial Doppler ultrasound
Ultrasonography, Doppler, Transcranial
Ultrasound
title TCD Cerebral Hemodynamic Changes during Moderate‐Intensity Exercise in Older Adults
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