Int J Sports Med 2022; 43(01): 61-67
DOI: 10.1055/a-1487-6628
Training & Testing

Effects of Aging on Hemodynamic Kinetics in Different Intensities of Dynamic Exercise

Matheus Borghi-Ricardo
1   Department of Mechanical Engineering,USP, Sao Paulo, Brazil
,
Rodrigo Polaquini Simões
2   Department of Physiotherapy, UFSCar, Sao Carlos, Brazil
,
Daniel Augusto Santos
3   Department of Physiotherapy, Cardiopulmonary Physiotherapy Laboratory, Nucleus of Research in Physical Exercise, Federal University of Sao Carlos, Sao Carlos, Brazil
,
Bruno Archiza
3   Department of Physiotherapy, Cardiopulmonary Physiotherapy Laboratory, Nucleus of Research in Physical Exercise, Federal University of Sao Carlos, Sao Carlos, Brazil
,
Audrey Borghi-Silva
2   Department of Physiotherapy, UFSCar, Sao Carlos, Brazil
› Author Affiliations
Funding We also thank the Fundacão de Amparo à Pesquisa do Estado de Sao Paulo, Sao Paulo, Brazil (FAPESP 2015/26501-1) and CAPES PROEX (Coordenadoria de aperfeiçoamento de pessoal de Ensino superior, programas de Excelência). MBR and DAS are scientific iniciation student of FAPESP (Process n°19/03524-7 and 2013/06385-1). ABS is a Established Investigator (Level 1B) of Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil.

Abstract

Healthy aging hemodynamics is known to exhibit a time-dependent loss of function. We aimed at verifying whether older men would have a slowed cardiac output and stroke volume dynamics in response to the onset (“on”) and on recovery (“off”) of exercise in comparison to young men. Twenty healthy active men (10 young and 10 older) were recruited. Participants performed an incremental cardiopulmonary exercise testing on a cycle ergometer, and on another day, 3 constant workload tests in different intensities. Compared to younger, older men exhibited a slower cardiac output and stroke volume dynamics in both on and off transients for all exercise intensities (all P < 0.05). During higher intensities, both younger and older men had slower hemodynamic kinetics compared to lower intensities (all P < 0.05). There was strong negative relationship between the time constant of cardiac output on-kinetics during high-intensity with maximal exercise performance in both groups (r = –0.88, P < 0.01). We interpret these findings to mean that healthy older men have slowed hemodynamic kinetics compared to younger, but this difference becomes less evident in higher intensities of exercise.



Publication History

Article published online:
22 June 2021

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  • References

  • 1 DeLorey DS, Kowalchuk JM, Paterson DH. Effect of age on O2 uptake kinetics and the adaptation of muscle deoxygenation at the onset of moderate intensity cycling exercise. J Appl Physiol (1985) 2004; 97: 165-172
  • 2 McNarry MA. Oxygen uptake kinetics in youth: characteristics, interpretation, and application. Pediatr Exerc Sci 2019; 31: 175-183
  • 3 Grey TM, Spencer MD, Belfry GR. et al. Effects of age and long-term endurance training on VO2 kinetics. Med Sci Sports Exerc 2015; 47: 289-298
  • 4 Alexander NB, Dengel DR, Olson RJ. et al. Oxygen-uptake (VO2) kinetics and functional mobility performance in impaired older adults. J Gerontol A Biol Sci Med Sci 2003; 58: 734-739
  • 5 Izem O, Maufrais C, Obert P. et al. Kinetics of left ventricular mechanics during transition from rest to exercise. Med Sci Sports Exerc 2019; 51: 1838-1844
  • 6 Yoshida T, Yamamoto K, Naka T. et al. Cardiac output and oxygen uptake kinetics at the onset and offset of exercise. J Therm Biol 1993; 18: 609-615
  • 7 Simões RP, Bonjorno JC, Beltrame T. et al. Slower heart rate and oxygen consumption kinetic responses in the on- and off-transient during a discontinuous incremental exercise: Effects of aging. Braz J Phys Ther 2013; 17: 69-76
  • 8 Singam NSV, Fine C, Fleg JL. Cardiac changes associated with vascular aging. Clin Cardiol 2020; 43: 92-98
  • 9 Quindry JC, Franklin BA, Chapman M. et al. Benefits and risks of high-intensity interval training in patients with coronary artery disease. Am J Cardiol 2019; 123: 1370-1377
  • 10 Harriss DJ, Macsween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 Update. Int J Sports Med 2019; 40: 813-817
  • 11 Simões RP, Castello-Simões V, Mendes RG. et al. Lactate and heart rate variability threshold during resistance exercise in the young and elderly. Int J Sports Med 2013; 34: 991-996
  • 12 Sperling MP, Caruso FC, Mendes RG. et al. Relationship between non-invasive haemodynamic responses and cardiopulmonary exercise testing in patients with coronary artery disease. Clin Physiol Funct Imaging 2016; 36: 92-98
  • 13 Chiappa GR, Borghi-Silva A, Ferreira LF. et al. Kinetics of muscle deoxygenation are accelerated at the onset of heavy-intensity exercise in patients with COPD: Relationship to central cardiovascular dynamics. J Appl Physiol (1985) 2008; 104: 1341-1350
  • 14 Charloux A, Lonsdorfer-Wolf E, Richard R. et al. A new impedance cardiograph device for the non-invasive evaluation of cardiac output at rest and during exercise: comparison with the “direct” Fick method. Eur J Appl Physiol 2000; 82: 313-320
  • 15 Fisher JP, Young CN, Fadel PJ. Autonomic adjustments to exercise in humans. Compr Physiol 2015; 5: 475-512
  • 16 Fadel PJ. Reflex control of the circulation during exercise. Scand J Med Sci Sports 2015; 25: 74-82
  • 17 Grassi B, Poole DC, Richardson RS. et al. Muscle O2 uptake kinetics in humans: implications for metabolic control. J Appl Physiol (1985) 1996; 80: 988-998
  • 18 Simões RP, Castello-Simões V, Mendes RG. et al. Identification of anaerobic threshold by analysis of heart rate variability during discontinuous dynamic and resistance exercise protocols in healthy older men. Clin Physiol Funct Imaging 2014; 34: 98-108
  • 19 Lador F, Azabji Kenfack M, Moia C. et al. Simultaneous determination of the kinetics of cardiac output, systemic O2 delivery, and lung O2 uptake at exercise onset in men. Am J Physiol Regul Integr Comp Physiol 2006; 290: R1071-R1079
  • 20 Maciel BC, Gallo L, Marin Neto JA. et al. Autonomic nervous control of the heart rate during dynamic exercise in normal man. Clin Sci 1986; 71: 457-460
  • 21 Gilligan DM, Panza JA, Kilcoyne CM. Contribution of endothelium-derived nitric oxide to exercise-induced vasodilation. Circulation 1994; 90: 2853-2858
  • 22 Rowell LB, O’leary DS, Kellogg DL. Integration of cardiovascular control systems in dynamic exercise. In: Rowell LB, Shepherd JT (Eds). Handbook of Physiology: Exercise, Regulation and Integration of Multiple Systems. Bethesda, MD: American Physiological Society 1996; 770-838
  • 23 Faisal A, Beavers KR, Robertson AD. et al. Prior moderate and heavy exercise accelerate oxygen uptake and cardiac output kinetics in endurance athletes. J Appl Physiol (1985) 2009; 106: 1553-1563
  • 24 Kanda M, Kajimoto C, Kashima H. et al. Carotid baroreflex control of central and peripheral hemodynamics during recovery after moderate leg cycling exercise. J Appl Physiol (1985) 2020; 128: 1477-1486
  • 25 Peçanha T, de Brito LC, Fecchio RY. et al. Activation of mechanoreflex, but not central command, delays heart rate recovery after exercise in healthy men. Int J Sports Med 2020; DOI: 10.1055/a-1297-4475.
  • 26 Olive JL, DeVan AE, McCully KK. The effects of aging and activity on muscle blood flow. Dyn Med 2002; 1: 2
  • 27 van Empel VP, Kaye DM, Borlaug BA. Effects of healthy aging on the cardiopulmonary hemodynamic response to exercise. Am J Cardiol 2014; 114: 131-135
  • 28 Raven PB, Mitchell J. The effect of aging on the cardiovascular response to dynamic and static exercise. In Weisfeldt ML (Ed). The Aging Heart. New York: Raven Press; 2015: 2889-2898
  • 29 Lakatta EG. Alterations in the cardiovascular system that occur in advanced age. Fed Proc 1979; 38: 163-167
  • 30 Dong M, Yang Z, Fang H. et al. Aging attenuates cardiac contractility and affects therapeutic consequences for myocardial infarction. Aging Dis 2020; 11: 365-376
  • 31 Lakatta EG. Age-related alterations in the cardiovascular response to adrenergic mediated stress. Fed Proc 1980; 39: 3173-3177
  • 32 Rodeheffer RJ, Gerstenblith G, Becker LC. et al. Exercise cardiac output is maintained with advancing age in healthy human subjects: cardiac dilatation and increased stroke volume compensate for a diminished heart rate. Circulation 1984; 69: 203-213
  • 33 Heath GW, Hagberg JM, Ehsani AA. et al. A physiological comparison of young and older endurance athletes. J Appl Physiol Respir Environ Exerc Physiol 1981; 51: 634-640
  • 34 Simões RP, Mendes RG, Castello V. et al. Heart-rate variability and blood-lactate threshold interaction during progressive resistance exercise in healthy older men. J Strength Cond Res 2010; 24: 1313-1320
  • 35 Lakatta EG. Hemodynamic adaptations to stress with advancing age. Acta Med Scand Suppl 1986; 711: 39-52
  • 36 Bogaard HJ, Woltjer HH, Dekker BM. et al. Haemodynamic response to exercise in healthy young and elderly subjects. Eur J Appl Physiol Occup Physiol 1997; 75: 435-442
  • 37 Roman MA, Rossiter HB, Casaburi R. Exercise, ageing and the lung. Eur Respir J 2016; 48: 1471-1486
  • 38 Messa GAM, Piasecki M, Hill C. et al. Morphological alterations of mouse skeletal muscles during early ageing are muscle specific. Exp Gerontol 2019; 125: 110684