Alexei Wong1, Salvador J Jaime2, Brandon Grubbs3, Lynn B Panton4, Stephen M Fischer5, Arturo Figueroa6. 1. Department of Health and Human Performance, Marymount University, Arlington, United States. 2. Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI, United States. 3. Department of Health and Human Performance, Middle Tennessee State University, Murfreesboro, TN, United States. 4. Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, United States. 5. Department of Kinesiology and Sport Management, Texas Tech University, Lubbock, United States. 6. Department of Kinesiology and Sport Management, Texas Tech University, Lubbock, United States. Electronic address: arturo.figueroa@ttu.edu.
Abstract
BACKGROUND: Low muscle strength (dynapenia) is a primary characteristic of sarcopenia, the age-related loss of muscle mass and strength or low walking speed. New evidence suggests that muscle strength positively affects blood pressure (BP) responses to exercise. As older adults with lowest handgrip strength also have lowest BP at rest, those with dynapenia may experience attenuated BP responses during physical activity. The purpose of this study was to test the hypothesis that dynapenic older adults would exhibit lower BP response to post-exercise muscle ischemia (PEMI). METHODS: Brachial and aortic systolic BP (SBP), diastolic BP (DBP), and mean arterial pressure (MAP) were measured in older adults (age, 80 ± 5 y) with dynapenia (n = 16) and non-dynapenia (n = 9) at rest and during PEMI following 2 min of isometric handgrip exercise at 30% maximal voluntary contraction. Walking speed was assessed by an 8-foot (2.44 m) walk course. RESULTS: Increases in aortic SBP (11 ± 2 vs. 23 ± 6 mm Hg, p = .03), DBP (6 ± 2 vs.14 ± 4 mm Hg, p = .04), and MAP (8 ± 1 vs. 17 ± 5 mm Hg, p = .02) were lower in dynapenic compared to non-dynapenic adults. Aortic MAP (r = 0.52, p < .05) response to PEMI was correlated with MVC in dynapenic adults. Gait speed was correlated with aortic DBP response to PEMI (r = 0.698, p = .05) in non-dynapenic adults. CONCLUSIONS: Our findings indicate that aortic DBP response to muscle metaboreflex activation is attenuated in older adults with dynapenia. Normal aortic DBP response during metaboreflex activation may positively affect walking performance in non-dynapenic older adults.
BACKGROUND: Low muscle strength (dynapenia) is a primary characteristic of sarcopenia, the age-related loss of muscle mass and strength or low walking speed. New evidence suggests that muscle strength positively affects blood pressure (BP) responses to exercise. As older adults with lowest handgrip strength also have lowest BP at rest, those with dynapenia may experience attenuated BP responses during physical activity. The purpose of this study was to test the hypothesis that dynapenic older adults would exhibit lower BP response to post-exercise muscle ischemia (PEMI). METHODS: Brachial and aortic systolic BP (SBP), diastolic BP (DBP), and mean arterial pressure (MAP) were measured in older adults (age, 80 ± 5 y) with dynapenia (n = 16) and non-dynapenia (n = 9) at rest and during PEMI following 2 min of isometric handgrip exercise at 30% maximal voluntary contraction. Walking speed was assessed by an 8-foot (2.44 m) walk course. RESULTS: Increases in aortic SBP (11 ± 2 vs. 23 ± 6 mm Hg, p = .03), DBP (6 ± 2 vs.14 ± 4 mm Hg, p = .04), and MAP (8 ± 1 vs. 17 ± 5 mm Hg, p = .02) were lower in dynapenic compared to non-dynapenic adults. Aortic MAP (r = 0.52, p < .05) response to PEMI was correlated with MVC in dynapenic adults. Gait speed was correlated with aortic DBP response to PEMI (r = 0.698, p = .05) in non-dynapenic adults. CONCLUSIONS: Our findings indicate that aortic DBP response to muscle metaboreflex activation is attenuated in older adults with dynapenia. Normal aortic DBP response during metaboreflex activation may positively affect walking performance in non-dynapenic older adults.
Authors: Fabiana Angélica de Paula; Vanessa Amaral Mendonça; Vanessa Kelly da Silva Lage; Guilherme Pinto da Silva; Hellen Cristina de Almeida; Liliana Pereira Lima; Joyce Noelly Vítor Santos; Daniela Pereira de Castro; Camila Franciele da Paixão; Ana Luiza da Silva Nunes Teixeira Rodrigues; Vinícius Cunha de Oliveira; Pedro Henrique Scheidt Figueiredo; Mario Bernardo-Filho; Ana Cristina Rodrigues Lacerda; Redha Taiar Journal: Int J Environ Res Public Health Date: 2021-11-12 Impact factor: 3.390