scholarly journals Lifelong Exercise Improves Cardiac Baroreflex Function But Not Dynamic Cerebral Autoregulation In Older Adults

2012 ◽  
Vol 26 (S1) ◽  
Author(s):  
Vincent Laurens Aengevaeren ◽  
Kyle Armstrong ◽  
Dean Palmer ◽  
Benjamin Levine ◽  
Rong Zhang
Keyword(s):  
Older Adults ◽  
Cerebral Autoregulation ◽  
Baroreflex Function ◽  
Dynamic Cerebral Autoregulation ◽  
Lifelong Exercise

Cardiac baroreflex function and dynamic cerebral autoregulation in elderly Masters athletes

2013 ◽  
Vol 114 (2) ◽  
pp. 195-202 ◽  
Author(s):  
Vincent L. Aengevaeren ◽  
Jurgen A. H. R. Claassen ◽  
Benjamin D. Levine ◽  
Rong Zhang
Keyword(s):  
Older Adults ◽  
Exercise Training ◽  
Cerebral Autoregulation ◽  
Function Analysis ◽  
Baroreflex Function ◽  
Transfer Function Analysis ◽  
Masters Athletes ◽  
The Impact ◽  
Dynamic Cerebral Autoregulation ◽  
Lifelong Exercise

Cerebral blood flow (CBF) is stably maintained through the combined effects of blood pressure (BP) regulation and cerebral autoregulation. Previous studies suggest that aerobic exercise training improves cardiac baroreflex function and beneficially affects BP regulation, but may negatively affect cerebral autoregulation. The purpose of this study was to reveal the impact of lifelong exercise on cardiac baroreflex function and dynamic cerebral autoregulation (CA) in older adults. Eleven Masters athletes (MA) (8 men, 3 women; mean age 73 ± 6 yr; aerobic training >15 yr) and 12 healthy sedentary elderly (SE) (7 men, 5 women; mean age 71 ± 6 yr) participated in this study. BP, CBF velocity (CBFV), and heart rate were measured during resting conditions and repeated sit-stand maneuvers to enhance BP variability. Baroreflex gain was assessed using transfer function analysis of spontaneous changes in systolic BP and R-R interval in the low frequency range (0.05–0.15 Hz). Dynamic CA was assessed during sit-stand–induced changes in mean BP and CBFV at 0.05 Hz (10 s sit, 10 s stand). Cardiac baroreflex gain was more than doubled in MA compared with SE (MA, 7.69 ± 7.95; SE, 3.18 ± 1.29 ms/mmHg; P = 0.018). However, dynamic CA was similar in the two groups (normalized gain: MA, 1.50 ± 0.56; SE, 1.56 ± 0.42% CBFV/mmHg; P = 0.792). These findings suggest that lifelong exercise improves cardiac baroreflex function, but does not alter dynamic CA. Thus, beneficial effects of exercise training on BP regulation can be achieved in older adults without compromising dynamic regulation of CBF.

The Interaction of Dynamic Cerebral Autoregulation and Neurovascular Coupling in Cognitive Impairment

2021 ◽  
Vol 18 (14) ◽  
pp. 1067-1076
Author(s):  
Lucy C. Beishon ◽  
Kannakorn Intharakham ◽  
Victoria J. Haunton ◽  
Thompson G. Robinson ◽  
Ronney B. Panerai
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Cerebral Autoregulation ◽  
Function Analysis ◽  
Neurovascular Coupling ◽  
Cognitively Impaired ◽  
Healthy Older Adults ◽  
Transfer Function Analysis ◽  
Dynamic Cerebral Autoregulation ◽  
Task Activation

Background: Dynamic cerebral autoregulation (dCA) remains intact in both ageing and dementia, but studies of neurovascular coupling (NVC) have produced mixed findings. Objective: We investigated the effects of task-activation on dCA in healthy older adults (HOA), and patients with mild cognitive impairment (MCI) and Alzheimer’s Disease (AD). Methods: Resting and task-activated data from thirty HOA, twenty-two MCI, and thirty-four AD were extracted from a database. The autoregulation index (ARI) was determined at rest and during five cognitive tasks from transfer function analysis. NVC responses were present where group-specific thresholds of cross-correlation peak function and variance ratio were exceeded. Cumulative response rate (CRR) was the total number of positive responses across five tasks and two hemispheres. Results: ARI differed between groups in dominant (p=0.012) and non-dominant (p=0.042) hemispheres at rest but not during task-activation (p=0.33). ARI decreased during language and memory tasks in HOA (p=0.002) but not in MCI or AD (p=0.40). There was a significant positive correlation between baseline ARI and CRR in all groups (r=0.26, p=0.018), but not within sub-groups. Conclusion: dCA efficiency was reduced in task-activation in healthy but not cognitively impaired participants. These results indicate differences in neurovascular processing in healthy older adults relative to cognitively impaired individuals.

scholarly journals Novel Application of a Force Sensor during Sit-to-Stands to Measure Dynamic Cerebral Autoregulation Onset

2022 ◽  
Author(s):  
Alicen A Whitaker ◽  
Eric D. Vidoni ◽  
Stacey E. Aaron ◽  
Adam G. Rouse ◽  
Sandra A Billinger
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Cerebral Autoregulation ◽  
Force Sensor ◽  
Verbal Command ◽  
Post Stroke ◽  
Sit To Stand ◽  
Exact Moment ◽  
Small Change ◽  
Dynamic Cerebral Autoregulation

Purpose: Current sit-to-stand methods measuring dynamic cerebral autoregulation (dCA) do not capture the precise onset of the time delay (TD) response. Reduced sit-to-stand reactions in older adults and individuals post-stroke could inadvertently introduce variability, error, and imprecise timing. We applied a force sensor during a sit-to-stand task to more accurately determine how TD before dCA onset may be altered. Methods: Middle cerebral artery blood velocity (MCAv) and mean arterial pressure (MAP) were measured during two sit-to-stands separated by 15 minutes. Recordings started with participants sitting on a force-sensitive resistor for 60 seconds, then asked to stand for two minutes. Upon standing, the force sensor voltage immediately dropped and marked the exact moment of arise-and-off (AO). Time from AO until an increase in cerebrovascular conductance (CVC = MCAv/MAP) was calculated as TD. Results: We tested the sensor in 4 healthy young adults, 2 older adults, and 2 individuals post-stroke. Healthy young adults stood quickly and the force sensor detected a small change in TD compared to classically estimated AO, from verbal command to stand. When compared to the estimated AO, older adults had a delayed measured AO and TD decreased up to ~50% while individuals post-stroke had an early AO and TD increased up to ~14%. Conclusion: The transition reaction speed during the sit to stand has the potential to influence dCA metrics. As observed in the older adults and participants with stroke, this response may drastically vary and influence TD.

scholarly journals Impaired Cerebrovascular Hemodynamics are Associated with Cerebral White Matter Damage

2013 ◽  
Vol 34 (2) ◽  
pp. 228-234 ◽  
Author(s):  
Sushmita Purkayastha ◽  
Otite Fadar ◽  
Aujan Mehregan ◽  
David H Salat ◽  
Nicola Moscufo ◽  
...  
Keyword(s):  
White Matter ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Cerebral Autoregulation ◽  
Structural Integrity ◽  
Cerebral White Matter ◽  
Elderly Individuals ◽  
Transfer Function Analysis ◽  
Dynamic Cerebral Autoregulation ◽  
Cerebrovascular Hemodynamics

White matter hyperintensities (WMH) in elderly individuals with vascular diseases are presumed to be due to ischemic small vessel diseases; however, their etiology is unknown. We examined the cross-sectional relationship between cerebrovascular hemodynamics and white matter structural integrity in elderly individuals with vascular risk factors. White matter hyperintensity volumes, fractional anisotropy (FA), and mean diffusivity (MD) were obtained from MRI in 48 subjects (75±7years). Pulsatility index (PI) and dynamic cerebral autoregulation (dCA) was assessed using transcranial Doppler ultrasound of the middle cerebral artery. Dynamic cerebral autoregulation was calculated from transfer function analysis (phase and gain) of spontaneous blood pressure and flow velocity oscillations in the low (LF, 0.03 to 0.15 Hz) and high (HF, 0.16 to 0.5 Hz) frequency ranges. Higher PI was associated with greater WMH ( P<0.005). Higher phase across all frequency ranges was associated with greater FA and lower MD ( P<0.005). Lower gain was associated with higher FA in the LF range ( P=0.001). These relationships between phase and FA were significant in the territories limited to the middle cerebral artery as well as across the entire brain. Our results show a strong relationship between impaired cerebrovascular hemodynamics (PI and dCA) and loss of cerebral white matter structural integrity (WMH and DTI metrics) in elderly individuals.

scholarly journals Acute hypoxia impairs dynamic cerebral autoregulation: results from two independent techniques

2009 ◽  
Vol 107 (4) ◽  
pp. 1165-1171 ◽  
Author(s):  
Andrew W. Subudhi ◽  
Ronney B. Panerai ◽  
Robert C. Roach
Keyword(s):  
Cerebral Autoregulation ◽  
Acute Hypoxia ◽  
Latin Squares ◽  
Differential Sensitivity ◽  
Experimental Session ◽  
Assessment Techniques ◽  
Frequency Components ◽  
Autoregulation Index ◽  
Single Experimental Session ◽  
Dynamic Cerebral Autoregulation

We investigated the effect of acute hypoxia (AH) on dynamic cerebral autoregulation (CA) using two independent assessment techniques to clarify previous, conflicting reports. Twelve healthy volunteers (6 men, 6 women) performed six classic leg cuff tests, three breathing normoxic (FiO2 = 0.21) and three breathing hypoxic (FiO2 = 0.12) gas, using a single blinded, Latin squares design with 5-min washout between trials. Continuous measurements of middle cerebral artery blood flow velocity (CBFv; DWL MultiDop X2) and radial artery blood pressure (ABP; Colin 7000) were recorded in the supine position during a single experimental session. Autoregulation index (ARI) scores were calculated using the model of Tiecks et al. (Tiecks FP, Lam AM, Aaslid R, Newell DW. Stroke 26: 1014–1019, 1995) from ABP and CBFv changes following rapid cuff deflation (cuff ARI) and from ABP to CBFv transfer function, impulse, and step responses (TFA ARI) obtained during a 4-min period prior to cuff inflation. A new measure of %CBFv recovery 4 s after peak impulse was also derived from TFA. AH reduced cuff ARI (5.65 ± 0.70 to 5.01 ± 0.96, P = 0.04), TFA ARI (4.37 ± 0.76 to 3.73 ± 0.71, P = 0.04), and %Recovery (62.2 ± 10.9% to 50.8 ± 9.9%, P = 0.03). Slight differences between TFA and cuff ARI values may be attributed to heightened sympathetic activity during cuff tests as well as differential sensitivity to low- and high-frequency components of CA. Together, results provide consistent evidence that CA is impaired with AH. In addition, these findings demonstrate the potential utility of TFA ARI and %Recovery scores for future CA investigations.

Dynamic Cerebral Autoregulation After Mild Dehydration to Simulate Microgravity Effects

2009 ◽  
Vol 80 (5) ◽  
pp. 443-447 ◽  
Author(s):  
Yojiro Ogawa ◽  
Ken-ichi Iwasaki ◽  
Ken Aoki ◽  
Takashi Saitoh ◽  
Jitsu Kato ◽  
...  
Keyword(s):  
Cerebral Autoregulation ◽  
Dynamic Cerebral Autoregulation

Midlife Aerobic Exercise and Dynamic Cerebral Autoregulation: Associations with Baroreflex Sensitivity and Central Arterial Stiffness

2021 ◽  
Author(s):  
Tsubasa Tomoto ◽  
Justin Repshas ◽  
Rong Zhang ◽  
Takashi Tarumi
Keyword(s):  
Arterial Stiffness ◽  
Aerobic Exercise ◽  
Cerebral Autoregulation ◽  
Baroreflex Sensitivity ◽  
Function Analysis ◽  
Middle Aged ◽  
Age Related ◽  
Transfer Function Analysis ◽  
Carotid Distensibility ◽  
Dynamic Cerebral Autoregulation

Midlife aerobic exercise may significantly impact age-related changes in the cerebro- and cardiovascular regulations. This study investigated the associations of midlife aerobic exercise with dynamic cerebral autoregulation (dCA), cardiovagal baroreflex sensitivity (BRS), and central arterial stiffness. Twenty middle-aged athletes (MA) who had aerobic training for >10 years were compared with 20 young (YS) and 20 middle-aged sedentary (MS) adults. Beat-to-beat cerebral blood flow velocity, blood pressure (BP), and heart rate were measured at rest and during forced BP oscillations induced by repeated sit-stand maneuvers at 0.05 Hz. Transfer function analysis was used to calculate dCA and BRS parameters. Carotid distensibility was measured by ultrasonography. MA had the highest peak oxygen uptake (VO2peak) among all groups. During forced BP oscillations, MS showed lower BRS gain than YS, but this age-related reduction was absent in MA. Conversely, dCA was similar among all groups. At rest, BRS and dCA gains at low frequency (~0.1 Hz) were higher in the MA compared with MS and YS groups. Carotid distensibility was similar between MA and YS groups, but it was lower in the MS. Across all subjects, VO2peak was positively associated with BRS gains at rest and during forced BP oscillations (r=0.257~0.382, p=0.003~0.050) and carotid distensibility (r=0.428~0.490, p=0.001). Furthermore, dCA gain at rest and carotid distensibility were positively correlated with BRS gain at rest in YS and MA groups (all p<0.05). These findings suggest that midlife aerobic exercise improves central arterial elasticity and BRS which may contribute to CBF regulation through dCA.

Sign in / Sign up

Export Citation Format

Share Document