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1 Department of Medicine, University of California, San Diego, La Jolla, CA, USA
* To whom correspondence should be addressed. E-mail: rrichardson{at}ucsd.edu.
To determine the effect of age on quadriceps muscle blood flow (QMBF), leg vascular resistance (LVR), and oxygen uptake (QVO2max), thermal dilution technique was used in conjunction with arterial and venous femoral blood sampling in 6 sedentary young (19.8 ± 1.3yrs) (Y) and 6 sedentary old (66.5 [± 2.1yrs) (O) males during incremental knee extensor exercise (KE). Young and old attained a similar maximal KE work rate (WR)max (Y=25.2 ± 2.1, O=24.1 ± 4 W), and QVO2max (Y=0.52 ± 0.03, O=0.42 ± 0.05 lmin-1). QMBF during KE was reduced in old subjects by ~500ml min-1 across all work rates, with old subjects demonstrating a significantly lower QMBF/W (O=174 ± 20 and Y=239 ± 46 ml min-1watt-1). Although the vasodilatory response to incremental KE was ~142% greater in the old (Y=0.0019 O=0.0046 mmHg min ml-1W-1), consistently elevated leg vascular resistance (LVR) in the old, ~80% higher LVR in the old at WR50% and ~40% higher LVR in the old at WRmax (Y=44.1±3.6, O=31.0 ± 1.7 mmHg min ml-1), dictated that during incremental KE the LVR of the old was never less than that of the young. Pulse pressures, indicative of arterial vessel compliance, were ~36% higher in the old across all work rates. In conclusion, well-matched sedentary young and old subjects with similar quadriceps muscle mass achieved a similar WRmax and QVO2max during incremental KE. The old, despite a reduced QMBF, had a greater vasodilatory response to incremental KE. Given that small muscle mass exercise such as KE utilizes only a fraction of maximal cardiac output, peripheral mechanisms such as consistently elevated leg vascular resistance and greater pulse pressures appear to be responsible for reduced blood flow persisting throughout graded KE in the old.
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