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Am J Physiol Heart Circ Physiol 293: H1466-H1472, 2007. First published May 11, 2007; doi:10.1152/ajpheart.00273.2007
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Systemic {alpha}-adrenergic and nitric oxide inhibition on basal limb blood flow: effects of endurance training in middle-aged and older adults

Jun Sugawara,1,2 Hidehiko Komine,1 Koichiro Hayashi,1 Mutsuko Yoshizawa,1 Takeshi Otsuki,3 Nobutake Shimojo,4 Takashi Miyauchi,4 Takashi Yokoi,1 Seiji Maeda,3 and Hirofumi Tanaka2

1Institute for Human Science and Biomedical Engineering, National Institute of Advanced Industrial Science and Technology, Ibaraki, Japan; 2Cardiovascular Aging Research Laboratory, Department of Kinesiology and Health Education, University of Texas at Austin, Austin, Texas; and 3Center for Advanced Research Alliance and 4Cardiovascular Division, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan

Submitted 5 March 2007 ; accepted in final form 11 May 2007

Endurance training improves endothelium-dependent vasodilation, yet it does not increase basal blood flow in the legs. We determined the effects of a 3-mo aerobic exercise intervention on basal leg blood flow and {alpha}-adrenergic vasoconstriction and nitric oxide (NO) release in seven apparently healthy middle-aged and older adults (60 ± 3 yr). Basal femoral artery blood flow (via Doppler ultrasound) (pretraining: 354 ± 29; posttraining: 335 ± 34 ml/min) and vascular conductance did not change significantly with the exercise training. Before the exercise intervention, femoral artery blood flow increased 32 ± 16% with systemic {alpha}-adrenergic blockade (with phentolamine) (P < 0.05), and the addition of nitric oxide synthase (NOS) inhibition using NG-monomethyl-L-arginine (L-NMMA) did not affect femoral artery blood flow. After training was completed, femoral artery blood flow increased 47 ± 7% with {alpha}-adrenergic blockade (P < 0.01) and then decreased 18 ± 7% with the subsequent administration of L-NMMA (P < 0.05). Leg vascular conductance showed a greater {alpha}-adrenergic blockade-induced vasodilation (+1.7 ± 0.5 to +3.0 ± 0.5 units, P < 0.05) as well as NOS inhibition-induced vasoconstriction (–0.8 ± 0.4 to –2.7 ± 0.7 units, P < 0.05) after the exercise intervention. Resting plasma norepinephrine concentration significantly increased after the training. These results suggest that regular aerobic exercise training enhances NO bioavailability in middle-aged and older adults and that basal limb blood flow does not change with exercise training because of the contrasting influences of sympathetic nervous system activity and endothelium-derived vasodilation on the vasculature.

perfusion; vascular tone; endothelium; sympathetic nervous system



Address for reprint requests and other correspondence: J. Sugawara, Dept. of Kinesiology and Health Education, Univ. of Texas at Austin, 1 Univ. Station, D3700, Austin, TX 78712-1204 (e-mail: jun.sugawara{at}mail.utexas.edu)




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T. M. Tinken, D. H. J. Thijssen, M. A. Black, N. T. Cable, and D. J. Green
Time course of change in vasodilator function and capacity in response to exercise training in humans
J. Physiol., October 15, 2008; 586(20): 5003 - 5012.
[Abstract] [Full Text] [PDF]




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