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Wheeler MJ, Dunstan DW, Smith B, Smith KJ, Scheer A, Lewis J, Naylor LH, Heinonen I, Ellis KA, Cerin E, Ainslie PN, Green DJ. Morning exercise mitigates the impact of prolonged sitting on cerebral blood flow in older adults. J Appl Physiol (1985) 2019; 126:1049-1055. [PMID: 30730813 PMCID: PMC6485691 DOI: 10.1152/japplphysiol.00001.2019] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 01/22/2019] [Accepted: 02/01/2019] [Indexed: 12/20/2022] Open
Abstract
Preventing declines in cerebral blood flow is important for maintaining optimal brain health with aging. We compared the effects of a morning bout of moderate-intensity exercise, with and without subsequent light-intensity walking breaks from sitting, on cerebral blood velocity over 8 h in older adults. In a randomized crossover trial, overweight/obese older adults ( n = 12, 70 ± 7 yr; 30.4 ± 4.3 kg/m2), completed three acute conditions (6-day washout); SIT: prolonged sitting (8 h, control); EX+SIT: sitting (1 h), moderate-intensity walking (30 min), followed by uninterrupted sitting (6.5 h); and EX + BR: sitting (1 h), moderate-intensity walking (30 min), followed by sitting (6.5 h) interrupted with 3 min of light-intensity walking every 30 min. Bilateral middle cerebral artery velocities (MCAv) were determined using transcranial Doppler at 13 time points across the day. The temporal pattern and average MCAv over 8 h was determined. The pattern of MCAv over 8 h was a negative linear trend in SIT ( P < 0.001), but a positive quadratic trend in EX + SIT ( P < 0.001) and EX + BR ( P < 0.01). Afternoon time points in SIT were lower than baseline within condition ( P ≤ 0.001 for all). A morning dip in MCAv was observed in EX + SIT and EX + BR ( P < 0.05 relative to baseline), but afternoon time points were not significantly lower than baseline. The average MCAv over 8 h was higher in EX + SIT than SIT ( P = 0.007) or EX + BR ( P = 0.024). Uninterrupted sitting should be avoided, and moderate-intensity exercise should be encouraged for the daily maintenance of cerebral blood flow in older adults. The clinical implications of maintaining adequate cerebral blood flow include the delivery of vital oxygen and nutrients to the brain. NEW & NOTEWORTHY This is the first study to measure the combined effects of an exercise bout with breaks in sitting on cerebral blood velocity in older adults. Using frequent recordings over an 8-h period, we have performed a novel analysis of the pattern of cerebral blood velocity, adjusting for concurrent measures of mean arterial pressure and other potential confounders in a linear mixed effects regression.
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Affiliation(s)
- Michael J Wheeler
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia , Perth, Western Australia , Australia
- Baker Heart and Diabetes Institute , Melbourne, Victoria , Australia
| | - David W Dunstan
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia , Perth, Western Australia , Australia
- Baker Heart and Diabetes Institute , Melbourne, Victoria , Australia
- Mary MacKillop Institute for Health Research, Australian Catholic University , Melbourne, Victoria , Australia
| | - Brianne Smith
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia , Perth, Western Australia , Australia
| | - Kurt J Smith
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia , Perth, Western Australia , Australia
- School of Kinesiology, Lakehead University, Thunderbay, Ontario , Canada
| | - Anna Scheer
- School of Physiotherapy and Exercise Science, Faculty of Health Science, Curtin University , Perth, Western Australia , Australia
| | - Jaye Lewis
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia , Perth, Western Australia , Australia
| | - Louise H Naylor
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia , Perth, Western Australia , Australia
| | - Ilkka Heinonen
- Turku PET Centre, University of Turku , Finland
- Rydberg Laboratory of Applied Sciences, School of Engineering and Science (ETN), Halmstad University, Halmstad, Sweden
| | - Kathryn A Ellis
- Department of Psychiatry, University of Melbourne, Parkville, Melbourne, Victoria , Australia
| | - Ester Cerin
- Baker Heart and Diabetes Institute , Melbourne, Victoria , Australia
- School of Public Health, The University of Hong Kong , Hong Kong
- Mary MacKillop Institute for Health Research, Australian Catholic University , Melbourne, Victoria , Australia
| | - Philip N Ainslie
- School of Health and Exercise Sciences, The University of British Columbia , Vancouver, British Columbia , Canada
| | - Daniel J Green
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia , Perth, Western Australia , Australia
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Zanco M, Plácido J, Marinho V, Ferreira JV, de Oliveira F, Monteiro-Junior R, Barca M, Engedal K, Laks J, Deslandes A. Spatial Navigation in the Elderly with Alzheimer’s Disease: A Cross-Sectional Study. J Alzheimers Dis 2018; 66:1683-1694. [DOI: 10.3233/jad-180819] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Marcos Zanco
- Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Jessica Plácido
- Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Valeska Marinho
- Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Felipe de Oliveira
- Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Renato Monteiro-Junior
- Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Estadual de Montes Claros, Minas Gerais, Brazil
| | - Maria Barca
- Norwegian Advisory Unit for Ageing and Health, Vestfold Hospital Trust, T–nsberg, Norway
- Department of Geriatric Medicine, Oslo University Hospital, Ullevål, Oslo, Norway
| | - Knut Engedal
- Norwegian Advisory Unit for Ageing and Health, Vestfold Hospital Trust, T–nsberg, Norway
- Department of Geriatric Medicine, Oslo University Hospital, Ullevål, Oslo, Norway
| | - Jerson Laks
- Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Andrea Deslandes
- Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
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