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Janssen Daalen JM, Hubbers J, Sharifi Bonab M, Mathur S, Thijssen DH, Bloem BR, Meinders MJ. How Vacations Affect Parkinson's Disease. Mov Disord Clin Pract 2022; 10:151-153. [PMID: 36698995 PMCID: PMC9847288 DOI: 10.1002/mdc3.13597] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 08/15/2022] [Accepted: 08/28/2022] [Indexed: 01/28/2023] Open
Affiliation(s)
- Jules M. Janssen Daalen
- Center of Expertise for Parkinson and Movement Disorders, Department of NeurologyRadboud University Medical Center, Donders Institute for Brain, Cognition and BehaviorNijmegenThe Netherlands
| | - Jessica Hubbers
- Center of Expertise for Parkinson and Movement Disorders, Department of NeurologyRadboud University Medical Center, Donders Institute for Brain, Cognition and BehaviorNijmegenThe Netherlands,Department of Research and InnovationHelse FonnaHaugesundNorway
| | - Mirmohsen Sharifi Bonab
- Clinical Research Development Unit of Tabriz Valiasr HospitalTabriz University of Medical SciencesTabrizIran
| | | | - Dick H.J. Thijssen
- Department of PhysiologyRadboud University Medical CenterNijmegenThe Netherlands
| | - Bastiaan R. Bloem
- Center of Expertise for Parkinson and Movement Disorders, Department of NeurologyRadboud University Medical Center, Donders Institute for Brain, Cognition and BehaviorNijmegenThe Netherlands
| | - Marjan J. Meinders
- Center of Expertise for Parkinson and Movement Disorders, Department of NeurologyRadboud University Medical Center, Donders Institute for Brain, Cognition and BehaviorNijmegenThe Netherlands,IQ Healthcare, Radboud Institute for Health SciencesRadboud University Medical CenterNijmegenThe Netherlands
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van der Velden RM, Hermans AN, Pluymaekers NA, Gawalko M, Elliott A, Hendriks JM, Franssen FM, Slats AM, van Empel VP, Van Gelder IC, Thijssen DH, Eijsvogels TM, Leue C, Crijns HJ, Linz D, Simons SO. Dyspnea in patients with atrial fibrillation: Mechanisms, assessment and an interdisciplinary and integrated care approach. IJC Heart & Vasculature 2022; 42:101086. [PMID: 35873859 PMCID: PMC9304702 DOI: 10.1016/j.ijcha.2022.101086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 07/08/2022] [Indexed: 11/30/2022]
Abstract
Atrial fibrillation (AF) is the most common sustained heart rhythm disorder and is often associated with symptoms that can significantly impact quality of life and daily functioning. Palpitations are the cardinal symptom of AF and many AF therapies are targeted towards relieving this symptom. However, up to two-third of patients also complain of dyspnea as a predominant self-reported symptom. In clinical practice it is often challenging to ascertain whether dyspnea represents an AF-related symptom or a symptom of concomitant cardiovascular and non-cardiovascular comorbidities, since common AF comorbidities such as heart failure and chronic obstructive pulmonary disease share similar symptoms. In addition, therapeutic approaches specifically targeting dyspnea have not been well validated. Thus, assessing and treating dyspnea can be difficult. This review describes the latest knowledge on the burden and pathophysiology of dyspnea in AF patients. We discuss the role of heart rhythm control interventions as well as the management of AF risk factors and comorbidities with the goal to achieve maximal relief of dyspnea. Given the different and often complex mechanistic pathways leading to dyspnea, dyspneic AF patients will likely profit from an integrated multidisciplinary approach to tackle all factors and mechanisms involved. Therefore, we propose an interdisciplinary and integrated care pathway for the work-up of dyspnea in AF patients.
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Affiliation(s)
- Rachel M.J. van der Velden
- Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands
| | - Astrid N.L. Hermans
- Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands
| | - Nikki A.H.A. Pluymaekers
- Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands
| | - Monika Gawalko
- Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands
- Institute of Pharmacology, West German Heart and Vascular Centre, University Duisburg-Essen, Germany
- 1st Department of Cardiology, Doctoral School, Medical University of Warsaw, Warsaw, Poland
| | - Adrian Elliott
- Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia
| | - Jeroen M. Hendriks
- Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Frits M.E. Franssen
- Department of Research and Development, Ciro, Horn, the Netherlands
- NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands
- Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC+), Maastricht, the Netherlands
| | - Annelies M. Slats
- Department of Respiratory Medicine, Leiden University Medical Centre (LUMC), Leiden, the Netherlands
| | - Vanessa P.M. van Empel
- Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands
| | - Isabelle C. Van Gelder
- Department of Cardiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands
| | - Dick H.J. Thijssen
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - Thijs M.H. Eijsvogels
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - Carsten Leue
- Department of Psychiatry and Psychology, Maastricht University Medical Centre (MUMC+), Maastricht, the Netherlands
- School of Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, the Netherlands
| | - Harry J.G.M. Crijns
- Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands
| | - Dominik Linz
- Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands
- Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia
- Department of Cardiology, Radboud University Medical Centre, Nijmegen, the Netherlands
- Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
- Corresponding author at: Maastricht UMC+, Maastricht Heart+Vascular Center, 6202 AZ Maastricht.
| | - Sami O. Simons
- NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands
- Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC+), Maastricht, the Netherlands
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Vermeulen JJ, Jansen AJS, van de Sande S, Hartman YA, Holewijn S, Reijnen MM, Thijssen DH. Carotid artery vasoreactivity correlates with abdominal aortic vasoreactivity in young healthy individuals but not in patients with abdominal aortic aneurysm. Curr Res Physiol 2022; 5:224-231. [PMID: 35677214 PMCID: PMC9168379 DOI: 10.1016/j.crphys.2022.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 05/23/2022] [Accepted: 05/23/2022] [Indexed: 11/17/2022] Open
Abstract
Background Sympathetic stimulation of central arteries, such as coronary and carotid arteries, cause vasodilation in healthy subjects, but vasoconstriction in those with increased cardiovascular risk. This study compared vasoreactivity to sympathetic stimulation between abdominal aorta and carotid artery in healthy young individuals (young group, n = 20), in patients with abdominal aortic aneurysm (AAA group, n = 20) and in a healthy older group, age- and gender matched with AAA group (matched group, n = 18). Method All subjects underwent cold pressor test, while performing concomitantly duplex ultrasound of abdominal aorta and carotid artery vasoreactivity. Observer-independent software was used to analyze and calculate magnitude and timing of maximum vasodilation or vasoconstriction. Pearson's correlation coefficient was calculated to investigate vasoreactivity between arteries. Results Carotid artery reactivity [Interquartile range 25%, Interquartile range 75%] did not significantly differ between the young, matched and AAA group (3.5% [1.4, 4.7], 2.6% [2.0, 4.1] and 2.2% [-1.9, 3.7], respectively, p = 0.301). Abdominal aortic responsiveness demonstrated larger differences between young (4.9% [-0.2, 8.4]), matched (3.3% [-2.5, 4.4]) and individuals with AAA (0.5% [-3.9, 4.1], p = 0.059). Pooled analysis showed a significant correlation between carotid and abdominal aortic vasoreactivity (r = 0.444, p = 0.001). Subgroup analyses demonstrated significant correlation between both arteries in young (r = 0.636, p = 0.003), but not matched (r = −0.040, p = 0.866) or AAA group (r = 0.410, p = 0.129). Conclusions Sympathetic stimulation induces powerful vasodilation of the carotid artery and abdominal aorta, which is significantly correlated in healthy individuals. No such correlation is present in abdominal aortic aneurysm patients. This suggests the aneurysm alters local abdominal aorta vasoreactivity, but not the carotid artery. Vasoreactivity is significantly correlated between carotid and abdominal aorta. Presence of abdominal aneurysm was associated with local impaired vasoreactivity. Abdominal aorta demonstrates a stronger vasoreactivity than the carotid artery. Vasoreactivity of the carotid artery did not differ between groups.
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van Bakel BM, Bakker EA, de Vries F, Thijssen DH, Eijsvogels TM. Changes in Physical Activity and Sedentary Behaviour in Cardiovascular Disease Patients during the COVID-19 Lockdown. Int J Environ Res Public Health 2021; 18:ijerph182211929. [PMID: 34831684 PMCID: PMC8623455 DOI: 10.3390/ijerph182211929] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 11/04/2021] [Accepted: 11/09/2021] [Indexed: 11/16/2022]
Abstract
The COVID-19 lockdown has been associated with physical inactivity. We prospectively evaluated changes in moderate-to-vigorous physical activity (MVPA) and sedentary time (ST) among 1565 cardiovascular disease (CVD) patients using validated questionnaires at 5 weeks after lockdown initiation (i.e., baseline, April 2020) and at every 4 subsequent weeks, until July 2020. Multivariate mixed model analyses were performed to identify whether age, sex, CVD-subtype, lockdown adherence and mental health factors impacted changes in physical (in)activity. Patients were 67 (interquartile range: 60–73) years and primarily diagnosed with coronary artery disease. Time spent in MVPA was 143 min/day (95% confidence interval (CI) 137; 148) at baseline. Female sex, heart-failure, fear of COVID-19 infection and limited possibilities for physical activity were independently associated with lower levels of MVPA across time. After adjusting for confounders, overall MVPA did not change. ST was 567 (95% CI 555; 578) min/day at baseline. Lack of social contact, limited possibilities for physical activity and younger age were independently associated with higher levels of ST. After adjusting for confounders, ST progressively increased following 8 (Δ+19.7 (95% CI 0.4; 39.0)) and 12 weeks (Δ+25.2 (95% CI 5.4; 47.1) min/day) of lockdown. Despite a phased relaxation of the lockdown, CVD patients progressively increased ST and reported no change in MVPA. This highlights the need to target physical inactivity during and beyond the COVID-19 pandemic.
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Affiliation(s)
- Bram M.A. van Bakel
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands; (B.M.A.v.B.); (E.A.B.); (F.d.V.); (D.H.J.T.)
| | - Esmée A. Bakker
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands; (B.M.A.v.B.); (E.A.B.); (F.d.V.); (D.H.J.T.)
| | - Femke de Vries
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands; (B.M.A.v.B.); (E.A.B.); (F.d.V.); (D.H.J.T.)
| | - Dick H.J. Thijssen
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands; (B.M.A.v.B.); (E.A.B.); (F.d.V.); (D.H.J.T.)
- Research Institute for Sports and Exercise Sciences, Liverpool John Moores University, Liverpool L3 5UX, UK
| | - Thijs M.H. Eijsvogels
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands; (B.M.A.v.B.); (E.A.B.); (F.d.V.); (D.H.J.T.)
- Correspondence: ; Tel.: +31-(0)-24-361-4273
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Visser LN, Dubbelman MA, Verrijp M, Wanders L, Pelt S, Zwan MD, Thijssen DH, Wouters H, Sikkes SA, van Hout HP, van der Flier WM. The Cognitive Online Self-Test Amsterdam (COST-A): Establishing norm scores in a community-dwelling population. Alzheimers Dement (Amst) 2021; 13:e12234. [PMID: 34541288 PMCID: PMC8438682 DOI: 10.1002/dad2.12234] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 07/01/2021] [Indexed: 12/27/2022]
Abstract
BACKGROUND Heightened public awareness about Alzheimer's disease and dementia increases the need for at-home cognitive self-testing. We offered Cognitive Online Self-Test Amsterdam (COST-A) to independent groups of cognitively normal adults and investigated the robustness of a norm-score formula and cutoff. METHODS Three thousand eighty-eight participants (mean age ± standard deviation = 61 ± 12 years, 70% female) completed COST-A and evaluated it. Demographically adjusted norm scores were the difference between expected COST-A scores, based on age, gender, and education, and actual scores. We applied the resulting norm-score formula to two independent cohorts. RESULTS Participants evaluated COST-A to be of adequate difficulty and duration. Our norm-score formula was shown to be robust: ≈8% of participants in two cognitively normal cohorts had abnormal scores. A cutoff of -1.5 standard deviations proved optimal for distinguishing normal from impaired cognition. CONCLUSION With robust norm scores, COST-A is a promising new tool for research and clinical practice, providing low cost and minimally invasive remote assessment of cognitive functioning.
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Affiliation(s)
- Leonie N.C. Visser
- Alzheimer Center AmsterdamDepartment of NeurologyAmsterdam NeuroscienceAmsterdam UMCVU University Medical CenterAmsterdamthe Netherlands
- Division of Clinical GeriatricsCenter for Alzheimer ResearchDepartment of NeurobiologyCare Sciences and SocietyKarolinska InstitutetStockholmSweden
| | - Mark A. Dubbelman
- Alzheimer Center AmsterdamDepartment of NeurologyAmsterdam NeuroscienceAmsterdam UMCVU University Medical CenterAmsterdamthe Netherlands
| | - Merike Verrijp
- Alzheimer Center AmsterdamDepartment of NeurologyAmsterdam NeuroscienceAmsterdam UMCVU University Medical CenterAmsterdamthe Netherlands
| | - Lisa Wanders
- Radboud Institute for Health SciencesDepartment of PhysiologyRadboud University Medical CenterNijmegenThe Netherlands
- Top Institute Food and NutritionWageningenThe Netherlands
| | - Sophie Pelt
- Alzheimer Center AmsterdamDepartment of NeurologyAmsterdam NeuroscienceAmsterdam UMCVU University Medical CenterAmsterdamthe Netherlands
| | - Marissa D. Zwan
- Alzheimer Center AmsterdamDepartment of NeurologyAmsterdam NeuroscienceAmsterdam UMCVU University Medical CenterAmsterdamthe Netherlands
| | - Dick H.J. Thijssen
- Radboud Institute for Health SciencesDepartment of PhysiologyRadboud University Medical CenterNijmegenThe Netherlands
| | - Hans Wouters
- General Practitioners Research InstituteGroningenThe Netherlands
| | - Sietske A.M. Sikkes
- Alzheimer Center AmsterdamDepartment of NeurologyAmsterdam NeuroscienceAmsterdam UMCVU University Medical CenterAmsterdamthe Netherlands
- Faculty of Behavioural and Movement SciencesClinical Developmental Psychology & Clinical NeuropsychologyVrije Universiteit AmsterdamAmsterdamThe Netherlands
| | - Hein P.J. van Hout
- Department of General Practice and Medicine for Older PersonsAmsterdam Institute for Public Health Care ResearchVrije Universiteit AmsterdamAmsterdamThe Netherlands
| | - Wiesje M. van der Flier
- Alzheimer Center AmsterdamDepartment of NeurologyAmsterdam NeuroscienceAmsterdam UMCVU University Medical CenterAmsterdamthe Netherlands
- Department of Epidemiology and BiostatisticsAmsterdam UMCAmsterdamThe Netherlands
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Maasakkers CM, Claassen JA, Scarlett S, Thijssen DH, Kenny RA, Feeney J, Melis RJ. Is there a bidirectional association between sedentary behaviour and cognitive decline in older adults? Findings from the Irish Longitudinal Study on Ageing. Prev Med Rep 2021; 23:101423. [PMID: 34258171 PMCID: PMC8259404 DOI: 10.1016/j.pmedr.2021.101423] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 05/25/2021] [Indexed: 01/16/2023] Open
Abstract
Research on whether sedentary behaviour (SB) is related to cognitive decline in older individuals is conflicting, potentially caused by methodological differences in previous studies. To inform public health policies, we analysed both the forward and reverse association across four-years between subjective TV time and objectively-measured SB and four cognitive outcome measures in older adults. The Irish Longitudinal Study on Ageing (TILDA) quantified time spent watching TV using a questionnaire and objective physical activity patterns with a GENEActiv accelerometer. Mixed model analysis examined whether these two measures of SB related to changes in cognitive function (immediate and delayed recall, MMSE, and animal naming task) during a four-year follow-up period. Furthermore, the reverse association between changes in cognition over the preceding four years and SB was investigated. We included 1,276 participants (67 ± 9 years). Longitudinally, every hour of objective SB per day was associated with a -0.01 (95%CI = -0.03;-0.00) lower MMSE score per year. Reversely, a worse decline in immediate and delayed recall over the preceding waves was related to slightly more objective SB (B = -0.24 (95%CI = -0.41;-0.07)) and TV time (B = -0.25 (95%CI = -0.48;-0.03)) at the end of those four years. To conclude, in healthy older individuals, higher levels of objective SB are related to cognitive decline across a four-year follow-up, although the magnitude and clinical relevance are questionable. As preceding cognitive decline is associated with more SB across follow-up, this suggests that a bidirectional association is plausible.
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Affiliation(s)
- Carlijn M. Maasakkers
- Department of Geriatrics/Radboud Alzheimer Center, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin, Ireland
| | - Jurgen A.H.R. Claassen
- Department of Geriatrics/Radboud Alzheimer Center, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Siobhan Scarlett
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin, Ireland
| | - Dick H.J. Thijssen
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands
- Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom
| | - Rose Anne Kenny
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin, Ireland
- Mercer’s Institute for Successful Ageing, Department of Medical Gerontology, St James’s Hospital, Dublin, Ireland
| | - Joanne Feeney
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin, Ireland
| | - René J.F. Melis
- Department of Geriatrics/Radboud Alzheimer Center, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands
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Kleinnibbelink G, van Dijk AP, Fornasiero A, Speretta GF, Johnson C, Hopman MT, Sculthorpe N, George KP, Somauroo JD, Thijssen DH, Oxborough DL. Exercise-Induced Cardiac Fatigue after a 45-Minute Bout of High-Intensity Running Exercise Is Not Altered under Hypoxia. J Am Soc Echocardiogr 2021; 34:511-521. [DOI: 10.1016/j.echo.2020.12.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Revised: 12/01/2020] [Accepted: 12/01/2020] [Indexed: 10/22/2022]
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Kleinnibbelink G, Stens NA, Fornasiero A, Speretta GF, Van Dijk AP, Low DA, Oxborough DL, Thijssen DH. The acute and chronic effects of high-intensity exercise in hypoxia on blood pressure and post-exercise hypotension: A randomized cross-over trial. Medicine (Baltimore) 2020; 99:e22411. [PMID: 32991471 PMCID: PMC7523751 DOI: 10.1097/md.0000000000022411] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Acute exercise leads to an immediate drop in blood pressure (BP), also called post-exercise hypotension (PEH). Exercise in hypoxia is related to additional vasodilation, potentially contributing to more profound PEH. Therefore, we investigated the impact of hypoxia versus normoxia on the magnitude of PEH. Second, we examined whether these changes in PEH relate to the BP-lowering effects of 12-week exercise training under hypoxia. METHODS In this prospective study, 21 healthy individuals (age 22.2 ± 3.0 years, 14 male) performed a 45-minute high-intensity running exercise on 2 different days in a random order, under hypoxia (fraction of inspired oxygen 14.5%) and normoxia (fraction of inspired oxygen 20.9%). BP was examined pre-exercise (t = 0) and at t = 15, t = 30, t = 45, and t = 60 minutes post-exercise. Afterward, subjects took part in a 12-week hypoxic running exercise training program. Resting BP was measured before and after the 12-week training program. RESULTS Acute exercise induced a significant decrease in systolic BP (systolic blood pressure [SBP], P = .001), but not in diastolic BP (diastolic blood pressure [DBP], P = .113). No significant differences were observed in post-exercise BP between hypoxic and normoxic conditions (SBP, P = .324 and DBP, P = .204). Post-exercise changes in SBP, DBP, and mean arterial pressure significantly correlated to the 12-week exercise training-induced changes in SBP (r = 0.557, P = .001), DBP (r = 0.615, P < .001), and mean arterial pressure (r = 0.458, P = .011). CONCLUSION Our findings show that hypoxia does not alter the magnitude of PEH in healthy individuals, whilst PEH relates to the BP-lowering effects of exercise. These data highlight the strong link between acute and chronic changes in BP.
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Affiliation(s)
- Geert Kleinnibbelink
- Department of Physiology
- Department of Cardiology, Research Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - Niels A. Stens
- Department of Physiology
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - Alessandro Fornasiero
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
- CeRiSM Sport Mountain and Health Research Centre, University of Verona, Rovereto, Italy
| | - Guilherme F. Speretta
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
- Department of Physiological Sciences, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Arie P.J. Van Dijk
- Department of Cardiology, Research Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | - David A. Low
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - David L. Oxborough
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - Dick H.J. Thijssen
- Department of Physiology
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
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Thomas SD, Carter HH, Jones H, Thijssen DH, Low DA. Effects of Acute Exercise on Cutaneous Thermal Sensation. Int J Environ Res Public Health 2020; 17:ijerph17072491. [PMID: 32268472 PMCID: PMC7177974 DOI: 10.3390/ijerph17072491] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 04/02/2020] [Accepted: 04/02/2020] [Indexed: 11/16/2022]
Abstract
The aim of this study was to assess the effect of exercise intensity on the thermal sensory function of active and inactive limbs. In a randomised and counterbalanced manner, 13 healthy young male participants (25 ± 6 years, 1.8 ± 0.1 m, 77 ± 6 kg) conducted: (1) 30-min low-intensity (50% heart rate maximum, HRmax; LOW) and (2) 30-min high-intensity (80% HRmax; HIGH) cycling exercises, and (3) 30 min of seated rest (CONTROL). Before, immediately after, and 1 h after, each intervention, thermal sensory functions of the non-dominant dorsal forearm and posterior calf were examined by increasing local skin temperature (1 °C/s) to assess perceptual heat sensitivity and pain thresholds. Relative to pre-exercise, forearm heat sensitivity thresholds were increased immediately and 1 hr after HIGH, but there were no changes after LOW exercise or during CONTROL (main effect of trial; p = 0.017). Relative to pre-exercise, calf heat sensitivity thresholds were not changed after LOW or HIGH exercise or during CONTROL (main effect of trial; p = 0.629). There were no changes in calf (main effect of trial; p = 0.528) or forearm (main effect of trial; p = 0.088) heat pain thresholds after exercise in either LOW or HIGH or CONTROL. These results suggest that cutaneous thermal sensitivity function of an inactive limb is only reduced after higher intensity exercise but is not changed in a previously active limb after exercise. Exercise does not affect heat pain sensitivity in either active or inactive limbs.
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Affiliation(s)
- Samuel D. Thomas
- Research Institute of Sports & Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK; (S.D.T.); (H.H.C.); (H.J.); (D.H.J.T.)
| | - Howard H. Carter
- Research Institute of Sports & Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK; (S.D.T.); (H.H.C.); (H.J.); (D.H.J.T.)
| | - Helen Jones
- Research Institute of Sports & Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK; (S.D.T.); (H.H.C.); (H.J.); (D.H.J.T.)
| | - Dick H.J. Thijssen
- Research Institute of Sports & Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK; (S.D.T.); (H.H.C.); (H.J.); (D.H.J.T.)
- Department of Physiology, Radboud University Nijmegen Medical Centre, 6525 GA Nijmegen, The Netherlands
| | - David A. Low
- Research Institute of Sports & Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK; (S.D.T.); (H.H.C.); (H.J.); (D.H.J.T.)
- Correspondence: ; Tel.: +44-015-1904-6244
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Hartman YA, Karssemeijer EG, van Diepen LA, Olde Rikkert MG, Thijssen DH. Dementia Patients Are More Sedentary and Less Physically Active than Age- and Sex-Matched Cognitively Healthy Older Adults. Dement Geriatr Cogn Disord 2018; 46:81-89. [PMID: 30145584 PMCID: PMC6187840 DOI: 10.1159/000491995] [Citation(s) in RCA: 64] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Accepted: 07/07/2018] [Indexed: 12/18/2022] Open
Abstract
AIMS The aim of this study was to examine physical activity and sedentary behaviour characteristics of ambulatory and community-dwelling patients with dementia compared to cognitively healthy age-, sex- and weight-matched controls. METHODS In this cross-sectional study, we included community-dwelling dementia patients (n = 45, age 79.6 ± 5.9 years, Mini-Mental State Examination [MMSE] 22.8 ± 3.2) and matched controls (n = 49, age 80.0 ± 7.7 years, MMSE 29.0 ± 1.2). Participants wore a wrist accelerometer for 7 days to assess sedentary time, sedentary bout duration and time spent in very light, light-to-moderate and moderate-to-vigorous physical activities. RESULTS Relative sedentary time and sedentary bout duration was significantly higher in dementia patients than in controls (median [interquartile range] 57% [49-68] vs. 55% [47-59] and 18.3 [16.4-21.1] min vs. 16.6 [15.3-18.4] min, p = 0.042 and p = 0.008, respectively). In addition, dementia patients spent a lower percentage of their waking time in light-to-moderate and moderate-to-vigorous intensity physical activities (20% [15-23] vs. 22% [18-25] and 5% [2-10] vs. 10% [5-13], p = 0.017 and p = 0.001, respectively). CONCLUSION We revealed that dementia patients are more sedentary and perform less physical activity than cognitively healthy controls. This may have clinically important consequences, given the observation that sedentary behaviour and little physical activity independently predict all-cause mortality and morbidity.
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Affiliation(s)
- Yvonne A.W. Hartman
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Esther G.A. Karssemeijer
- Department of Geriatric Medicine, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, the Netherlands,Radboudumc Alzheimer Center, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Lisanne A.M. van Diepen
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Marcel G.M. Olde Rikkert
- Department of Geriatric Medicine, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, the Netherlands,Radboudumc Alzheimer Center, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Dick H.J. Thijssen
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands,Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom,*Prof. Dr. Dick H.J. Thijssen, Department of Physiology, Radboud University Medical Center, Philips van Leijdenlaan 15, NL-6525 EX Nijmegen (The Netherlands), E-Mail
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11
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Karssemeijer EG, Hartman YA, Diepen LE, Olde Rikkert MG, Thijssen DH. P4‐171: DEMENTIA PATIENTS ARE MORE SEDENTARY AND LESS PHYSICALLY ACTIVE THAN AGE‐ AND SEX‐MATCHED COGNITIVELY HEALTHY OLDER ADULTS. Alzheimers Dement 2018. [DOI: 10.1016/j.jalz.2018.06.2576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | | | | | | | - Dick H.J. Thijssen
- Radboud University Medical CenterNijmegenNetherlands
- Liverpool John Moores UniversityLiverpoolUnited Kingdom
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12
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Peace A, van Mil A, Jones H, Thijssen DH. Similarities and Differences Between Carotid Artery and Coronary Artery Function. Curr Cardiol Rev 2018; 14:254-263. [PMID: 30198437 PMCID: PMC6300794 DOI: 10.2174/1573403x14666180910125638] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 09/03/2018] [Accepted: 09/04/2018] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Cardiovascular Disease (CVD) remains one of the leading causes of morbidity and mortality. Strategies to predict development of CVD are therefore key in preventing and managing CVD. One stratergy in predicting CVD is by examining the role of traditional risk factors for CVD (e.g. age, sex, weight, blood pressure, blood lipids, blood glucose, smoking and physical activity). Although these measures are non-invasive and simple to perform, they provide limited information of CVD prediction. Directly examining functional characteristics of arteries that are involved in the pathophysiological changes that contribute to the development of CVD improve prediction of future CVD. Nevertheless, examining the function of arteries susceptible to atherosclortic changes, such as the coronary arteries, is invasive, expensive, and associated with high risk for complications. More accessible arteries can be used as a surrogate measure of coronary artery function. For example, the carotid artery may be a superior surrogate measure of coronary artery function given that, the carotid artery represents a central vessel that shows similarities in vasomotor function and anatomical structure with coronary arteries. CONCLUSION This review summarises the similarities between the carotid and coronary arteries, describes how both arteries respond to specific vasoactive stimuli, and discusses if the easily assessible carotid artery can provide information about vascular function (e.g. vasomotor reactivity to sympathetic stimulation) which is prognostic for future cardiovascular events. Finally, the impact of older age and lifestyle interventions (e.g. exercise training) on carotid artery function will be discussed.
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Affiliation(s)
| | | | | | - Dick H.J. Thijssen
- Address correspondence to this author at the Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Tom Reilly Building, Byrom Street L3 3AF, Liverpool, United Kingdom;
Tel: +441519046264; E-mail:
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13
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Hartman YA, Janssen HJ, Tack CJ, Hopman MT, Thijssen DH. Insulin Therapy is Associated With Increased Sedentary Behaviour and Weight Gain in T2DM Patients. Med Sci Sports Exerc 2017. [DOI: 10.1249/01.mss.0000517769.59362.39] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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14
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Aengevaeren VL, Hopman MT, Thijssen DH, van Kimmenade RR, de Boer MJ, Eijsvogels TM. Endurance exercise-induced changes in BNP concentrations in cardiovascular patients versus healthy controls. Int J Cardiol 2017; 227:430-435. [DOI: 10.1016/j.ijcard.2016.11.016] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Revised: 11/01/2016] [Accepted: 11/04/2016] [Indexed: 12/28/2022]
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15
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Greyling A, Bruno RM, Draijer R, Mulder T, Thijssen DH, Taddei S, Virdis A, Ghiadoni L. Effects of wine and grape polyphenols on blood pressure, endothelial function and sympathetic nervous system activity in treated hypertensive subjects. J Funct Foods 2016. [DOI: 10.1016/j.jff.2016.10.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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16
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Aengevaeren VL, Hopman MT, de Boer MJ, Thijssen DH, Eijsvogels TM. BNP Concentrations After Prolonged Moderate-intensity Exercise In Individuals With Cardiovascular Disease And Risk Factors. Med Sci Sports Exerc 2016. [DOI: 10.1249/01.mss.0000485616.80637.92] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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17
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Veltmeijer MT, Eijsvogels TM, Thijssen DH, Hopman MT. Incidence and predictors of exertional hyperthermia after a 15-km road race in cool environmental conditions. J Sci Med Sport 2015; 18:333-7. [DOI: 10.1016/j.jsams.2014.04.007] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2013] [Revised: 04/10/2014] [Accepted: 04/17/2014] [Indexed: 12/26/2022]
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18
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Thijssen DH, Verheggen R, Maessen M, Green DJ, Hermus A, Hopman MT. Meta-analysis Of The Effect Of Exercise Training Versus Diet On Visceral Adipose Tissue And Weight Loss. Med Sci Sports Exerc 2015. [DOI: 10.1249/01.mss.0000477715.61925.4a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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19
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Hopman MT, Maessen MF, Hansen RH, Thijssen DH, van Dijk A, Eijsvogels TM. The Impact Of Lifelong Physical Activity And Myocardial Infarction On Left Ventricular Function. Med Sci Sports Exerc 2015. [DOI: 10.1249/01.mss.0000479039.38732.52] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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20
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Dawson EA, Low DA, Meeuwis IH, Kerstens FG, Atkinson CL, Cable NT, Green DJ, Thijssen DH. Reproducibility of Cutaneous Vascular Conductance Responses to Slow Local Heating Assessed Using seven-Laser Array Probes. Microcirculation 2015; 22:276-84. [DOI: 10.1111/micc.12196] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Accepted: 02/18/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Ellen A. Dawson
- Research Institute for Sport and Exercise Science; Liverpool John Moores University; Liverpool UK
| | - David A. Low
- Research Institute for Sport and Exercise Science; Liverpool John Moores University; Liverpool UK
| | - Iris H.M. Meeuwis
- Research Institute for Sport and Exercise Science; Liverpool John Moores University; Liverpool UK
| | - Floor G. Kerstens
- Research Institute for Sport and Exercise Science; Liverpool John Moores University; Liverpool UK
| | - Ceri L. Atkinson
- School of Sport Science, Exercise and Health; The University of Western Australia; Crawley Western Australia Australia
| | - Nigel Timothy Cable
- Research Institute for Sport and Exercise Science; Liverpool John Moores University; Liverpool UK
| | - Daniel J. Green
- Research Institute for Sport and Exercise Science; Liverpool John Moores University; Liverpool UK
- School of Sport Science, Exercise and Health; The University of Western Australia; Crawley Western Australia Australia
| | - Dick H.J. Thijssen
- Research Institute for Sport and Exercise Science; Liverpool John Moores University; Liverpool UK
- Department of Physiology; Radboud University Nijmegen Medical Centre; Nijmegen the Netherlands
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21
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Schreuder TH, Duncker DJ, Hopman MT, Thijssen DH. Randomised Controlled Trial Using Endothelin-blockade To Enhance The Impact Of Exercise Training In Diabetes. Med Sci Sports Exerc 2014. [DOI: 10.1249/01.mss.0000495447.71018.aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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22
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Abstract
Flow-mediated dilation (FMD) is a noninvasive index of endothelial function and vascular health in humans. Studies examining the role of nitric oxide (NO) are not conclusive. In this article, we quantified the contribution of NO in FMD of conduit arteries and explored the effect of the protocol (ie, distal cuff, ≈5-minute ischemia) and method of analysis (ie, automated and continuous edge detection) on the NO dependency of this test. A systematic review and 3-stage meta-analysis of published crossover studies that measured FMD under local infusion of saline or the NO synthase blocker
N
G
monomethyl-L-arginine (L-NMMA) was undertaken. Twenty studies met the inclusion criteria for stage 1 (374 individual comparisons). The meta-analyzed outcome was the difference in FMD between infusion of saline (ie, FMD
saline
) and NO synthase blocker (ie, FMD
L-NMMA
). Overall, FMD
saline
was 8.2% (95% confidence interval [CI], 6.8%–9.6%) compared with FMD
L-NMMA
of 3.7% (95% CI, 3.1%–4.3%;
P
<0.001). Stage 2 analysis focused on studies that used the most commonly adopted approach in healthy volunteers (ie, distal cuff placement, ≈5-minute occlusion), which similarly revealed a significant NO contribution to FMD (FMD
saline
, 6.5% [95% CI, 5.7%–7.3%]; FMD
L-NMMA
, 0.9% [95% CI, 0.5%–1.3%];
P
<0.001). Stage 3 meta-analyzed the studies that adopted the commonly adopted approach and automated, continuous method of analysis, which also revealed a significant contribution of NO to the FMD (FMD
saline
, 6.9% [95% CI, 6.0%–7.8%]; FMD
L-NMMA
, 2.4% [95% CI, 1.1%–3.7%];
P
<0.001). This comprehensive analysis demonstrates that FMD of conduit arteries in humans is, at least in part, mediated by NO.
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Affiliation(s)
- Daniel J. Green
- From the Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom (D.J.G., E.A.D., H.J., D.H.J.T.); School of Sports Science, Exercise and Health, The University of Western Australia, Crawley Perth, Western Australia (D.J.G.); and Departments of Health Evidence (H.M.M.G.) and Physiology (D.H.J.T.), Radboud University Medical Center, Nijmegen, The Netherlands
| | - Ellen A. Dawson
- From the Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom (D.J.G., E.A.D., H.J., D.H.J.T.); School of Sports Science, Exercise and Health, The University of Western Australia, Crawley Perth, Western Australia (D.J.G.); and Departments of Health Evidence (H.M.M.G.) and Physiology (D.H.J.T.), Radboud University Medical Center, Nijmegen, The Netherlands
| | - Hans M.M. Groenewoud
- From the Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom (D.J.G., E.A.D., H.J., D.H.J.T.); School of Sports Science, Exercise and Health, The University of Western Australia, Crawley Perth, Western Australia (D.J.G.); and Departments of Health Evidence (H.M.M.G.) and Physiology (D.H.J.T.), Radboud University Medical Center, Nijmegen, The Netherlands
| | - Helen Jones
- From the Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom (D.J.G., E.A.D., H.J., D.H.J.T.); School of Sports Science, Exercise and Health, The University of Western Australia, Crawley Perth, Western Australia (D.J.G.); and Departments of Health Evidence (H.M.M.G.) and Physiology (D.H.J.T.), Radboud University Medical Center, Nijmegen, The Netherlands
| | - Dick H.J. Thijssen
- From the Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom (D.J.G., E.A.D., H.J., D.H.J.T.); School of Sports Science, Exercise and Health, The University of Western Australia, Crawley Perth, Western Australia (D.J.G.); and Departments of Health Evidence (H.M.M.G.) and Physiology (D.H.J.T.), Radboud University Medical Center, Nijmegen, The Netherlands
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23
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Eijsvogels TM, Hoogerwerf MD, Oudegeest-Sander MH, Hopman MT, Thijssen DH. The impact of exercise intensity on cardiac troponin I release. Int J Cardiol 2014; 171:e3-4. [DOI: 10.1016/j.ijcard.2013.11.050] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2013] [Revised: 10/21/2013] [Accepted: 11/18/2013] [Indexed: 10/26/2022]
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24
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Atkinson G, Batterham AM, Thijssen DH, Green DJ. A new approach to improve the specificity of flow-mediated dilation for indicating endothelial function in cardiovascular research. J Hypertens 2013; 31:287-91. [DOI: 10.1097/hjh.0b013e32835b8164] [Citation(s) in RCA: 148] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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25
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Carter HH, Dawson EA, Birk GK, Spence AL, Naylor LH, Cable NT, Thijssen DH, Green DJ. Effect of SR Manipulation on Conduit Artery Dilation in Humans. Hypertension 2013; 61:143-50. [DOI: 10.1161/hypertensionaha.112.197277] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The impact of manipulating shear stress on conduit artery vasodilation has not been comprehensively described in vivo. We hypothesized that manipulation of SR through the brachial and radial arteries would be associated with corresponding changes in diameter. We performed a series of studies involving the following: (1) leg cycle exercise at increasing intensities (≈70 and 85% maximum heart rate [HRmax]) with simultaneous bilateral measurement of SR in the radial arteries; (2) leg cycle exercise for 30 minutes at 80% HRmax with simultaneous bilateral measurement of velocity and diameter in the brachial arteries; and (3) bilateral forearm heating for 30 minutes with simultaneous bilateral measurement of brachial artery diameter and blood velocity. Cycling and forearm heating interventions were performed in the presence of unilateral cuff inflation throughout the experiment, or starting during the intervention (15 minutes), to manipulate SR responses. Cuff placement was associated with lower radial artery SR responses (cuffed versus uncuffed, 248±49 versus 349±105 L/s 85% HRmax;
P
<0.01), and diameter responses were similarly attenuated (2.45±0.30 versus 2.78±0.20 mm 85% HRmax;
P
<0.05). Exercise performed at 80% HRmax in the presence of unilateral cuff inflation also reduced brachial artery SR (cuffed versus uncuffed; 258±107 versus 454±157 L/s;
P
<0.01) and diameter (3.96±0.39 versus 4.20±0.45 mm). Finally, cuff inflation decreased the impact of forearm heating on brachial SR (cuffed versus uncuffed; 262±97 versus 440±106 L/s;
P
<0.01) and diameter (4.35±0.54 versus 4.87±0.47 mm;
P
<0.05). Similar significant differences between the cuffed and uncuffed limbs in SR and diameter were observed when cuff inflation occurred during exercise or heating. Our findings strongly implicate SR as an important stimulus to increase conduit artery diameter in humans.
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Affiliation(s)
- Howard H. Carter
- From the School of Sport Science, Exercise, and Health, University of Western Australia, Crawley, Western Australia, Australia (H.H.C., A.L.S., L.H.N., D.J.G.); Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom (E.A.D., G.K.B., N.T.C., D.H.J.T., D.J.G.); and Department of Physiology, Radboud University Nijmegen Medical Centre, Radboud, the Netherlands (D.H.J.T.)
| | - Ellen A. Dawson
- From the School of Sport Science, Exercise, and Health, University of Western Australia, Crawley, Western Australia, Australia (H.H.C., A.L.S., L.H.N., D.J.G.); Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom (E.A.D., G.K.B., N.T.C., D.H.J.T., D.J.G.); and Department of Physiology, Radboud University Nijmegen Medical Centre, Radboud, the Netherlands (D.H.J.T.)
| | - Gurpreet K. Birk
- From the School of Sport Science, Exercise, and Health, University of Western Australia, Crawley, Western Australia, Australia (H.H.C., A.L.S., L.H.N., D.J.G.); Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom (E.A.D., G.K.B., N.T.C., D.H.J.T., D.J.G.); and Department of Physiology, Radboud University Nijmegen Medical Centre, Radboud, the Netherlands (D.H.J.T.)
| | - Angela L. Spence
- From the School of Sport Science, Exercise, and Health, University of Western Australia, Crawley, Western Australia, Australia (H.H.C., A.L.S., L.H.N., D.J.G.); Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom (E.A.D., G.K.B., N.T.C., D.H.J.T., D.J.G.); and Department of Physiology, Radboud University Nijmegen Medical Centre, Radboud, the Netherlands (D.H.J.T.)
| | - Louise H. Naylor
- From the School of Sport Science, Exercise, and Health, University of Western Australia, Crawley, Western Australia, Australia (H.H.C., A.L.S., L.H.N., D.J.G.); Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom (E.A.D., G.K.B., N.T.C., D.H.J.T., D.J.G.); and Department of Physiology, Radboud University Nijmegen Medical Centre, Radboud, the Netherlands (D.H.J.T.)
| | - N. Timothy Cable
- From the School of Sport Science, Exercise, and Health, University of Western Australia, Crawley, Western Australia, Australia (H.H.C., A.L.S., L.H.N., D.J.G.); Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom (E.A.D., G.K.B., N.T.C., D.H.J.T., D.J.G.); and Department of Physiology, Radboud University Nijmegen Medical Centre, Radboud, the Netherlands (D.H.J.T.)
| | - Dick H.J. Thijssen
- From the School of Sport Science, Exercise, and Health, University of Western Australia, Crawley, Western Australia, Australia (H.H.C., A.L.S., L.H.N., D.J.G.); Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom (E.A.D., G.K.B., N.T.C., D.H.J.T., D.J.G.); and Department of Physiology, Radboud University Nijmegen Medical Centre, Radboud, the Netherlands (D.H.J.T.)
| | - Daniel J. Green
- From the School of Sport Science, Exercise, and Health, University of Western Australia, Crawley, Western Australia, Australia (H.H.C., A.L.S., L.H.N., D.J.G.); Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom (E.A.D., G.K.B., N.T.C., D.H.J.T., D.J.G.); and Department of Physiology, Radboud University Nijmegen Medical Centre, Radboud, the Netherlands (D.H.J.T.)
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26
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Oudegeest-Sander MH, Eijsvogels TH, Verheggen RJ, Poelkens F, Hopman MT, Jones H, Thijssen DH. Impact of Physical Fitness and Daily Energy Expenditure on Sleep Efficiency in Young and Older Humans. Gerontology 2013; 59:8-16. [DOI: 10.1159/000342213] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2012] [Accepted: 07/30/2012] [Indexed: 11/19/2022] Open
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27
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Lammers G, Duijnhoven NTL, Hoenderop JG, Horstman AM, Haan A, Janssen TW, Graaf M, Pardoel EM, Verwiel ET, Thijssen DH, Hopman MT. The identification of gene clusters that correlate with vascular adaptations after physical deconditioning and exercise training in humans. FASEB J 2012. [DOI: 10.1096/fasebj.26.1_supplement.1134.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Gerwen Lammers
- PhysiologyRadboud University Nijmegen Medical CentreNijmegenNetherlands
| | | | | | - Astrid M.H. Horstman
- Research Institute MOVEFaculty of Human Movement SciencesVU University AmsterdamAmsterdamNetherlands
| | - Arnold Haan
- Research Institute MOVEFaculty of Human Movement SciencesVU University AmsterdamAmsterdamNetherlands
| | - Thomas W.J. Janssen
- Research Institute MOVEFaculty of Human Movement SciencesVU University AmsterdamAmsterdamNetherlands
- Amsterdam Rehabilitation Research Center ReadeAmsterdamNetherlands
| | - Mark Graaf
- PhysiologyRadboud University Nijmegen Medical CentreNijmegenNetherlands
| | | | | | - Dick H.J. Thijssen
- PhysiologyRadboud University Nijmegen Medical CentreNijmegenNetherlands
- Research Institute for Sports and Exercise ScienceLiverpool John Moores UniversityLiverpoolUnited Kingdom
| | - Maria T.E. Hopman
- PhysiologyRadboud University Nijmegen Medical CentreNijmegenNetherlands
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28
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Affiliation(s)
- Daniel J. Green
- From the Research Institute for Sport and Exercise Science (D.J.G., D.H.J.T.), Liverpool John Moores University, Liverpool, United Kingdom; School of Sport Science, Exercise and Health (D.J.G.), University of Western Australia, Crawley, Western Australia, Australia; Department of Physiology (D.H.J.T.), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
| | - Dick H.J. Thijssen
- From the Research Institute for Sport and Exercise Science (D.J.G., D.H.J.T.), Liverpool John Moores University, Liverpool, United Kingdom; School of Sport Science, Exercise and Health (D.J.G.), University of Western Australia, Crawley, Western Australia, Australia; Department of Physiology (D.H.J.T.), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
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Maiorana AJ, Naylor LH, Exterkate A, Swart A, Thijssen DH, Lam K, O'Driscoll G, Green DJ. The Impact of Exercise Training on Conduit Artery Wall Thickness and Remodeling in Chronic Heart Failure Patients. Hypertension 2011; 57:56-62. [DOI: 10.1161/hypertensionaha.110.163022] [Citation(s) in RCA: 67] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Exercise training is an important adjunct to medical therapy in chronic heart failure, but the extent to which exercise impacts on conduit artery remodeling is unknown. The aim of this study was to evaluate the impact of aerobic and resistance exercise training modalities on arterial remodeling in patients with chronic heart failure. We randomized 36 untrained subjects with chronic heart failure to resistance training (58.8±3.5 years), aerobic training (61.3±2.8 years), or an untrained control group (64.4±2.4 years). Peak oxygen consumption during cycle ergometry increased after 12 weeks in both the resistance and aerobic training (
P
<0.001) groups, but not in controls, whereas leg strength only increased after resistance training (
P
<0.05). Brachial artery wall thickness decreased in the resistance training group (475±10 versus 443±13 μm;
P
<0.01), whereas no changes were apparent in the aerobic or control groups. Brachial diameter increased by ≈6% and ≈5% in the aerobic training and resistance training groups (
P
<0.01), with no change evident in the control group. The wall:lumen ratio consequently declined in the resistance training group at 12 weeks (0.121±0.004 versus 0.107±0.004;
P
<0.01) and increased in the control group (0.111±0.006 versus 0.121±0.009;
P
<0.05). No wall:lumen change was evident in the aerobic training group. Our findings suggest that exercise has a systemic impact on remodeling of conduit arteries in humans and that resistance exercise training may be advantageous in subjects with chronic heart failure in this regard.
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Affiliation(s)
- Andrew J. Maiorana
- From the Advanced Heart Failure and Cardiac Transplant Service (A.J.M., K.L., G.O.), Royal Perth Hospital, Perth, Western Australia, Australia; School of Physiotherapy and Curtin Health Innovation Research Institute (A.J.M.), Curtin University, Perth, Western Australia, Australia; School of Sport Science, Exercise, and Health (L.H.N., D.J.G.), University of Western Australia, Perth, Western Australia, Australia; Department of Physiology (A.E., A.S., D.H.J.T.), Radboud University Nijmegen Medical
| | - Louise H. Naylor
- From the Advanced Heart Failure and Cardiac Transplant Service (A.J.M., K.L., G.O.), Royal Perth Hospital, Perth, Western Australia, Australia; School of Physiotherapy and Curtin Health Innovation Research Institute (A.J.M.), Curtin University, Perth, Western Australia, Australia; School of Sport Science, Exercise, and Health (L.H.N., D.J.G.), University of Western Australia, Perth, Western Australia, Australia; Department of Physiology (A.E., A.S., D.H.J.T.), Radboud University Nijmegen Medical
| | - Anne Exterkate
- From the Advanced Heart Failure and Cardiac Transplant Service (A.J.M., K.L., G.O.), Royal Perth Hospital, Perth, Western Australia, Australia; School of Physiotherapy and Curtin Health Innovation Research Institute (A.J.M.), Curtin University, Perth, Western Australia, Australia; School of Sport Science, Exercise, and Health (L.H.N., D.J.G.), University of Western Australia, Perth, Western Australia, Australia; Department of Physiology (A.E., A.S., D.H.J.T.), Radboud University Nijmegen Medical
| | - Anne Swart
- From the Advanced Heart Failure and Cardiac Transplant Service (A.J.M., K.L., G.O.), Royal Perth Hospital, Perth, Western Australia, Australia; School of Physiotherapy and Curtin Health Innovation Research Institute (A.J.M.), Curtin University, Perth, Western Australia, Australia; School of Sport Science, Exercise, and Health (L.H.N., D.J.G.), University of Western Australia, Perth, Western Australia, Australia; Department of Physiology (A.E., A.S., D.H.J.T.), Radboud University Nijmegen Medical
| | - Dick H.J. Thijssen
- From the Advanced Heart Failure and Cardiac Transplant Service (A.J.M., K.L., G.O.), Royal Perth Hospital, Perth, Western Australia, Australia; School of Physiotherapy and Curtin Health Innovation Research Institute (A.J.M.), Curtin University, Perth, Western Australia, Australia; School of Sport Science, Exercise, and Health (L.H.N., D.J.G.), University of Western Australia, Perth, Western Australia, Australia; Department of Physiology (A.E., A.S., D.H.J.T.), Radboud University Nijmegen Medical
| | - Kaitlyn Lam
- From the Advanced Heart Failure and Cardiac Transplant Service (A.J.M., K.L., G.O.), Royal Perth Hospital, Perth, Western Australia, Australia; School of Physiotherapy and Curtin Health Innovation Research Institute (A.J.M.), Curtin University, Perth, Western Australia, Australia; School of Sport Science, Exercise, and Health (L.H.N., D.J.G.), University of Western Australia, Perth, Western Australia, Australia; Department of Physiology (A.E., A.S., D.H.J.T.), Radboud University Nijmegen Medical
| | - Gerry O'Driscoll
- From the Advanced Heart Failure and Cardiac Transplant Service (A.J.M., K.L., G.O.), Royal Perth Hospital, Perth, Western Australia, Australia; School of Physiotherapy and Curtin Health Innovation Research Institute (A.J.M.), Curtin University, Perth, Western Australia, Australia; School of Sport Science, Exercise, and Health (L.H.N., D.J.G.), University of Western Australia, Perth, Western Australia, Australia; Department of Physiology (A.E., A.S., D.H.J.T.), Radboud University Nijmegen Medical
| | - Daniel J. Green
- From the Advanced Heart Failure and Cardiac Transplant Service (A.J.M., K.L., G.O.), Royal Perth Hospital, Perth, Western Australia, Australia; School of Physiotherapy and Curtin Health Innovation Research Institute (A.J.M.), Curtin University, Perth, Western Australia, Australia; School of Sport Science, Exercise, and Health (L.H.N., D.J.G.), University of Western Australia, Perth, Western Australia, Australia; Department of Physiology (A.E., A.S., D.H.J.T.), Radboud University Nijmegen Medical
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Veltmeijer MT, Eijsvogels TM, Thijssen DH, Hopman MT. Obesity And The Risk Of Water And Electrolyte Imbalances During Prolonged Exercise. Med Sci Sports Exerc 2010. [DOI: 10.1249/01.mss.0000385988.65738.6f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Eijsvogels TM, van Dartel SA, Thijssen DH, Hopman MT. Predictors Of High Body Core Temperatures During A Competitive Running Event. Med Sci Sports Exerc 2010. [DOI: 10.1249/01.mss.0000384375.66778.31] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Hopman MT, Thijssen DH, Horstman AM, Haan A, Janssen TW, Duijnhoven NT. The effect of physical deconditioning and exercise on VEGF expression and vascular function. FASEB J 2010. [DOI: 10.1096/fasebj.24.1_supplement.1036.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Maria T.E. Hopman
- PhysiologyRadboud University Nijmegen Medical CentreNijmegenNetherlands
| | - Dick H.J. Thijssen
- PhysiologyRadboud University Nijmegen Medical CentreNijmegenNetherlands
- Research Institute for Sports and Exercise ScienceLiverpool John Moores UniversityLiverpoolUnited Kingdom
| | | | - Arnold Haan
- Faculty of Human Movement SciencesVU University AmsterdamAmsterdamNetherlands
| | - Thomas W.J. Janssen
- Faculty of Human Movement SciencesVU University AmsterdamAmsterdamNetherlands
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Affiliation(s)
- Dick H.J. Thijssen
- From the Research Institute for Sport and Exercise Science (D.H.J.T., E.A.D., T.M.T., N.T.C., D.J.G.), Liverpool John Moores University, Liverpool, United Kingdom; Department of Physiology (D.H.J.T.), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands; and the School of Sport Science (D.J.G.), Exercise and Health, University of Western Australia, Crawley, Western Australia, Australia
| | - Ellen A. Dawson
- From the Research Institute for Sport and Exercise Science (D.H.J.T., E.A.D., T.M.T., N.T.C., D.J.G.), Liverpool John Moores University, Liverpool, United Kingdom; Department of Physiology (D.H.J.T.), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands; and the School of Sport Science (D.J.G.), Exercise and Health, University of Western Australia, Crawley, Western Australia, Australia
| | - Toni M. Tinken
- From the Research Institute for Sport and Exercise Science (D.H.J.T., E.A.D., T.M.T., N.T.C., D.J.G.), Liverpool John Moores University, Liverpool, United Kingdom; Department of Physiology (D.H.J.T.), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands; and the School of Sport Science (D.J.G.), Exercise and Health, University of Western Australia, Crawley, Western Australia, Australia
| | - N. Timothy Cable
- From the Research Institute for Sport and Exercise Science (D.H.J.T., E.A.D., T.M.T., N.T.C., D.J.G.), Liverpool John Moores University, Liverpool, United Kingdom; Department of Physiology (D.H.J.T.), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands; and the School of Sport Science (D.J.G.), Exercise and Health, University of Western Australia, Crawley, Western Australia, Australia
| | - Daniel J. Green
- From the Research Institute for Sport and Exercise Science (D.H.J.T., E.A.D., T.M.T., N.T.C., D.J.G.), Liverpool John Moores University, Liverpool, United Kingdom; Department of Physiology (D.H.J.T.), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands; and the School of Sport Science (D.J.G.), Exercise and Health, University of Western Australia, Crawley, Western Australia, Australia
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Sander MH, Roerink SH, Thijssen DH, Hopman MT. Comparison Of Two Methods To Measure Leg Conduit And Resistance Artery Vascular Function In Older Subjects. Med Sci Sports Exerc 2009. [DOI: 10.1249/01.mss.0000353604.42878.3d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Eijsvogels TM, Thijssen DH, Hopman MT. Gender Differences In Fluid And Electrolyte Balance During Endurance Exercise. Med Sci Sports Exerc 2009. [DOI: 10.1249/01.mss.0000355275.79503.f0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Thijssen DH, van Duijnhoven NTL, Janssen TWJ, Green DJ, Minson CT, Hopman MTE. Does Functional Electro-stimulation Reverse Impaired Skin Microcirculatory Function In Spinal Cord Injury. Med Sci Sports Exerc 2009. [DOI: 10.1249/01.mss.0000354110.55903.e4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Eysvogels T, Thijssen DH, Poelkens F, Wouters S, Binkhorst M, Schouwenberg B, Hopman MT. The Influence Of 4-days Walking Exercise On Core Temperature, Plasma Volume And Sodium-concentration. Med Sci Sports Exerc 2008. [DOI: 10.1249/01.mss.0000322670.19992.50] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Thijssen DH, Black MA, Cable NT, Green DJ. Assessment Of Peak Peripheral Artery Conduit And Resistance Artery Structure In Humans: Does Occluding Cuff Position Matter? Med Sci Sports Exerc 2008. [DOI: 10.1249/01.mss.0000321843.91960.4d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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van Duijnhoven NT, de Groot PC, Bleeker MW, Thijssen DH, Hopman MT. The Effect of 52 Days Bed Rest on the Popliteal Venous Compliance in Healthy Subjects. Med Sci Sports Exerc 2006. [DOI: 10.1249/00005768-200611001-00144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Thijssen DH, Rongen G, Smits P, Hopman MT. The Effects of Aging and Exercise Training on Endothelin-1 Vasoconstrictor Responses in Healthy Sedentary Elderly. Med Sci Sports Exerc 2006. [DOI: 10.1249/00005768-200605001-01076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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