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Age Alters Integrated Cerebrovascular and Cardiovascular Dynamic Responses to Exercise: Insights from a Systems

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Cardiovascular and cerebrovascular systems interact dynamically during exercise. Older adults show slower brain blood flow responses, with carbon dioxide levels significantly influencing middle cerebral artery velocity.

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Area of Science:

  • Cardiovascular Physiology
  • Cerebrovascular Regulation
  • Systems Biology

Background:

  • Understanding brain blood flow regulation during exercise is crucial.
  • Age and sex may influence cardiovascular and cerebrovascular responses.
  • Systems modeling can reveal physiological coupling.

Purpose of the Study:

  • To investigate age- and sex-specific differences in cardiovascular and cerebrovascular kinetics during exercise.
  • To assess physiological coupling between systems using modeling.
  • To identify factors influencing brain perfusion during physical activity.

Main Methods:

  • Recruited adults for moderate-intensity exercise on a recumbent stepper.
  • Continuously recorded middle cerebral artery blood velocity (MCAv), mean arterial pressure (MAP), heart rate (HR), and end-tidal CO2 (PETCO2).
  • Analyzed kinetic profiles using mono-exponential modeling, functional data analysis, and Granger causality within a vector autoregression framework.

Main Results:

  • Older adults exhibited attenuated dynamic responses in MCAv, PETCO2, and HR, with elevated MAP.
  • Older adults had smaller MCAv amplitude and slower time constants.
  • Granger causality revealed bidirectional coupling; PETCO2 significantly predicted MCAv, and MCAv influenced MAP and PETCO2.

Conclusions:

  • Advancing age impairs cerebrovascular dynamic responses during exercise.
  • PETCO2 is a dominant driver of MCAv, indicating complex feedback regulation.
  • Systems modeling effectively elucidates integrated physiological networks during exercise.