Effect of age, sex and aerobic exercise on cerebrovascular regulation in older adults: Results from the Brain in Motion Study

dc.contributor.advisorPoulin, Marc J.
dc.contributor.authorWyer, Leanna
dc.contributor.committeememberPhillips, Aaron Alexander
dc.contributor.committeememberMcDonough, Meghan H.
dc.contributor.committeememberLongman, Richard Stewart
dc.date2019-11
dc.date.accessioned2019-09-23T18:39:52Z
dc.date.available2019-09-23T18:39:52Z
dc.date.issued2019-09-17
dc.description.abstractBackground: By 2024, 20% of Canada’s population will be 65 and older. Aging is associated with progressive declines in cerebrovascular and cognitive function and an increased prevalence of age-related diseases such as Alzheimer’s Disease (AD). Physical activity has been associated with improvements in cerebrovascular function and cognitive performance, and may help to prevent and/or delay AD. However, the underlying time-course by which enhanced physical activity may be protective for brain health and differences between men and women is poorly understood. Objective: To determine the influence of age and sex on the cerebrovascular responses to submaximal exercise and euoxic hypercapnia in older adults. Furthermore, this study assessed the effects of a 6-month aerobic exercise intervention on cerebrovascular measures and evaluated outcomes after three and six months of exercise. Design: 202 participants aged 66.5 ± 6.5 years (mean ± SD, 101 females) completed the aerobic exercise intervention. Measurements took place pre-, mid- and post-intervention including demographic information, maximal aerobic capacity (VO2max) and cerebrovascular function. Linear mixed models adjusted for covariates were used to measure the physiological responses to submaximal exercise and euoxic hypercapnia pre-intervention and the changes in middle cerebral artery peak blood flow velocity (VP), mean arterial pressure (MAP) and cerebrovascular resistance (CVRi) and conductance (CVCi) indices after three and six months of aerobic exercise. Results: Pre-intervention, both age and sex were significant predictors of VP (p=0.002; p<0.010), CVRi (p<0.001; p=0.029), and CVCi (p<0.001; p=0.004) during exercise. Compared to rest, acute exercise led to increases in VP, CVRi and MAP and decreases in CVCi (p<0.001). Three months of aerobic exercise led to increases in VP (p=0.005) and CVCi (p=0.021) and decreases in CVRi (p=0.002) in women only, with no further changes observed after an additional three months of exercise. Conclusion: Male sex and increasing age were associated with lower VP, CVCi and higher CVRi. Three months of aerobic exercise led to improvements in cerebrovascular measures in women that were maintained in the latter three months of the intervention in healthy, older adults. Such results have important implications for the role of physical activity in improving health outcomes and the differences observed with aging and sex.en_US
dc.identifier.citationWyer, L. (2019). Effect of age, sex and aerobic exercise on cerebrovascular regulation in older adults: Results from the Brain in Motion Study (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/37103
dc.identifier.urihttp://hdl.handle.net/1880/111041
dc.language.isoengen_US
dc.publisher.facultyCumming School of Medicineen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectcerebrovascular functionen_US
dc.subjectagingen_US
dc.subjectsex differencesen_US
dc.subjectaerobic exerciseen_US
dc.subject.classificationNeuroscienceen_US
dc.subject.classificationPhysiologyen_US
dc.titleEffect of age, sex and aerobic exercise on cerebrovascular regulation in older adults: Results from the Brain in Motion Studyen_US
dc.typemaster thesisen_US
thesis.degree.disciplineMedicine – Neuroscienceen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameMaster of Science (MSc)en_US
ucalgary.item.requestcopytrueen_US
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