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Item Antioxidants, Exercise, and Brain Function(2015-12-01) Sidhu, Akram; Nathalie Sumien; Michael J. Forster; Eric B. GonzalesAging is associated with a decline in psychomotor and cognitive function. Interventions such as exercise and antioxidants supplementation when investigated independently have been beneficial counteracting oxidative stress and improving brain function in both human and animals. A large number of health conscious individuals often combine exercise with vitamin supplementation, anticipating a synergistic effect maximizing their performance. While some studies reported additive effects, others have also indicated a potential for an antagonistic action of the antioxidants on the beneficial effects of exercise. To date, it has not been well established what the nature of the interaction between antioxidant supplementation and exercise is in terms of functional outcomes and whether age will influence the outcomes. The purpose of this study was to determine if combination of antioxidant supplementation, and moderate exercise could ameliorate psychomotor and cognitive performance of young and old male mice Using vitamins C and E and a treadmill-based forced exercise in young and old C57BL/6J mice, we explored the nature of that interaction on functional and biochemical outcomes. We examined the mice for spatial learning and memory, working memory and executive function, coordinated running performance, muscular reflexes, spontaneous locomotor activity, anxiety and muscle strength. Our data suggested that the male mice exhibited age-associated declines in psychomotor and cognitive performance. Antioxidants supplementation worsened the cognitive flexibility of old mice but improved the depression-like symptoms in young mice. Overall, exercise training reversed the age-related declines in reflexes and balance of old mice, and improved strength and associative learning of young mice only. Furthermore, combination of exercise and antioxidant improved reflexes, motor and cognitive performance, but additive or antagonistic effects of antioxidants on the beneficial effects of exercise were not observed. Hence we can conclude that, combining antioxidants and exercise may not be provide any additional benefit in reversing age-related functional impairments.Item Antioxidants, Exercise, APOE Genotype and Brain Function(2014-12-01) Chaudhari, Kiran; Nathalie Sumien; Michael J. Forster; Eric B. GonzalesApolipoprotein E4 (APOE4) is a well-established and extensively prevalent genetic risk factor for the development of Alzheimer’s disease (AD). The presence of APOE4 allele accelerates the pathophysiology and symptomology of AD. A large set (36%) of the population suffering from AD expresses APOE4. Being a chronic progressive disease with very few pharmaco-therapeutic agents approved by FDA, non-drug lifestyle modifications have been an important part of management of AD. People often eat healthy diet rich in antioxidants and focus on healthy living habits such as exercise. Health care providers frequently suggest combining antioxidants with physical activity for higher benefits. Antioxidants have been beneficial in counteracting oxidative stress and improving learning and memory. Similarly, different regimens of exercise also improved cognition and delayed development of AD. However, the nature of the interaction between antioxidants and exercise remain elusive and complicated. While some studies reported additive effects, others have also shown a concerning antagonistic action of the antioxidants on the beneficial effects of exercise. In the context of APOE genotype, we set our study to determine the nature of such interaction between antioxidants and exercise. Using vitamins C and E and a treadmill-based forced exercise in a genetically modified mouse model expressing human APOE3 and APOE4 (GFAP-APOE3, GFAP-APOE4), we explored the nature of that interaction on functional and biochemical outcomes. We examined the mice for spatial learning and memory, working memory and executive function, coordinated running performance, muscular reflexes, spontaneous locomotor activity, anxiety and muscle strength. Interestingly, we observed that the young adult mice expressing E4 allele performed better on higher brain functions including spatial learning and memory and short term memory in contrast to middle age mice, which developed a cognitive deficit as expected. Motor functions, reflexes and coordination were poor among all the mice carrying E4 allele irrespective of age. Antioxidants and exercise interventions led to outcomes that were dependent on genotype, age and the brain function under consideration. There was additive beneficial effect of combination of antioxidants and exercise on cognitive outcomes but not on motor outcomes in middle age groups. However, in young adults, an antagonistic interaction was observed on motor outcomes but no such interaction was observed on cognitive outcomes. Hence we can conclude that, combination of antioxidants and exercise is not a “fit for all” approach and needs to be tailored base on individual’s age and genotype.Item ApoE Genotype-Dependent Response to Antioxidant and Exercise Interventions on Brain Function(MDPI, 2020-06-25) Chaudhari, Kiran; Wong, Jessica M.; Vann, Philip H.; Como, Tori; O'Bryant, Sid E.; Sumien, NathalieThis study determined whether antioxidant supplementation is a viable complement to exercise regimens in improving cognitive and motor performance in a mouse model of Alzheimer's disease risk. Starting at 12 months of age, separate groups of male and female mice expressing human Apolipoprotein E3 (GFAP-ApoE3) or E4 (GFAP-ApoE4) were fed either a control diet or a diet supplemented with vitamins E and C. The mice were further separated into a sedentary group or a group that followed a daily exercise regimen. After 8 weeks on the treatments, the mice were administered a battery of functional tests including tests to measure reflex and motor, cognitive, and affective function while remaining on their treatment. Subsequently, plasma inflammatory markers and catalase activity in brain regions were measured. Overall, the GFAP-ApoE4 mice exhibited poorer motor function and spatial learning and memory. The treatments improved balance, learning, and cognitive flexibility in the GFAP-ApoE3 mice and overall the GFAP-ApoE4 mice were not responsive. The addition of antioxidants to supplement a training regimen only provided further benefits to the active avoidance task, and there was no antagonistic interaction between the two interventions. These outcomes are indicative that there is a window of opportunity for treatment and that genotype plays an important role in response to interventions.Item Arterial Baroreflex Control of Muscle Sympathetic Nerve Activity(2000-07-01) Fadel, Paul Joseph; Peter B. Raven; Michael Smith; Patricia GwirtzFadel, Paul Joseph, Jr., Arterial Baroreflex Control of Muscle Sympathetic Nerve Activity. Doctor of Philosophy (Biomedical Science), July 2000; 100 pp; 3 tables; 10 figures; bibliography. Arterial baroreflex control of sympathetic nerve activity is dependent on afferent nerve activity emanating from both the aortic and carotid baroreceptors. While several investigations have reported that the aortic baroreceptor reflex dominates in the baroreflex control of heart rate in humans, the role of carotid and the aortic baroreceptors in the control of sympathetic nerve activity remains unclear. In addition, the effect of exercise and long term endurance training on baroreflex-sympathetic nerve activity responses requires further definition. Therefore, the purpose of the investigations described within this dissertation was to: i) describe carotid baroreflex (CBR) control of muscle sympathetic nerve activity (MSNA) at rest and during exercise, ii) examine the relative contribution of the carotid and aortic baroreflexes to the overall arterial baroreflex control of MSNA during acute hypotension, and iii) determine the effect of fitness on arterial baroreflex control of MSNA. In the first investigation, we constructed stimulus-response relationships for CBR control of MSNA at rest and during dynamic arm cycling and demonstrated that carotid baroreflex control of MSNA was reset to function at the higher arterial pressures induced by exercise without a change in reflex sensitivity. Thus, we concluded that the carotid baroreflex control of MSNA was preserved during dynamic exercise. In the second investigation, acute hypotension was induced non-pharmacologically by releasing a unilateral arterial thigh cuff (300 Torr) following nine minutes of resting ischemia under two conditions: control (aortic and carotid baroreflex deactivation) and suction (aortic baroreflex deactivation alone). The application of neck suction to negate the CBR during cuff release caused a significant attenuation of the MSNA response and a greater decrease in mean arterial pressure; thereby signifying the importance of the CBR in the control of MSNA and maintenance of arterial blood pressure. However, when the drop in carotid sinus pressure was counteracted with neck suction a significant MSNA response was noted, indicating the dominance of the aortic baroreflex control of MSNA. Furthermore, a comparison between high-fit (HF) and average fit (AF) subjects indicated that despite an augmented baroreflex control of MSNA, HF subjects exhibited a greater decrease in mean arterial pressure compared to AF subjects. Thus, it appeared that although the arterial baroreflex appropriately increased the MSNA response to hypotension, the regulation of blood pressure remained attenuated in the HF subjects. We contend that an impaired control of vasomotion hinders blood pressure regulation in high-fit subjects.Item Autonomic nervous control of cardiovascular function during prolonged exercise in humans(2014-05-01) White, Daniel W.; Peter B. RavenThe importance of physical activity is well established as a means to maintain good health. However, under certain conditions and in some individuals, heavy exercise leads to catastrophic failure of the cardiovascular system. This is especially true during early recovery from exercise. This may be due in part to an improper response of the autonomic nervous system; that is, an imbalance of the sympathetic and parasympathetic nervous systems. The purpose of the investigations presented in this dissertation was to: i) re-evaluate the commonly accepted model of autonomic influence on control of heart rate during exercise; ii) study the effects of posture on recovery from heavy exercise; and iii) determine the effect of muscle pump activity on cardiorespiratory control of the cardiovascular system during the transition from active to inactive recovery following heavy dynamic two legged cycling. In the first investigation we examined previously reported and newly collected data and determined a fine balance exists between the sympathetic and parasympathetic nervous systems throughout all intensities of exercise. Our conclusions led to the development of a new model of autonomic balance during exercise. In the second investigation we concluded that unloading of the cardiopulmonary baroreceptors by upright posture significantly increases baroreflex control of heart rate during rest and during recovery from heavy dynamic leg cycling exercise. We also show that steady-state blood pressure and the baroreflex control of blood pressure is not significantly different based on orthostatic posture before or after exercise. In the third investigation we concluded that loading of the cardiopulmonary baroreceptors by muscle pump activity during active recovery from heavy exercise diminishes the respiratory induced changes in cardiovascular function observed during inactive recovery. Overall, these investigations highlight the importance of the autonomic nervous system during exercise and during recovery from heavy exercise. Collectively, these conclusions should influence the decision making process regarding mode of recovery from heavy exercise, especially in an “at risk” population, because recovery is the time when most adverse events take place.Item Cardiovascular Metrics Associated With Prevention of Aging-Related Parkinsonian Signs Following Exercise Intervention in Sedentary Older Rats(Frontiers Media S.A., 2021-12-15) Kasanga, Ella A.; Little, Joel; McInnis, Tamara R.; Bugnariu, Nicoleta; Cunningham, J. Thomas; Salvatore, Michael F.Preservation of motor capabilities is vital to maintaining independent daily living throughout a person's lifespan and may mitigate aging-related parkinsonism, a progressive and prevalent motor impairment. Physically active lifestyles can mitigate aging-related motor impairment. However, the metrics of physical activity necessary for mitigating parkinsonian signs are not established. Consistent moderate intensity (~10 m/min) treadmill exercise can reverse aging-related parkinsonian signs by 20 weeks in a 2-week on, 2-week off, regimen in previously sedentary advanced middle-aged rats. In this study, we initiated treadmill exercise in sedentary 18-month-old male rats to address two questions: (1) if a rest period not longer than 1-week off exercise, with 15 exercise sessions per month, could attenuate parkinsonian signs within 2 months after exercise initiation, and the associated impact on heart rate (HR) and mean arterial pressure (MAP) and (2) if continuation of this regimen, up to 20 weeks, will be associated with continual prevention of parkinsonian signs. The intensity and frequency of treadmill exercise attenuated aging-related parkinsonian signs by 8 weeks and were maintained till 23 months old. The exercise regimen increased HR by 25% above baseline and gradually reduced pre-intervention MAP. Together, these studies indicate that a practicable frequency and intensity of exercise reduces parkinsonian sign severity commensurate with a modest increase in HR after exercise. These cardiovascular changes provide a baseline of metrics, easily measured in humans, for predictive validity that practicable exercise intensity and schedule can be initiated in previously sedentary older adults to delay the onset of aging-related parkinsonian signs.Item Control of the Peripheral Vasculature During Exercise: Angiotensin II(2007-04-01) Brothers, Robert Matthew; Peter B. Raven; Michael Smith; Patricia GwirtzBrothers, Robert Matthew, Control of the Peripheral Vasculature During Exercise Angiotesin II. Doctor of Philosophy (Biomedical Science), April 2007, 126 pp; 3 tables; 12 figures; bibliography. Control of the vasculature during exercise is balance between sympathetic vasoconstriction and metabolic vasodilation. There is an exercise intensity dependent reduction in vasoconstriction resulting in a shift towards vasodilation within “metabolically active” muscle and tissues, a phenomena known as “functional sympatholysis”. Previous studies investigating the alpha-receptors during exercise have used intra-arterial infusions of alpha-agonists. These studies indicate that alpha-receptor vasoconstrictionis completely attenuated during mild intensity exercise. When the alpha receptors are pharmacologically blocked the magnitude and onset of “functional sympatholysis” is not as drastic when compared to the agonist infusion studies. Intense exercise also activates the renin-angiotesin-system leading to production of angiotensin II (AngII), which increases exponentially at approximately 55% maximal oxygen uptake (55% VO2max). While the mechanisms of “functional sympatholysis” has been extensively studied less is known about the role of AngII in the control of the vasculature during exercise. Therefore, the purpose of the investigations within this dissertation was to: i)determine if alpha-1- blockade in an exercising human model will identify a greater maintenance of alpha-1 mediated vasoconstriction when compared to agonist infusion studies; ii) to determine if the metabolites produced within the active skeletal muscle will attenuate angiotensin II vasoconstriction; and iii) to determine if AngII vasoconstriction provides a greater percentage contribution to vascular tone as exercise intensity increases. We demonstrated that i) pharmacologic alpha-1-blockade identified a greater maintenance of alpha-1 vasoconstriction during moderately heavy exercise; and ii) this effect decreased as intensity increased in the exercising leg and increased with intensity in the non-exercising leg. In the second investigation we demonstrated that AngII and phenylephrine (PE) mediated vasoconstriction were attenuated to a similar degree during low and mild intensity exercise. In the third investigation we observed that AT1-receptor blockade; 1) attenuated the increases in MAP that occur during high-intensity exercise; ii) did not affect the vasculature in the exercising leg but; iii) we identified that AngII does partially control the vasculature in a “non-metabolically active” muscle group.Item Establishing Equivalent Aerobic Exercise Parameters Between Early-Stage Parkinson's Disease and Pink1 Knockout Rats(IOS Press, 2022-06-28) Salvatore, Michael F.; Soto, Isabel; Kasanga, Ella A.; James, Rachael; Shifflet, Marla K.; Doshier, Kirby; Little, Joel T.; John, Joshia; Alphonso, Helene M.; Cunningham, J. Thomas; Nejtek, Vicki A.BACKGROUND: Rodent Parkinson's disease (PD) models are valuable to interrogate neurobiological mechanisms of exercise that mitigate motor impairment. Translating these mechanisms to human PD must account for physical capabilities of the patient. OBJECTIVE: To establish cardiovascular parameters as a common metric for cross-species translation of aerobic exercise impact. METHOD: We evaluated aerobic exercise impact on heart rate (HR) in 21 early-stage PD subjects (Hoehn Yahr /=3 months, >/=3x/week. In 4-month-old Pink1 knockout (KO) rats exercising in a progressively-increased treadmill speed regimen, we determined a specific treadmill speed that increased HR to an extent similar in human subjects. RESULTS: After completing aerobic exercise for approximately 30 min, PD subjects had increased HR approximately 35% above baseline ( approximately 63% maximum HR). Motor and cognitive test results indicated the exercising subjects completed the timed up and go (TUG) and trail-making test (TMT-A) in significantly less time versus exercise-naive PD subjects. In KO and age-matched wild-type (WT) rats, treadmill speeds of 8-10 m/min increased HR up to 25% above baseline ( approximately 67% maximum HR), with no further increases up to 16 m/min. Exercised KO, but not WT, rats showed increased locomotor activity compared to an age-matched exercise-naive cohort at 5 months old. CONCLUSION: These proof-of-concept results indicate HR is a cross-species translation parameter to evaluate aerobic exercise impact on specific motor or cognitive functions in human subjects and rat PD models. Moreover, a moderate intensity exercise regimen is within the physical abilities of early-stage PD patients and is therefore applicable for interrogating neurobiological mechanisms in rat PD models.Item Examining Coronary Heart Disease Risk Factors and Its Relationship with Physical Activity in a Self-Reported Survey(2004-05-01) Fernandes, Alroy H.; Frederick Fridinger; Daisha Cipher; Claudia CogginFernandes, Alroy H., Examining Coronary Heart Disease Risk Factors and its Relationship with Physical Activity in a Self-Reported Survey. Masters of Public Health (Community Health), May 2004, 49pp., 3 illustrations, references, 38 titles. This study uses ‘Healthstyles,’ a self reported survey of 3,719 respondents above the age of 18, to look at exercise behavior in people at risk for CHD. Married or higher earning individuals were more likely to show sufficient exercise levels. Individuals with high blood pressure, high blood cholesterol, diabetes, obesity or family history of heart disease reported lesser levels of sufficient exercise than those without these conditions. People with CHD risk factor reported lower scores on questions that dealt with attitude and opinions about exercise behavior, and this was significantly correlated with lower levels of sufficient exercise. This supports the ‘positive attributes of the behavior’ aspect of the social cognitive theory of exercise. The attitude questions used, although not specific, could be included in a self-reported survey for the purpose of qualitatively and quantitatively assessing exercise intervention; albeit more studies are required to validate this claim.Item INTERACTION OF APOE GENOTYPE, ANTIOXIDANTS AND EXERCISE ON BRAIN FUNCTION.(2014-03) Chaudhari, Kiran; Wong, Jessica M.; Vann, Philip H.; Sumien, NathalieHuge rise in the incidence of azheimer's disease is projected with baby boomers' retiring age. There are very few drugs in market to manage this condition. Doctors and care takers often depend on the lifestyle modification to assist the definitive drug therapy. Most common form of lifestyle modification is exercise and diet rich in antioxidants. Further, APOE4 is a gene that is commonly expressed and a well established genetic risk factor for Alzheimer's development. We identified role of gender and APOE4 in affecting the benefits of lifestyle modification. We used a mouse model that express human APOE4 and develops memory loss at early age. This model is routinely used for alzheimer's disease related experiments. We treated these mice with treadmill based exercise and fed them with diet rich in antioxidants like vitamin C and vitamin E. After treatment these mice were tested for learning and memory abilities using interesting and non stressful techniques that involve swimming, running on rotating rod etc. We found that exercise and antioxidants are more beneficial in combination in only some of the tests. The benefits of the combination of exercise and antioxidants depends on sex, APOE genotype and age of the mouse. Purpose (a): The ε4 allele of apolipoprotein E (ApoE) has been associated with increased risk for the development of late-onset Alzheimer’s disease (AD). To prevent or reduce the appearance of brain dysfunction, a healthy lifestyle, such as exercising and eating antioxidants, is often recommended. Physical activity has been shown to have an allele-specific beneficial effect on cognition in humans and rodents. Antioxidant therapy is often suggested to improve brain function, as increased oxidative stress has been correlated with brain dysfunction, especially in ε4 carriers. Health conscious individuals are likely to combine exercise with antioxidant intake to increase protection; however recent studies have indicated a potential negative interaction of these two factors. In some cases, antioxidant intake abolished the beneficial effects of exercise. Our study aimed at determining the nature of the interaction between exercise and antioxidants on functional outcomes in a model of increased AD risk. Methods (b): Male and female mice (12month), expressing the human ApoE3 or E4, were placed under one of the treatment: Sedentary/control diet (SedCon), Sedentary /antioxidant-rich diet (Vitamins E-195mg/kg body weight/day and C-287mg/kg body weight/day; SedEC), Exercise/control diet (ExCon), Exercise/ antioxidant-rich diet (ExEC), for 8 weeks prior to behavioral testing including coordinated running (rotorod), spatial learning and memory (Morris water maze) and discriminated avoidance (T-maze). Results (c): Overall, ApoE3 mice performed better than ApoE4 mice on the rotorod test and ExEC treatment improved the performance of the male ApoE3 only. The ExEC treatment improved spatial learning in both male and female ApoE4 mice, whereas ExCon improved performance only in the ApoE4 females. Maximum spatial learning was improved with ExEC in males regardless of genotype but only in the ApoE3 females. In the discriminated avoidance task, initial learning was improved with ExCon treatment in ApoE3 mice regardless of gender. Cognitive flexibility was improved by ExEC treatment in ApoE3 male and female and in ApoE4 females but not in male ApoE4. Conclusions (d): These results indicate that genotype and sex are critical determinants in the functional outcomes of the treatment regimens.Item Interaction of Neural and Local Mechanisms in the Control of Skeletal Muscle Blood Flow(2003-12-01) Wray, David Walter; Michael L. SmithWray, David Walter, Interaction of Neural and Local Mechanisms in the Control of Skeletal Muscle Blood Flow. Doctor of Philosophy (Biomedical Science), December, 2003, 181 pp., 1 table, 19 illustrations, references, 139 titles. The current project sought to characterize the interaction of neural and local mechanisms of skeletal muscle blood flow control through exogenous and endogenous α-andrenoreceptor activation. We hypothesized that α1- and α2-adrenoreceptors in the human leg would exhibit differential distribution and responsiveness, and that unilateral knee-extensor exercise would attenuate α-adrenoreceptor-mediated vasoconstriction in an intensity-dependent manner. We also hypothesized that carotid baroreflex (CBR)-mediated sympathoexcitation would provoke less vasoconstriction during exercise than at rest. Intra-arterial infusion of phenylephrine (PE, α1-agonist) or BHT-933 (α2-agonist) reduced femoral blood flow (FBF) by approximately 60% at rest, but during exercise (27W) the degree of vasoconstriction evoked by PE and BHT was significantly reduced. During ramped (7W-37W) exercise, BHT did not reduce FBF at any intensity, while some degree of PE-induced vasoconstriction was evident at all but the highest exercise intensity. Using sinusoidal neck pressure, CBR-mediated changes in heart rate (HR), arterial blood pressure (ABP) muscle sympathetic nerve activity (MSNA), FBF, and tissue oxygenation (TOm) were seen at rest. During 7w exercise, CBR-mediated control of ABP, FBF, and Tom was attenuated. We conclude that exercise attenuates α-adrenergic responsiveness to exogenous and endogenous activation to ensure sufficient muscle blood flow while maintaining systemic ABP homeostasis.Item Interactive Effects of Mental and Physical Stress on Cardiovascular Control(1998-08-01) Westerholm, Erin Carpenter; Smith, Michael; Raven, Peter B.; Shi, XiangrongWesterholm, Erin C., Interactive Effects of Mental and Physical Stress on Cardiovascular Control. Master of Science (Biomedical Sciences, Integrative Physiology), August, 1998, 42 pp., 1 table, 13 figures, 35 references. Mental task and exercise often occur together. Physiological responses to each of these stressors have been studied independently, yet the interactive effects of these stressors are unknown. Hypothesis: Combined mental and physical stress will produce a synergistic interaction. Methods: Twelve healthy subjects were studied by measuring cardiovascular responses to five minutes of static left handgrip alone (25-35% of maximal handgrip strength), mental arithmetic alone, and combined stimuli in random order. Sympathetic nerve activity (SNA, microneurography), mean arterial blood pressure (MAP, Finapres), heart rate (HR, ECG), and vascular resistance (Doppler) were measured. Results: Physical and combined stressors significantly changed SNA, MAP, HR, and FVR. SNA responses to handgrip and the combined stimuli exceeded responses to mental arithmetic alone (p [less than] 0.05), yet no significant difference existed between responses to handgrip alone and the combined stimuli (p=0.33). The three stimuli increased heart rate similarity (p [less than] 0.0006). Conclusion: The data refuted the hypothesis: mental task did not synergistically interact or even add to the stress response elicited by handgrip exercise. Thus these data suggest that mental task and static exercise interact in a redundant manner.Item Neural Control of the Carotid Baroreflex During Exercise(2000-05-01) Gallagher, Kevin Matthew; Peter B. Raven; Stephen R. Grant; H. Fred DowneyGallagher, Kevin Matthew, Neural Control of the Carotid Baroreflex During Exercise. Doctor of Osteopathic Medicine/Doctor of Philosophy (Biomedical Sciences), May 2000; 151 pages; 13 tables; 19 figures; bibliography; 161 titles. Carotid baroreflex (CBR) function is reset upward and rightward to the prevailing blood pressure during dynamic and static exercise. Feedforward central neural inputs (central command) and negative feedback from skeletal muscle (exercise pressor reflex) both contribute to the resetting. The purpose of this investigation was to identify the individual roles of central command and the exercise pressor reflex in the resetting of the CBR during dynamic and static exercise. First, it was necessary to determine which receptor group that comprises the exercise pressor reflex, chemically-sensitive (chemoreceptors) or mechanically-sensitive (mechanoreceptors) receptors, was primarily involved in the regulation of the cardiovascular system. We observed the cardiovascular responses during exercise to individual action of the chemoreceptors and the mechanoreceptors. We demonstrated an increased mean arterial pressure (MAP) response to mechanoreceptor activation that was not identified during chemoreceptor stimulation. This finding suggested that the mechanoreflex was the primary exercise pressor mediated of arterial blood pressure during exercise. To identify the role of central command on CBR resetting, a second investigation increased central command by partial neuromuscular blockade during dynamic and static exercise. Resetting of CBR control of heart rate (carotid-cardiac; CSP-HR) and MAP (carodtid-vasomotor; CSP-MAP) during control exercise was further reset upward and rightward by increased central command without alterations in sensitivity. In conclusion, central command, a feedforward mechanism, was actively involved in the resetting of the CBR during exercise. To investigate the role of the exercise pressor reflex on CBR function, a third investigation activated by the exercise pressor reflex with the application of medical anti-shock trousers (MAS) during dynamic and static exercise. From control exercise, carotid-vasomotor function was further reset upward and rightward by the application of MAS trousers while CSP-HR function was only reset rightward. Sensitivity of the CSP-MAP and CSP-HR function curves were unaltered. The negative feedback mechanism of exercise pressor reflex, primarily mediated by mechanoreceptors, appeared to act as a modulator of CBR resetting during exercise.Item Physical Culture Classics: Prevention and Cure of Disease by Natural Methods(E.R. Dumont, 1909-01-01) Fleming, WilliamItem Regulation of Myocardial Blood Flow and Function During Exercise in Dogs(1995-06-01) Kim, Song-Jung; Patricia A. Gwirtz; Peter B. Raven; James L. CaffreyIntroduction. Background. Coronary circulation during exercise. Coronary blood flow is regulated primarily by local metabolic mechanisms according to the oxygen and nutrient needs of the heart (2, 4, 19). The local “metabolic signal” involves vasoactive metabolites, such as adenosine, released from myocytes in direct proportion to myocardial work (Figure 1). However, other external factors are superimposed on local regulatory mechanisms and can substantially modulate coronary blood flow. One of these modulatory factors is the sympathetic nervous system. Sympathetic vasoconstriction mediated by α-adrenergic receptors in the coronary circulation has been shown to oppose metabolic vasodilation and limit oxygen supply to the myocardium during physiologic and pathophysiological cardiac stresses, such as exercise and myocardial hypoperfusion (1, 6, 7, 8, 10-14, 17, 18, 21). This limitation on myocardial oxygenation appears to impose a restriction on the increase in regional left ventricular subendocardial contractile function during submaximal exercise (7). In this regard, studies have shown that removing this α1-constrictor tone leads to an increase in coronary blood flow and, as a result, regional contractile function (8). This adrenergic coronary constriction during exercise is mediated by neutrally released norepinephrine, not by circulating catecholamines (8). Endothelial-mediated control of coronary vascular tone. Recent investigations indicate that another factor involved in modulating coronary blood flow is the vascular endothelium. The endothelium exerts an influence on vascular smooth muscle vasomotor tone by releasing an endothelium-derived relaxing factor (EDRF) or nitric oxide (NO), which is derived from the amino acid L-arginine by nitric oxide synthase (5, 22). Synthesized NO diffuses into the underlying vascular smooth muscle to activate cytosolic guanylate cyclase (GC), thereby stimulating the intracellular accumulation of cyclic GMP (cGMP). This is illustrated in Figure 2. NO is released by the stimulation of muscarinic receptors on endothelial cells by acetylcholine, as well as by other agonists or physical stimuli (e.g., shear stress) at the interface between blood and endothelial cell surface (15). During exercise, for example, the work output of the normal heart may increase several-fold by the stimulation of sympathetic nerves to heart. The increased work output of the heart increases myocardial oxygen demand. Consequently, the coronary circulation undergoes vasodilation due to local metabolic mechanisms. The elevation in shear stress caused by increases in coronary blood flow triggers release of NO from the endothelium because of the extremely pulsatile nature of the flow. Therefore, it is likely that during exercise, release of NO by shear stress and by neurohormonal stimuli, concomitant with local release of metabolites, contributes to coronary dilation. These vasodilatory influences counteract a sympathetic α-adrenergic coronary constriction, which limits the increase in coronary blood flow and cardiac performance. Accordingly, coronary vascular smooth muscle tone during exercise is modulated by the endothelium, which responds to the increased shear stress and adrenergic stimulation, which provides the major extrinsic input.Item Relationship Between Sense of Control, Obesity and Healthy Behaviors in a Primary Care Setting - North Texas Healthy Heart 1 Study(2009-08-01) Oberdorfer, Ewa; Jeffries, ShawnThe purpose of the study is to analyze if sense of control (SOC) is associated with body mass index (BMI), having a PCP, exercise behavior and a routine health check-up. Using the NTHHS' (North Texas Healthly Heart I Study) questionnaire, numerous models were run using both linear and logistical regressions to analyze the relationship between SOC, BMI, PCP, exercise behavior, and having a routine check-up as well as if PCP modifies these relationships. SOC was associated with exercise behavior but not BMI, PCP or having a routine check-up. PCP did not modify the associations. SOC can help PCP's identify individuals who engage in exercise behavior.Item Renal Hypertension Impairs Coronary Hyperemia During Exercise(2003-08-01) Williams, Maurice A.; Patricia GwirtzWilliams, Maurice A., Renal Hypertension Impairs Coronary Hyperemia During Exercise. Doctor of Philosophy (Biomedical Sciences), August, 2003, 103 pp., 2 tables, 10 illustrations, bibliography, 180 titles. High blood pressure (hypotension) is a common disease that greatly impacts cardiovascular disease and quality of life making it a high priority for early detection and treatment. Hypertension is a major risk factor for coronary artery disease, heart failure, stroke and sudden death. The incidence of hypertension is increasing as the population ages. Exercise intolerance or exertional fatigue is a common complaint of patients with hypertension. We tested the hypothesis that the acute onset of renovascular hypertension results in a sustained, elevated sympathetic adrenergic stimulation of the heart which blunts the coronary hyperemic response and reduces the cardiac contractile response to exercise. Studies were conducted in chronically instrumented dogs before and after the acute onset of renosvascular hypertension of only 2 weeks. This degree of hypertension would normally go undetected or untreated by physicians. Short-term hypertension blunted coronary blood flow at rest and during each level of submaximal exercise. Hypertensive dogs showed a significant reduction in cardiac pump function during submaximal exercise compared to the responses in the normotensive dogs. These changes were very dramatic for such a short term of a mild hypertension. These studies were designed to examine mechanisms mediating the blunted coronary hyperemic response during exercise which imposes a limit on cardiac function. The results of these experiments addressed fundamental questions regarding alterations in neurohumoral control of cardiac contractile function and the mechanisms by which neurohumoral control of the heart is altered by hypertension. These studies should also clarify the mechanistic rationale for medical therapies to treat patients with hypertension.Item Sympathetic Responses to Dynamic Arm Ergometry in Humans(2001-05-11) Wasmund, Stephen Lee; Patricia A. Gwirtz; Peter B. Raven; H. Fred DowneyWasmund, Stephen L, Sympathetic Responses to Dynamic Arm Ergometry. Doctor of Philosophy (Biomedical Sciences), May 2001; 96 pp; 1 table; 15 figures; bibliography. Cardiovascular control during exercise is of obvious importance due to the need for an increase in cardiac output and maintenance of blood pressure when metabolic demands increase. While investigations during exercise have been conducted for some time, and much is known about the responses to dynamic exercise, the understanding of the signals that elicit the cardiovascular changes, particularly as mediated by sympathetic nerve activity (SNA) is incomplete. Sympathetic nerve activity plays an important role during exercise by causing vasoconstriction in non-working vascular beds, probably causing vasoconstriction in the vascular beds of working muscles to partially counteract the profound vasodilation caused by locally produced metabolites and by stimulating the heart to increase contractility and heart rate. It is possible to directly measure electrical activity in sympathetic nerves supplying the vasculature of skeletal muscles, however few investigations have reported on this activity during strenuous dynamic exercise. The investigations described in this dissertation extend the understanding of muscle sympathetic nerve responses to dynamic exercise. The first investigation evaluated SNA during a graded arm ergometry test to near volitional fatigue and demonstrated that increases in SNA began to occur at approximately 40% of peak exercise and then increase in a linear fashion until exercise is stopped. This relation is more closely linked to relative workload rather than heart rate as previously suggested. We also sought to determine the relationship between the increase in SNA and the ventilator threshold, hypothesizing that the two would occur at similar times, and concluded that the exercise protocol utilized did not elicit a distinct breakpoint in ventilation. However, a ventilator threshold did occur in two subjects and there appeared to be an accelerated increase in SNA. The second investigation assessed the dynamics of SNA, blood pressure and heart rate responses during the onset and termination of dynamic arm ergometry at mild, moderate and intense workloads to determine the relationship between changes in sympathetic nerve activity and blood pressure. When analyzing data every 10 seconds we determined that modest increases in SNA tend to occur at the onset of exercise in most subjects, but this response did not reach significance. This finding suggests that a neural mechanism, likely central command, plays a minor role in the initial activation of SNA, although this is probably attenuated or overridden by cardiopulmonary reflex mediated sympathoinhibition as has been previously proposed. The delay (30 s) in frank sympathetic nerve activation during strenuous exercise strongly suggests that a delayed signal, probably muscle metaboreceptor stimulation, is the primary stimulus for activation of SNA. At the termination of 5 minutes of exercise SNA, blood pressure and heart rate all decreased significantly below peak values within 10 seconds. We propose that metabolites rapidly drop below a threshold level that allows SNA to decrease significantly towards baseline values. A rapid control mechanism, such as central command or mechanoreceptor stimulation, might also play an important role in returning SNA towards resting values following exercise. We conclude that SNA remains active throughout relatively strenuous dynamic exercise, and that multiple control mechanisms are likely responsible for its control during the onset and termination of exercise.Item The Acute and Chronic Effects of Beta Blockade on Dynamic Exercise Performance and Cardiac Adaptation to Dynamic Exercise Training(1998-06-01) Robbins, H. Bart; Peter B. Raven; Patricia A. Gwirtz; Robert MalletWidespread use of beta-adrenergic blocking agents as treatments for hypertension, ischemic heart disease and postmyocardial infarction has raised many questions concerning the effect of these drugs during exercise. Since exercise is often prescribed as an adjunct treatment in combination with beta blockade, the effect of these drugs on cardiac function during exercise is important to know. It is also important to ascertain if patients taking beta blockers will benefit from chronic dynamic exercise training the same way as normal subjects or if they should be viewed differently. This review of the current biomedical literature is meant to elucidate the cardiac effects, both acute and chronic, of beta-adrenoceptor blockade during dynamic exercise. The acute effects during dynamic exercise and the compensatory mechanisms in the cardiovascular system will be outlined. I will further explore if and how beta blockade significantly affects cardiac adaptation to chronic exercise training. Be reviewing the current literature I will show what is already known and will demonstrate where current knowledge is lacking and where further research is needed. There are two questions which will be addressed by this research. The first question is: “What happens to the cardiovascular system during dynamic exercise when a beta blocker is present in the system?” This question deals with the acute effects of such agents on exercise performance and cardiac function. The second question is: “What effect does beta blockade have on the cardiac adaptations to chronic dynamic exercise training?” This question examines areas of cardiac adaptation that have been postulated to be mediated by beta-adrenergic receptor stimulation (e.g. myocardial hypertrophy). I hypothesize that the acute effects of beta blockade on exercise performance are minimal, while the chronic effects on cardiac adaptation to dynamic exercise training may be significant.Item The Effect of Fitness on Cardiac Work with and without Metoprolol(2008-07-01) Hawkins, Megan Nicole; Peter Raven; Michael Smith; Robert MalletHawkins, Megan Nicole, The Effect of Fitness on Cardiac Work with and without Metoprolol. Doctor of Philosophy (Biomedical Science), July 2008; 128 pp; 3 tables; 17 figures; bibliography. Chronic endurance exercise adaptations of the cardiovascular and skeletal muscle systems. The mechanisms by which these adaptations occur, and their effect on the physiological response to exercise, have not been fully elucated. In addition, the classic concept of the role of maximal oxygen consumption (Vo2max) as a parametric index of cardiorespiratory capacity has been questioned. Therefore the purpose of the investigations presented within this dissertation was to: i)retrospectively analyze 156 incremental exercise stress tests and supramaximal exercise tests to verify that VO2 does indeed attain a maximal value; ii)evaluate the effects of cardioselective beta-adrenergic blockade on the ability to maintain cardiac work in average trained and endurance exercise trained subjects during moderate (45% VO2max) and heavy (70% Vo2max) intensity cycling exercise; and iii) determine the effect of aerobic fitness on resting and peak leg vascular conductance and the change in central blood volume observed during the onset of cycling exercise. In the first investigation we demonstrated that highly trained runners capable of maintaining supramaximal workloads achieved a VO2 that rarely exceeded the VO2max value obtained during an incremental exercise stress test. In the second investigation we demonstrated that acute β1-adrenergic receptor (βAR) inhibition reduced cardiac output, cardiac work and cardiac efficiency in endurance trained athletes during moderate and heavy intensity exercise. However, in average trained individuals these same variables were not affected during moderate exercise intensity, but were reduced at heavy intensity exercise. We concluded that βAR blockade impaired the more efficient Frank-Starling mechanism in endurance trained athletes but remained functional in average trained subjects during moderate exercise intensities. In the third investigation we demonstrated that endurance athletes responded to the onset of exercise with a larger increase in central blood volume than average trained individuals. In addition, resting and post-ischemic leg blood glow and leg vascular conductance were greater in the exercise training-induced adaptations of the skeletal muscle vasculature resulted in larger conductance capacity of the working muscle in response to increases in oxygen demand and enabled a greater increase in muscle blood flow from rest to exercise.