Abstract
Background
Age-related differences concerning cardiorespiratory responses and myocardial function during exercise have not been extensively investigated in healthy populations.
Aims
To compare cardiorespiratory performance and myocardial function during maximal exercise in healthy/unmedicated men (older, n = 24, 63–75 years; young, n = 22, 19–25 years) and women (older, n = 18, age = 63–74 years; young, n = 23, 19–25 years).
Methods
Oxygen uptake (VO2), ventilation minute (V E), heart rate (HR), stroke volume (SV), cardiac output (Q), O2 pulse (O2p), preejection period (PEP), and left ventricular ejection time (LVET) were assessed during cycle incremental exercise.
Results
HR and SV remained equivalent between age groups until 75 and 50% peak workload, respectively. Q increased by 2.5 and 4.5 times in older and young groups, respectively. However, Q/VO2 ratio was always similar across age and sex groups (∼0.50). The energetic efficiency ratio (W/VO2) was also alike in older and young men, but slightly lower in women. At maximal exercise, cardiorespiratory responses were lower in older than young men and women: VO2 (−40 to 50%), V E (−35 to 37%), HR (−23%), SV (−26 to 29%), Q (−43 to 45%), and O2p (−15 to 20%). Cardiac and SV indices were lower in older than young groups by approximately 42 and 25%, respectively. LVET was longer in the older individuals, while PEP was similar across age groups. Hence, PEP/LVET was lowered among older vs. young men and women.
Conclusion
Submaximal work capacity was preserved in healthy and unmedicated older individuals. Age-related lessening of maximal performance in both sexes was due to poor chronotropic and, particularly, inotropic properties of the heart.
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Acknowledgements
We thank Dr. Jacques H.P. Vanfraechem from the Free University of Brussels for the precious support during data collection and analysis. This study was supported by grants from the ‘Carlos Chagas Foundation for the Research Support at the State of Rio de Janeiro’ (FAPERJ) and ‘Brazilian Council for Technological and Research Development’ (CNPq).
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Farinatti, P., Monteiro, W., Oliveira, R. et al. Cardiorespiratory responses and myocardial function within incremental exercise in healthy unmedicated older vs. young men and women. Aging Clin Exp Res 30, 341–349 (2018). https://doi.org/10.1007/s40520-017-0776-x
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DOI: https://doi.org/10.1007/s40520-017-0776-x