Habitual aerobic exercise did not protect against microvascular (FBF ACh 116 vs 135 AUC; P=0.3) or macrovascular (FMD 4.79% vs 5.73%; P=0.3) endothelial dysfunction in postmenopausal women.
Cross-Sectional (n=53)
Does habitual aerobic exercise prevent micro- and macrovascular endothelial dysfunction in healthy estrogen-deficient postmenopausal women?
Habitual aerobic exercise does not appear to protect against age- and menopause-related micro- and macrovascular endothelial dysfunction in healthy estrogen-deficient postmenopausal women, despite improving systemic inflammatory and oxidative stress markers.
Tasa de eventos absoluta: 116% vs 135%
valor p: p=0.3
Aging causes micro- and macrovascular endothelial dysfunction, as assessed by endothelium-dependent dilation (EDD), which can be prevented and reversed by habitual aerobic exercise (AE) in men. However, in estrogen-deficient postmenopausal women, whole forearm microvascular EDD has not been studied, and a beneficial effect of AE on macrovascular EDD has not been consistently shown. We assessed forearm blood flow in response to brachial artery infusions of acetylcholine (FBF ACh ), a measure of whole forearm microvascular EDD, and brachial artery flow-mediated dilation (FMD), a measure of macrovascular EDD, in 12 premenopausal sedentary women (Pre-S; 24 ± 1 yr; V̇o 2max = 37.5 ± 1.6 ml·kg −1 ·min −1 ), 25 estrogen-deficient postmenopausal sedentary women (Post-S; 62 ± 1 yr; V̇o 2max = 24.7 ± 0.9 ml·kg −1 ·min −1 ), and 16 estrogen-deficient postmenopausal AE-trained women (Post-AE; 59 ± 1 yr; V̇o 2max = 40.4 ± 1.4 ml·kg −1 ·min −1 ). FBF ACh was lower in Post-S and Post-AE compared with Pre-S women (135 ± 9 and 116 ± 17 vs. 193 ± 21 AUC, respectively, both P < 0.008), whereas Post-S and Post-AE women were not different ( P = 0.3). Brachial artery FMD was 34% (5.73 ± 0.67%) and 45% (4.79 ± 0.57%) lower in Post-S and Post-AE, respectively, vs. Pre-S women (8.69 ± 0.95%, both P ≤ 0.01), but not different between Post-S and Post-AE women ( P = 0.3). Post-AE women had lower circulating C-reactive protein and oxidized low-density lipoprotein compared with Post-S women (0.5 ± 0.1 vs. 1.1 ± 0.2 mg/l and 40 ± 4 vs. 55 ± 3 U/l, respectively, both P = 0.01), but these markers were not correlated to FBF ACh ( P = 0.3) or brachial artery FMD ( P = 0.8). These findings are consistent with the idea that habitual AE does not protect against age/menopause-related whole forearm micro- and macrovascular endothelial dysfunction in healthy nonobese estrogen-deficient postmenopausal women, despite being associated with lower systemic markers of inflammation and oxidative stress. NEW & NOTEWORTHY This is the first study to demonstrate that habitual aerobic exercise may not protect against age/menopause-related whole forearm microvascular endothelial dysfunction in healthy nonobese estrogen-deficient postmenopausal women, consistent with recent findings regarding macrovascular endothelial function. This is in contrast to what is observed in healthy middle-aged and older aerobic exercise-trained men.
Santos‐Parker et al. (Mon,) conducted a cross-sectional in Endothelial dysfunction in estrogen-deficient postmenopausal women (n=53). Habitual aerobic exercise vs. Sedentary lifestyle was evaluated on Whole forearm microvascular endothelium-dependent dilation (FBF ACh AUC) (p=0.3). Habitual aerobic exercise did not protect against microvascular (FBF ACh 116 vs 135 AUC; P=0.3) or macrovascular (FMD 4.79% vs 5.73%; P=0.3) endothelial dysfunction in postmenopausal women.