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September 19, 2017Open Access

Diminished dynamic cerebral autoregulatory capacity with forced oscillations in mean arterial pressure with elevated cardiorespiratory fitness

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Key result

Elevated cardiorespiratory fitness in endurance athletes was associated with a delayed onset of cerebral autoregulation after sit-to-stand (3.1 vs 1.5 seconds, p=0.03) compared to controls.

Why the study?

Does elevated cardiorespiratory fitness alter dynamic cerebral autoregulatory capacity during changes in mean arterial pressure in healthy males?

Population

27 healthy males, comprising 19 endurance-trained athletes and 8 inactive/moderately active controls.

Comparison

Elevated cardiorespiratory fitness vs Inactive/moderately active lifestyle (controls)

Design

Cross-sectional

Authors

LLLawrence LabrecqueInstitut Universitaire de Cardiologie et de Pneumologie de QuébecKRKevan RahimalyInstitut Universitaire de Cardiologie et de Pneumologie de QuébecSISarah ImhoffInstitut Universitaire de Cardiologie et de Pneumologie de Québec

Discussion

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Member takes

Overview

Suggests potential orthostatic vulnerability in athletes; leaves open clinical relevance and need for prospective studies.

Study Design

Type

Cross-Sectional (n=27)

Multicenter

No

Structured PICO

Does elevated cardiorespiratory fitness alter dynamic cerebral autoregulatory capacity during changes in mean arterial pressure in healthy males?

P
Population
27 healthy males, comprising 19 endurance athletes and 8 moderately active controls, evaluated for dynamic cerebral autoregulatory capacity.
E
Exposure
Elevated cardiorespiratory fitness (endurance training)
C
Comparator
Inactive/moderately active lifestyle (controls)
O
Outcome
Dynamic cerebral autoregulatory capacity measured via onset of regulation, rate of regulation after transient hypotension induced by sit-to-stand, and transfer function analysis (TFA) of MAP and MCAv responses during spontaneous and forced oscillationssurrogate

Main Result

Absolute Event Rate: 3.1% vs 1.5%

p-value: p=0.03

Elevated cardiorespiratory fitness is associated with an attenuated capability of the cerebral vasculature to counter rapid and large changes in mean arterial pressure, despite an intact response to spontaneous oscillations.

Limitations

  • Small sample size
  • Only male participants included

Cite This Study

Labrecque et al. (2017) conducted a cross-sectional in Healthy (elevated cardiorespiratory fitness) (n=27). Elevated cardiorespiratory fitness (Endurance training) vs. Inactive/moderately active controls was evaluated on Time delay before onset of regulation after sit-to-stand (seconds) (p=0.03). Elevated cardiorespiratory fitness in endurance athletes was associated with a delayed onset of cerebral autoregulation after sit-to-stand (3.1 vs 1.5 seconds, p=0.03) compared to controls.

synapsesocial.com/papers/6a732ae59ac491c14dc3f7bchttps://doi.org/10.1101/190405
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Diminished dynamic cerebral autoregulatory capacity with forced oscillations in mean arterial pressure with elevated cardiorespiratory fitness2017 · 74 citations
  2. 2Elevated Cardiorespiratory Fitness is Associated with Blunted Cerebral Pressure‐Flow Relationships2017
  3. 3Cerebral autoregulation dynamics in endurance-trained individuals2011 · 67 citations
  4. 4Multi-metrics assessment of dynamic cerebral autoregulation in middle and posterior cerebral arteries in young fit women2020 · 1 citations
  5. 5The acute effect of maximal sprint exercise on dynamic cerebral autoregulation in healthy young adults.2025