Evidence of a limb- and shear stress stimulus profile-dependent impact of high-intensity cycling training on flow-mediated dilation

Appl Physiol Nutr Metab. 2020 Feb;45(2):135-145. doi: 10.1139/apnm-2019-0151. Epub 2019 Jun 28.

Abstract

Lower limb endurance training can improve conduit artery flow-mediated dilation (FMD) in response to transient increases in shear stress (reactive hyperemia; RH-FMD) in both the upper and lower limbs. Sustained increases in shear stress recruit a partially distinct transduction pathway and elicit a physiologically relevant FMD response (SS-FMD) that provides distinct information regarding endothelial function. However, the impact of training on SS-FMD is not well understood. The purpose of this study was to determine the impact of cycling training on handgrip exercise-induced brachial artery (BA) FMD (BA SS-FMD) and calf plantar-flexion-induced superficial femoral artery (SFA) FMD (SFA SS-FMD). RH-FMD was also assessed in both arteries. Twenty-eight young males were randomized to control (n = 12) or training (n = 16) groups. The training group cycled 30 min/day, 3 days/week for 4 weeks at 80% heart rate reserve. FMD was assessed in the BA and SFA before and after the intervention via Duplex ultrasound. Results are means ± SD. Training did not impact SS-FMD in either artery, and SFA RH-FMD was also unchanged (p > 0.05). When controlling for the shear rate stimulus via covariate analysis, BA RH-FMD improved in the training group (p = 0.05) (control - pre-intervention: 5.7% ± 2.4%, post-intervention: 5.3% ± 2.4%; training - pre-intervention: 5.4% ± 2.5%, post-intervention: 7.2% ± 2.4%). Thus, endurance training resulted in nonuniform adaptations to endothelial function, with an isolated impact on the BA's ability to transduce a transient increase in shear stress. Novelty Training did not alter SS-FMD in the arm or leg. RH-FMD was augmented in the arm only. Thus training adaptations were limb- and shear stress profile-specific.

Keywords: artère brachiale; artère fémorale superficielle; brachial artery; calf plantar-flexion; cycling; cyclisme; différences entre les membres; endothelial function; endurance training; entraînement en endurance; exercice; exercice de préhension manuelle; exercise; flexion plantaire; fonction endothéliale; handgrip exercise; hyperémie réactive; limb differences; reactive hyperemia; superficial femoral artery.

MeSH terms

  • Adaptation, Physiological
  • Bicycling*
  • Blood Flow Velocity / physiology
  • Endothelium, Vascular / physiology*
  • Exercise / physiology
  • Humans
  • Male
  • Regional Blood Flow / physiology
  • Stress, Mechanical
  • Stress, Physiological*
  • Vasodilation / physiology