The Impact of Fitness Status on Vascular and Baroreceptor Function in Healthy Women and Men

J Vasc Res. 2022;59(1):16-23. doi: 10.1159/000518985. Epub 2021 Sep 27.

Abstract

Background: Chronic endurance exercise training elicits desirable physiological adaptations in the cardiovascular system. The volume of exercise training required to generate healthy adaptations is unclear. This study assessed the effects of differing exercise training levels on arterial stiffness, compliance, and autonomic function.

Methods: Eighty healthy adults (38.5 ± 9.7 years; 44% female) defined as endurance-trained (ET, n = 29), normally active (NA, n = 27), or inactive (IN, n = 24) participated. Cardiovascular markers, including hemodynamics, large arterial compliance and small arterial compliance (LAC and SAC), carotid-femoral pulse wave velocity (PWV), and spontaneous baroreceptor sensitivity (BRS) were assessed.

Results: ET showed significantly greater LAC values (21.4 ± 6.5) than NA (16.9 ± 2.5; p = 0.002) and IN (14.7 ± 3.2 mL × mm Hg × 10; p = 0.028). Values for SAC and BRS were significantly higher in ET than IN (p < 0.001 and p = 0.028, respectively), but not NA. Compared to IN, PWV values for ET and NA were significantly lower (p < 0.003). After adjusting for covariates (age, sex, and SBP), significant associations with cardiovascular fitness status were noted for all markers but BRS.

Conclusion: Endurance exercise increases LAC likely due to high-volume training; however, lower volumes of physical activity may be sufficient to positively benefit vascular health overall.

Keywords: Arterial compliance; Arterial stiffness; Baroreceptor sensitivity; Endurance training; Physical activity; Pulse wave velocity.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Physiological
  • Adult
  • Arteries / physiology*
  • Baroreflex*
  • Blood Pressure
  • Cardiorespiratory Fitness*
  • Cross-Sectional Studies
  • Exercise
  • Female
  • Healthy Volunteers
  • Heart Rate
  • Hemodynamics*
  • Humans
  • Male
  • Middle Aged
  • Physical Endurance
  • Sex Factors
  • Vascular Stiffness*
  • Young Adult