Effects of a 6-mo endurance-training program on venous compliance and maximal lower body negative pressure in older men and women

2005 ◽  
Vol 99 (3) ◽  
pp. 1070-1077 ◽  
Author(s):  
Juliane P. Hernandez ◽  
Warren D. Franke

Aging and chronic exercise training influence leg venous compliance. Venous compliance affects responses to an orthostatic stress. The extent to which exercise training in a previously sedentary older population will affect venous compliance and tolerance to the simulated orthostatic stress of maximal lower body negative pressure (LBNP) is unknown. The purpose of this investigation is to determine the influence of a 6-mo endurance-training program on calf venous compliance and responses and tolerance to maximal LBNP in older men and women. Twenty participants (exercise group: n = 10, 5 men, 5 women; control group: n = 10, 6 men, 4 women; all >60 yr) underwent graded LBNP to presyncope or 4 min at −100 mmHg before and after a 6-mo endurance-training program. Utilizing venous occlusion plethysmography, calf venous compliance was determined in both groups using the first derivative of the pressure-volume relation during cuff pressure reduction before training, at 3 mo, and at the end of the training program. The exercise group improved their fitness with the 6-mo endurance-training program, whereas the control group did not change (14 ± 3 vs. <1 ± 2%; P < 0.05). LBNP tolerance did not differ between groups or across trials ( P = 0.47). Venous compliance was not different between groups or trials, either initially or after 3 mo of endurance training, but tended to be greater in the exercise group after 6 mo of training ( P = 0.08). These data suggest that a 6-mo endurance-training program may improve venous compliance without affecting tolerance to maximal LBNP in older participants.

2005 ◽  
Vol 90 (2) ◽  
pp. 707-711 ◽  
Author(s):  
Rula Goussous ◽  
Lingyi Song ◽  
Gerard E. Dallal ◽  
Bess Dawson-Hughes

This study was conducted to examine the effect of calcium intake on the rise in serum 25-hydroxyvitamin D [25(OH)D] levels in response to supplemental vitamin D3. Fifty-two healthy older men and women were randomly assigned to take calcium (500 mg twice daily with meals) or placebo tablets for 90 d between October 1 and the end of March. All participants were placed on 800 IU/d (20 μg/d) vitamin D3. Serum 25(OH)D measurements were made at baseline and on d 30, 60, and 90. The mean baseline 25(OH)D values were 19.2 ± 6.4 ng/ml (47.9 ± 15.9 nmol/liter) in the calcium group and 19.6 ± 6.7 ng/ml (49.1 ± 16.7 nmol/liter) in the control group (P = 0.808). The difference in pattern of change in 25(OH)D was not statistically significant (group by time interaction, P = 0.651); the calcium group increased 6.5 ± 5.9 ng/ml (16.2 ± 14.8 nmol/liter; P &lt; 0.001), and the control group increased 6.6 ± 7.0 ng/ml (16.6 ± 17.4 nmol/liter; P &lt; 0.001). The 95% confidence interval for difference in mean increase, calcium vs. control, was −3.8 ± 3.5 ng/ml (−9.6, 8.7) nmol/liter. In older men and women, the level of calcium intake, within the range of 500-1500 mg/d, does not have an important effect on the rise in serum 25(OH)D that occurs in response to 800 IU (20 μg)/d vitamin D3.


1997 ◽  
Vol 52A (3) ◽  
pp. M149-M154 ◽  
Author(s):  
M. V. Vitiello ◽  
C. W. Wilkinson ◽  
G. R. Merriam ◽  
K. E. Moe ◽  
P. N. Prinz ◽  
...  

1994 ◽  
Vol 8 ◽  
pp. 47
Author(s):  
W.L. Chandler ◽  
R.S. Schwartz ◽  
J.R. Stratton ◽  
M.V. Vitiello

2004 ◽  
Vol 97 (3) ◽  
pp. 925-929 ◽  
Author(s):  
J. P. Hernandez ◽  
W. D. Franke

Aging and chronic exercise training influence leg venous compliance. Venous compliance affects responses to an orthostatic stress; its effect on tolerance to maximal lower body negative pressure (LBNP) in the elderly is unknown. The purpose of this study was to determine the influence of age and fitness, a surrogate measure of exercise training, on calf venous compliance and tolerance to maximal LBNP in men and women. Forty participants, 10 young fit (YF; age = 22.6 ± 0.5 yr, peak oxygen uptake = 57.1 ± 2.0 ml·kg−1·min−1), 10 young unfit (YU; 23.1 ± 1.0 yr, 41.1 ± 2.0 ml·kg−1·min−1), 10 older fit (OF; 73.9 ± 2.0 yr, 39.0 ± 2.0 ml·kg−1·min−1), and 10 older unfit (OU; 70.9 ± 1.6 yr, 27.1 ± 2.0 ml·kg−1·min−1), underwent graded LBNP to presyncope or 4 min at −100 mmHg. By utilizing venous occlusion plethysmography, calf venous compliance was determined by using the first derivative of the pressure-volume relation during cuff pressure reduction. We found that the more fit groups had greater venous compliance than their unfit peers ( P < 0.05) as did the young groups compared with their older peers ( P < 0.05) such that OU < YU = OF < YF. LBNP tolerance did not differ between groups. In conclusion, these data suggest that aging reduces, and chronic exercise increases, venous compliance. However, these data do not support a significant influence of venous compliance on LBNP tolerance.


Author(s):  
Benoît Verdon

Since the 1950s, the growing interest of clinicians in using projective tests to study normal or pathological aging processes has led to the creation of several thematic tests for older adults. This development reflects their authors’ belief that the TAT is not suitable to the concerns and anxieties of elderly persons. The new material thus refers explicitly to situations related to age; it aims to enable older persons to express needs they cannot verbalize during consultations. The psychodynamic approach to thematic testing is based on the differentiation between the pictures’ manifest and latent content, eliciting responses linked to mental processes and issues the respondent is unaware of. The cards do not necessarily have to show aging characters to elicit identification: The situations shown in the pictures are linked to loss, rivalry, helplessness, and renunciation, all issues elderly respondents can identify with and that lead them to express their mental fragilities and resources. The article first explains the principles underlying four of these thematic tests, then develops several examples of stories told for card 3BM of the TAT, thus showing the effectiveness of this tool for the understanding and differentiation of loss-related issues facing older men and women.


Sign in / Sign up

Export Citation Format

Share Document