Cerebral perfusion, oxygenation and metabolism during exercise in young and elderly individuals

James P Fisher, Doreen Hartwich, Thomas Seifert, Niels Olesen, Clare L McNulty, Henning M Bay Nielsen, Johannes J van Lieshout, Niels H Secher

    86 Citations (Scopus)

    Abstract

    We evaluated cerebral perfusion, oxygenation, and metabolism in eleven young (age 22 ± 1 years) and nine older (age 66 ± 2 years) individuals at rest and during cycling exercise at low (25% W(max)), moderate (50% W(max)), high (75% W(ma)) and exhaustive (100% W(max)) workloads. Mean middle cerebral artery blood velocity (MCA V(mean)), mean arterial pressure (MAP), cardiac output (CO) and the partial pressure of arterial carbon dioxide (PaCO(2)) were measured. Blood samples were obtained from the right internal jugular vein and brachial artery to determine concentration differences for oxygen (O(2)), glucose and lactate across the brain. The molar ratio between the cerebral uptake of O(2) versus carbohydrate (O(2)-carbohydrate index; O(2) / [glucose + 0.5 lactate]; OCI), the cerebral metabolic rate of O(2) (CMRO(2)) and changes in mitochondrial O(2) tension (P(mito)O(2)) were calculated. W(max) was ~33% lower in the older group. Exercise increased MAP and CO in both groups (P
    Original languageEnglish
    JournalJournal of Physiology
    Volume591
    Pages (from-to)1859-1870
    ISSN0022-3751
    DOIs
    Publication statusPublished - 2013

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