Study2016

Blunted increases in skin sympathetic nerve activity are related to attenuated reflex vasodilation in aged human skin

Stanhewicz AE, Greaney JL, Alexander LM, Kenney WL

Journal of applied physiology (Bethesda, Md. : 1985) · 22 citations

How it was studied

Design
Controlled clinical trial (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Nonprofit
American College of Sports Medicine
Government
National Heart, Lung, and Blood Institute
Government
NHLBI NIH HHS
Grants
National Heart, Lung, and Blood Institute (R01-HL093238)

Based on 3 listed funder(s).

Publication

Published
2016-10-27 · J Appl Physiol (1985) · vol. 121 · issue 6 · pp. 1354–1362
Publisher
American Physiological Society
Cited
23 citations · more than 84% of similar papers · 1.7× the field average
References
67 works
Access
Open access (repository copy)
Research areas
Thermoregulation and physiological responses · Climate Change and Health Impacts · Infrared Thermography in Medicine
Keywords
Reflex, Vasodilation, Medicine, Sympathetic nerve, Anesthesia, Sympathetic nervous system, Human skin, Sympathetic activity, Microneurography, Internal medicine, Baroreflex, Blood pressure, Heart rate, Biology
MeSH
sympathetic nervous system, skin, humans, fever, laser-doppler flowmetry, reflex, body temperature, body temperature regulation, aging, vasodilation, adult, aged, female, male, young adult, arterial pressure

4 authors

From US

  • Anna E. Stanhewicz · correspondingPennsylvania State University
  • Jody L. GreaneyPennsylvania State University
  • Lacy M. AlexanderPennsylvania State University
  • W. Larry KenneyPennsylvania State University

Abstract

Reflex cutaneous vasodilation in response to passive heating is attenuated in human aging. This diminished response is mediated, in part, by age-associated reductions in endothelial function; however, the contribution of altered skin sympathetic nervous system activity (SSNA) is unknown. We hypothesized that 1) healthy older adults would demonstrate blunted SSNA responses to increased core temperature compared with young adults and 2) the decreased SSNA response would be associated with attenuated cutaneous vasodilation. Reflex vasodilation was elicited in 13 young [23 ± 1 (SE) yr] and 13 older (67 ± 2 yr) adults using a water-perfused suit to elevate esophageal temperature by 1.0°C. SSNA (peroneal microneurography) and red cell flux (laser Doppler flowmetry) in the innervated dermatome (the dorsum of foot) were continuously measured. SSNA was normalized to, and expressed as, a percentage of baseline. Cutaneous vascular conductance (CVC) was calculated as flux/mean arterial pressure and expressed as a percentage of maximal CVC (local heating, 43°C). Reflex vasodilation was attenuated in older adults (P 2 = 0.87 ± 0.02, P 2 = 0.76 ± 0.05, P < 0.01) adults; however, slope of the linear regression between ΔSSNA and ΔCVC was reduced in older compared with young (older: 0.05 ± 0.01 vs. young: 0.08 ± 0.01; P < 0.05). These data demonstrate that age-related impairments in reflex cutaneous vasodilation are mediated, in part, by blunted efferent SSNA during hyperthermia.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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