NeuroImage (Dec 2024)

Cerebral blood flow and arterial transit time responses to exercise training in older adults

  • Jack Feron,
  • Foyzul Rahman,
  • Sindre H Fosstveit,
  • Kelsey E Joyce,
  • Ahmed Gilani,
  • Hilde Lohne-Seiler,
  • Sveinung Berntsen,
  • Karen J Mullinger,
  • Katrien Segaert,
  • Samuel J E Lucas

Journal volume & issue
Vol. 303
p. 120919

Abstract

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Brain vascular health worsens with age, as is made evident by resting grey matter cerebral blood flow (CBFGM) reductions and lengthening arterial transit time (ATTGM). Exercise training can improve aspects of brain health in older adults, yet its effects on CBFGM and ATTGM remain unclear. This randomised controlled trial assessed responses of CBFGM and ATTGM to a 26 week exercise intervention in 65 healthy older adults (control: n = 33, exercise: n = 32, aged 60–81 years), including whether changes in CBFGM or ATTGM were associated with changes in cognitive functions. Multiple-delay pseudo-continuous arterial spin labelling data were used to estimate resting global and regional CBFGM and ATTGM. Results showed no between-group differences in CBFGM or ATTGM following the intervention. However, exercise participants with the greatest cardiorespiratory gains (n = 17; ∆V̇O2peak >2 mL/kg/min) experienced global CBFGM reductions (-4.0 [-7.3, -0.8] mL/100 g/min). Cognitive functions did not change in either group and changes were not associated with changes in CBFGM or ATTGM. Our findings indicate that exercise training in older adults may induce global CBFGM reductions when high cardiorespiratory fitness gains are induced, but this does not appear to affect cognitive functions.

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