Impact of acute dynamic exercise on radial artery low-flow mediated constriction in humans

Eur J Appl Physiol. 2018 Jul;118(7):1463-1472. doi: 10.1007/s00421-018-3876-1. Epub 2018 May 10.

Abstract

Purpose: A "low-flow mediated constriction" (L-FMC) is evoked in the radial artery by the inflation of an ipsilateral wrist cuff to a supra-systolic pressure. We sought to test the hypothesis that the radial artery L-FMC response is augmented immediately following acute dynamic leg exercise in young healthy individuals.

Methods: Ten healthy and recreationally active men (23 ± 4 years) undertook a 30-min trial of incremental dynamic leg cycling exercise (10 min at 50, 100 and 150 W) and a 30-min time control trial (seated rest). Trials were randomly assigned and performed on separate days. Radial artery characteristics (diameter, blood flow and shear rate) were assessed throughout each trial, with L-FMC and flow-mediated vasodilatation (FMD) assessments conducted prior to and immediately following (10 min) trials.

Results: Dynamic leg cycling exercise increased radial artery blood flow, along with mean, retrograde and anterograde shear rate (P < 0.05). Blood flow profiles were unchanged during the time control trial (P > 0.05). Following exercise L-FMC was increased (mean [SD]; - 5.6 [3.3] vs. - 10.1 [3.8] %, P < 0.05), while it was not different in the time control condition (- 8.1 [3.2] vs. - 6.7 [3.4] %, P > 0.05). FMD was not different following either the exercise or time control trials (P > 0.05), but the composite end-point of L-FMC + FMD was enhanced post-exercise (P < 0.05).

Conclusions: Dynamic exercise with a large muscle mass acutely augments the vasoconstrictor response of the radial artery in response to a reduction in blood flow (L-FMC) in young healthy individuals. The time course of this post-exercise response and the underlying vasoregulatory mechanisms require elucidation.

Keywords: Leg cycling; Low-flow mediated constriction; Vascular function.

MeSH terms

  • Adult
  • Exercise*
  • Humans
  • Leg / blood supply
  • Leg / physiology
  • Male
  • Radial Artery / physiology*
  • Regional Blood Flow*
  • Vasoconstriction*