Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Age and cardiorespiratory fitness are associated with arterial stiffening and left ventricular remodelling

Abstract

Arterial stiffening, hypertension and left ventricular (LV) remodelling are associated with increased risk of cardiovascular disease. Cardiorespiratory fitness is associated with cardiovascular function and reduced risk of cardiovascular disease. This cross-sectional study was carried out to determine the relationships between cardiorespiratory fitness, arterial stiffness, blood pressure (BP) and LV remodelling in women. On the basis of peak oxygen uptake, a total of 159 premenopausal (young) and postmenopausal (older) women were categorized into either low (unfit) or high (fit) cardiorespiratory fitness groups. The arterial stiffness and LV remodelling were measured by brachial-ankle pulse wave velocity (baPWV) and carotid augmentation index (AI) and LV relative wall thickness (RWT). Two-way analysis of variance indicated a significant interaction between age and cardiorespiratory fitness in baPWV, carotid AI, BP and RWT. In the older group, arterial stiffness (baPWV; 1401±231 vs 1250±125 cm s–1, P<0.01, AI; 32.9±9.9 vs 24.8±10.1%, P<0.01), systolic blood pressure (SBP) (130±22 vs 117±15 mm Hg, P<0.01) and RWT (0.47±0.08 vs 0.42±0.04, P<0.05) in fit women were lower than in unfit women. In older women, RWT was significantly related to baPWV (r=0.46, P<0.01), carotid AI (r=0.29, P<0.05), SBP (r=0.57, P<0.01) 2peak (r=−0.32, P<0.05). In young women, they were not significant correlations, except for a weak correlation between RWT and SBP (r=0.21, P<0.05). These results suggest that higher cardiorespiratory fitness is associated with lower arterial stiffness, BP and RWT in older women.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. Lakatta EG, Levy D . Arterial and cardiac aging: major shareholders in cardiovascular disease enterprises: Part I: aging arteries: a ‘set up’ for vascular disease. Circulation 2003; 107: 139–146.

    Article  Google Scholar 

  2. Yambe M, Tomiyama H, Yamada J, Koji Y, Motobe K, Shiina K et al. Arterial stiffness and progression to hypertension in Japanese male subjects with high normal blood pressure. J Hypertens 2007; 25: 87–93.

    Article  CAS  Google Scholar 

  3. Shokawa T, Imazu M, Yamamoto H, Toyofuku M, Tasaki N, Okimoto T et al. Pulse wave velocity predicts cardiovascular mortality: findings from the Hawaii-Los Angeles-Hiroshima study. Circ J 2005; 69: 259–264.

    Article  Google Scholar 

  4. Ganau A, Saba PS, Roman MJ, de Simone G, Realdi G, Devereux RB . Ageing induces left ventricular concentric remodelling in normotensive subjects. J Hypertens 1995; 13: 1818–1822.

    Article  CAS  Google Scholar 

  5. Li L, Shigematsu Y, Hamada M, Hiwada K . Relative wall thickness is an independent predictor of left ventricular systolic and diastolic dysfunctions in essential hypertension. Hypertens Res 2001; 24: 493–499.

    Article  Google Scholar 

  6. Milani RV, Lavie CJ, Mehra MR, Ventura HO, Kurtz JD, Messerli FH . Left ventricular geometry and survival in patients with normal left ventricular ejection fraction. Am J Cardiol 2006; 97: 959–963.

    Article  Google Scholar 

  7. van der Schouw YT, van der Graaf Y, Steyerberg EW, Eijkemans JC, Banga JD . Age at menopause as a risk factor for cardiovascular mortality. Lancet 1996; 347: 714–718.

    Article  CAS  Google Scholar 

  8. Hinderliter AL, Sherwood A, Blumenthal JA, Light KC, Girdler SS, McFetridge J et al. Changes in hemodynamics and left ventricular structure after menopause. Am J Cardiol 2002; 89: 830–833.

    Article  Google Scholar 

  9. Church TS, LaMonte MJ, Barlow CE, Blair SN . Cardiorespiratory fitness and body mass index as predictors of cardiovascular disease mortality among men with diabetes. Arch Intern Med 2005; 165: 2114–2120.

    Article  CAS  Google Scholar 

  10. Barlow CE, LaMonte MJ, Fitzgerald SJ, Kampert JB, Perrin JL, Blair SN . Cardiorespiratory fitness is an independent predictor of hypertension incidence among initially normotensive healthy women. Am J Epidemiol 2006; 163: 142–150.

    Article  Google Scholar 

  11. Vaitkevicius PV, Fleg JL, Engel JH, O’Connor FC, Wright JG, Lakatta LE et al. Effects of age and aerobic capacity on arterial stiffness in healthy adults. Circulation 1993; 88: 1456–1462.

    Article  CAS  Google Scholar 

  12. Tanaka H, Dinenno FA, Monahan KD, Clevenger CM, DeSouza CA, Seals DR . Aging, habitual exercise, and dynamic arterial compliance. Circulation 2000; 102: 1270–1275.

    Article  CAS  Google Scholar 

  13. Tanaka H, DeSouza CA, Seals DR . Absence of age-related increase in central arterial stiffness in physically active women. Arterioscler Thromb Vasc Biol 1998; 18: 127–132.

    Article  CAS  Google Scholar 

  14. Miyachi M, Kawano H, Sugawara J, Takahashi K, Hayashi K, Yamazaki K et al. Unfavorable effects of resistance training on central arterial compliance: a randomized intervention study. Circulation 2004; 110: 2858–2863.

    Article  Google Scholar 

  15. Ishikawa-Takata K, Tabata I . Exercise and Physical Activity Reference for Health Promotion 2006 (EPAR2006). J Epidemiol 2007; 17: 177.

    Article  Google Scholar 

  16. Asmar R, Benetos A, Topouchian J, Laurent P, Pannier B, Brisac AM et al. Assessment of arterial distensibility by automatic pulse wave velocity measurement. Validation and clinical application studies. Hypertension 1995; 26: 485–490.

    Article  CAS  Google Scholar 

  17. Laurent S, Katsahian S, Fassot C, Tropeano AI, Gautier I, Laloux B et al. Aortic stiffness is an independent predictor of fatal stroke in essential hypertension. Stroke 2003; 34: 1203–1206.

    Article  Google Scholar 

  18. Yamashina A, Tomiyama H, Takeda K, Tsuda H, Arai T, Hirose K et al. Validity, reproducibility, and clinical significance of noninvasive brachial-ankle pulse wave velocity measurement. Hypertens Res 2002; 25: 359–364.

    Article  Google Scholar 

  19. Kelly R, Hayward C, Avolio A, O’Rourke M . Noninvasive determination of age-related changes in the human arterial pulse. Circulation 1989; 80: 1652–1659.

    Article  CAS  Google Scholar 

  20. London GM, Blacher J, Pannier B, Guerin AP, Marchais SJ, Safar ME . Arterial wave reflections and survival in end-stage renal failure. Hypertension 2001; 38: 434–438.

    Article  CAS  Google Scholar 

  21. Sahn DJ, DeMaria A, Kisslo J, Weyman A . Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements. Circulation 1978; 58: 1072–1083.

    Article  CAS  Google Scholar 

  22. Devereux RB, Alonso DR, Lutas EM, Gottlieb GJ, Campo E, Sachs I et al. Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings. Am J Cardiol 1986; 57: 450–458.

    Article  CAS  Google Scholar 

  23. Koren MJ, Devereux RB, Casale PN, Savage DD, Laragh JH . Relation of left ventricular mass and geometry to morbidity and mortality in uncomplicated essential hypertension. Ann Intern Med 1991; 114: 345–352.

    Article  CAS  Google Scholar 

  24. Borg GA . Psychophysical bases of perceived exertion. Med Sci Sports Exerc 1982; 14: 377–381.

    CAS  Google Scholar 

  25. Ganau A, Devereux RB, Roman MJ, de Simone G, Pickering TG, Saba PS et al. Patterns of left ventricular hypertrophy and geometric remodeling in essential hypertension. J Am Coll Cardiol 1992; 19: 1550–1558.

    Article  CAS  Google Scholar 

  26. Matsuda M, Nosaka T, Sato M, Ohshima N . Effects of physical exercise on the elasticity and elastic components of the rat aorta. Eur J Appl Physiol Occup Physiol 1993; 66: 122–126.

    Article  CAS  Google Scholar 

  27. Vaitkevicius PV, Lane M, Spurgeon H, Ingram DK, Roth GS, Egan JJ et al. A cross-link breaker has sustained effects on arterial and ventricular properties in older rhesus monkeys. Proc Natl Acad Sci USA 2001; 98: 1171–1175.

    Article  CAS  Google Scholar 

  28. Kasikcioglu E, Oflaz H, Kasikcioglu HA, Kayserilioglu A, Umman S, Meric M . Endothelial flow-mediated dilatation and exercise capacity in highly trained endurance athletes. Tohoku J Exp Med 2005; 205: 45–51.

    Article  Google Scholar 

  29. Maron BJ . Structural features of the athlete heart as defined by echocardiography. J Am Coll Cardiol 1986; 7: 190–203.

    Article  CAS  Google Scholar 

  30. Gates PE, Tanaka H, Graves J, Seals DR . Left ventricular structure and diastolic function with human ageing. Relation to habitual exercise and arterial stiffness. Eur Heart J 2003; 24: 2213–2220.

    Article  Google Scholar 

  31. Sharma S . Athlete's heart—effect of age, sex, ethnicity and sporting discipline. Exp Physiol 2003; 88: 665–669.

    Article  Google Scholar 

  32. Morgan HE, Baker KM . Cardiac hypertrophy. Mechanical, neural, and endocrine dependence. Circulation 1991; 83: 13–25.

    Article  CAS  Google Scholar 

  33. Schillaci G, Mannarino MR, Pucci G, Pirro M, Helou J, Savarese G et al. Age-specific relationship of aortic pulse wave velocity with left ventricular geometry and function in hypertension. Hypertension 2007; 49: 317–321.

    Article  CAS  Google Scholar 

  34. Seals DR, Monahan KD, Bell C, Tanaka H, Jones PP . The aging cardiovascular system: changes in autonomic function at rest and in response to exercise. Int J Sport Nutr Exerc Metab 2001; 11: S189–S195.

    Article  Google Scholar 

  35. Thomas DP, McCormick RJ, Zimmerman SD, Vadlamudi RK, Gosselin LE . Aging- and training-induced alterations in collagen characteristics of rat left ventricle and papillary muscle. Am J Physiol 1992; 263: H778–H783.

    CAS  PubMed  Google Scholar 

  36. Wisloff U, Loennechen JP, Currie S, Smith GL, Ellingsen O . Aerobic exercise reduces cardiomyocyte hypertrophy and increases contractility, Ca2+ sensitivity and SERCA-2 in rat after myocardial infarction. Cardiovasc Res 2002; 54: 162–174.

    Article  CAS  Google Scholar 

  37. Blair SN, Kohl III HW, Paffenbarger Jr RS, Clark DG, Cooper KH, Gibbons LW . Physical fitness and all-cause mortality. A prospective study of healthy men and women. JAMA 1989; 262: 2395–2401.

    Article  CAS  Google Scholar 

  38. McMurray RG, Ainsworth BE, Harrell JS, Griggs TR, Williams OD . Is physical activity or aerobic power more influential on reducing cardiovascular disease risk factors? Med Sci Sports Exerc 1998; 30: 1521–1529.

    Article  CAS  Google Scholar 

  39. Miyachi M, Yazawa H, Furukawa M, Tsuboi K, Ohtake M, Nishizawa T et al. Exercise training alters left ventricular geometry and attenuates heart failure in dahl salt-sensitive hypertensive rats. Hypertension 2009; 53: 701–707.

    Article  CAS  Google Scholar 

  40. Wachtell K, Dahlof B, Rokkedal J, Papademetriou V, Nieminen MS, Smith G et al. Change of left ventricular geometric pattern after 1 year of antihypertensive treatment: the Losartan Intervention for endpoint reduction in hypertension (LIFE) study. Am Heart J 2002; 144: 1057–1064.

    Article  CAS  Google Scholar 

  41. Jula AM, Karanko HM . Effects on left ventricular hypertrophy of long-term nonpharmacological treatment with sodium restriction in mild-to-moderate essential hypertension. Circulation 1994; 89: 1023–1031.

    Article  CAS  Google Scholar 

  42. Jenkins C, Bricknell K, Hanekom L, Marwick TH . Reproducibility and accuracy of echocardiographic measurements of left ventricular parameters using real-time three-dimensional echocardiography. J Am Coll Cardiol 2004; 44: 878–886.

    Article  Google Scholar 

  43. Hees PS, Fleg JL, Lakatta EG, Shapiro EP . Left ventricular remodeling with age in normal men versus women: novel insights using three-dimensional magnetic resonance imaging. Am J Cardiol 2002; 90: 1231–1236.

    Article  Google Scholar 

Download references

Acknowledgements

The authors express their appreciation to the participants for their participation in this study. This study was supported by Grants-in-Aid for Scientific Research from the Ministry of Health, Labour, and Welfare of Japan (to M Miyachi).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M Miyachi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gando, Y., Kawano, H., Yamamoto, K. et al. Age and cardiorespiratory fitness are associated with arterial stiffening and left ventricular remodelling. J Hum Hypertens 24, 197–206 (2010). https://doi.org/10.1038/jhh.2009.57

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/jhh.2009.57

Keywords

This article is cited by

Search

Quick links