PMID- 28228584 OWN - NLM STAT- MEDLINE DCOM- 20170920 LR - 20181129 IS - 1522-1598 (Electronic) IS - 0022-3077 (Print) IS - 0022-3077 (Linking) VI - 117 IP - 4 DP - 2017 Apr 1 TI - High cardiorespiratory fitness in early to late middle age preserves the cortical circuitry associated with brain-heart integration during volitional exercise. PG - 1831-1840 LID - 10.1152/jn.00592.2016 [doi] AB - This study tested the hypothesis that high cardiorespiratory fitness (peak oxygen uptake) preserves the cortical circuitry associated with cardiac arousal during exercise in middle- to older-aged individuals. Observations of changes in heart rate (HR) and in cortical blood oxygenation level-dependent (BOLD) images were made in 52 healthy, active individuals (45-73 yr; 16 women, 36 men) across a range of fitness (26-66 ml.kg(-1).min(-1)). Seven repeated bouts of isometric handgrip (IHG) at 40% maximal voluntary contraction force were performed with functional magnetic resonance imaging at 3 T, with each contraction lasting 20 s and separated by 40 s of rest. HR responses to IHG showed high variability across individuals. Linear regression revealed that cardiorespiratory fitness was not a strong predictor of the HR response (r(2) = 0.09). In a region-of-interest analysis both the IHG task and the HR time course correlated with increased cortical activation in the bilateral insula and decreased activation relative to baseline in the anterior and posterior cingulate and medial prefrontal cortex (MPFC). t-Test results revealed greater deactivation at the MPFC with higher fitness levels beyond that of guideline-based activity. Therefore, whereas high cardiorespiratory fitness failed to affect absolute HR responses to IHG in this age range, a select effect was observed in cortical regions known to be associated with cardiovascular arousal.NEW & NOTEWORTHY Our first observation suggests that fitness does not strongly predict the heart rate (HR) response to a volitional handgrip task in middle- to older-aged adults. Second, the BOLD response associated with the handgrip task, and with the HR time course, was associated with response patterns in the cortical autonomic network. Finally, whereas high cardiorespiratory fitness failed to affect absolute HR responses to isometric handgrip in this age range, a select effect was observed in cortical regions known to be associated with cardiovascular arousal, beyond that achieved through healthy active living. CI - Copyright (c) 2017 the American Physiological Society. FAU - Wood, Katelyn N AU - Wood KN AD - Neurovascular Research Laboratory, School of Kinesiology, The University of Western Ontario, London, Ontario, Canada; and. FAU - Luchyshyn, Torri A AU - Luchyshyn TA AD - Neurovascular Research Laboratory, School of Kinesiology, The University of Western Ontario, London, Ontario, Canada; and. FAU - Shoemaker, J Kevin AU - Shoemaker JK AD - Neurovascular Research Laboratory, School of Kinesiology, The University of Western Ontario, London, Ontario, Canada; and kshoemak@uwo.ca. AD - Department of Physiology and Pharmacology, The University of Western Ontario, London, Ontario, Canada. LA - eng GR - 217532/CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170222 PL - United States TA - J Neurophysiol JT - Journal of neurophysiology JID - 0375404 RN - S88TT14065 (Oxygen) SB - IM MH - Aged MH - Blood Pressure/physiology MH - Brain/*diagnostic imaging/*physiology MH - Brain Mapping MH - Cardiorespiratory Fitness/*physiology MH - Electrocardiography MH - Exercise/*physiology MH - Exercise Test MH - Female MH - Hand Strength MH - Heart Rate/*physiology MH - Humans MH - Image Processing, Computer-Assisted MH - Linear Models MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Oxygen/blood MH - Volition/physiology PMC - PMC5390284 OTO - NOTNLM OT - age OT - cardiorespiratory fitness OT - cortical autonomic network OT - handgrip exercise OT - medial prefrontal cortex EDAT- 2017/02/24 06:00 MHDA- 2017/09/21 06:00 PMCR- 2018/04/01 CRDT- 2017/02/24 06:00 PHST- 2016/07/22 00:00 [received] PHST- 2017/02/03 00:00 [revised] PHST- 2017/02/21 00:00 [accepted] PHST- 2017/02/24 06:00 [pubmed] PHST- 2017/09/21 06:00 [medline] PHST- 2017/02/24 06:00 [entrez] PHST- 2018/04/01 00:00 [pmc-release] AID - jn.00592.2016 [pii] AID - JN-00592-2016 [pii] AID - 10.1152/jn.00592.2016 [doi] PST - ppublish SO - J Neurophysiol. 2017 Apr 1;117(4):1831-1840. doi: 10.1152/jn.00592.2016. Epub 2017 Feb 22.