젊은 성인의 신체활동 수준과 동맥경직도, 대뇌 혈류량, 인지기능 간 관련성
The Relationship of Physical Activity Level With Arterial Stiffness, Cerebral Blood Flow, and Cognitive Function in Young Adults
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PURPOSE: This study aimed to investigate the relationship of physical activity level with arterial stiffness, cerebral blood flow, and cognitive function in young adults. METHODS: Forty-six young adults participated in this cross-sectional study. Physical activity levels were assessed for seven consecutive days using accelerometers. To assess arterial stiffness, the carotid-femoral artery pulse wave velocity (cfPWV) and augmentation index (AIx) were measured. Cognitive function was assessed using the Stroop Color-Word test, and cerebral blood flow was evaluated using near-infrared spectroscopy devices during the cognitive function test. RESULTS: AIx was inversely associated with axis-1 counts, vector magnitude counts, moderate-intensity physical activity (MPA) time, and moderate-to-vigorous intensity physical activity (MVPA) time (r≤-0.31, p≤.04). The AIx adjusted to the heart rate of 75 beats per minute was inversely correlated with axis-1 counts, vector magnitude counts, step counts, MPA time, and MVPA time (r≤-0.33, p≤.03). There was no relationship between cfPWV and physical activity level parameters (r≤0.10, p≥.51). The difference between oxygenated and deoxygenated hemoglobin levels was positively related to axis-1 counts, step counts, MPA time, and MVPA time (r≥0.31, p≤.04). Regarding cognitive function, the response time for the presented words was negatively associated with step counts (r=-0.42, p<.01) and MPA time (r=-0.29, p=.048), and response time on the presented words with matched color was negatively related to step counts (r=-0.31, p=.04). CONCLUSIONS: More physically active adults are more likely to have lower arterial stiffness, increased brain oxygenation, and better cognitive function, even if they are young and healthy.
Abstract
PURPOSE: This study aimed to investigate the relationship of physical activity level with arterial stiffness, cerebral blood flow, and cognitive function in young adults. METHODS: Forty-six young adults participated in this cross-sectional study. Physical activity levels were assessed for seven consecutive days using accelerometers. To assess arterial stiffness, the carotid-femoral artery pulse wave velocity (cfPWV) and augmentation index (AIx) were measured. Cognitive function was assessed using the Stroop Color-Word test, and cerebral blood flow was evaluated using near-infrared spectroscopy devices during the cognitive function test. RESULTS: AIx was inversely associated with axis-1 counts, vector magnitude counts, moderate-intensity physical activity (MPA) time, and moderate-to-vigorous intensity physical activity (MVPA) time (r≤-0.31, p≤.04). The AIx adjusted to the heart rate of 75 beats per minute was inversely correlated with axis-1 counts, vector magnitude counts, step counts, MPA time, and MVPA time (r≤-0.33, p≤.03). There was no relationship between cfPWV and physical activity level parameters (r≤0.10, p≥.51). The difference between oxygenated and deoxygenated hemoglobin levels was positively related to axis-1 counts, step counts, MPA time, and MVPA time (r≥0.31, p≤.04). Regarding cognitive function, the response time for the presented words was negatively associated with step counts (r=-0.42, p<.01) and MPA time (r=-0.29, p=.048), and response time on the presented words with matched color was negatively related to step counts (r=-0.31, p=.04). CONCLUSIONS: More physically active adults are more likely to have lower arterial stiffness, increased brain oxygenation, and better cognitive function, even if they are young and healthy.
참고문헌 (60)
- Dumith SC, "Physical activity change during adolescence : a systematic review and a pooled analysis", Int J Epidemiol, 40(3), pp.685~698 (2011)
- "Aerobic physical activity practice rate" (2019)[URL]
- "Sitting increases heart disease risk regardless of physical activity" (2013)[URL]
- Lee CD, "Physical activity and stroke risk : a meta-analysis", Stroke, 34(10), pp.2475~2481 (2003)
- Kohl HW, 3rd, "Physical activity and cardiovascular disease: evidence for a dose response", Med Sci Sports Exerc, 33(6 Suppl), pp.S472~S483 (2001)
- Laurent S, "Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients", Hypertension, 37(5), pp.1236~1241 (2001)
- Pereira T, "Novel methods for pulse wave velocity measurement", J Med Biol Eng, 35(5), pp.555~565 (2015)
- Myers J, "Exercise and cardiovascular health", Circulation, 107(1), pp.e2~e5 (2003)
- Tanaka H, "Aging, habitual exercise, and dynamic arterial compliance", Circulation, 102(11), pp.1270~1275 (2000)
- García-Ortiz L, "Relationship between objectively measured physical activity and cardiovascular aging in the general population–the EVIDENT trial", Atherosclerosis, 233(2), pp.434~440 (2014)
- Cotman CW, "Exercise builds brain health : key roles of growth factor cascades and inflammation", Trends Neurosci, 30(9), pp.464~472 (2007)
- Rasmussen P, "Evidence for a release of brain-derived neurotrophic factor from the brain during exercise", Exp Physiol, 94(10), pp.1062~1069 (2009)
- Lo DC, "Neurotrophic factors and synaptic plasticity", Neuron, 15(5), pp.979~981 (1995)
- Yanagisawa H, "Acute moderate exercise elicits increased dorsolateral prefrontal activation and improves cognitive performance with Stroop test", Neuroimage, 50(4), pp.1702~1710 (2010)
- Gorelick PB, "Vascular contributions to cognitive impairment and dementia : a statement for healthcare professionals from the american heart association", american stroke association, 2011, pp.42(9), 2672~2713
- Henskens LH, "Brain microbleeds are associated with ambulatory blood pressure levels in a hypertensive population", Hypertension, 51(1), pp.62~68 (2008)
- Barnes JN, "Exercise, cognitive function, and aging", Adv Physiol Educ, 39(2), pp.55~62 (2015)
- Lenkey Z, "Comparison of arterial stiffness parameters in patients with coronary artery disease and diabetes mellitus using arteriograph", Physiol Res, 63(4), pp.429~437 (2014)
- Benetos A, "Pulse wave velocity is associated with 1-year cognitive decline in the elderly older than 80 years : the PARTAGE study", J Am Med Dir Assoc, 13(3), pp.239~243 (2012)
- Zieman SJ, "Mechanisms, pathophysiology, and therapy of arterial stiffness", Arterioscler Thromb Vasc Biol, 25(5), pp.932~943 (2005)
- Thompson PD, "Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease : a statement from the council on clinical cardiology(subcommittee on exercise, rehabilitation, and prevention)and the council on nutrition, physical activity, and metabolism(subcommittee on physical activity)", Circulation, 107(24), pp.3109~3116 (2003)
- Pate RR, "Physical activity and public health. A recommendation from the centers for disease control and prevention and the american college of sports Medicine", JAMA, 273(5), pp.402~407 (1995)
- Celis-Morales CA, "Objective vs. self-reported physical activity and sedentary time: effects of measurement method on relationships with risk biomarkers", PLoS One, 7(5), pp.e36345~ (2012)
- Urbina EM, "Impact of multiple cardiovascular risk factors on brachial artery distensibility in young adults : the Bogalusa Heart Study", Am J Hypertens, 18(6), pp.767~771 (2005)
- 강예진, "일회성 중강도 유산소 운동이 젊은 성인의 대뇌 혈류량과 인지기능에 미치는 영향: 트레드밀 vs. 고정식 에르고미터", 운동과학, 29(2), pp.162~169 (2020), 한국운동생리학회
- Okamoto T, "Acute effect of interval walking on arterial stiffness in healthy young adults", Int J Sports Med, 39(07), pp.495~501 (2018)
- Erickson KI, "Physical activity, cognition, and brain outcomes : a review of the 2018physical activity guidelines", Med Sci Sports Exerc, 51(6), pp.1242~1251 (2019)
- Freedson PS, "Calibration of the computer science and applications, inc. accelerometer", Med Sci Sports Exerc, 30(5), pp.777~781 (1998)
- Hart TL, "How many days of monitoring predict physical activity and sedentary behaviour in older adults?", Int J Behav Nutr Phys Act, 8(1), pp.1~7 (2011)
- Wilkinson IB, "The influence of heart rate on augmentation index and central arterial pressure in humans", J Physiol, 525(Pt 1), pp.263~270 (2000)
- Bishop SA, "Assessing prefrontal cortex oxygenation after sport concussion with near-infrared spectroscopy", Clin Physiol Funct Imaging, 38(4), pp.573~585 (2018)
- Garcia-Ortiz L, "Relationship between objectively measured physical activity and cardiovascular aging in the general population-The EVIDENT trial", Atherosclerosis, 233(2), pp.434~440 (2014)
- Gomez-Marcos MA, "Relationship between objectively measured physical activity and vascular structure and function in adults", Atherosclerosis, 234(2), pp.366~372 (2014)
- O’Donovan C, "Inverse relationship between physical activity and arterial stiffness in adults with hypertension", J Phys Act Health, 11(2), pp.272~277 (2014)
- Haskell WL, "Physical activity and public health-Updated recommendation for adults from the american college of sports medicine and the american heart association", Circulation, 116(9), pp.1081~1093 (2007)
- Nyberg M, "Role of nitric oxide and prostanoids in the regulation of leg blood flow and blood pressure in humans with essential hypertension : effect of highintensity aerobic training", J Physiol, 590(6), pp.1481~1494 (2012)
- Tanaka H, "Influence of lifestyle modification on arterial stiffness and wave reflections", Am J Hypertens, 18(1), pp.137~144 (2005)
- Karras A, "Large artery stiffening and remodeling are independently associated with allcause mortality and cardiovascular events in chronic kidney disease", Hypertension, 60(6), pp.1451~1457 (2012)
- Gando Y, "Longer time spent in light physical activity is associated with reduced arterial stiffness in older adults", Hypertension, 56(3), pp.540~546 (2010)
- McEniery CM, "Endothelial function is associated with pulse pressure, pulse wave velocity, and augmentation index in healthy humans", Hypertension, 48(4), pp.602~608 (2006)
- Lamoureux NR, "Temporal trends in the cardiorespiratory fitness of 2, 525, 827 adults between 1967 and 2016 : a systematic review", Sports Med, 49(1), pp.41~55 (2019)
- Agbangla NF, "Working memory, cognitive load and cardiorespiratory fitness: testing the CRUNCH model with near-infrared spectroscopy", Brain Sci, 9(2) (2019)
- Goenarjo R, "Cerebral oxygenation reserve : the relationship between physical activity level and the cognitive load during a stroop task in healthy young males", Int J Environ Res Public Health, 17(4), pp.1406~ (2020)
- Booth FW, "The future : genes, physical activity and health", Acta Physiol(Oxf), 199(4), pp.549~556 (2010)
- Knaepen K, "Neuroplasticity-exercise-induced response of peripheral brain-derived neurotrophic factor a systematic review of experimental studies in human subjects", Sports Med, 40(9), pp.765~801 (2010)
- White LJ, "Exercise and brain health--implications for multiple sclerosis : Part II--immune factors and stress hormones", Sports Med, 38(3), pp.179~186 (2008)
- Colier WN, "Human motor-cortex oxygenation changes induced by cyclic coupled movements of hand and foot", Exp Brain Res, 129(3), pp.457~461 (1999)
- Fox PT, "Focal physiological uncoupling of cerebral blood flow and oxidative metabolism during somatosensory stimulation in human subjects", Proc Natl Acad Sci USA, 83(4), pp.1140~1144 (1986)
- Hoshi Y, "Interpretation of near-infrared spectroscopy signals : a study with a newly developed perfused rat brain model", J Appl Physiol(1985), 90(5), pp.1657~1662 (2001)
- Tempest GD, "Prefrontal cortex haemodynamics and affective responses during exercise : a multi-channel near infrared spectroscopy study", PLoS One, 9(5), pp.e95924~ (2014)
- Laurent S, "Aortic stiffness is an independent predictor of fatal stroke in essential hypertension", Stroke, 34(5), pp.1203~1206 (2003)
- Tuttolomondo A, "Arterial stiffness indexes in acute ischemic stroke : relationship with stroke subtype", Atherosclerosis, 211(1), pp.187~194 (2010)
- Hanon O, "Relationship between arterial stiffness and cognitive function in elderly subjects with complaints of memory loss", Stroke, 36(10), pp.2193~2197 (2005)
- Seo WK, "Cerebral microbleeds are independently associated with arterial stiffness in stroke patients", Cerebrovasc Dis, 26(6), pp.618~623 (2008)
- Strangman G, "A quantitative comparison of simultaneous BOLD fMRI and NIRS recordings during functional brain activation", Neuroimage, 17(2), pp.719~731 (2002)
- de la Colina AN, "Augmentation index is a predictor of cerebral blood flow across global gray matter in the elderly", Innov Aging, 3(Supplement_1), pp.S643~ (2019)
- Fukuhara M, "Prediction of cognitive function by arterial stiffness in the very elderly", Circ J, 70(6), pp.756~761 (2006)
- Davenport MH, "Cerebrovascular reserve : the link between fitness and cognitive function?", Exerc Sport Sci Rev, 40(3), pp.153~158 (2012)
- Brown AD, "Effects of cardiorespiratory fitness and cerebral blood flow on cognitive outcomes in older women", Neurobiol Aging, 31(12), pp.2047~2057 (2010)
- Guiney H, "Evidence cerebral bloodflow regulation mediates exercise-cognition links in healthy young adults", Neuropsychology, 29(1), pp.1~9 (2015)
