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Dissociation of peak vascular conductance and V(O2) max among highly trained athletes

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Abstract

Previously, a strong relationship has been found between whole body maximal aerobic power (VO(2 max)) and peak vascular conductance in the calf muscle (J. L. Reading, J. M. Goodman, M. J. Plyley, J. S. Floras, P. P. Liu, P. R. McLaughlin, and R. J. Shephard. J. Appl. Physiol. 74: 567-573, 1993; P. G. Snell, W. H. Martin, J. C. Buckley, and C. G. Blomqvist. J. Appl. Physiol. 62: 606-610, 1987), suggesting a matching between maximal exercise capacity and peripheral vasodilatory reserve across a broad range of aerobic power. In contrast, long-term training could alter this relationship because of the unique demands for muscle blood flow and cardiac output imposed by different types of training. In particular, the high local blood flows but relatively low cardiac output demand imposed by the type of resistance training used by bodybuilders may cause a relatively greater development in peripheral vascular reserve than in aerobic power. To examine this possibility, we studied the relationship between treadmill VO(2 max) and vascular conductance in the calf by using strain-gauge plethysmography after maximal ischemic plantar flexion exercise in 8 healthy sedentary subjects (HS) and 28 athletes. The athletes were further divided into three groups: 10 elite middle-distance runners (ER), 11 power athletes (PA), and 7 bodybuilders (BB). We found that both BB and ER deviate from the previously demonstrated relationship between VO(2 max) and vascular conductance. Specifically, for a given vascular conductance, BB had a lower VO(2 max), whereas ER had a higher VO(2 max) than did HS and PA. We conclude that the relationship between peak vascular conductance and aerobic power is altered in BB and ER because of training-specific effects on central vs. peripheral cardiovascular adaptation to local skeletal muscle metabolic demand.
Dissociation of peak vascular conductance
and V
˙
O
2max
among highly trained athletes
RUSSELL T. HEPPLE,
1
THOMAS L. BABITS,
2
MICHAEL J. PLYLEY,
2
AND JACK M. GOODMAN
2
1
Department of Medicine, University of California, San Diego, La Jolla, California 92093-0623;
and
2
Faculty of Physical Education and Health and Graduate Department of Exercise Science,
University of Toronto, Toronto, Ontario, Canada M5S 2W6
Hepple, Russell T., Thomas L. Babits, Michael J.
Plyley, and Jack M. Goodman. Dissociation of peak vascu-
lar conductance and V
˙
O
2max
among highly trained athletes. J.
Appl. Physiol. 87(4): 13681372, 1999.—Previously, a strong
relationship has been found between whole body maximal
aerobic power (V
˙
O
2max
) and peak vascular conductance in the
calf muscle (J. L. Reading, J. M. Goodman, M. J. Plyley, J. S.
Floras, P. P. Liu, P. R. McLaughlin, and R. J. Shephard. J.
Appl. Physiol. 74: 567573, 1993; P. G. Snell, W. H. Martin,
J. C. Buckley, and C. G. Blomqvist. J. Appl. Physiol. 62:
606610, 1987), suggesting a matching between maximal
exercisecapacityandperipheralvasodilatoryreserveacrossa
broad range of aerobic power. In contrast, long-term training
could alter this relationship because of the unique demands
for muscle blood flow and cardiac output imposed by different
types of training. In particular, the high local blood flows but
relatively low cardiac output demand imposed by the type of
resistance training used by bodybuilders may cause a rela-
tively greater development in peripheral vascular reserve
than in aerobic power. To examine this possibility, we studied
the relationship between treadmill V
˙
O
2max
and vascular con-
ductance in the calf by using strain-gauge plethysmography
after maximal ischemic plantar flexion exercise in 8 healthy
sedentary subjects (HS) and 28 athletes. The athletes were
further divided into three groups: 10 elite middle-distance
runners (ER), 11 power athletes (PA), and 7 bodybuilders
(BB). We found that both BB and ER deviate from the
previously demonstrated relationship between V
˙
O
2max
and
vascularconductance.Specifically,foragivenvascular conduc-
tance, BB had a lower V
˙
O
2max
, whereas ER had a higher
V
˙
O
2max
thandidHSandPA.Weconclude that the relationship
between peak vascular conductance and aerobic power is
altered in BB and ER because of training-specific effects on
central vs. peripheral cardiovascular adaptation to local
skeletal muscle metabolic demand.
muscle blood flow;strain-gauge plethysmography; bodybuild-
ing; resistance training; maximal aerobic power
A STRONG LINEAR RELATIONSHIP between peak vascular
conductance of the calf and maximal aerobic power
(V
˙
O
2max
) has been described previously by our labora-
tory (19) and by others (25), suggesting a matching
between whole body maximal aerobic function and
peripheral vascular reserve in skeletal muscle. Con-
versely, prolonged physical training of specific routine
by high-caliber athletes may cause an alteration of this
relationship because specific adaptations occur in re-
sponse to the unique demands of different types of
training. For example, traditional resistance training
programs promote increases in both muscle strength
and muscle size (i.e., hypertrophy), with little or no
change in skeletal muscle capillary supply or muscle
fiber oxidative capacity in young adults (29), and may
reduce the reactive hyperemic blood flow response (5).
In contrast, the type of resistance training used by
bodybuilders is qualitatively different, promoting mod-
est increases in both capillary supply and oxidative
capacity (4, 27, 28), in addition to increasing muscle
strength and size. These muscle adaptations arise
because of the high metabolic and blood flow demands
of the multiple-set, high-repetition, and high-intensity
muscle contractions that are characteristic of the resis-
tance training used by bodybuilders (BB) (28). Because
thesemusclecontractions represent activation of only a
small percentage of total body muscle mass at any one
time, the stress placed on the central circulation to
provide blood flow (i.e., cardiac output) would be much
less than that required by endurance types of activity,
such as running. We hypothesized that the modality of
training used by BB leads to structural and/or func-
tional changes in the peripheral vasculature that are
independent of changes in maximal central circulatory
function, resulting in a lower V
˙
O
2max
for a given peak
vascular conductance compared with that normally
seen. In contrast, we reasoned that the training em-
ployed by track and field jumpers and decathletes
[power athletes (PA)], which includes traditional resis-
tance training to maximize power relative to body mass
in those muscles used in running and jumping, in
addition to running training, would result in higher
V
˙
O
2max
and peak vascular conductance but an un-
changed relationship between these variables com-
pared with healthy sedentary subjects (HS). Similarly,
the nature of training employed by highly trained
endurance runners (ER; e.g., racing distances of 800
10,000 m), which includes a significant proportion of
interval running at intensities greater than or equal to
V
˙
O
2max
, was expected to result in an even greater
peripheral vascular reserve and systemic V
˙
O
2max
but a
maintained relationship between these variables com-
pared with HS. To evaluate this, we determined peak
vascular conductance in the calf after maximal isch-
emic plantar flexion exercise and whole body V
˙
O
2max
on
the treadmill in BB, subjects representing a wide scope
of aerobic power (HS and ER), and practitioners of
traditional resistance training (PA).
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r
1999 the American Physiological Society1368 http://www.jap.org
METHODS
Subjects. Thirty-six male subjects, including 7 BB, 10 ER,
11 PA, and 8 age-matched HS, were studied at the University
of Toronto Cardiovascular Regulation Laboratory. The PA
were included to compare the effect of traditional resistance
training vs. the resistance training used by BB (see below).
Details of the experimental protocol were explained, and
informed consent was obtained from all subjects. Screening
included completion of a physical activity readiness question-
naire, and an interview to obtain details of training history,
before the study began.
The HS, recruited from the general student body of the
University of Toronto, had not been engaged in regular physical
activityortrainingprogramsforatleast2yrbeforethestudy.The
ER were recruited from local running clubs and had been in
training for competition distances from 800 to 10,000 m for a
minimum of 2 yr. The PA were recruited from the University of
Toronto Track and Field Club and had been in training for
national and/or international jumping and/or decathlon competi-
tion for at least 2 yr. The BB, recruited from local bodybuilding
clubs, had beentrainingforcompetition for aminimumof2 yr.
All athletes periodized their training, and none indicated a
lapse in training in the year before the study. All athletes,
with the exception of five of the ER, participated in some form
of resistance training on a regular basis. The six ER who did
participate in resistance training reported it to be seasonal
(i.e., during noncompetitive phases of training) and only
supplemental to a training regimen dominated by running.
Running was in most cases the exclusive aerobic activity of
the ER, whereas PA tended to participate in a variety of
different aerobic activities. PA had an extensive running
program;however,none of it was enduranceoriented, consist-
ing of short (10 min) low-intensity warm-up runs and short
interval sets (40300 m) with long recovery periods. The type
of resistance training used by PA and ER consisted of 12
exercises per muscle group, with each exercise having 13
sets of 612 lifts by using moderate-to-heavy weight for both
upper and lower body muscle groups (i.e., a traditional
resistance training approach). Whereas all of the PA and BB
performed resistance exercises specifically for the lower leg
(i.e., calf muscles), this was true in only 4 of the 10 ER. BB
only used aerobic activities to lose body fat (e.g., in prepara-
tion for a competition) and always at very low intensities. BB
resistance training consisted of 24 exercises per muscle
group, with each exercise having 35 sets of high repetitions
(6100) performed to the point of muscle failure (character-
ized by the inability to perform another repetition throughout
thefullrangeofmotion)forbothupperandlowerbodymuscle
groups. As such the total resistance training stimulus for a
given muscle group, including the calf muscles, was much
greater in BB than in both PAand ER.
V
˙
O
2max
. V
˙
O
2max
was determined by using open-circuit spi-
rometry during an incremental exercise test to exhaustion on
a motor-driven treadmill (model 1864, Collins). Subjects
warmed up for 2 min at a self-selected speed, after which
speed was held constant while the slope was increased by 2%
every 2 min for the next 8 min, and by 1% for each additional
minute thereafter until voluntary exhaustion. Heartrate was
monitored by using a Polar heart rate monitor. Expired gases
were sampled at 15-s intervals, passed through a mixing
chamber, and analyzed via an infrared CO
2
monitor (Jaeger
CO
2
-test) and an O
2
analyzer (Ametek S3-A). Ventilation was
measured with a ventilation monitor (Morgan Ventilometer
Mark 2) connected to a pneumotachograph on the inspiratory
arm of the mouthpiece. All cardiorespiratory data were
collected and analyzed with the aid of a semiautomated
metabolic cart (Morgan) on-line with a microcomputer. Crite-
ria for acceptance of V
˙
O
2max
included attainment of three or
more of the following: 1) minute ventilation 115 l/min; 2)
respiratory exchange ratio 1.15; 3) heart rate 10 beats/
min of age predicted; and 4) a plateau in O
2
uptake (increase
of 2ml·kg
1
·min
1
with an increase in workload) (18).
Strain-gaugevenousocclusionplethysmography.Bloodflow
to the calf was measured by using venous occlusion strain-
gauge plethysmography at rest and immediately after sub-
maximal (data not presented) and maximal ischemic plantar
flexion exercise on the dominant leg, as described previously
(19). Briefly, a blood pressure cuff, placed around the ankle,
was inflated to a pressure of 220 Torr to occlude blood flow
from the foot. A second cuff, placed around the thigh just
above the knee, wasrapidly inflated (1s)to60Torr,andthe
change in volume of the leg was measured over a 14-s cycle
viaanindium-galliumstraingauge(modelSPG16,Mediason-
ics) placed around the calf at the position of widest girth.
Beat-to-beat systemic blood pressure and heart rate were
recorded during the blood flow measurement via a finger cuff
placed on the left index finger (with the hand at the level of
the heart) by using a Finapress 2300 automated blood
pressure monitor (Ohmeda). The data-collection period was
42s(314-s cycles), and data were processed (at a sampling
frequency of 100 Hz) on-line with a microcomputer by using a
WATSMART data-acquisition unit and software customized
to our system, allowing simultaneous collection of blood
pressure, heart rate, and blood flow measurements. Blood
flows were calculated from the slope of the line made by three
manually selected points on the ascending portion of the
blood flow vs. time tracing. The corresponding vascular
conductance for each blood flow measurement was calculated
as the quotient of blood flow and mean arterial pressure
(MAP systolic blood pressure
1
3
pulse pressure). Muscle
and adipose mass in the calf were estimated by using the
equations of Clarys and Marfell-Jones (8), as described
previously (19).
The calf plantar flexion exercise protocol consisted of two
stages performed on a specially designed ergometer (19). The
first stage consisted of a moderate-load (5-kg) exercise per-
formed at a frequency of 1 Hz for 2 min. Five minutes later,
the second workload was preceded by 2 min of ischemia
inducedby inflating the thigh cuff to 220Torr to prevent blood
flow to the calf.After this, with the thigh cuffstillinflated, the
subject performed the second stage of plantar flexion exercise
with a heavy load (30 kg) at a frequency of 1 Hz until
volitional fatigue, which was characterized by dull ischemic
pain in the calf muscle and 25% reduction of the range of
motion(19).Bloodflowmeasurementswereobtainedimmedi-
ately (starting within 5 s) after each stage. Peak blood flow
and conductance were taken as the highest of the three
readings obtained after the maximal ischemic exercise stage.
Criteria for accepting a blood flow measurement as maximal
was that it exhibit a decrement 10% between the first to
third measurements (i.e., a sustained hyperemic response).
Statistical analysis. Data were analyzed by using one-way
ANOVAand Student-Newman-Keuls post hoc test to identify
differences between groups. Linear regression analysis was
used to examine the relationship between V
˙
O
2max
and peak
vascular conductance and to interpolate V
˙
O
2max
at a common
peakvascularconductance(70ml·min
1
·10ltissue
1
·Torr
1
)
in each subject. Values are presentedas means SE.
RESULTS
Body mass was significantly greater in BB than all
other groups, whereas body mass in ER waslower than
in all other groups (Table 1). As expected, V
˙
O
2max
1369VASCULAR CONDUCTANCE AND V
˙
O
2max
IN COMPETITIVE ATHLETES
(ml·min
1
·kg
1
) was higher in ER (71.0 1.2
ml·min
1
·kg
1
) than in the other groups (Table 1). In
addition, PA (50.7 1.6 ml·min
1
·kg
1
) had a higher
V
˙
O
2max
than did HS (45.1 1.9 ml·min
1
·kg
1
) but not
BB (44.7 3.2 ml·min
1
·kg
1
). The blood flow and
blood pressure responses at rest and after the maximal
ischemic plantarflexionexercisearepresentedin Table
2. The BB had a lower resting MAP (83 2 Torr) than
did HS (99 5 Torr) and a greater resting blood flow
and vascular conductance than did the other groups.
The peak blood flow and vascular conductance in both
ER and BB were higher than in PA and HS. Although
BB demonstrated a greater estimated calf muscle mass
(2.11 0.11 kg) than did ER (1.74 0.05 kg), there
were no differences between groups in the ratio of
estimated adipose mass to muscle mass of the calf
(Table 2).
The relationship between peak calf vascular conduc-
tance and V
˙
O
2max
obtained for healthy subjects in
previous studies representing a broad scope of aerobic
power (19, 25) along with the values for each group in
the present study are shown in Fig. 1. For a given
vascular conductance, theV
˙
O
2max
in PAand HS wasnot
different from that shown previously (19, 25). Addition
of these results to the previous data (19, 25) yields the
followingregressionequation:V
˙
O
2max
21.12 (0.488
peak vascular conductance) (r 0.79, P 0.001). By
using this regression equation to predict V
˙
O
2max
at a
vascular conductance of 70 ml·min
1
·10 l tissue
1
·
Torr
1
ineachsubject, a higher V
˙
O
2max
inER(70.0 1.7
ml·min
1
·kg
1
) and a lower V
˙
O
2max
in BB (39.5 4.2
ml·min
1
·kg
1
) than in both HS (57.0 1.9ml·min
1
·
kg
1
) and PA(57.1 2.4 ml·min
1
·kg
1
; P 0.05) was
revealed.
DISCUSSION
We found that compared with healthy subjects who
demonstrate a widerange of aerobic power (19, 25) (HS
and PA of present study), both highly competitive ER
and BB deviate from the previously described linear
relationship between maximal aerobic power and calf
muscle peak vascular conductance. Specifically, we
observed that ER have a higher V
˙
O
2max
than would be
predicted from their peak vascular conductance,
whereas BB have a lower V
˙
O
2max
than would be pre-
dicted from their peak vascular conductance. It is
suggested that this result is a consequence of the
different training regimens and their effect on the
balance between central vs. peripheral cardiovascular
adaptation to muscle metabolic demand.
Venous occlusion plethysmography was used to non-
invasively determine peak vascular conductancein calf
muscle after exhaustive ischemic exercise. This ap-
proach provides peak blood flows that are markedly
lower than those reported for the quadriceps during
knee extensor exercise by direct methods (2, 20), which
may reflect the difference in site of measurement
(quadriceps vs. calf; for review see Ref. 16) and/or
methodological issues [see Reading et al. (19) and Hiatt
Table 1. Descriptive subject data
HS PA ER BB
Age, yr 25.1 1.3 23.0 1.1 24.8 1.4 26.9 1.5
Height, m 1.73 0.04 1.87 0.02† 1.790.01 1.740.02
Body mass, kg 78.5 3.1 79.6 2.9 64.9 1.0† 89.6 3.3†
V
˙
O
2max
,ml·min
1
·
kg
1
45.1 1.9 50.7 1.6* 71.0 1.2† 44.7 3.2
Values are means SE. V
˙
O
2max
, aerobic power; HS, healthy
sedentary subjects; PA, power athletes; ER, endurance runners, BB,
bodybuilders. *P 0.05vs.HS. P 0.05vs. all other groups.
Table 2. Blood flow and blood pressure responses at
rest and after maximal ischemic plantar flexion
exercise
HS PA ER BB
Estimated calf
muscle mass,kg 1.84 0.09 2.010.08 1.71 0.05 2.110.11§
CalfA/M, % 23 220222 3161
MAP
rest
,Torr 99595 4943832*
BF
rest
,
ml·min
1
·100
ml
1
3.6 0.2 3.5 0.3 3.2 0.2 4.7 0.4‡
G
rest
,
ml·min
1
·10
l
1
· Torr
1
3.6 0.3 3.6 0.3 3.4 0.2 5.9 0.3‡
MAP
peak
, Torr 1174 120 2 122 61104
BF
peak
,
ml·min
1
·100
ml
1
54.5 3.2 68.5 4.1 87.1 5.6† 89.17.0†
G
peak
,
ml·min
1
·10
l
1
·Torr
1
45.6 2.3 57.0 3.6 72.1 4.0† 80.75.6†
Values are means SE. A/M, ratio of estimated adipose mass to
musclemass;MAP
rest
,meanarterial pressure atrest;MAP
peak
,mean
arterial pressure after ischemic exercise; BF
rest
, resting calf blood
flow; BF
peak
, peak calf bloodflow; G
rest
, resting vascular conductance;
G
peak
, peak vascularconductance.*P 0.05vs. HS, P 0.05vs.HS
and PA. P 0.05vs. all other groups. §P 0.05vs.ER.
Fig. 1. Relationship between maximal aerobic power (V
˙
O
2max
) and
peak vascular conductance in the calf muscle in healthy subjects
across a broad scope of aerobic power and training backgrounds.
Regression line includes previous data from healthy subjects (19, 25)
and the healthy sedentary and power athletes of the present investi-
gation [V
˙
O
2max
21.12 (0.488 peak vascular conductance); r
0.79, P 0.001].
1370 VASCULAR CONDUCTANCE AND V
˙
O
2max
IN COMPETITIVE ATHLETES
etal. (11) fora discussion ofthese issues]. Differences in
peak vascular conductance between individuals have
been interpreted as reflecting differences in the ana-
tomic structure for conducting blood flow [e.g., arterio-
lar number and/or dimensions (3, 5, 26)], and/or an
altered vasomotor response to exercise due to the
balance between myogenic control (e.g., sympathetic
drive) and local regulatory (e.g., nitric oxide release)
factors (9, 19).
Differential effects of resistance training and endur-
ance training on vascular conductance. Endurance
training and traditional forms of resistance training
have been shown to affect the muscle blood flow re-
sponse in different ways. For example, an augmented
muscle peak vascular conductance has been found after
both whole body endurance training (17) and small-
muscle-group endurance training (10, 24). In contrast,
a reduction in reactive hyperemic blood flow has been
shown after 4 wk of high-intensity resistance training
of the calf, perhaps the result of muscle hypertrophy
without concomitant vascular growth (5). Unfortu-
nately, the impact of these adaptations on the relation-
ship between V
˙
O
2max
and peak vascular conductance
was not considered in these studies.In this respect, the
results for HS and PA in the present study are consis-
tent with previous studies showing a strong relation-
ship between V
˙
O
2max
and peak vascular conductance
(19, 25) (Fig. 1), and show that the type and/or volume
of resistance training used by PA does not alter this
relationship. The relationship between peak vascular
conductance and V
˙
O
2max
shows that, as V
˙
O
2max
in-
creases, peripheral vasodilatory reserve also increases.
Inother words,ratherthan increasingthe proportion of
vasodilatory capacity utilized as V
˙
O
2max
is increased,
vasodilatory capacity is increased in proportion to
V
˙
O
2max
such that the scope of the vasodilatory reserve is
maintained. Nevertheless, it is also noteworthy that
long-term physical training may cause a dissociation of
the relationship between peak vascular conductance
and V
˙
O
2max
as illustrated by the responses of the ER
and BB. In this respect, the response of ER in the
present investigation is quite different from that dem-
onstrated by the study of Snell et al. (25), in which the
runners demonstrated the same response as other
healthyindividuals. The training history(anaverage of
9.1 1.6 yr of training) and small variability in the
V
˙
O
2max
seen in the ER subjects of the present investiga-
tion suggest that they were more highly trained than
werethose of thestudyof Snell etal.,which may inpart
account for the deviation of our ER subjects’response.
BB perform training that evokes repetitive and large
hyperemic responses in the exercised muscles (30);
however, because of the limited volume of muscle active
at any one time, the training does not stress maximal
cardiac pumping abilities (22). Thus we might expect
that the relative adaptation in the peripheral vascula-
ture would be greater than that of the central circula-
tion with BB training, which would account for the
lower V
˙
O
2max
relative to peak vascular conductance in
these athletes.Aunique effectof BB resistance training
on skeletal muscle adaptation, compared with more
traditional resistance training paradigms, is supported
by the somewhat greater capillarity and oxidative
enzyme activities reported previously in this popula-
tion (27, 28) compared with the reduction in hyperemic
blood flow seen after more traditional high-intensity
resistancetraining (5). In thisrespect,BB training may
more closely resemble the adaptation to rock climbing,
where muscle contractions are submaximal but are
maintained for prolonged periods of time and where
forearm peak vascular conductance has been shown to
be higher than in nonclimbers (9). Further evidence
that the high peak vascular conductance in BB is a
function of their training is supported by the strong
correlation between the number of years of training
and peak vascular conductance in BB (r 0.80, P
0.05).
Physiological basis of peak vascular conductance.
The high peak vascular conductance response in BB
could reflect anatomic and/or functional differences in
the peripheral vasculature induced by their training
behavior. It is worth noting that the literature of
animal studies supports the possibility that an in-
creased size of the arteriolar bed may result from a
chronically elevated blood flow (i.e., as occurs with BB
training) (for review see Ref. 12). In addition, it has
been suggested that the greater peak vascular conduc-
tance after training of small muscle groups (10, 24) and
in athletes compared with sedentary subjects (25) is
secondary to an increased diameter and/or number of
the resistance vessels (23) rather than changes in
sympathetic vascular control (24) or nitric oxide medi-
ated vasodilation (10). In this respect, the only mod-
estlygreatermuscle capillarizationandoxidativecapac-
ity found previously in BB compared with practitioners
of more traditional resistance training paradigms (27)
do not preclude more significant growth in the arterio-
lar resistance vessels with BB training because ele-
vated blood flow per se (as occurs during BB training) is
not thought to be a major cause of angiogenesis (14, 21)
but is thought to induce both arteriolar proliferation
and increased vessel diameter (15). This explanation
may also account for the response observed in ER in
whom V
˙
O
2max
was significantly greater for a given peak
vascular conductance. Specifically, whereas we would
expect the chronically elevated blood flows during
running training to induce arteriolar proliferation
and/or enlargement (as is suggested by their greater
peak vascular conductance compared with HS and PA),
adaptations in capillary growth and mitochondrial
structure may be relatively greater consequent to the
intramuscular environment [e.g., intracellular hypoxia
(6, 14)] created when running at intensities greater
than or equal to V
˙
O
2max
. Indeed, a greater capillariza-
tion in endurance-trained subjects is well described
(e.g., Refs. 1, 7) and is thought to play an important role
in the greater V
˙
O
2max
in this population (13).
Conclusions. In summary, we observed that both
competitiveBBand ERdemonstrateanalteredrelation-
ship between peak vascular conductance in the calf
muscle and whole body V
˙
O
2max
, compared with HS
representing a broad scope of aerobic power. Specifi-
1371
VASCULAR CONDUCTANCE AND V
˙
O
2max
IN COMPETITIVE ATHLETES
cally, ER have a higher V
˙
O
2max
and BB a lower V
˙
O
2max
compared with both HS and PA at a similar vascular
conductance. It is suggested that this result is a
consequence of the unique cardiovascular demands of
long-term running training and the type of resistance
training routinely used by BB and the subsequent
adaptations in central vs. peripheral cardiovascular
structure and/or function.
This work was supported by a grant from Sport Canada, Applied
Sport Research Program.
Address for reprint requests and other correspondence: R. T. Hepple,
Dept. of Medicine, 0623A, Univ. of California, San Diego, 9500 Gilman
Dr.,LaJolla, CA92093-0623 (E-email:rhepple@ucsd.edu).
Received 5 February 1999; acceptedinfinal form 27 May 1999.
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1372 VASCULAR CONDUCTANCE AND V
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O
2max
IN COMPETITIVE ATHLETES
... Power training (e.g., bodybuilding) is characterized by muscle tone elevation, increased total peripheral vascular resistance, and slightly increased cardiac output. In contrast, in endurance training (e.g., runners and swimmers), cardiac output, heart rate, and blood flow velocity increase significantly, vessels in the skeletal muscles dilate, and total peripheral vascular resistance decreases (Hepple et al., 1999;Szauder et al., 2015). ...
Article
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Background The cardiovascular effects of training have been widely investigated; however, few studies have addressed sex differences in arteriolar adaptation. In the current study, we examined the adaptation of the gracilis arterioles of male and female rats in response to intensive training. Methods Wistar rats were divided into four groups: male exercise (ME) and female exercise (FE) animals that underwent a 12-week intensive swim-training program (5 days/week, 200 min/day); and male control (MC) and female control (FC) animals that were placed in water for 5 min daily. Exercise-induced cardiac hypertrophy was confirmed by echocardiography. Following the training, the gracilis muscle arterioles were prepared, and their biomechanical properties and functional reactivity were tested, using pressure arteriography. Collagen and smooth muscle remodeling were observed in the histological sections. Results Left ventricular mass was elevated in both sexes in response to chronic training. In the gracilis arterioles, the inner radius and wall tension increased in female animals, and the wall thickness and elastic modulus were reduced in males. Myogenic tone was reduced in the ME group, whereas norepinephrine-induced vasoconstriction was elevated in the FE group. More pronounced collagen staining was observed in the ME group than in the MC group. Relative hypertrophy and tangential stress of the gracilis arterioles were higher in females than in males. The direct vasoconstriction induced by testosterone was lower in females and was reduced as an effect of exercise in males. Conclusion The gracilis muscle arteriole was remodeled as a result of swim training, and this adaptation was sex dependent.
... Meanwhile, in homogeneous groups of highly-skilled athletes of even those sports events in which aerobic power is the main physiological factor (for instance, distance running), a distinctive corre-lation between VO 2 max and special work capacity was not revealed. The above refers to the most of other power characteristics of physiological systems and energy metabolism (Coyle et al. 1991, Wilmore and Costill 1994, Hepple et al. 1999, Lusenko 2006. Despite this fact, the majority of scientific works and recommendations concerning athletes' testing has been focused on determination of the complex of characteristics of strength, muscle power, maximum limits of the responses of various energy systems and functions. ...
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Abstract. The main conceptual approaches used for physiological evaluation of sports training effects in the monograph is to take into account that adaptation is considered as the process of purposeful improvement of functional capacities – directed adaptation. Training should be aimed at the development of those aspects of body capacities that underlie athlete’s special work capacity in specific sports discipline. That is why, successful design of modern training programs for endurance improvement may be provided with due account of general biological regularities of adaptation conformably to the conditions of sports training only. The monograph presents physiological factors limiting special work capacity of top-level endurance athletes and its differentiation related to key elements of special work capacity relative to different duration of the competitive load. It focuses on the fact that more profound understanding of the mechanisms of system homeostatic regulation, affords new opportunities for examining the essence of sports specific long-term physiological adaptation along with endurance improvement. Also presented are approaches to integrate physiological monitoring in stage-by-stage control of training effects in top-level athletes.
... Reactive hyperemia is a widely used procedure also in human peripheral arteries, correlating positively with fitness in healthy but UT subjects (33,39). However, exercise training has been shown to cause dissociation between peripheral flow capacity and maximal aerobic power (14). Thus, these earlier findings and our results strongly support the proposition of ''athlete's paradox'' in which highly trained and performing athletes can have even decreased hyperemic responses when assessed by standard determination procedures at resting state (10). ...
... Reactive hyperemia is widely used procedure also in human peripheral arteries correlating positively with fitness in healthy but untrained subjects (33, 39). However, exercise training has been shown to cause a dissociation between peripheral flow capacity and maximal aerobic power (14). Thus, these earlier findings and our results strongly support the proposition of "athlete's paradox" in which highly trained and performing athletes can have even decreased hyperemic responses when assessed by standard determination procedures at resting state (10). ...
Article
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Endurance training induces cardiovascular and metabolic adaptations leading to enhanced endurance capacity and exercise performance. Previous human studies have shown contradictory results in functional myocardial vascular adaptations to exercise training and we hypothesized that this may be related to different degree of hypertrophy in the trained heart. We studied the interrelationships between peak aerobic power (V˙O2peak), myocardial blood flow (MBF) at rest and during adenosine-induced vasodilation, and parameters of myocardial hypertrophy in endurance trained (ET; n=31) and untrained (UT; n=17) subjects. MBF and myocardial hypertrophy were studied using positron emission tomography and echocardiography, respectively. Both V˙O2peak (p<0.001) and left-ventricular (LV) mass index (p<0.001) were higher in the ET. Basal MBF was similar between the groups. MBF during adenosine was significantly lower in ET (2.88±1.01 vs. 3.64±1.11 mL·g·min, p<0.05), but not when the difference in LV mass was taken into account. V˙O2peak correlated negatively with adenosine-stimulated MBF, but when LV mass was taken into account as a partial correlate, this correlation disappeared. The present results show that increased LV mass in endurance-trained subjects explains the reduced hyperemic myocardial perfusion in this subject population, and suggests that excess LV hypertrophy has negative impact on cardiac blood flow capacity.
... However, we do not believe that the strength training history of our subjects contributed significantly to our results for the following reasons. First, almost all of the younger subjects who reported participation in strengthening activities also participated occasionally in traditional "whole body" aerobic activities (jogging, stationary exercise machines); this combination of activities would be expected to elevate blood flow and maintain vascular adaptation in both the arms and legs (9,19,36). Second, the peak isometric grip strength of our younger subjects (20 -30 yr; 112% of age predicted) was not higher than that of our oldest age groups [60 -79 yr; 130% of predicted (21)]. This suggests that the forearms of our younger subjects were not stronger relative to their age-matched peers than our older subjects. ...
Article
Plasma non-esterified fatty acids (NEFAs) activate the sympathetic nervous system and increase vascular resistance and blood pressure (BP); however, the response with ageing is not known. The objectives of this study were to characterize the cardiovascular, neural and endocrine responses to acute elevation of NEFA concentration. Seventeen healthy older volunteers (7 male and 10 female; age, 69 +/- 1 years; body mass index, 24 +/- 0 kg m(2); values are means +/- s.e.m.) received a 4 h intravenous infusion of the lipid emulsion Intralipid 20% or placebo (single-blind, randomized, balanced order) on two different days separated by at least 2 weeks. Muscle sympathetic nerve activity (MSNA), heart rate (HR), BP, cardiac output, leptin, insulin, aldosterone, angiotensin II and F(2)-isoprostanes were measured. The change in HR (+8.8 +/- 0.9 versus +3.0 +/- 0.9 beats min(1)), systolic BP (+13.9 +/- 2.2 versus +6.6 +/- 2.4 mmHg) and diastolic BP (+7.4 +/- 1.5 versus +1.3 +/- 0.8 mmHg) was significantly greater after Intralipid versus placebo infusions (P < 0.001). Lipid infusion increased MSNA burst frequency (+6.7 +/- 1.6 bursts min(1)), total MSNA (+45%; P < 0.001) and concentrations of insulin (+40%), aldosterone (+50%) and F(2)-isoprostanes (+80%), but not leptin. Hyperlipidaemia caused directionally opposite responses for insulin (increased) and calf vascular resistance (decreased) in men, whereas insulin and calf vascular resistance responses were severely blunted and non-existent, respectively, in women. We conclude that direct vascular mechanisms and central sympathetic activation contribute to the NEFA pressor response; though absolute values are higher, the change is not different compared with previous studies in a younger population.
... One explanation for the apparent between-group variation is that the relationship between V O 2max and peripheral vascular reserve can be altered in conditions that induce a mismatch between central and peripheral vascular adaptations (11). For example, with advancing age women and men experience similar relative declines in maximal cardiac output and V O 2max (2,4,7,13,25). ...
Article
We evaluated the influence of age and sex on the relationship between central and peripheral vasodilatory capacity. Healthy men (19 younger, 12 older) and women (17 younger, 17 older) performed treadmill and knee extensor exercise to fatigue on separate days while maximal cardiac output (Q, acetylene uptake) and peak femoral blood flow (FBF, Doppler ultrasound) were measured, respectively. Maximal Q was reduced with age similarly in men (Y: 23.6 +/- 2.7 vs. O: 17.4 +/- 3.5 l/min; P < 0.05) and women (Y: 17.7 +/- 1.9 vs. O: 12.3 +/- 1.6 l/min; P < 0.05). Peak FBF was similar between younger (Y) and older (O) men (Y: 2.1 +/- 0.5 vs. O: 2.2 +/- 0.7 l/min) but was lower in older women compared with younger women (Y: 1.9 +/- 0.4 vs. O: 1.4 +/- 0.4 l/min; P < 0.05). Maximal Q was positively correlated with peak FBF in men (Y: r = 0.55, O: r = 0.74; P < 0.05) but not in women (Y: r = 0.34, O: r = 0.10). Normalization of cardiac output to appendicular muscle mass and peak FBF to quadriceps mass reduced the correlation between these variables in younger men (r = 0.30), but the significant association remained in older men (r = 0.68; P < 0.05), with no change in women. These data suggest that 1) aerobic capacity is associated with peripheral vascular reserve in men but not women, and 2) aging is accompanied by a more pronounced sex difference in this relationship.
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In the offered book the results of experimental research related to changes in the respiratory homeostatic control of high intensity physical training in sports have been summarized. Changes in some cardiorespiratory reactivity features related to fatigue in sport specific training have been analyzed. Cardiorespiratory reactivity modification has been shown as an integral factor of the adaptation process in high intensity physical training for an increase in athletes' functional possibilities and specific endurance. The data was based on long-term research and physiological monitoring practice of sport specific training of high performance athletes. The changes in the cardiovascular (circulatory) and the respiratory systems reactivity in different conditions of specific fatigue and the way of its compensations have also been analyzed. The cardiovascular and respiratory systems are two different systems in the body, though they are closely related. The cardiovascular system consists of the heart, blood vessels, and blood. The respiratory system consists of the trachea, bronchi, alveoli, and the lungs. These systems work to transport oxygen to the muscles and organs of the body and remove waste products including carbon dioxide. This function joins these systems together in cardiorespiratory system (CRS). Using exercise in physical training improves the cardiorespiratory system functional possibilities by increasing the amount and other characteristics of oxygen delivery – of oxygen that is inhaled and distributed by circulation of blood to body tissues. Thus cardiorespiratory fitness refers to the ability of the circulatory and respiratory systems to supply oxygen to skeletal muscles during a sustained physical activity. The presented book shows the role of the cardio- circulatory and respiratory system control factors modification in the formation of training effects and long-term specific adaptation.
Article
Vascular aging as measured by central arterial stiffness contributes to slow walking speed in older adults, but the impact of age-related changes in peripheral vascular function on walking performance is unclear. The aim of this study was to test the hypothesis that calf muscle-specific vasodilator responses are associated with walking performance fatigue in healthy older adults. Forty-five older (60-78yrs) adults performed a fast-paced 400m walk test. Twelve of these adults exhibited fatigue as defined by slowing of walking speed (≥0.02m/s) measured during the first and last 100m segments of the 400m test. Peak calf vascular conductance was measured following 10min of arterial occlusion using strain-gauge plethysmography. Superficial femoral artery (SFA) vascular conductance response to graded plantar-flexion exercise was measured using Doppler ultrasound. No difference was found for peak calf vascular conductance between adults that slowed walking speed and those that maintained walking speed (p>0.05); however, older adults that slowed walking speed had a lower SFA vascular conductance response to calf exercise (at highest workload: slowed group, 2.4±0.9 vs. maintained group, 3.6±0.9ml/kg/min/mmHg; p<0.01). Moreover, the initial increase in SFA vascular conductance from rest to exercise was positively correlated with the change in walking speed for all adults (rho=0.41, p=0.005). In conclusion, these results suggest that calf exercise hemodynamics are associated with walking performance fatigability in older adults.
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Adenosine is a widely used pharmacological agent to induce a "high-flow" control condition to study the mechanisms of exercise hyperemia, but it is not known how well an adenosine infusion depicts exercise-induced hyperemia, especially in terms of blood flow distribution at the capillary level in human muscle. Additionally, it remains to be determined what proportion of the adenosine-induced flow elevation is specifically directed to muscle only. In the present study, we measured thigh muscle capillary nutritive blood flow in nine healthy young men using PET at rest and during the femoral artery infusion of adenosine (1 mgmin-1l thigh volume -1), which has previously been shown to induce a maximal whole thigh blood flow of ∼8 1/min. This response was compared with the blood flow induced by moderate- to high-intensity one-leg dynamic knee extension exercise. Adenosine increased muscle blood flow on average to 40 ± 7 ml,min -1,100 g muscle-1 with an aggregate value of 2.3 ± 0.61/min for the whole thigh musculature. Adenosine also induced a substantial change in blood flow distribution within individuals. Muscle blood flow during the adenosine infusion was comparable with blood flow in moderate- to high-intensity exercise (36 ± 9 ml.min-1.100 g muscle -1), but flow heterogeneity was significantly higher during the adenosine infusion than during voluntary exercise. In conclusion, a substantial part of the flow increase in the whole limb blood flow induced by a high-dose adenosine infusion is conducted through the physiological non-nutritive shunt in muscle and/or also through tissues of the limb other than muscle. Additionally, an intra-arterial adenosine infusion does not mimic exercise hyperemia, especially in terms of muscle capillary flow heterogeneity, while the often-observed exercise-induced changes in capillary blood flow heterogeneity likely reflect true changes in nutritive flow linked to muscle fiber and vascular unit recruitment.
Article
This study examined the effect of low (25% of maximum voluntary contraction) and high (75% of maximum voluntary contraction) intensity short-term handgrip exercise training on localized vascular function. Forearm blood flow was evaluated in twenty-eight healthy men (age: 23 +/- 4.3) pre- and post-training in both forearms at rest, following forearm occlusion and following forearm occlusion combined with handgrip exercise using strain gauge plethysmography. The 4-week program consisted of non-dominant handgrip exercise performed 5 d/wk for 20 min at either low or high intensity. Following training a significant increase in forearm blood flow was noted for the nondominant arm in both groups after forearm occlusion (low intensity group: 16.51%; high intensity group: 20.72%; p = 0.001) and forearm occlusion combined with handgrip exercise (low intensity group: 17.71%; high intensity group: 29.27%; p = 0.001). No significant group by test interaction (p = 0.632) was found. These data show improved unilateral vasodilatory responsiveness after short-term handgrip training. In addition, the degree of change is most notable following the greatest vasodilatory stimulus. Lastly, a lack of group by treatment interaction suggests the change may be independent of training stimulus.
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Muscle fiber diameters and numbers of capillaries per fiber, per square millimeter, and around each fiber were determined in needle biopsies from the lateral part of the quadriceps muscle of 23 young men. Twelve subjects were untrained (UT) and eleven were endurance-trained (ET) athletes. Average values for maximal oxygen uptake were 51.3 (UT) and 72.0 ml/kg-min (ET). Mean fiber diameters were not significantly different in the two groups (48.8 and 49.1 micron). The capillaries per fiber ratios were 1.77+/-0.10 and 2.49+/-0.08 (mean+/-SE) in the UT and ET groups, respectively. The numbers of capillaries around each fiber were 4.43+/-0.19 (UT) and 5.87+/-0.18 (ET). The numbers of capillaries per mm2 were 585+/-40 (UT) and 821+/-28 (ET). Fiber diameters were 28% smaller in ultrathin than in fresh-frozen sections from the same biopsies. After correction for this difference, the numbers of capillaries per mm2 were 305 and 425 in the UT and ET, respectively. The capillaries per fiber ratio increased with increasing fiber diameter, but not sufficiently to maintain the number of capillaries per mm2. Fibers containing many mitochondria are surrounded by more capillaries than fibers with few mitochondria.
Article
1. Five subjects trained for 8 weeks on a bicycle ergometer for an average of 40 min/day, four times a week at a work load requiring 80% of the maximal oxygen uptake ( V̇ O 2 max. ). V̇ O 2 max. determinations were performed, and muscle biopsies from the quadriceps femoris muscle (vastus lateralis) were taken before, as well as repeatedly during, the training period. The muscle biopsies were histochemically stained for fibre‐types (myofibrillar ATPase) and capillaries (amylase‐PAS method), and analysed biochemically for succinate dehydrogenase and cytochrome oxidase activities. 2. The training programme resulted in a 16% increase in V̇ O 2 max. , a 20% increase in capillary density, a 20% increase in mean fibre area, and an approximately 40% increase in the activities of succinate dehydrogenase and cytochrome oxidase. 3. The capillary supply to type I, IIA and IIB fibres, expressed as the mean number of capillaries in contact with each fibre‐type, relative to fibre‐type area, increased equally. 4. The present study shows that endurance training constitutes a powerful stimulus for capillary proliferation in human skeletal muscle.
Article
This study was performed to determine whether alterations in vascular structure exist in a biracial population of young (age 22.3 +/- 0.6 yrs [mean + SE]) normotensive men. We examined maximal vasodilatory capacity in 21 blacks and 20 whites (average blood pressure = 122/75 and 118/72 mm Hg, respectively). Forearm blood flow was determined at rest and after 10 min of ischemic handgrip exercise using venous occlusion plethysmography. Forearm vascular resistance was computed from blood flow and mean arterial blood pressure determined by auscultation. Minimum forearm vascular resistance was 23% higher in blacks (2.60 +/- 0.60) than in whites (2.11 +/- 0.41) (P = .005), and was unrelated to parental history of hypertension. The regression equation for minimum forearm vascular resistance (Y) and casual blood pressure (X) for blacks was Y = -1.782 + 0.0487X (r = 0.522); for whites it was Y = -1.165 + 0.0367X (r = 0.418). When the data were covaried on resting mean arterial blood pressure, blacks still had a higher minimum forearm vascular resistance (P = .014). The results suggest a racial difference in the vascular structure of the forearm resistance vessels.
Article
To determine whether extremity vasodilatory capacity may be augmented in older persons by endurance exercise training, lower leg blood flow and conductance were characterized plethysmographically at rest and during maximal hyperemia in 9 men and 10 women aged 64 +/- 3 (SD) yr before and after 31 +/- 6 wk of walking and jogging at 70-90% of maximal oxygen uptake for 45 min 3-5 days/wk. Maximal oxygen uptake expressed as milliliters per kilogram per minute improved 25% in men and 21% in women (P less than 0.01). Maximal leg blood flow and conductance increased in all nine men by an average of 39 +/- 33 (P less than 0.001) and 42 +/- 44% (P less than 0.004), respectively. Results were more variable in women and achieved unequivocal statistical significance only for maximal blood flow (+33 +/- 54% for blood flow and +29 +/- 55% for conductance; P less than 0.02 and P = 0.05, respectively). Body weight and skinfold adiposity declined in both sexes (P less than 0.05). Enhancement of vasodilatory capacity was related to weight loss in men and adipose tissue loss in women (r = 0.61 and 0.51, respectively; P less than 0.05). There were no significant changes in exercise capacity, body weight, or maximal blood flow in four male and three female controls aged 66 +/- 4 yr. Thus adaptability of the lower limb circulation to endurance exercise training is retained to at least age 65 yr.
Article
To examine whether the resumption of normal physical activity after forearm immobilization would reverse impaired vasodilation, the minimal vascular resistance was examined in six subjects who had forearm casts placed for broken forearm bones. Each subject was examined twice, once within 48 h after forearm cast removal and again approximately 29 days later. The formerly casted forearm and the opposite forearm (noncasted) were examined. Minimal vascular resistance decreased in the casted forearm from 3.0 +/- 0.4 to 2.6 +/- 0.5 mmHg.ml-1.min.100 ml (P less than 0.014). There was no change in the noncasted forearm: 2.5 +/- 0.3 vs. 2.5 +/- 0.3 mmHg.ml-1.min.100 ml. This study shows that maximal vasodilation improves with the resumption of normal physical activity and therefore demonstrates that immobilization is associated with a reduced forearm vasodilator capacity.
Article
The effects of long-term strength training on skeletal muscle fibre characteristics were evaluated in nine body builders (BB) (five males and four females) and ten control subjects (six females and four males). Muscle fibre area, percentage fibre type, and capillary supply were compared between the BB and controls as well as between the males and females with a two-way analysis of variance design. For the fast-twitch fibre area (FTa), the BB had larger areas than the controls, and males had larger areas than females. The analysis for the slow-twitch fibre areas (STa) showed only a training effect; BB had a larger STa than controls. The FTa in the untrained females and the female BB were similar to their STa; in contrast, both male groups had significantly larger FTa than STa. The BB had significantly more capillaries per fibre than the control groups but the number of capillaries/mm2 were similar in all groups. The results suggest that prolonged training in the female BB hypertrophies both the FT and ST fibres. The female BB realized the same increase in capillary per fibre ratio (#cap/f) as the male BB. However, the larger area of the FT fibres compared to the ST fibre seen in both male groups was not observed in either female group.
Article
Tissue samples were obtained from the vastus lateralis muscle of elite olympic weight and power lifters (OL/PL, n = 6), bodybuilders (BB, n = 7), and sedentary men (n = 7). Enzyme activities of citrate synthase (CS), lactate dehydrogenase (LD), 3-OH-acyl-CoA-dehydrogenase (HAD), and myokinase (MK) were assayed on freeze-dried dissected pools of slow-twitch (ST) and fast-twitch (FT) fiber fragments by fluorometric means. Histochemical analyses were carried out to assess fiber type composition and fiber area. CS and HAD activities were lower (P less than 0.05), and LD and MK were higher (P less than 0.05) in FT than ST fibers in the entire subject pool (n = 20). CS of FT fibers and HAD of ST fibers were lower in athletes (P less than 0.05-0.01) compared with nonathletes, whereas LD of both fiber types was higher (P less than 0.05-0.001) in athletes. CS activity of ST fibers and MK activity of FT fibers were higher (P less than 0.05) in BB compared with OL/PL. FT and ST fiber area was greater (P less than 0.05) in athletes than in nonathletes. BB displayed greater (P less than 0.05) fiber size than OL/PL. FT/ST area was greater (P less than 0.05) in OL/PL than BB. It is suggested that long-term heavy-resistance training results in specific metabolic adaptations of FT and ST fiber types. These changes appear to be influenced by the type of resistance training.
Article
The measurement of peripheral blood flow by plethysmography assumes that the cuff pressure required for venous occlusion does not decrease arterial inflow. However, studies in five normal subjects suggested that calf blood flow measured with a plethysmograph was less than arterial inflow calculated from Doppler velocity measurements. We hypothesized that the pressure required for venous occlusion may have decreased arterial velocity. Further studies revealed that systolic diameter of the superficial femoral artery under a thigh cuff decreased from 7.7 +/- 0.4 to 5.6 +/- 0.7 mm (P less than 0.05) when the inflation pressure was increased from 0 to 40 mmHg. Cuff inflation to 40 mmHg also reduced mean velocity 38% in the common femoral artery and 47% in the popliteal artery. Inflation of a cuff on the arm reduced mean velocity in the radial artery 22% at 20 mmHg, 26% at 40 mmHg, and 33% at 60 mmHg. We conclude that inflation of a cuff on an extremity to low pressures for venous occlusion also caused a reduction in arterial diameter and flow velocity.