Vascular Dysfunction During Physical Inactivity

University of Utah14 enrolled

Overview

Prolonged periods of reduced activity are associated with decreased vascular function and muscle atrophy. Physical inactivity due to a sedentary lifestyle or acute hospitalization is also associated with impaired recovery, hospital readmission, and increased mortality. Older adults are a particularly vulnerable population as functional (vascular and skeletal muscle mitochondrial dysfunction) and structural deficits (loss in muscle mass leading to a reduction in strength) are a consequence of the aging process. The combination of inactivity and aging poses an added health threat to these individuals by accelerating the negative impact on vascular and skeletal muscle function and dysfunction. The underlying factors leading to vascular and skeletal muscle dysfunction are unknown, but have been linked to increases in oxidative stress. Additionally, there is a lack of understanding of how vascular function is impacted by inactivity in humans and how these changes are related to skeletal muscle function. It is the goal of this study to investigate the mechanisms that contribute to disuse muscle atrophy and vascular dysfunction in order to diminish their negative impact, and preserve vascular and skeletal muscle function.

Study Type

INTERVENTIONAL

Allocation

Purpose

BASIC_SCIENCE

Masking

NONE

Enrollment

Conditions

Aging Vascular Endothelium

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals who have recently undergone surgery or injury requiring inactivity Exclusion Criteria: * Cardiac abnormalities considered exclusionary by the study physician (congestive heart failure, coronary artery disease, right-to-left shunt) * Uncontrolled endocrine or metabolic disease * Glomerular filtration rate \< 45 mL/min/1.73 m\^2 or evidence of kidney disease or failure * Vascular disease or risk factors of peripheral atherosclerosis * Risk of deep vein thrombosis including family history of thrombophilia, pulmonary emboli, deep vein thrombosis * Use of anticoagulant therapy * Elevated systolic pressure \> 180 or a diastolic blood pressure \> 110 * Implanted electronic devices such as pacemakers, infusion pumps, stimulators * Cancer or history of successfully treated cancer (less than 1 year) other than basal cell carcinoma * Currently on a weight-loss diet or body mass index \> 35 kg/m\^2 * Inability to abstain from smoking for duration of study * History of \> 20 pack per year smoking * Positive for human immunodeficiency virus, hepatitis B or hepatitis C * Recent anabolic or corticosteroids use (within 3 months) * Subjects with hemoglobin or hematocrit lower than accepted lab values * Agitation/aggression disorder * History of stroke with motor disability * Recent history (\< 12 months) of gastrointestinal bleed * Depression diagnosis * Alcohol or drug abuse * Liver disease (AST/ALT 2 times above the normal limit, hyperbilirubinemia) * Respiratory disease (acute upper respiratory infection, history of chronic lung disease with resting oxygen saturation \< 97% on room air) * Pregnancy

Outcomes

Primary Outcomes

Brachial Artery Vascular Function

The flow rate of brachial artery measured by flow-mediated dilation (FDM). Doppler ultrasound will be used to determine brachial artery vascular function. Specifically, this assessment will include the measurement of flow rate and artery diameter at rest and in response to flow mediated dilation.

Time frame: Baseline, during reduced activity (2 weeks) and 2 weeks post reduced activity (4 weeks)

Secondary Outcomes

Popliteal Artery Vascular Function

Flow rate of popliteal artery measured by flow-mediated dilation (FMD). Doppler ultrasound will be used to determine popliteal artery vascular function. Specifically, this assessment will include the measurement of flow rate and artery diameter at rest and in response to flow mediated dilation.

Time frame: Baseline, during reduced activity (2 weeks) and 2 weeks post reduced activity (4 weeks)

Leg Microvascular Function

Flow rate of leg microvasculature assessed by passive leg movement (PLM). Doppler ultrasound will be used to determine leg microvasculature function. Specifically, this assessment will include the measurement of flow rate at rest and in response to movement.

Time frame: Baseline, during reduced activity (2 weeks) and 2 weeks post reduced activity (4 weeks)

Vascular Dysfunction During Physical Inactivity

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes