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Arterial stiffness and augmentation index are associated with balance function in young adults

Objective Arterial stiffness and pulsatile central hemodynamics have been shown to affect various aspects of physical function, such as exercise capacity, gait speed, and motor control. The aim of this study was to examine the potential association between arterial stiffness and balance function in...

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Published in:European journal of applied physiology 2023-04, Vol.123 (4), p.891-899
Main Authors: Cilhoroz, Burak T., Heckel, Andrew R., DeBlois, Jacob P., Keller, Allison, Sosnoff, Jacob J., Heffernan, Kevin S.
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Heckel, Andrew R.
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Heffernan, Kevin S.
description Objective Arterial stiffness and pulsatile central hemodynamics have been shown to affect various aspects of physical function, such as exercise capacity, gait speed, and motor control. The aim of this study was to examine the potential association between arterial stiffness and balance function in healthy younger men and women. Methods 112 participants (age = 21 ± 4 years, n  = 78 women) underwent measures of arterial stiffness, pulsatile central hemodynamics, balance function and physical fitness in this cross-sectional study. Postural sway was measured in triplicate while participants stood on a foam surface with their eyes closed for 20 s. The average total center of pressure path length from the three trials was used for analysis. Measures of vascular function were estimated using an oscillometric blood pressure device while at rest and included pulse wave velocity (PWV), augmentation index (AIx), and pulse pressure amplification. Measures of physical fitness used as covariates in statistical models included handgrip strength determined from a handgrip dynamometer, lower-body flexibility assessed using a sit-and-reach test, estimated maximal aerobic capacity (VO 2 max) using heart rate and a step test, and body fat percentage measured from air displacement plethysmography. Results The results from linear regression indicated that after considering sex, mean arterial pressure, body fat, estimated VO 2 max, handgrip strength, and sit-and-reach, PWV ( β  = 0.44, p  
doi_str_mv 10.1007/s00421-022-05116-w
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The aim of this study was to examine the potential association between arterial stiffness and balance function in healthy younger men and women. Methods 112 participants (age = 21 ± 4 years, n  = 78 women) underwent measures of arterial stiffness, pulsatile central hemodynamics, balance function and physical fitness in this cross-sectional study. Postural sway was measured in triplicate while participants stood on a foam surface with their eyes closed for 20 s. The average total center of pressure path length from the three trials was used for analysis. Measures of vascular function were estimated using an oscillometric blood pressure device while at rest and included pulse wave velocity (PWV), augmentation index (AIx), and pulse pressure amplification. Measures of physical fitness used as covariates in statistical models included handgrip strength determined from a handgrip dynamometer, lower-body flexibility assessed using a sit-and-reach test, estimated maximal aerobic capacity (VO 2 max) using heart rate and a step test, and body fat percentage measured from air displacement plethysmography. Results The results from linear regression indicated that after considering sex, mean arterial pressure, body fat, estimated VO 2 max, handgrip strength, and sit-and-reach, PWV ( β  = 0.44, p  &lt; 0.05) and AIx ( β  = − 0.25, p  &lt; 0.01) were significant predictors of postural sway, explaining 10.2% of the variance. Conclusion Vascular function is associated with balance function in young adults independent of physical fitness. Increased arterial stiffness may negatively influence balance, while wave reflections may be protective for balance.</description><identifier>ISSN: 1439-6319</identifier><identifier>EISSN: 1439-6327</identifier><identifier>DOI: 10.1007/s00421-022-05116-w</identifier><identifier>PMID: 36564497</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aerobic capacity ; Balance ; Biomedical and Life Sciences ; Biomedicine ; Blood Pressure ; Body fat ; Cross-Sectional Studies ; Female ; Gait ; Hand Strength ; Heart rate ; Hemodynamics ; Human Physiology ; Humans ; Male ; Mathematical models ; Motor task performance ; Occupational Medicine/Industrial Medicine ; Original Article ; Physical fitness ; Posture ; Pulse Wave Analysis - methods ; Sports Medicine ; Statistical analysis ; Vascular Stiffness - physiology ; Young Adult ; Young adults</subject><ispartof>European journal of applied physiology, 2023-04, Vol.123 (4), p.891-899</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-adc8f48ee4755d4d8a11382255bef6fade2cf65e340890f604077cce940b14e63</cites><orcidid>0000-0002-3499-1477</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36564497$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cilhoroz, Burak T.</creatorcontrib><creatorcontrib>Heckel, Andrew R.</creatorcontrib><creatorcontrib>DeBlois, Jacob P.</creatorcontrib><creatorcontrib>Keller, Allison</creatorcontrib><creatorcontrib>Sosnoff, Jacob J.</creatorcontrib><creatorcontrib>Heffernan, Kevin S.</creatorcontrib><title>Arterial stiffness and augmentation index are associated with balance function in young adults</title><title>European journal of applied physiology</title><addtitle>Eur J Appl Physiol</addtitle><addtitle>Eur J Appl Physiol</addtitle><description>Objective Arterial stiffness and pulsatile central hemodynamics have been shown to affect various aspects of physical function, such as exercise capacity, gait speed, and motor control. The aim of this study was to examine the potential association between arterial stiffness and balance function in healthy younger men and women. Methods 112 participants (age = 21 ± 4 years, n  = 78 women) underwent measures of arterial stiffness, pulsatile central hemodynamics, balance function and physical fitness in this cross-sectional study. Postural sway was measured in triplicate while participants stood on a foam surface with their eyes closed for 20 s. The average total center of pressure path length from the three trials was used for analysis. Measures of vascular function were estimated using an oscillometric blood pressure device while at rest and included pulse wave velocity (PWV), augmentation index (AIx), and pulse pressure amplification. Measures of physical fitness used as covariates in statistical models included handgrip strength determined from a handgrip dynamometer, lower-body flexibility assessed using a sit-and-reach test, estimated maximal aerobic capacity (VO 2 max) using heart rate and a step test, and body fat percentage measured from air displacement plethysmography. Results The results from linear regression indicated that after considering sex, mean arterial pressure, body fat, estimated VO 2 max, handgrip strength, and sit-and-reach, PWV ( β  = 0.44, p  &lt; 0.05) and AIx ( β  = − 0.25, p  &lt; 0.01) were significant predictors of postural sway, explaining 10.2% of the variance. Conclusion Vascular function is associated with balance function in young adults independent of physical fitness. 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The aim of this study was to examine the potential association between arterial stiffness and balance function in healthy younger men and women. Methods 112 participants (age = 21 ± 4 years, n  = 78 women) underwent measures of arterial stiffness, pulsatile central hemodynamics, balance function and physical fitness in this cross-sectional study. Postural sway was measured in triplicate while participants stood on a foam surface with their eyes closed for 20 s. The average total center of pressure path length from the three trials was used for analysis. Measures of vascular function were estimated using an oscillometric blood pressure device while at rest and included pulse wave velocity (PWV), augmentation index (AIx), and pulse pressure amplification. Measures of physical fitness used as covariates in statistical models included handgrip strength determined from a handgrip dynamometer, lower-body flexibility assessed using a sit-and-reach test, estimated maximal aerobic capacity (VO 2 max) using heart rate and a step test, and body fat percentage measured from air displacement plethysmography. Results The results from linear regression indicated that after considering sex, mean arterial pressure, body fat, estimated VO 2 max, handgrip strength, and sit-and-reach, PWV ( β  = 0.44, p  &lt; 0.05) and AIx ( β  = − 0.25, p  &lt; 0.01) were significant predictors of postural sway, explaining 10.2% of the variance. Conclusion Vascular function is associated with balance function in young adults independent of physical fitness. 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ispartof European journal of applied physiology, 2023-04, Vol.123 (4), p.891-899
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subjects Adolescent
Adult
Aerobic capacity
Balance
Biomedical and Life Sciences
Biomedicine
Blood Pressure
Body fat
Cross-Sectional Studies
Female
Gait
Hand Strength
Heart rate
Hemodynamics
Human Physiology
Humans
Male
Mathematical models
Motor task performance
Occupational Medicine/Industrial Medicine
Original Article
Physical fitness
Posture
Pulse Wave Analysis - methods
Sports Medicine
Statistical analysis
Vascular Stiffness - physiology
Young Adult
Young adults
title Arterial stiffness and augmentation index are associated with balance function in young adults
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