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Received October 21, 2003
Revised November 27, 2003
Accepted after revision January 23, 2004
1 University of Colorado
2 University of colorado
* To whom correspondence should be addressed. E-mail: seals{at}colorado.edu.
Peripheral conduit artery flow-mediated dilation decreases with aging in humans. The underlying mechanisms and efficacy of preventive strategies are unknown. Brachial artery flow-mediated dilation was determined at baseline, and after ascorbic acid (vitamin C) intravenous infusion and chronic supplementation (500 mg/d for 30 days) in 3 groups of healthy men: young sedentary (n=11; 25±1 years, mean±SE), older sedentary (n=9; 64±2), and older endurance exercise-trained (n=9; 64±2). At baseline, flow-mediated dilation (normalized for the hyperemic stimulus) was ~45% lower in the older (0.015±0.001) vs. young (0.028±0.004) sedentary men (p<0.01), but was preserved in older exercising men (0.028±0.004). Ascorbic acid infusion increased plasma concentrations >15-fold in all groups and restored flow-mediated dilation in the sedentary older men (to 0.023±0.002; p>0.1 vs. other groups), but did not affect flow-mediated dilation in the other 2 groups. Oral ascorbic acid supplementation did not affect flow-mediated dilation in any group. Brachial artery endothelium-independent dilation (sublingual nitroglycerin) did not differ among the groups at baseline nor change ascorbic acid administration. These results provide the first evidence for an important role of oxidative stress in the impairment in peripheral conduit artery flow-mediated dilation with sedentary human aging, and the preservation of flow-mediated dilation with physically active aging.
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