Arterial adaptations to training among first time marathoners

Cardiovasc Ultrasound. 2016 May 26;14(1):19. doi: 10.1186/s12947-016-0063-6.

Abstract

Background: Exercise training favorably alters arterial anatomy in trained limbs, though the simultaneous effects on passively trained arteries are unclear. Thus, brachial (non-trained limb), popliteal (trained limb) and carotid total wall thickness (TWT), wall-to-lumen ratios (W:L), intima-media thickness (IMT) and lumen diameters (LD) were compared between experimental (n = 14) and control (n = 11) participants before and after the experimental participants participated in marathon training.

Methods: Arterial dimensions were measured with B-mode ultrasonography. Initial and final testing of VO2max and running speed at 3.5 mmol lactate were measured in the experimental group.

Results: VO2max was unchanged by training, but running speed at 3.5 mmol lactate increased by 5 % (p = .008). Time by group interactions were observed for the brachial and popliteal measures (p < 0.05), but not the carotid. No changes were observed in the control group. Prior to the intervention the experimental group had larger LD in the brachial (p = .002) and popliteal arteries (p = .007) than controls; no other pre-testing differences were found. Following training, TWT declined in the brachial (pre = .99 ± .16 mm; post = .84 ± .10 mm; p = .007) and popliteal (pre = .96 ± .09 mm; post = .86 ± .11 mm; p = .005) arteries, characterized by a 0.07 mm decrease in brachial IMT (p = .032) and a non-significant 0.03 mm reduction in popliteal IMT. LD increased in the brachial (pre = 3.38 ± .35 mm; post = 3.57 ± .41 mm; p = .015) and popliteal (pre = 4.73 ± .48 mm; post = 5.11 ± .72 mm; p = .002) arteries.

Conclusions: These data suggest that exercise-induced alterations in arterial dimensions occur in trained and non-trained limbs, and that adaptations may be dose dependent.

Keywords: Arterial remodeling; Arterial wall thickness; Endurance exercise; Intima-media thickness; Lumen diameter.

MeSH terms

  • Adaptation, Physiological / physiology*
  • Brachial Artery / diagnostic imaging*
  • Brachial Artery / physiology
  • Carotid Arteries / diagnostic imaging*
  • Carotid Arteries / physiology
  • Carotid Intima-Media Thickness
  • Female
  • Femoral Artery / diagnostic imaging*
  • Femoral Artery / physiology
  • Humans
  • Male
  • Physical Endurance / physiology*
  • Running / physiology*
  • Ultrasonography
  • Vascular Remodeling / physiology*
  • Young Adult