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J Clin Endocrinol Metab ; 89(7): 3248-54, 2004 Jul.
Article in English | MEDLINE | ID: mdl-15240599

ABSTRACT

This study tested the hypotheses that aging is associated with prolonged recovery after a challenge to the hypothalamic-pituitary-adrenal axis (acute exercise) and that aerobic fitness is associated with a blunting of the age-related loss of negative feedback sensitivity. Young (27 +/- 2.8 yr, n = 9), older (64.6 +/- 1.4 yr, n = 11), and older-fit women (66.3 +/- 2.2 yr, n = 11) underwent a short bout of treadmill exercise at high (but submaximal) intensity. The exercise trial elicited significant increases in heart rate, blood pressure, ACTH, and cortisol (P < 0.001). Although the young and the older women exhibited similar cortisol response to the trial and throughout the recovery period, the older women had a slower decrease of ACTH levels (P < 0.05), suggesting reduced negative feedback sensitivity with aging. Between the two groups of older women, the older-fit group had significantly greater rate of recovery of ACTH levels (P < 0.05) compared with the older unfit women. However, older fit women had greater cortisol production during the recovery period (P < 0.05), suggesting greater adrenal sensitivity to ACTH. These results suggest that aging is associated with changes in the dynamic function of the hypothalamic-pituitary-adrenal axis and that these changes are attenuated by aerobic fitness.


Subject(s)
Aging/physiology , Exercise/physiology , Hypothalamo-Hypophyseal System/physiology , Physical Endurance/physiology , Physical Fitness/physiology , Pituitary-Adrenal System/physiology , Adrenocorticotropic Hormone/blood , Adult , Aged , Aged, 80 and over , Aging/blood , Area Under Curve , Blood Pressure , Feedback, Physiological , Female , Heart Rate , Humans , Hydrocortisone/blood , Middle Aged
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