Abstract
Aerobic capacity, as indicated by maximal oxygen uptake (VO2 max) has an important role in contrasting the traditional cardiovascular risk factors and preventing cardiovascular morbidity and mortality. It is known that endothelial function, measured as flow-mediated dilation (FMD) of the brachial artery, is strictly linked to atherogenesis and cardiovascular risk. However, the relationship between VO2 max and FMD has not been fully investigated especially in healthy non-obese subjects. This preliminary study cross-sectionally investigated the relationship between VO2 max and FMD in 22 non-obese, healthy sedentary male subjects. Dividing the cohort in two subgroups of 11 subjects each according to the median value of VO2 max, the FMD was significantly lower in the subgroup with lower VO2 max (mean ± sem: 7.1 ± 0.7 vs. 9.5 ± 0.8 %; P = 0.035). Absolute VO2 max (mL min−1) was significantly and independently correlated with body fat mass (r = −0.50; P = 0.018) and with FMD (r = 0.44; P = 0.039). This preliminary study suggests that maximal oxygen uptake is independently correlated with endothelial function in healthy non-obese adults. These results are also in agreement with the possibility that improving maximal oxygen uptake may have a favorable effect on endothelial function and vice versa.
Similar content being viewed by others
References
Paffenbarger RS Jr, Hyde RT, Wing AL, Hsieh CC (1986) Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med 386:605–613
Kavanagh T, Mertens Dj, Hamm LF, Beyene J, Kennedy J, Corey P et al (2002) Prediction of long-term prognosis in 12619 men referred for cardiac rehabilitation. Circulation 106:666–671
Thompson PD, Bucner D, Pina IL, Balady GJ, Williams MA, Marcus BH et al (2003) Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease. Circulation 107:3109–3116
Hornig B, Maier V, Drexler H (1996) Physical training improves endothelial function in patients with chronic heart failure. Circulation 93:210–214
Gokce N, Vita J, Bader DS, Sherman DL, Hunter LM, Holbrook M et al (2002) Effect of exercise on upper and lower extremity endothelial function in patients with coronary artery disease. Am J Cardiol 90:124–127
Higashi Y, Sasaki S, Kurisu S, Yoshimizu A, Sasaki N, Matsuura H et al (1999) Regular aerobic exercise augments endothelium-dependent vascular relaxation in normotensive as well as hypertensive subjects: role of endothelium-derived nitric oxide. Circulation 100:1194–1202
Fuchsjager-Mayrl G, Pleiner J, Wiesinger GF, Sieder AE, Quittan M, Nuhr MJ et al (2002) Exercise training improves vascular endothelial function in patients with type 1 diabetes. Diabetes Care 25:1795–1801
Maiorana A, O’Driscoll G, Cheetham C, Dembo L, Stanton K, Goodman C et al (2001) The effect of combined aerobic and resistance exercise training on vascular function in type 2 diabetes. J Am Coll Cardiol 38:860–866
Levine BD (2008) VO2 max: what do we know, and what do we still need to know? J Physiol 586:25–34
Ross R (1999) Atherosclerosis—an inflammatory disease. N Engl J Med 340:115–126
Raitakari OT, Celermajer DS (2000) Flow-mediated dilation. Br J Clin Pharmacol 50:97–104
Maeda S, Tanabe T, Otsuki T, Sugawara J, Iemitsu M, Miyauchi T et al (2004) Moderate regular exercise increases basal production of nitric oxide in elderly women. Hypertens Res 27:947–953
Haram PM, Kemi OJ, Wisloff U (2008) Adaptation of endothelium to exercise training: insights from experimental studies. Front Biosci 13:336–346
Tschakovsky ME, Schoemaker JK, Hughson RL (1996) Vasodilation and muscle pump contribution to immediate exercise hyperemia. Am J Physiol 271:H1697–H1701
Verga S, Buscemi S, Caimi G (1994) Resting energy expenditure and body composition in morbidly obese, obese and control subjects. Acta Diabetol 31:47–51
Buscemi S, Verga S, Batsis JA, Cottone S, Mattina A, Re A, Arnone M, Citarda S, Cerasola G (2009) Intrarenal hemodynamics and carotid intima-media thickness in the metabolic syndrome. Diab Res Clin Pract 86:177–185
Barac A, Campia U, Panza JA (2007) Methods for evaluating endothelial function in humans. Hypertension 49:748–760
Buscemi S, Verga S, Tranchina MR, Cottone S, Cerasola G (2009) Effects of hypocaloric very-low-carbohydrate diet vs. Mediterranean diet on endothelial function in obese women. Eur J Clin Invest 39:339–347
Howley ET, Bassett DR Jr, Welch HG (1995) Criteria for maximal oxygen uptake: review and commentary. Med Sci Sport Exerc 27:1292–1301
Berthouze SE, Minaire PM, Castells J, Busso T, Lacour VL (1995) Relationship between mean habitual daily energy expenditure and maximal oxygen uptake. Med Sci Sports Exerc 27:1170–1179
Kodama S, Saito K, Tanaka S, Maki M, Yachi Y, Asumi M et al (2009) Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women. JAMA 301:2024–2035
Yeboah J, Crouse JR, Hsu FC, Burke GL, Herrington DM (2007) Brachial flow-mediated dilation predicts incident cardiovascular events in older adults: the Cardiovascular Health Study. Circulation 115:2390–2397
Kasikcioglu E, Oflaz H, Kasikcioglu HA, Kayserilioglu A, Umman S, Meric M (2005) Endothelial flow-mediated dilatation and exercise capacity in highly trained endurance athletes. Tohoku J Exp Med 205:45–51
DeSouza CA, Shapiro LF, Clevenger CM, Dinenno FA, Monahan KD, Tanaka H (2000) Regular aerobic exercise prevents and restores age-related declines in endothelium-dependent vasodilatation in healthy men. Circulation 102:1351–1357
Walsh JH, Bilsborough W, Maiorana A, Best M, O’Driscoll GJ, Taylor RR et al (2003) Exercise training improves conduit vessel function in patients with coronary artery disease. J Appl Physiol 95:20–25
Walsh J, Best M, Yong G, O’Driscoll G, Watts G, Taylor R et al (2003) 8-weeks of combined aerobic and resistance training improves conduit vessel function in hypercholesterolaemic patients. In: XIVth world congress of cardiology. Heart, Lung and Circulation 12 (Abs)
Regensteiner JG, Bauer TA, Reusch JEB (2005) Rosiglitazone improves exercise capacity in individuals with type 2 diabetes. Diabetes Care 28:2877–2883
Guazzi M, Tumminello G, Reina G, Vicenzi M, Guazzi MD (2007) Atorvastatin therapy improve oxygen uptake kinetics in post-myocardial infarction patients. Eur J Clin Invest 37:454–462
Guazzi M, Tumminello G, Di Marco F, Fiorentini C, Guazzi MD (2004) The effects of phosphodiesterase-5 inhibition with sildenafil on pulmonary hemodynamics and diffusion capacity, exercise ventilatory efficiency, and oxygen uptake kinetics in chronic heart failure. J Am Coll Cardiol 12:2339–2348
Goran M, Fields DA, Hunter GR, Herd SL, Weinsier RL (2000) Total body fat does not influence maximal aerobic capacity. Int J Obesity 24:841–848
Toth MJ, Goran Ml, Ades PA, Howard DB, Poehlman ET (1993) Examination of data normalization procedures for expressing peak VO2 data. JAP 75:2282–2292
Rowland TW (1991) Effects of obesity on aerobic fitness in adolescent females. Am J Dis Child 145:764–768
Parikh H, Nilsson E, Ling C, Poulsen P, Almgren P, Nittby H et al (2008) Molecular correlates for maximal oxygen uptake and type 1 fibers. Am J Physiol Endocrinol Metab 294:E1152–E1159
Krotkiewski M, Björntorp P (1986) Muscle tissue in obesity with different distribution of adipose tissue. Effects of physical training. Int J Obesity 10:331–334
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Buscemi, S., Canino, B., Batsis, J.A. et al. Relationships between maximal oxygen uptake and endothelial function in healthy male adults: a preliminary study. Acta Diabetol 50, 135–141 (2013). https://doi.org/10.1007/s00592-010-0229-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00592-010-0229-x