title: Post-exercise pulse pressure is a better predictor of executive function than pre-exercise pulse pressure in cognitively normal older adults.
abstract: Exercise "stress tests" are widely used to assess cardiovascular function and to detect abnormalities. In line with the view of exercise as a stressor, the present study examined the relationship between cognitive function and cardiovascular activity before and after light physical exercise in a sample of 84 non-demented community-dwelling older adults. Based on known relationships between hypertension, executive function and cerebral white matter changes, we hypothesized that greater post-exercise reactivity, as indexed by higher pulse pressure, would be more related to worse performance on frontal-executive tasks than pre-exercise physiologic measures. All participants were administered a comprehensive neuropsychological battery and underwent a Six Minute Walk Test (6MWT), with blood pressure (BP) measures obtained immediately before and after the walk. Pulse pressure (PP) was derived from BP as an indicator of vascular auto-regulation and composite scores were computed for each cognitive domain assessed. As predicted, worse executive function scores exhibited a stronger relationship with post-exercise PP than pre-exercise PP. Results suggest that PP following system stress in the form of walking may be more reflective of the state of vascular integrity and associated executive dysfunction in older adults than baseline physiologic measures.
authors.affiliation: a Department of Clinical and Health Psychology , University of Florida , Gainesville , FL , USA.
authors.forename: Bonnie M
authors.initials: BM
authors.lastname: Scott
authors.affiliation: a Department of Clinical and Health Psychology , University of Florida , Gainesville , FL , USA.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Maye
authors.affiliation: a Department of Clinical and Health Psychology , University of Florida , Gainesville , FL , USA.
authors.forename: Jacob
authors.initials: J
authors.lastname: Jones
authors.affiliation: a Department of Clinical and Health Psychology , University of Florida , Gainesville , FL , USA.
authors.forename: Kelsey
authors.initials: K
authors.lastname: Thomas
authors.affiliation: a Department of Clinical and Health Psychology , University of Florida , Gainesville , FL , USA.
authors.forename: Paul C
authors.initials: PC
authors.lastname: Mangal
authors.affiliation: a Department of Clinical and Health Psychology , University of Florida , Gainesville , FL , USA.
authors.forename: Erin
authors.initials: E
authors.lastname: Trifilio
authors.affiliation: b Department of Applied Physiology and Kinesiology , University of Florida , Gainesville , FL , USA.
authors.forename: Chris
authors.initials: C
authors.lastname: Hass
authors.affiliation: a Department of Clinical and Health Psychology , University of Florida , Gainesville , FL , USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Marsiske
authors.affiliation: a Department of Clinical and Health Psychology , University of Florida , Gainesville , FL , USA.
authors.forename: Dawn
authors.initials: D
authors.lastname: Bowers
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology / Q000523:psychology*; D001794:Blood Pressure / Q000502:physiology*; D003071:Cognition / Q000502:physiology*; D056344:Executive Function / Q000502:physiology*; D015444:Exercise / Q000502:physiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests
keywords: Pulse pressure; cognition; executive function; exercise; older adults