Abstract-Physical training is associated with an increase in arterial distensibility. Whether the effect of training on this variable is evident also for ordinary levels of exercise or no exercise is unknown, however. We have addressed this issue by investigating the effect on radial artery distensibility of prolonged monolateral immobilization of the ipsilateral limb versus the following resumption of normal mobility. We studied 7 normotensive subjects (age, 25.4Ϯ3.0 years; systolic/diastolic blood pressure, 119Ϯ9/68Ϯ6 mm Hg, meanϮSE) in whom 1 limb had been immobilized for 30 days in plaster because of a fracture of the elbow. At both the day after plaster removal and after 45 days of rehabilitation, radial artery distensibility was evaluated by an echo-tracking device (NIUS-02), which allows arterial diameter to be measured noninvasively and continuously over all pressures from diastole to systole (finger monitoring), with the distensibility values being continuously derived from the Langewouters formula. In both instances, the contralateral arm was used as control. Immediately after removal of the plaster, radial artery distensibility was markedly less in the previously immobilized and fractured limb compared with the contralateral limb (0.4Ϯ0.1 versus 0.8Ϯ0.1, 1/mm Hg 10
Ϫ3, PϽ0.05). After rehabilitation, the distensibility of the radial artery was markedly increased in the previously fractured limb (0.65Ϯ0.1 1/mm Hg 10
Ϫ3, PϽ0.05), whereas no change was seen in the contralateral limb. Thus, complete interruption of physical activity is associated with a marked reduction of arterial distensibility, indicating that even an ordinary level of activity plays a major role in modulation of arterial mechanical properties. (Hypertension. 1998;32:584-587.) Key Words: arterial distensibility Ⅲ training Ⅲ exercise Ⅲ vessels Ⅲ circulation E xercise training is associated with several changes in cardiac and arteriolar structure and function. [1][2][3][4][5][6][7][8][9] There is evidence, however, that large and conduit artery mechanical properties are also modified by training and that the modification consists of an increase in distensibility 10 -13 that is particularly evident in the arteries of the limbs most involved in the physical activity.14 Whether arterial mechanical properties are modified also by ordinary levels of physical activity (rather than becoming manifest only during exercise training) has never been investigated. In the present study, we addressed this issue by measuring radial artery diameter and distensibility in subjects in whom 1 arm was immobilized in plaster for 30 days because of an elbow fracture. The examination was performed on the day after removal of the plaster and after 45 days of rehabilitation, in both instances using the contralateral radial artery as control.
Methods
SubjectsWe studied 7 healthy, right-handed young subjects (5 males, 2 females) aged from 17 to 30 years (25.4Ϯ3.0 years, meanϮSE). The subjects suffered from elbow fracture that had been treated by complete immobilizat...