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Research Article| Volume 45, ISSUE 12, P1487-1492, December 1996

Oxygen consumption in the heart, hepatomesenteric bed, and brain in young and elderly human subjects, and accompanying sympathetic nervous activity

  • Mario Vaz
    Footnotes
    Affiliations
    Human Autonomic Function Laboratory and the Alfred Baker Medical Unit, Baker Medical Research Institute, Prahran, Victoria, Australia
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  • Chakravarthi Rajkumar
    Affiliations
    Human Autonomic Function Laboratory and the Alfred Baker Medical Unit, Baker Medical Research Institute, Prahran, Victoria, Australia
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  • James Wong
    Affiliations
    Human Autonomic Function Laboratory and the Alfred Baker Medical Unit, Baker Medical Research Institute, Prahran, Victoria, Australia
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  • Robert S. Mazzeo
    Footnotes
    Affiliations
    Human Autonomic Function Laboratory and the Alfred Baker Medical Unit, Baker Medical Research Institute, Prahran, Victoria, Australia
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  • Andrea G. Turner
    Affiliations
    Human Autonomic Function Laboratory and the Alfred Baker Medical Unit, Baker Medical Research Institute, Prahran, Victoria, Australia
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  • Helen S. Cox
    Affiliations
    Human Autonomic Function Laboratory and the Alfred Baker Medical Unit, Baker Medical Research Institute, Prahran, Victoria, Australia
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  • Garry L. Jennings
    Affiliations
    Human Autonomic Function Laboratory and the Alfred Baker Medical Unit, Baker Medical Research Institute, Prahran, Victoria, Australia
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  • Murray D. Esler
    Correspondence
    Address reprint requests to Murray D. Esler, MBBS, PhD, Human Autonomic Function Laboratory, Baker Medical Research Institute, PO Box 348, Prahran 3181, Victoria, Australia.
    Affiliations
    Human Autonomic Function Laboratory and the Alfred Baker Medical Unit, Baker Medical Research Institute, Prahran, Victoria, Australia
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  • Author Footnotes
    ∗ Current address: M. V., Department of Physiology, St John's Medical College, Bangalore 560034, India
    † R.S.M, Department of Kinesiology, University of Colorado, Boulder, CO 80309.
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      Abstract

      Although the reduction in whole-body energy expenditure with aging has been well documented, there is little information about the changes that individual organs undergo. We therefore measured oxygen consumption in the heart, hepatomesenteric bed, and brain in elderly subjects and young controls, using central venous catheter techniques and the application of Fick's principle. We also measured whole-body, cardiac, and hepatomesenteric sympathetic nervous activity using isotope dilution methodology. Cardiac, hepatomesenteric, and cerebral oxygen consumption was similar in both groups. Whole-body and hepatomesenteric sympathetic nervous activity was also similar in the study groups, whereas cardiac norepinephrine (NE) spillover was significantly higher in the elderly. In contrast to the young, cardiac sympathetic nervous activity as assessed from NE spillover was not related to either cardiac oxygen consumption or cardiac work in the elderly. The data suggest that although oxygen consumption in the heart, hepatomesenteric bed, and brain are not different between young and elderly individuals, the relationship between sympathetic nervous activity and oxygen consumption in individual organs may alter with aging.
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      References

        • Poehlman ET
        • Horton ES
        Regulation of energy expenditure in aging humans.
        Annu Rev Nutr. 1990; 10: 255-275
        • Poehlman ET
        • Berke EM
        • Joseph JR
        • et al.
        Influence of aerobic capacity, body composition, and thyroid hormones on the age-related decline in resting metabolic rate.
        Metabolism. 1992; 41: 915-921
        • Fukagawa NK
        • Bandini LG
        • Young JB
        Effect of age on body composition and resting metabolic rate.
        Am J Physiol. 1990; 259: E233-E238
        • Vaughan L
        • Zurlo F
        • Ravussin E
        Aging and energy expenditure.
        Am J Clin Nutr. 1991; 53: 821-825
        • Pannemans DLE
        • Westerterp KR
        Energy expenditure, physical activity and basal metabolic rate of elderly subjects.
        Br J Nutr. 1995; 73: 571-581
        • Poehlman ET
        • McAuliffe TL
        • Van Houten DR
        • et al.
        Influence of age and endurance training on metabolic rate and hormones in healthy men.
        Am J Physiol. 1990; 259: E66-E72
        • Tzankoff SP
        • Norris AH
        Effect of muscle mass decrease on age-related BMR changes.
        J Appl Physiol. 1977; 43: 1001-1006
        • Kurpad AV
        • Khan K
        • Calder AG
        • et al.
        Muscle and whole body metabolism after norepinephrine.
        Am J Physiol. 1994; 266: E877-E884
        • WHO/FAO/UNU
        Energy and protein requirements.
        in: Report of a joint FAO/WHO/UNU expert consultation. ed 4. WHO Tech Rep Ser. 724. 1985: 43
        • Zurlo F
        • Larson K
        • Bogardus C
        • et al.
        Skeletal muscle metabolism is a major determinant of resting energy expenditure.
        J Clin Invest. 1990; 86: 1423-1427
        • Evers BM
        • Townsend CM
        • Thompson JC
        Organ physiology of aging.
        Surg Clin North Am. 1994; 74: 23-39
        • Spraul M
        • Ravussin E
        • Fontvieille AM
        • et al.
        Reduced sympathetic nervous activity.
        in: A potential mechanism predisposing to body weight gain. ed 4. J Clin Invest. 92. 1993: 1730-1735
        • Esler M
        • Skews H
        • Leonard P
        • et al.
        Age-dependence of norepinephrine kinetics in normal subjects.
        Clin Sci. 1981; 60: 217-219
        • Veith RC
        • Featherstone JA
        • Linares OA
        • et al.
        Age differences in plasma norepinephrine kinetics in humans.
        J Gerontol. 1986; 41: 319-324
        • Poehlman ET
        • McAuliffe T
        • Danforth Jr, E
        Effects of age and level of physical activity on plasma norepinephrine kinetics.
        Am J Physiol. 1990; 258: E256-E262
        • Esler MD
        • Turner AG
        • Kaye DM
        • et al.
        Aging effects on human sympathetic neuronal function.
        Am J Physiol. 1995; 268: R278-R285
        • Esler M
        • Jennings G
        • Lambert G
        • et al.
        Overflow of catecholamine neurotransmitters to the circulation: Source, fate, and functions.
        Physiol Rev. 1990; 70: 963-985
        • Esler M
        • Jackman G
        • Bobik A
        • et al.
        Determination of norepinephrine apparent release rate and clearance in humans.
        Life Sci. 1979; 25: 1461-1470
        • Cox HS
        • Kaye DM
        • Thompson JM
        • et al.
        Regional sympathetic nervous activation after a large meal in humans.
        Clin Sci. 1995; 89: 145-154
        • Vaz M
        • Cox HS
        • Kaye DM
        • et al.
        Fallibility of plasma norepinephrine measurements in studying postprandial sympathetic nervous responses.
        J Auton Nerv Syst. 1995; 56: 97-104
        • Esler M
        • Willett I
        • Leonard P
        • et al.
        Plasma norepinephrine kinetics in humans.
        J Auton Nerv Syst. 1984; 11: 125-144
        • Esler M
        • Jennings G
        • Korner P
        • et al.
        Assessment of human sympathetic nervous system activity from measurements of norepinephrine turnover.
        Hypertension. 1988; 11: 3-20
        • Esler M
        • Dudley F
        • Jennings G
        • et al.
        Increased sympathetic nervous activity and the effects of its inhibition with clonidine in alcoholic cirrhosis.
        Ann Intern Med. 1992; 116: 446-455
        • Vaz M
        • Turner A
        • Kingwell B
        • et al.
        Postprandial sympathoadrenal activity: Its relation to metabolic and cardiovascular events and to changes in meal frequency.
        Clin Sci. 1995; 89: 349-357
        • Devereux RB
        • Alonso DR
        • Lutas EM
        • et al.
        Echocardiographic assessment of left ventricular hypertrophy: Comparison to necropsy findings.
        Am J Cardiol. 1986; 57: 450-458
        • Daly LE
        • Bourke GJ
        • McGilvray J
        Interpretation and Uses of Medical Statistics.
        in: ed 4. Blackwell Scientific, London, UK1991: 355
        • Camici P
        • Marraccini P
        • Marzilli M
        • et al.
        Coronary hemodynamics and myocardial metabolism during and after pacing stress in normal humans.
        Am J Physiol. 1989; 257: E309-E317
        • Folkow B
        • Svanborg A
        Physiology of cardiovascular aging.
        Physiol Rev. 1993; 73: 725-764
        • Olivetti G
        • Melissari M
        • Capasso JM
        • et al.
        Cardiomyopathy of the aging human heart: Myocyte loss and reactive cellular hypertrophy.
        Circ Res. 1991; 68: 1560-1568
        • Lie JT
        • Hammond PI
        Pathology of the senescent heart: Anatomic observations on 237 autopsy studies of patients 90 to 105 years old.
        Mayo Clin Proc. 1988; 63: 552-564
        • Wei JY
        • Spurgeon HA
        • Lakatta EG
        Excitation-contraction in rat myocardium: Alterations with adult aging.
        Am J Physiol. 1984; 246: H784-H791
        • Wei JY
        • Li Y-X
        • Lincoln T
        • et al.
        Chronic exercise training protects aged cardiac muscle against hypoxia.
        J Clin Invest. 1989; 83: 778-784
        • Fabbri A
        • Marchesini G
        • Bianchi G
        • et al.
        Kinetics of hepatic amino-nitrogen conversion in ageing man.
        Liver. 1994; 14: 288-294
        • Marchesini G
        • Bua V
        • Brunori A
        • et al.
        Galactose elimination capacity and liver volume in aging man.
        Hepatology. 1988; 8: 1079-1083
        • Schnegg M
        • Lauterburg BH
        Quantitative liver function in the elderly assessed by galactose elimination capacity, aminopyrine demethylation and caffeine clearance.
        J Hepatol. 1986; 3: 174-181
        • Goldman JE
        • Calinasan NY
        • Gibson GE
        Aging and the brain.
        Curr Opin Neurol. 1994; 7: 287-293
        • Beal AF
        Aging, energy, and oxidative stress in neurodegenerative diseases.
        Ann Neurol. 1995; 38: 357-366
        • Sorbini CA
        • Grassi V
        • Solinas E
        Arterial oxygen tension in relation to age in healthy subjects.
        Respiration. 1968; 25: 3-13
        • Wei JY
        Age and the cardiovascular system.
        N Engl J Med. 1992; 327: 1735-1739
        • Esler MD
        • Thompson JM
        • Kaye DM
        • et al.
        Effects of aging on the responsiveness of the human cardiac sympathetic nerves to stressors.
        Circulation. 1995; 91: 351-358
        • Poehlman ET
        • Gardner AW
        • Goran MI
        • et al.
        Sympathetic nervous system activity, body fatness, and body fat distribution in younger and older males.
        J Appl Physiol. 1995; 78: 802-806
        • Hoeldtke RD
        • Cilmi KM
        Effects of aging on catecholamine metabolism.
        J Clin Endocrinol Metab. 1985; 60: 479-484
        • White M
        • Roden R
        • Minobe W
        • et al.
        Age-related changes in β-adrenergic neuroeffector systems in the human heart.
        Circulation. 1994; 90: 1225-1238
        • Guaneri T
        • Filburn CR
        • Zitnik G
        • et al.
        Contractile and biochemical correlates of β-adrenergic stimulation of the aged human heart.
        Am J Physiol. 1980; 239: H501-H508
        • Kety SS
        • Schmidt CF
        The nitrous oxide method for quantitative determination of cerebral blood flow in man: Theory, procedure and normal values.
        J Clin Invest. 1948; 27: 476-483
        • Reivich M
        Arterial pCO2 and cerebral hemodynamics.
        Am J Physiol. 1964; 206: 25-35
        • Shaw TG
        • Mortel KF
        • Sterling Myer J
        • et al.
        Cerebral blood flow changes in benign aging and cerebrovascular disease.
        Neurology. 1984; 34: 855-862
        • Pantano P
        • Baron J-C
        • Lebrun-Grandie P
        • et al.
        Regional cerebral blood flow and oxygen consumption in human aging.
        Stroke. 1984; 15: 635-641
        • Glowinsky J
        • Kopin IJ
        • Axelrod J
        Metabolism of [3H]norepinephrine in rat brain.
        J Neurochem. 1965; 12: 25-30
        • Aneman A
        • Eisenhofer G
        • Fandriks L
        • et al.
        Hepatomesenteric release and removal of norepinephrine in swine.
        Am J Physiol. 1995; 268: R924-R930