Evidence map›Paper›PMID 37921669›Full record

ReviewAmerican journal of physiology. Heart and circulatory physiology2024

Effects of regular exercise on vascular function with aging: Does sex matter?

Kerrie L Moreau, Zachary S Clayton, Lyndsey E DuBose, Ryan Rosenberry, Douglas R Seals

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in American journal of physiology. Heart and circulatory physiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06527248 (Effects of Dietary Nitrate From Beetroot Juice on Vascular Function and Adaptations to Exercise Training in Postmenopausal Women), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06527248 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Dietary Nitrate From Beetroot Juice on Vascular Function and Adaptations to Exercise Training in Postmenopausal Women: a Randomized, Placebo-controlled Study

TypeinterventionalSponsorUniversity of ViennaRan2025 to 2027Enrolled54ConditionsHealthy, Menopause, Hypertension, InflammationArmsNitrate group, Placebo group
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. The Role of Estrogen in Mitochondrial Disease.Cellular and molecular neurobiology · 2025
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Intensity matters: vigorous activity is associated with lower pressure-independent arterial stiffness in the UK Biobank.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
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  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Kerrie L MoreauDivision of Geriatric Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States.ORCID 0000-0001-9298-047X
Zachary S ClaytonDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, United States.ORCID 0000-0003-3878-3533
Lyndsey E DuBoseDivision of Geriatric Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States.ORCID 0000-0002-3566-4531
Ryan RosenberryDivision of Geriatric Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States.ORCID 0000-0002-0874-6742
Douglas R SealsDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, United States.ORCID 0000-0002-2391-9824
University of Colorado Anschutz Medical Campus · USUniversity of Colorado Boulder · USGeriatric Research Education and Clinical Center · US

Funding

Suppression of ERalpha in Hematopoietic Stem Cell-Derived Adipocytes Increases Adiposity via Kynurenine and the Aryl Hydrocarbon ReceptorU54AG062319 · NIA · UNIVERSITY OF COLORADO DENVER · PI Wendy M Kohrt · 2018 to 2026
$13.5M
University of Colorado Aging Training GrantT32AG000279 · NIA · UNIVERSITY OF COLORADO DENVER · PI Kerrie Moreau · 2001 to 2026
$10.1M
UCHSC: Building Interdisciplinary Research Careers in Women's HealthK12HD057022 · NICHD · UNIVERSITY OF COLORADO DENVER · PI REGENSTEINER, JUDITH G., SANTORO, NANETTE F. · 2007 to 2023
$8.5M
Role of cellular senescence in cardiovascular agingR01AG055822 · NIA · BUCK INSTITUTE FOR RESEARCH ON AGING · PI CAMPISI, JUDITH, MELOV, SIMON · 2018 to 2022
$4.9M
Mitochondrial-targeted antioxidant supplementation for improving vascular endothelial function inpostmenopausal women: comparison with standard-of-care exerciseR01AG066730 · NIA · UNIVERSITY OF COLORADO · PI Matthew J Rossman, DOUGLAS R SEALS · 2021 to 2026
$4.0M
Inspiratory muscle strength training for lowering blood pressure and improving endothelial function in postmenopausal women: comparison with "standard of care" aerobic exerciseR01AG071506 · NIA · UNIVERSITY OF COLORADO · PI DOUGLAS R SEALS · 2021 to 2026
$3.3M
Cardiovascular Consequences of Hypogonadism in Men SupplementR01AG049762 · NIA · UNIVERSITY OF COLORADO DENVER · PI MOREAU, KERRIE · 2016 to 2020
$3.3M
Passive heat therapy for lowering systolic blood pressure and improving vascular function in mid-life and older adultsR01AG073117 · NIA · UNIVERSITY OF COLORADO · PI DOUGLAS R SEALS · 2022 to 2026
$2.9M
The Colorado Building Interdisciplinary Research Careers in Women's Health ProgramK12AR084226 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI JUDITH G. REGENSTEINER, Nanette F. Santoro · 2023 to 2026
$2.5M
Biological Mechanisms of Arterial Stiffening With Age and Estrogen DeficiencyR01AG027678 · NIA · UNIVERSITY OF COLORADO DENVER · PI MOREAU, KERRIE · 2006 to 2010
$1.5M
Targeting cellular senescence to prevent accelerated vascular aging induced by the common chemotherapeutic agent doxorubicinR21AG078408 · NIA · UNIVERSITY OF COLORADO · PI SEALS, DOUGLAS R · 2022 to 2023
$430k
MitoQ supplementation for restoring aerobic exercise training effects on endothelial function in postmenopausal womenR56AG072094 · NIA · UNIVERSITY OF COLORADO DENVER · PI MOREAU, KERRIE · 2022 to 2022
$430k
NHLBI NIH HHS F32 HL151022NHLBI NIH HHS K99 HL159241NIAMS NIH HHS K12 AR084226NIA NIH HHS F32 AG071273NIA NIH HHS R01 AG027678NIA NIH HHS R01 AG049762NIA NIH HHS R01 AG055822NIA NIH HHS R01 AG066730NIA NIH HHS R01 AG071506NIA NIH HHS R01 AG073117NIA NIH HHS R21 AG078408NIA NIH HHS R56 AG072094NIA NIH HHS T32 AG000279NIA NIH HHS U54 AG062319NICHD NIH HHS K12 HD057022
6 · The paper itself

Abstract

Vascular aging, featuring endothelial dysfunction and large elastic artery stiffening, is a major risk factor for the development of age-associated cardiovascular diseases (CVDs). Vascular aging is largely mediated by an excessive production of reactive oxygen species (ROS) and increased inflammation leading to reduced bioavailability of the vasodilatory molecule nitric oxide and remodeling of the arterial wall. Other cellular mechanisms (i.e., mitochondrial dysfunction, impaired stress response, deregulated nutrient sensing, cellular senescence), termed "hallmarks" or "pillars" of aging, may also contribute to vascular aging. Gonadal aging, which largely impacts women but also impacts some men, modulates the vascular aging process. Regular physical activity, including both aerobic and resistance exercise, is a first-line strategy for reducing CVD risk with aging. Although exercise is an effective intervention to counter vascular aging, there is considerable variation in the vascular response to exercise training with aging. Aerobic exercise improves large elastic artery stiffening in both middle-aged/older men and women and enhances endothelial function in middle-aged/older men by reducing oxidative stress and inflammation and preserving nitric oxide bioavailability; however, similar aerobic exercise training improvements are not consistently observed in estrogen-deficient postmenopausal women. Sex differences in adaptations to exercise may be related to gonadal aging and declines in estrogen in women that influence cellular-molecular mechanisms, disconnecting favorable signaling in the vasculature induced by exercise training. The present review will summarize the current state of knowledge on vascular adaptations to regular aerobic and resistance exercise with aging, the underlying mechanisms involved, and the moderating role of biological sex.

Indexed as

Cardiovascular DiseasesVascular StiffnessAgedAgingEndothelium, VascularEstrogensExerciseFemaleHumansInflammationMaleMiddle AgedNitric OxideEstrogensNitric Oxideagingarterial stiffnessendothelial functioninflammationoxidative stresswomen

Identifiers

PMID37921669
PMCPMC11208002
OpenAlexW4388302387

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.