regular gait changes the perfusion adaptation in the foot specially in older individuals

Future Physiology 2020 (Virutal) (2020) Proc Physiol Soc 46, PC0126

Poster Communications: regular gait changes the perfusion adaptation in the foot specially in older individuals

Margarida Florindo1, 2, Sérgio Miguel Loureiro Nuno1, 3, 4, Luis Monteiro Rodrigues1

1 Universidade Lusófona CBIOS - Research Center for Biosciences and Health Technologies, Av Campo Grande, 376, 1749-024, Lisboa, Portugal 2 Escola Superior de Saúde Cruz Vermelha Portuguesa (ESSCVP), Portuguese Red Cross Health School. Área de Ensino de Fisioterapia, Department of Physiotherapy, Lisboa, Portugal 3 Clínica S João de Deus – CTD, Lisboa, Portugal 4 Escola Superior de Tecnologia da Saúde de Lisboa – Instituto Politécnico de Lisboa, ESTeSL Polytechnic Institute of Lisbon, Av. D. João II, Lote 4.69.01, Lisboa, Portugal

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Alterations of the lower limb perfusion in particularly in the foot, are regarded as relevant manifestation of ageing. However objective information on this subject is still insufficient, often complicated by the prevalent co-morbidities (e.g. overweight, diabetes) that affect this population.  Our aim was to identify any perfusion changes detected before and after a period of 5 min of walking within two different age groups. This pilot involved eight healthy individuals, all reporting non-sedentary lifestyles, practicing regular exercise, grouped according to age – Group I with young adults (21.7 ± 1 y.o.) with a body mass Index (BMI) of 22.9 ± 1,6 Kg/m2 and Group II older adults, 54.5 ± 3 y.o and BMI 23.7 ± 1.9 Kg/m2. Both groups included two men and two women. The evaluation protocol was divided into two phases, each with 5 minutes duration – phase 1 – standing still position before starting walking (baseline) and phase 2 a standing still register after 5 min walking, with a comfortable pace, in the lab area on a pre-established circuit.  Perfusion was assessed in the dorsal region of both feet by Laser Doppler flowmetry (Perimed S), photoplethysmography (Bioplux, P) and polarised spectroscopy (TiVi, Wheelsbridge, S) providing assess at different depths, according with the respective wavelengths. Phase 1 measurements have shown that perfusion in group II is always lower than in group I but not statistically significant (ns). Also interesting, measurements obtained immediately after walking, in phase 2, have shown a clear reduction of perfusion in all participants, regarding phase 1 (ns). This is probably due to the muscular activation still high. Recover to baseline values takes place slower in group II. However, no significant differences between groups could be found for any of the measured variables. Our study involves a very reduced number of participants, all healthy and active.  Nevertheless the age-related reduction in vascular function reported in literature is present and should be further investigated in different pathophysiological conditions.  



Where applicable, experiments conform with Society ethical requirements.

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