Norepinephrine spillover at rest and during submaximal exercise in young and old subjects

Mazzeo, Robert S., Chakravarthi Rajkumar, Garry Jennings,and Murray Esler. Norepinephrine spillover at rest and during submaximal exercise in young and old subjects. J. Appl. Physiol. 82(6): 1869-1874, 1997.Aging isassociated with elevations in plasma norepinephrineconcentrations. The purpose of this investigation was toexamine total body and regional norepinephrine spillover as anindicator of sympathetic nerve activity. Eight young (26 ± 3 yr)and seven old (69 ± 5 yr) male subjects were studied at rest andduring 20 min of submaximal cycling exercise at 50% of peak workcapacity. Norepinephrine spillover was determined by continuousintravenous infusion of³H]norepinephrine.Arterial norepinephrine concentrations were significantly greater atrest for old vs. young subjects (280 ± 36 vs. 196 ± 27 ng/ml,respectively). Whereas total norepinephrine spillover did not differbetween groups at rest, hepatomesenteric norepinephrine spillover was50% greater in old subjects compared with their young counterparts (51 ± 7 vs. 34 ± 5 ng/min, respectively). Additionally,norepinephrine clearance rates at rest were significantly lower for theold subjects (23%). During exercise, plasmanorepinephrine concentrations increased compared with rest, with oldsubjects again demonstrating greater values than the young group.Hepatomesenteric norepinephrine spillover was significantly greater(+36%) during exercise for old subjects compared with young; however,no difference was found for whole body spillover rates between agegroups. Norepinephrine clearance rates remained depressed(30%) in the old subjects during exercise. Clearance ofepinephrine mirrored that for norepinephrine both at rest and duringexercise across age groups. It was concluded that in old subjects, areduction in norepinephrine clearance and an increase in regionalnorepinephrine spillover can account for the higher plasmanorepinephrine concentrations observed at rest. This relationship isnot exacerbated by the stress imposed during an acute bout of exercise.