Brain Blood Flow: Age and Gender

Sponsor
University of Wisconsin, Madison (Other)
Overall Status
Completed
CT.gov ID
NCT02840851
Collaborator
(none)
46
1
22
2.1

Study Details

Study Description

Brief Summary

Baseline cerebral blood flow through the middle cerebral artery (MCA) and cerebral vasodilator response of the MCA to inhaled carbon dioxide (CO2) will be measured in young women, young men, older women, and older men using Magnetic Resonance (MR) imaging and transcranial Doppler ultrasound (TCD). Data collection techniques will be compared.

Condition or Disease Intervention/Treatment Phase
  • Device: MRI
  • Device: TCD

Detailed Description

The investigators have recently shown that cerebral blood flow responses to chemical stimuli are reduced in healthy older adults. The investigators also have preliminary data suggesting that sex differences in cerebrovascular regulation exist. The overall goal of this application is to extend on the investigators previous studies by employing advanced neuroimaging techniques to enhance the investigators understanding of neurovascular coupling in healthy aging. This study will collect clinically significant data with implications for the future risk of cognitive decline and Alzheimer's disease.

The research aims are:
  1. To determine the effect of age and sex on baseline cerebral blood flow through the middle cerebral artery (MCA).

  2. To determine the effect of age and sex on cerebral vasodilator responses.

  3. To determine if the cerebrovascular responses measured by transcranial Doppler ultrasound (TCD) are associated with the cerebrovascular responses measured by Magnetic Resonance (MR) imaging.

Study Design

Study Type:
Observational
Actual Enrollment :
46 participants
Observational Model:
Case-Control
Time Perspective:
Prospective
Official Title:
Brain Blood Flow Response to Hypercapnia in Healthy Adults: The Effect of Age and Sex
Actual Study Start Date :
Nov 1, 2016
Actual Primary Completion Date :
Sep 1, 2018
Actual Study Completion Date :
Sep 1, 2018

Arms and Interventions

Arm Intervention/Treatment
Healthy young women

Healthy young women between the age of 20-34 years.

Device: MRI
Participants will undergo a MRI scan while two stepwise CO2 elevations are applied to the participant by adding fractional concentration of inspired CO2 (FICO2) at 4% and 6% each time. The end tidal CO2 (PetCO2) will be elevated and maintained constant for a few minutes at each target level. Breath-by-breath changes in respiratory rate and PetCO2 will be measured.
Other Names:
  • Magnetic Resonance Imaging
  • Device: TCD
    Participants will undergo a TCD scan while two stepwise CO2 elevations are applied to the participant by adding fractional concentration of inspired CO2 (FICO2) at 4% and 6% each time. The end tidal CO2 (PetCO2) will be elevated and maintained constant for a few minutes at each target level. Breath-by-breath changes in respiratory and PetCO2 will be measured.
    Other Names:
  • Transcranial Doppler Ultrasound
  • Healthy young men

    Healthy young men between the age of 20-34 years.

    Device: MRI
    Participants will undergo a MRI scan while two stepwise CO2 elevations are applied to the participant by adding fractional concentration of inspired CO2 (FICO2) at 4% and 6% each time. The end tidal CO2 (PetCO2) will be elevated and maintained constant for a few minutes at each target level. Breath-by-breath changes in respiratory rate and PetCO2 will be measured.
    Other Names:
  • Magnetic Resonance Imaging
  • Device: TCD
    Participants will undergo a TCD scan while two stepwise CO2 elevations are applied to the participant by adding fractional concentration of inspired CO2 (FICO2) at 4% and 6% each time. The end tidal CO2 (PetCO2) will be elevated and maintained constant for a few minutes at each target level. Breath-by-breath changes in respiratory and PetCO2 will be measured.
    Other Names:
  • Transcranial Doppler Ultrasound
  • Healthy older women

    Healthy older women between the age of 50-64 years.

    Device: MRI
    Participants will undergo a MRI scan while two stepwise CO2 elevations are applied to the participant by adding fractional concentration of inspired CO2 (FICO2) at 4% and 6% each time. The end tidal CO2 (PetCO2) will be elevated and maintained constant for a few minutes at each target level. Breath-by-breath changes in respiratory rate and PetCO2 will be measured.
    Other Names:
  • Magnetic Resonance Imaging
  • Device: TCD
    Participants will undergo a TCD scan while two stepwise CO2 elevations are applied to the participant by adding fractional concentration of inspired CO2 (FICO2) at 4% and 6% each time. The end tidal CO2 (PetCO2) will be elevated and maintained constant for a few minutes at each target level. Breath-by-breath changes in respiratory and PetCO2 will be measured.
    Other Names:
  • Transcranial Doppler Ultrasound
  • Healthy older men

    Healthy older men between the age of 50-64 years.

    Device: MRI
    Participants will undergo a MRI scan while two stepwise CO2 elevations are applied to the participant by adding fractional concentration of inspired CO2 (FICO2) at 4% and 6% each time. The end tidal CO2 (PetCO2) will be elevated and maintained constant for a few minutes at each target level. Breath-by-breath changes in respiratory rate and PetCO2 will be measured.
    Other Names:
  • Magnetic Resonance Imaging
  • Device: TCD
    Participants will undergo a TCD scan while two stepwise CO2 elevations are applied to the participant by adding fractional concentration of inspired CO2 (FICO2) at 4% and 6% each time. The end tidal CO2 (PetCO2) will be elevated and maintained constant for a few minutes at each target level. Breath-by-breath changes in respiratory and PetCO2 will be measured.
    Other Names:
  • Transcranial Doppler Ultrasound
  • Outcome Measures

    Primary Outcome Measures

    1. Middle Cerebral Artery Blood Flow Measurement [75 minutes]

      Utilize the TCD and MR imaging to measure middle cerebral artery blood flow in the brain while the participant is at rest.

    2. Middle Cerebral Artery Blood Flow Reactivity to Hypercapnia [75 minutes]

      Utilize the TCD and MR imaging to measure middle cerebral artery blood flow reactivity to hypercapnic gas.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    20 Years to 64 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Between 20-34 or 50-69 years

    • Body mass index <34 kg/m2

    Exclusion Criteria:
    • Current smoker

    • History or evidence of: hepatic disease, renal disease, hematological disease, peripheral vascular disease, stroke/neurovascular disease, diabetes, hypertension

    • Part of a vulnerable population (e.g. pregnant women, prisoner, individuals lacking capacity to consent, etc.)

    • Older females only: subject is not post-menopausal

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 University of Wisconsin-Madison Madison Wisconsin United States 53706

    Sponsors and Collaborators

    • University of Wisconsin, Madison

    Investigators

    • Principal Investigator: Jill N Barnes, PhD, University of Wisconsin, Madison

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    Responsible Party:
    University of Wisconsin, Madison
    ClinicalTrials.gov Identifier:
    NCT02840851
    Other Study ID Numbers:
    • 2016-0403
    • A176000
    • EDUC/KINESIOLOGY/KINESIO
    First Posted:
    Jul 21, 2016
    Last Update Posted:
    Dec 9, 2019
    Last Verified:
    Dec 1, 2019
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Keywords provided by University of Wisconsin, Madison
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Dec 9, 2019