Undernutrition during development increases the risk for adult cardiovascular disease. To determine if PUN alters heart structure function, and maximal exercise capacity in adulthood, newborn control mouse pups were fostered to dams fed a control (CON; 20% protein) or a protein-restricted diet (PUN; 8% protein; n=7-10 litters/treatment). At 21 d (PN21) pups were fed the CON diet ad lib. At PN70 a maximal treadmill test was performed to determine VO2peak; maximal vertical work was calculated for the final 30 sec. At PN80 cardiac function was evaluated by echocardiography. VO2peak was the same in CON and PUN mice and higher in males than females (249 + 9 and 169 + 6 ml/hr, respectively, P<0.001); gender x diet, NS. Maximal vertical work at VO2peak was higher in CON than PUN females (1.64 + 0.07 and 1.33 + 0.06 J/min, respectively, P < 0.01) but not males; gender x diet, P<0.02. Resting cardiac output was higher in CON than PUN offspring (18.8 + 0.7 and 16.3 + 0.7 ml/min, respectively; P<0.02) and in males than females (19.2 + 0.7 and 15.9 + 0.7 ml/min, respectively; P<0.01; gender x diet, NS) due to differences in stroke volume (CON: 43.0 ± 1.5; PUN: 37.7 ± 1.4 µl; P<0.05; males: 46.8 ± 1.5; females: 34.0 ± 1.4 µl; P<0.05), and left ventricular mass (CON: 104 ± 5; PUN: 90 ± 5 mg; P<0.05; males: 108 ± 5; females: 90 ± 5 mg; P<0.05). Thus, PUN permanently reduces left ventricular mass which in turn reduces stroke volume and maximal treadmill work capacity in female mice. Male mice were able to compensate for the reduction in cardiac output and maintain maximal exercise capacity. Supported by NIH AR46308, T32HL07676, USDA/ARS 6250-51000-051
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