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年龄、静息心率和久坐生活方式在心率变异性短期分析中的相对影响

Relative influence of age, resting heart rate and sedentary life style in short-term analysis of heart rate variability.

作者信息

Migliaro E R, Contreras P, Bech S, Etxagibel A, Castro M, Ricca R, Vicente K

机构信息

Laboratorio de Fisiología Cardiovascular, Departamento de Fisiología, Facultad de Medicina, Av. Gral Flores, 2125, 11800 Montevideo, Uruguay.

出版信息

Braz J Med Biol Res. 2001 Apr;34(4):493-500. doi: 10.1590/s0100-879x2001000400009.

Abstract

In order to assess the relative influence of age, resting heart rate (HR) and sedentary life style, heart rate variability (HRV) was studied in two different groups. The young group (YG) consisted of 9 sedentary subjects aged 15 to 20 years (YG-S) and of 9 nonsedentary volunteers (YG-NS) also aged 15 to 20. The elderly sedentary group (ESG) consisted of 16 sedentary subjects aged 39 to 82 years. HRV was assessed using a short-term procedure (5 min). R-R variability was calculated in the time-domain by means of the root mean square successive differences. Frequency-domain HRV was evaluated by power spectrum analysis considering high frequency and low frequency bands. In the YG the effort tolerance was ranked in a bicycle stress test. HR was similar for both groups while ESG showed a reduced HRV compared with YG. Within each group, HRV displayed a negative correlation with HR. Although YG-NS had better effort tolerance than YG-S, their HR and HRV were not significantly different. We conclude that HRV is reduced with increasing HR or age, regardless of life style. The results obtained in our short-term study agree with others of longer duration by showing that age and HR are the main determinants of HRV. Our results do not support the idea that changes in HRV are related to regular physical activity.

摘要

为了评估年龄、静息心率(HR)和久坐生活方式的相对影响,我们在两个不同的组中研究了心率变异性(HRV)。年轻组(YG)包括9名年龄在15至20岁的久坐受试者(YG-S)和9名同样年龄在15至20岁的非久坐志愿者(YG-NS)。老年久坐组(ESG)由16名年龄在39至82岁的久坐受试者组成。使用短期程序(5分钟)评估HRV。通过均方根连续差值在时域中计算R-R变异性。通过考虑高频和低频带的功率谱分析评估频域HRV。在YG组中,通过自行车应激试验对运动耐力进行排名。两组的HR相似,但与YG组相比,ESG组的HRV降低。在每组中,HRV与HR呈负相关。虽然YG-NS组的运动耐力优于YG-S组,但其HR和HRV无显著差异。我们得出结论,无论生活方式如何,HRV都会随着HR或年龄的增加而降低。我们在短期研究中获得的结果与其他持续时间较长的研究结果一致,表明年龄和HR是HRV的主要决定因素。我们的结果不支持HRV变化与规律体育活动相关的观点。

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