Scott Adrienne S, Eberhard André, Ofir Dror, Benchetrit Gila, Dinh Tuan Pham, Calabrese Pascale, Lesiuk Veronika, Perrault Hélène
Department of Kinesiology and Physical Education and Respiratory Division of the Montreal Chest Institute of the McGill University Health Center, McGill University, 3650 St. Urbain, Room K1.25, Montreal, Quebec, Canada H2X 2P4.
Auton Neurosci. 2004 May 31;112(1-2):60-8. doi: 10.1016/j.autneu.2004.04.006.
Studies of heart rate variability (HRV) have so far produced contradictory evidence to support the common belief that endurance training enhances cardiac parasympathetic tone. This may be related to the fact that most studies failed to specifically isolate the vagally mediated influence of respiration. This study used a cross-sectional comparison of endurance athletes (n=20; ATHL) exhibiting resting bradycardia and age-matched nonathletes (n=12; CRTL) to indirectly assess training effects on amplitude and timing characteristics of respiratory sinus arrhythmia (RSA). Continuous electrocardiogram (ECG) and ventilatory flows were recorded during spontaneous breathing (SP), as well as during breathing at four cycles less than (M4) or more (P4) than SP, to also examine potential repercussions of training on the sensitivity of the cardiac vagal responses to breathing. A fast Fourier transform procedure was used to quantify the standard spectral high-frequency (HF) and low-frequency (LF) components and a respiratory-centered frequency (RCF) component of HRV. RSA was assessed using a breath-by-breath quantification of the amplitude and timing of the maximum change in instantaneous heart rate. Under baseline SP conditions, heart rate was lower in ATHL (62.6+/-6.5 vs. 75.2+/-9 beats/min; p<0.05) while blood pressure (BP), breath cycle duration, tidal volume, and ventilatory drive were similar in both groups. HRV total spectral power density, LF, HF, or RCF was not different between groups at either the SP, M4, or P4 conditions. Changes in total breath duration similarly affected RSA amplitude in all groups, while HR and BP remained unchanged from SP. RSA phase was not affected by training status or by changes in total breath duration. RSA amplitude was negatively related to breathing frequency in all groups (p<0.05), while the mean slope of the relationship (sensitivity) was not different between groups. In as much as RSA is an adequate marker of cardiac vagal efferent activity, these results add support to a contribution of a decrease in intrinsic heart rate to explain training-induced bradycardia.
迄今为止,心率变异性(HRV)研究得出了相互矛盾的证据,以支持耐力训练可增强心脏副交感神经张力这一普遍观点。这可能与以下事实有关:大多数研究未能专门分离出呼吸的迷走神经介导影响。本研究采用横断面比较,将表现出静息心动过缓的耐力运动员(n = 20;ATHL)与年龄匹配的非运动员(n = 12;CRTL)进行比较,以间接评估训练对呼吸性窦性心律不齐(RSA)的幅度和时间特征的影响。在自主呼吸(SP)期间以及呼吸周期比SP少四个周期(M4)或多四个周期(P4)时记录连续心电图(ECG)和通气流量,以研究训练对心脏迷走神经对呼吸反应敏感性的潜在影响。使用快速傅里叶变换程序量化HRV的标准频谱高频(HF)和低频(LF)成分以及以呼吸为中心的频率(RCF)成分。通过逐次呼吸量化瞬时心率的最大变化幅度和时间来评估RSA。在基线SP条件下,ATHL组的心率较低(62.6±6.5 vs. 75.2±9次/分钟;p<0.05),而两组的血压(BP)、呼吸周期持续时间、潮气量和通气驱动相似。在SP、M4或P4条件下,两组之间的HRV总频谱功率密度、LF、HF或RCF没有差异。所有组中总呼吸持续时间的变化对RSA幅度的影响相似,而HR和BP与SP时相比保持不变。RSA相位不受训练状态或总呼吸持续时间变化的影响。所有组中RSA幅度与呼吸频率呈负相关(p<0.05),而组间关系的平均斜率(敏感性)没有差异。鉴于RSA是心脏迷走神经传出活动的适当标志物,这些结果支持了固有心率降低有助于解释训练引起的心动过缓这一观点。