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训练负荷增加对心率变异性迷走神经相关指标的影响:一种新颖的睡眠方法。

Effects of increased training load on vagal-related indexes of heart rate variability: a novel sleep approach.

作者信息

Buchheit M, Simon C, Piquard F, Ehrhart J, Brandenberger G

机构信息

Universite Louis Pasteur, Laboratoire des Régulations Physiologiques et des Rythmes Biologiques chez l'Homme, 4 rue Kirschleger, 67085 Strasbourg Cedex, France.

出版信息

Am J Physiol Heart Circ Physiol. 2004 Dec;287(6):H2813-8. doi: 10.1152/ajpheart.00490.2004. Epub 2004 Aug 12.

Abstract

There is little doubt that moderate training improves cardiac vagal activity and thus has a cardioprotective effect against lethal arrhythmias. Our purpose was to learn whether a higher training load would further increase this beneficial effect. Cardiac autonomic control was inferred from heart rate variability (HRV) and analyzed in three groups of young subjects (24.5 +/- 3.0 yr) with different training states in a period free of stressful stimuli or overload. HRV was analyzed in 5-min segments during slow-wave sleep (SWS, a parasympathetic state that offers high electrocardiographic stationarity) and compared with data collected during quiet waking periods in the morning. Sleep parameters, fatigue, and stress levels checked by questionnaire were identical for all three groups with no signs of overtraining in the highly trained (HT) participants. During SWS, a significant (P <0.05) increase in absolute and normalized vagal-related HRV indexes was observed in moderately trained (MT) individuals compared with sedentary (Sed) subjects; this increase did not persist in HT athletes. During waking periods, most of the absolute HRV indexes indistinctly increased in MT individuals compared with controls (P < 0.05) but did not increase in HT athletes. Normalized spectral HRV indexes did not change significantly among the three groups. Heart rate was similar for MT and Sed subjects but was significantly (P <0.05) lower in HT athletes under both recording conditions. These results indicate that SWS discriminates the state of sympathovagal balance better than waking periods. A moderate training load is sufficient to increase vagal-related HRV indexes. However, in HT individuals, despite lower heart rate, vagal-related HRV indexes return to Sed values even in the absence of competition, fatigue, or overload.

摘要

毫无疑问,适度训练可改善心脏迷走神经活动,从而对致命性心律失常具有心脏保护作用。我们的目的是了解更高的训练负荷是否会进一步增强这种有益效果。通过心率变异性(HRV)推断心脏自主神经控制,并在三组处于不同训练状态的年轻受试者(24.5±3.0岁)中进行分析,这些受试者处于无压力刺激或超负荷的时期。在慢波睡眠(SWS,一种具有高心电图稳定性的副交感神经状态)期间以5分钟时段分析HRV,并与早晨安静清醒期间收集的数据进行比较。通过问卷检查的睡眠参数、疲劳和压力水平在所有三组中均相同,高训练量(HT)参与者没有过度训练的迹象。在SWS期间,与久坐不动(Sed)的受试者相比,适度训练(MT)的个体中与迷走神经相关的绝对和标准化HRV指数显著(P<0.05)增加;这种增加在HT运动员中并未持续。在清醒期间,与对照组相比,MT个体中大多数绝对HRV指数无明显增加(P<0.05),但HT运动员中没有增加。三组之间标准化频谱HRV指数没有显著变化。MT和Sed受试者的心率相似,但在两种记录条件下,HT运动员的心率均显著(P<0.05)较低。这些结果表明,SWS比清醒期更能区分交感迷走神经平衡状态。适度的训练负荷足以增加与迷走神经相关的HRV指数。然而,在HT个体中,尽管心率较低,但即使在没有比赛、疲劳或超负荷的情况下,与迷走神经相关的HRV指数也会恢复到Sed组的值。

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