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健康老年男性进行上下肢抗阻运动时的心脏自主神经反应。

Cardiac autonomic responses during upper versus lower limb resistance exercise in healthy elderly men.

机构信息

Sao Carlos School of Engineering, Universidade de Sao Paulo, Sao Carlos, SP, Brazil.

Exercise Research Center, Physical Therapy Department, Universidade Federal de Sao Carlos, Sao Carlos, SP, Brazil.

出版信息

Braz J Phys Ther. 2014 Jan-Feb;18(1):9-18. doi: 10.1590/s1413-35552012005000140.

Abstract

OBJECTIVE

To investigate the cardiac autonomic responses during upper versus lower limb discontinuous resistance exercise (RE) at different loads in healthy older men.

METHOD

Ten volunteers (65±1.2 years) underwent the one-repetition maximum (1RM) test to determine the maximum load for the bench press and the leg press. Discontinuous RE was initiated at a load of 10%1RM with subsequent increases of 10% until 30%1RM, followed by increases of 5%1RM until exhaustion. Heart rate (HR) and R-R interval were recorded at rest and for 4 minutes at each load applied. Heart rate variability (HRV) was analyzed in 5-min segments at rest and at each load in the most stable 2-min signal.

RESULTS

Parasympathetic indices decreased significantly in both exercises from 30%1RM compared to rest (rMSSD: 20±2 to 11±3 and 29±5 to 12±2 ms; SD1: 15±2 to 8±1 and 23±4 to 7±1 ms, for upper and lower limb exercise respectively) and HR increased (69±4 to 90±4 bpm for upper and 66±2 to 89±1 bpm for lower). RMSM increased for upper limb exercise, but decreased for lower limb exercise (28±3 to 45±9 and 34±5 to 14±3 ms, respectively). In the frequency domain, the sympathetic (LF) and sympathovagal balance (LF/HF) indices were higher and the parasympathetic index (HF) was lower for upper limb exercise than for lower limb exercise from 35% of 1RM.

CONCLUSIONS

Cardiac autonomic change occurred from 30% of 1RM regardless of RE limb. However, there was more pronounced sympathetic increase and vagal decrease for upper limb exercise than for lower limb exercise. These results provide a basis for more effective prescription of RE to promote health in this population.

摘要

目的

探讨健康老年男性在上肢和下肢间断性抗阻运动(RE)中,不同负荷下心脏自主反应。

方法

10 名志愿者(65±1.2 岁)进行了一次最大重复测试(1RM),以确定卧推和腿推的最大负荷。RE 从 10%1RM 开始,随后增加 10%,直到 30%1RM,然后增加 5%1RM 直到力竭。在休息和每个负荷下记录心率(HR)和 R-R 间期 4 分钟。在休息和最稳定的 2 分钟信号的每个负荷下,以 5 分钟段分析心率变异性(HRV)。

结果

与休息相比,两种运动的副交感神经指数从 30%1RM 开始均显著降低(rMSSD:20±2 至 11±3 和 29±5 至 12±2 ms;SD1:15±2 至 8±1 和 23±4 至 7±1 ms,分别为上肢和下肢运动),HR 增加(上肢为 69±4 至 90±4 bpm,下肢为 66±2 至 89±1 bpm)。上肢运动 RMSM 增加,而下肢运动 RMSM 减少(分别为 28±3 至 45±9 和 34±5 至 14±3 ms)。在频域中,从 35%1RM 开始,上肢运动的交感神经(LF)和交感神经迷走神经平衡(LF/HF)指数较高,而副交感神经指数(HF)较低。

结论

无论 RE 肢体如何,从 30%1RM 开始,心脏自主神经都会发生变化。然而,上肢运动比下肢运动引起更明显的交感神经增加和迷走神经减少。这些结果为更有效地规定 RE 以促进该人群的健康提供了依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48d2/4183232/0cdce7450e30/rbfis-18-01-0009-g01.jpg

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