Nicolino Juliana, Ramos Dionei, Leite Marceli Rocha, Rodrigues Fernanda Maria Machado, de Alencar Silva Bruna Spolador, Tacao Guilherme Yassuyuki, de Toledo Alessandra Choqueta, Vanderlei Luiz Carlos Marques, Ramos Ercy Mara Cipulo
Department of Physiotherapy, Paulista State University (UNESP), Presidente Prudente, São Paulo, Brazil.
Department of Pathology, School of Medicine of the University of São Paulo, São Paulo, Brazil.
Int J Chron Obstruct Pulmon Dis. 2015 Jan 29;10:223-9. doi: 10.2147/COPD.S64345. eCollection 2015.
PURPOSE: Physical exercises are employed as part of the treatment of patients with chronic obstructive pulmonary disease (COPD); however information regarding cardiac autonomic modulation after an acute session of resistance exercise (RE) is unknown. The aim of this study was to evaluate the cardiac autonomic modulation, via heart rate variability after an acute session of RE applied at different intensities in COPD patients. PATIENTS AND METHODS: Twelve COPD patients underwent an acute session of RE with an intensity of 60% and another of 90% of the one repetition maximum test. For analysis of autonomic modulation, heart rate was recorded beat-by-beat for 20 minutes at rest and after the training session. Heart rate variability indexes were obtained in the time and frequency domains for the assessment of autonomic modulation. RESULTS: Regardless of exercise intensity, RE acute sessions influenced the autonomic modulation when the recovery period was compared with the baseline. An increase in standard deviation of normal to normal RR intervals was observed throughout recovery time after the RE, as compared to baseline in both protocols: 60% and 90% of the one repetition maximum test. The spectral component of low frequency index (ms) was higher throughout recovery when compared to baseline in both protocols. The same was also observed in the spectral component of high frequency index (ms) for the protocols of 60% and 90%. CONCLUSION: RE sessions impact on the autonomic modulation of COPD patients by promoting differences in the recovery period compared to baseline, regardless of the intensity of the exercise performed.
目的:体育锻炼被用作慢性阻塞性肺疾病(COPD)患者治疗的一部分;然而,关于急性抗阻运动(RE)后心脏自主神经调节的信息尚不清楚。本研究的目的是通过在COPD患者中以不同强度进行急性RE后测量心率变异性来评估心脏自主神经调节。 患者和方法:12名COPD患者分别进行了一次强度为1次重复最大值测试的60%和另一次强度为90%的急性RE。为了分析自主神经调节,在休息时和训练后逐搏记录心率20分钟。在时域和频域中获取心率变异性指标以评估自主神经调节。 结果:无论运动强度如何,与基线相比,当比较恢复期时,急性RE会影响自主神经调节。与两种方案(1次重复最大值测试的60%和90%)的基线相比,在RE后的整个恢复时间内,正常到正常RR间期的标准差均增加。与两种方案的基线相比,在整个恢复过程中,低频指数(毫秒)的频谱成分更高。在60%和90%的方案中,高频指数(毫秒)的频谱成分也观察到同样的情况。 结论:无论所进行运动的强度如何,RE训练通过促进与基线相比恢复期的差异,对COPD患者的自主神经调节产生影响。
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