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运动训练和停训对乳腺癌幸存者自主神经调节及心肺适能的影响。

Effect of exercise training and detraining in autonomic modulation and cardiorespiratory fitness in breast cancer survivors.

作者信息

Dias Reis Andréa, Silva Garcia João B, Rodrigues Diniz Renata, Silva-Filho Antonio C, Dias Carlos J, Leite Richard D, Mostarda Cristiano

机构信息

Department of Physical Education, Federal University of Maranhão, São Luís, Brazil.

LACORE, Laboratory of Cardiovascular Adaptations to Exercise, Federal University of Maranhão, São Luís, Maranhão, Brazil.

出版信息

J Sports Med Phys Fitness. 2017 Jul-Aug;57(7-8):1062-1068. doi: 10.23736/S0022-4707.17.07012-8. Epub 2017 Jan 30.

Abstract

BACKGROUND

Breast cancer is one of the leading causes of death worldwide. Heart rate variability (HRV) has attracted scientific community attention in different pathologies, becoming thus an ultimate importance tool in both clinical and research setting, being a good predictor of cardiac events and mortality risk and also used in physical exercise and sports in general. The aim of the present study was to evaluate 12 weeks of exercise training and six weeks of detraining in cardiorespiratory capacity, and autonomic modulation in breast cancer patients.

METHODS

The sample was composed of 18 females (9 controls and 9 exercised), (aged 30-60 years). The HRV in the time and frequency domain was performed using an electrocardiogram before, after 12 weeks of the session of exercise training and after six weeks of detraining. Shapiro-Wilk and Mann-Whitney tests were made.

RESULTS

No significant changes in time domain were found. In the frequency domain, 12 weeks of exercise training promote a decrease in LF (nu) and decrease in HF (nu) Index. The exercise training period promoted a decrease in LF/HF. The autonomic data returned to baseline levels after the detraining period. However, cardiorespiratory capacity remained increased after the detraining period.

CONCLUSIONS

These data demonstrated that exercise training can be used to prevent autonomic dysfunction in breast cancer patients, but detraining promotes loss of all autonomic benefits.

摘要

背景

乳腺癌是全球主要死因之一。心率变异性(HRV)在不同病理情况下已引起科学界关注,因此成为临床和研究环境中极为重要的工具,是心脏事件和死亡风险的良好预测指标,也普遍用于体育锻炼和运动领域。本研究的目的是评估乳腺癌患者进行12周运动训练和6周停训对心肺功能及自主神经调节的影响。

方法

样本由18名女性组成(9名对照组和9名运动组),年龄在30至60岁之间。在运动训练12周期间及停训6周后,使用心电图对时域和频域的心率变异性进行检测。采用夏皮罗-威尔克检验和曼-惠特尼检验。

结果

时域未发现显著变化。在频域,12周运动训练使低频(nu)和高频(nu)指数降低,运动训练期使低频/高频比值降低。停训期后自主神经数据恢复到基线水平。然而,停训期后心肺功能仍保持增强。

结论

这些数据表明,运动训练可用于预防乳腺癌患者的自主神经功能障碍,但停训会导致所有自主神经益处丧失。

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