Kajaia T, Maskhulia L, Chelidze K, Akhalkatsi V, Kakhabrishvili Z
Tbilisi State Medical University, Georgia.
Georgian Med News. 2017 Mar(264):97-103.
Aim of the study was to compare the ANS functioning, as measured by heart rate variability (HRV), in athletes with non-functional overreaching (NFO) and overtraining syndrome (OTS) and in athletes without NFO/OTS. In 43 athletes with NFO/OTS, 40 athletes without NFO/OTS, as well as in 35 sedentary subjects the ANS function was evaluated with the Autonomic Balance Test, based on the HRV analysis of resting heart rate recordings. Results of the study show lower HRV and lower vagal influence along with increased sympathetic cardiovascular control in athletes with non-functional overreaching and particularly in athletes with overtraining, than in highly trained athletes without NFO/OTS. "Stress Response" in athletes with NFO, as well as in some athletes with OTS, showing sympathetic dominance, considered as a sign of physical or mental fatigue and chronic stress, whereas "Total Autonomic Dystonia" in most of the athletes with OTS (67%) reflects more advanced stage of maladaptation associated with depressed regulatory function of the ANS, both sympathetic, as well as vagal influences. Most frequently NFO and OTS were seen in wrestling, which needs further investigation and regular medical monitoring. Thus, results of the study show progression of autonomic imbalance and depression of regulatory function of the autonomic nervous system in athletes with OTS. The cardiac autonomic imbalance observed in overtrained athletes implies changes in HRV and therefore would consider that heart rate variability may provide useful information in detection of overtraining in athletes and can be a valuable adjacent tool for optimising athlete's training program as well as for timely diagnosis and prevention of progression of NFO/OTS.
本研究的目的是比较通过心率变异性(HRV)测量的自主神经系统(ANS)功能,对象为患有非功能性过度训练(NFO)和过度训练综合征(OTS)的运动员以及未患NFO/OTS的运动员。对43名患有NFO/OTS的运动员、40名未患NFO/OTS的运动员以及35名久坐不动的受试者,基于静息心率记录的HRV分析,采用自主平衡测试评估其ANS功能。研究结果表明,与未患NFO/OTS的高水平训练运动员相比,患有非功能性过度训练的运动员,尤其是患有过度训练的运动员,HRV较低,迷走神经影响较低,同时交感心血管控制增强。患有NFO的运动员以及一些患有OTS的运动员出现“应激反应”,表现为交感神经占优势,这被视为身体或精神疲劳以及慢性应激的标志,而大多数患有OTS的运动员(67%)出现“完全自主神经功能障碍”,反映出与ANS调节功能降低相关的更晚期适应不良阶段,包括交感神经和迷走神经的影响。NFO和OTS最常出现在摔跤运动中,这需要进一步研究和定期医学监测。因此,研究结果表明患有OTS的运动员自主神经失衡进展以及自主神经系统调节功能降低。在过度训练的运动员中观察到的心脏自主神经失衡意味着HRV发生变化,因此可以认为心率变异性可能为检测运动员过度训练提供有用信息,并且可以成为优化运动员训练计划以及及时诊断和预防NFO/OTS进展的有价值辅助工具。