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功能训练对绝经后女性心率变异性几何指标及分形关联特性的影响

Impact of functional training on geometric indices and fractal correlation property of heart rate variability in postmenopausal women.

作者信息

de Rezende Barbosa Marianne P da C, Vanderlei Luiz C M, Neves Lucas M, Takahashi Carolina, Torquato Paula R Dos S, Fortaleza Ana Claúdia de S, Freitas Júnior Ismael F, Sorpreso Isabel C E, Abreu Luiz C, Pérez Riera Andrés R

机构信息

ABC Medical School (FMABC), Santo André, São Paulo, Brazil.

Physiotherapy Department, São Paulo State University - FCT/UNESP, Presidente Prudente, SP, Brazil.

出版信息

Ann Noninvasive Electrocardiol. 2018 Jan;23(1). doi: 10.1111/anec.12469. Epub 2017 Jul 25.

Abstract

BACKGROUND

To evaluate the influence of functional training on the geometric indices of heart rate variability (HRV) and fractal correlation properties of the dynamics of heart rate in menopausal women.

METHODS

Of 39 women who were in the period of menopause for more than a year and who did not practice any regular physical activity were divided into: Functional training group (FTG = 50 ± 4.5 years; 67.64 ± 11.64 kg; 1.5 ± 0.05 m) that executed the functional training (FT) and all proposals by reviews and the Control group (58.45 ± 4.8 years; 66.91 ± 13.24 kg; 1.55 ± 0.05 m) who performed all assessments but not FT. The training consisted of 18 weeks (three times a week) and the volunteers performed three sets of 11 functional exercises followed by a walk in each of the sessions. The autonomic nervous system modulation was evaluated by analysis of HRV and the indices obtained were: RR intervals, RRTRI, TINN, SD1, SD2, SD1/SD2, qualitative analysis of Poincaré plot and DFA (alfa-1, alfa-2 and alfa-1/alfa-2). The Student's t-test for unpaired samples (normal data) or Mann-Whitney test nonnormal data) were used to compare the differences obtained between the final moment and the initial moment of the studied groups (p < .05).

CONCLUSION

Were observed in the FTG: increased SD1 (CG 0.13 ± 4.00 vs. 3.60 ± 8.43), beat-to-beat global dispersion much greater as an increased in the dispersion of long-term RR intervals and increased fractal properties of short-term (α1) (CG -0.04 ± 0.13 vs. 0.07 ± 0.21). FT promoted a beneficial impact on cardiac autonomic modulation, characterized by increased parasympathetic activity and short-term fractal properties of the dynamics of the heart rate.

摘要

背景

评估功能训练对绝经后女性心率变异性(HRV)几何指标及心率动态分形相关特性的影响。

方法

选取39名绝经一年以上且未进行任何规律体育活动的女性,分为:功能训练组(FTG,年龄50±4.5岁;体重67.64±11.64千克;身高1.5±0.05米),该组进行功能训练(FT)并遵循所有审查建议;对照组(年龄58.45±4.8岁;体重66.91±13.24千克;身高1.55±0.05米),该组进行所有评估但不进行FT。训练为期18周(每周三次),志愿者每次训练进行三组共11项功能锻炼,之后进行散步。通过分析HRV评估自主神经系统调节,获得的指标包括:RR间期、RRTRI、TINN、SD1、SD2、SD1/SD2、庞加莱图定性分析和DFA(α1、α2和α1/α2)。采用非配对样本的学生t检验(正态数据)或曼-惠特尼检验(非正态数据)比较研究组最终时刻与初始时刻的差异(p<0.05)。

结论

在FTG中观察到:SD1增加(对照组0.13±4.00 vs. 3.60±8.43),逐搏全局离散度显著增大,表现为长期RR间期离散度增加,短期(α1)分形特性增加(对照组-0.04±0.13 vs. 0.07±0.21)。FT对心脏自主调节产生有益影响,表现为副交感神经活动增加以及心率动态的短期分形特性增加。

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