Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of Sao Paulo , Sao Paulo , Brazil.
Research Institute for Sport and Exercise Sciences, Liverpool John Moores University , Liverpool , United Kingdom.
J Appl Physiol (1985). 2017 Dec 1;123(6):1555-1562. doi: 10.1152/japplphysiol.00502.2017. Epub 2017 Aug 31.
This study assessed the additive effects of passive heating and exercise on cardiac baroreflex sensitivity (cBRS) and heart rate variability (HRV). Twelve healthy young men (25 ± 1 yr, 23.8 ± 0.5 kg/m) randomly underwent two experimental sessions: heat stress (HS; whole body heat stress using a tube-lined suit to increase core temperature by ~1°C) and normothermia (NT). Each session was composed of a preintervention rest (REST1); HS or NT interventions; postintervention rest (REST2); and 14 min of cycling exercise [7 min at 40%HR (EX1) and 7 min at 60%HR (EX2)]. Heart rate and finger blood pressure were continuously recorded. cBRS was assessed using the sequence (cBRS) and transfer function (cBRS) methods. HRV was assessed using the indexes standard deviation of RR intervals (SDNN) and root mean square of successive RR intervals (RMSSD). cBRS and HRV were not different between sessions during EX1 and EX2 (i.e., matched heart rate conditions: EX1 = 116 ± 3 vs. 114 ± 3 and EX2 = 143 ± 4 vs. 142 ± 3 beats/min but different workloads: EX1 = 50 ± 9 vs. 114 ± 8 and EX2 = 106 ± 10 vs. 165 ± 8 W; for HS and NT, respectively; P < 0.01). However, when comparing EX1 of NT with EX2 of HS (i.e., matched workload conditions but with different heart rates), cBRS and HRV were significantly reduced in HS (cBRS = 1.6 ± 0.3 vs. 0.6 ± 0.1 ms/mmHg, P < 0.01; SDNN = 2.3 ± 0.1 vs. 1.3 ± 0.2 ms, P < 0.01). In conclusion, in conditions matched by HR, the addition of heat stress to exercise does not affect cBRS and HRV. Alternatively, in workload-matched conditions, the addition of heat to exercise results in reduced cBRS and HRV compared with exercise in normothermia. NEW & NOTEWORTHY The present study assessed cardiac baroreflex sensitivity during the combination of heat and exercise stresses. This is the first study to show that prior whole body passive heating reduces cardiac baroreflex sensitivity and autonomic modulation of heart rate during exercise. These findings contribute to the better understanding of the role of thermoregulation on cardiovascular regulation during exercise.
本研究评估了被动加热和运动对心脏压力反射敏感性(cBRS)和心率变异性(HRV)的附加效应。12 名健康年轻男性(25 ± 1 岁,23.8 ± 0.5 kg/m)随机进行了两项实验:热应激(HS;使用管式套装全身热应激以将核心温度升高约 1°C)和常温(NT)。每个阶段都由干预前休息(REST1);HS 或 NT 干预;干预后休息(REST2);以及 14 分钟的自行车运动[第 7 分钟 40%HR(EX1)和第 7 分钟 60%HR(EX2)]。连续记录心率和手指血压。使用序列(cBRS)和传递函数(cBRS)方法评估 cBRS。使用 RR 间期标准差(SDNN)和连续 RR 间期均方根(RMSSD)评估 HRV。在 EX1 和 EX2 期间,cBRS 和 HRV 在各阶段之间没有差异(即,匹配心率条件:EX1=116±3 与 114±3,EX2=143±4 与 142±3 次/分钟,但不同的工作量:EX1=50±9 与 114±8,EX2=106±10 与 165±8 W;分别为 HS 和 NT;P < 0.01)。然而,当比较 NT 的 EX1 与 HS 的 EX2 时(即,匹配工作量条件,但心率不同),HS 中的 cBRS 和 HRV 显著降低(cBRS=1.6±0.3 与 0.6±0.1 ms/mmHg,P < 0.01;SDNN=2.3±0.1 与 1.3±0.2 ms,P < 0.01)。总之,在心率匹配的情况下,运动时增加热应激不会影响 cBRS 和 HRV。或者,在工作量匹配的情况下,与常温下的运动相比,运动时增加热量会导致 cBRS 和 HRV 降低。 新内容及重要内容 本研究评估了热和运动应激联合作用下的心脏压力反射敏感性。这是第一项表明全身被动加热会降低运动期间心脏压力反射敏感性和心率自主调节的研究。这些发现有助于更好地理解体温调节在运动期间对心血管调节的作用。