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肥胖青年男性对联合运动训练计划的心率变异性反应:与肥胖及心肺适能变化的相关性

Heart rate variability responses to a combined exercise training program: correlation with adiposity and cardiorespiratory fitness changes in obese young men.

作者信息

Phoemsapthawee Jatuporn, Prasertsri Piyapong, Leelayuwat Naruemon

机构信息

Department of Sports Science and Health, Faculty of Sports Science, Kasetsart University, Nakhon Pathom, Thailand.

Faculty of Allied Health Sciences, Burapha University, Chonburi, Thailand.

出版信息

J Exerc Rehabil. 2019 Feb 25;15(1):114-122. doi: 10.12965/jer.1836486.243. eCollection 2019 Feb.

Abstract

Although the influence of adiposity indices and cardiorespiratory fitness (CRF) on heart rate variability (HRV) has been demonstrated extensively, the causal link between the changes in adiposity as well as in CRF and the alterations in cardiac autonomic function is unclear. Thus, this study aimed to assess the correlation between the changes in adiposity and CRF and the alterations in HRV after 12-week exercise training. Twenty obese sedentary men aged 20.5±1.2 years were randomly assigned into 2 groups (n=10 each): the control (CG) and the exercise group (EG). The EG trained 60 min of combined aerobic, anaerobic and strengthening exercise, 4 sessions/wk for 12 weeks, whilst the CG remained relatively inactive. Measurements of resting HRV, body composition, and peak oxygen consumption (VO) were obtained at baseline and after the 12-week training program. Compared with CG, the exercise training significantly reduced adiposity indices and improved vagal-related HRV variables and VO. Significant correlations were observed between changes in HRV variables and adiposity indices and VO changes. Stepwise regression analysis revealed that changes in a Poincaré plot index (SD1/SD2 ratio) predicted 32.4% of the variance in the relative VO changes. These findings suggest that obese sedentary young men achieved significant improvements in vagal activity, adiposity indices and aerobic fitness after the exercise training. The higher reduction in fat mass, especially central obesity, the greater alteration of vagal modulation. Moreover, the alteration in resting HRV is a possible predictor for adaptations to exercise training in obese sedentary young men.

摘要

尽管肥胖指数和心肺适能(CRF)对心率变异性(HRV)的影响已得到广泛证实,但肥胖及CRF变化与心脏自主神经功能改变之间的因果关系尚不清楚。因此,本研究旨在评估12周运动训练后肥胖和CRF变化与HRV改变之间的相关性。20名年龄在20.5±1.2岁的肥胖久坐男性被随机分为2组(每组n = 10):对照组(CG)和运动组(EG)。运动组进行60分钟的有氧、无氧和强化运动组合训练,每周4次,共12周,而对照组保持相对不活动状态。在基线和12周训练计划后测量静息HRV、身体成分和峰值耗氧量(VO)。与对照组相比,运动训练显著降低了肥胖指数,改善了与迷走神经相关的HRV变量和VO。观察到HRV变量变化与肥胖指数和VO变化之间存在显著相关性。逐步回归分析显示,庞加莱图指数(SD1/SD2比值)的变化预测了相对VO变化中32.4%的方差。这些发现表明,肥胖久坐的年轻男性在运动训练后迷走神经活动、肥胖指数和有氧适能有显著改善。脂肪量减少越多,尤其是中心性肥胖,迷走神经调节的改变就越大。此外,静息HRV的改变可能是肥胖久坐年轻男性运动训练适应性的一个预测指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c676/6416511/96790d8f30ac/jer-15-1-114f1.jpg

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