Division of General Internal Medicine and Public Health, Vanderbilt University School of Medicine, Nashville, Tennessee.
Vanderbilt Occupational Health, Vanderbilt University Medical Center, Nashville, Tennessee.
Stress Health. 2019 Oct;35(4):542-548. doi: 10.1002/smi.2887. Epub 2019 Sep 5.
Mind-body disciplines such as yoga, Tai Chi, and Qigong have been demonstrated to activate the parasympathetic nervous system, but it remains unclear how these practices achieve these results, whether by breathing, movement, or some combination. This pilot study establishes a model to examine the individual and combined effects of paced breathing and rhythmic skeletal muscle contraction on the activation of the parasympathetic system during a cognitive stressor. Male participants were randomly assigned to one of four preconditioning groups: (a) paced breathing alone, (b) alternating upper extremity muscle contractions, (c) paced breathing synchronized with alternating contractions, or (d) a neutral control task. Autonomic response was assessed by heart rate variability during a standardized cognitive stressor. The alternating contraction group had 71.7% higher activation of parasympathetic signal over respiration alone (p < .001). Alternating contractions synchronized with breathing demonstrated 150% higher parasympathetic activation than control (p < .0001). Comparing the contraction alone and synchronized groups, the synchronized group demonstrated 45.9% higher parasympathetic response during a cognitive stressor (p < .001). In conclusion, paced breathing synchronized with rhythmic muscle contraction leads to more resilient activation of the parasympathetic response than either alternating contractions or breathing alone, which may help explain the stress reducing benefits of mind-body disciplines.
身心调节,如瑜伽、太极和气功,已被证明可以激活副交感神经系统,但这些练习如何达到这些效果,是通过呼吸、运动还是某种组合,目前还不清楚。这项初步研究建立了一个模型,以检查在认知应激期间,有节奏的呼吸和有节奏的骨骼肌收缩对副交感系统激活的单独和联合影响。男性参与者被随机分配到四个预条件组之一:(a)单独有节奏的呼吸,(b)交替上肢肌肉收缩,(c)有节奏的呼吸与交替收缩同步,或(d)中性控制任务。自主反应通过标准化认知应激期间的心率变异性来评估。与单独呼吸相比,交替收缩组的副交感信号激活增加了 71.7%(p <.001)。与对照相比,与呼吸同步的交替收缩显示出 150%更高的副交感神经激活(p <.0001)。比较收缩组和同步组,同步组在认知应激期间表现出 45.9%更高的副交感反应(p <.001)。总之,有节奏的呼吸与有节奏的肌肉收缩同步进行,比交替收缩或单独呼吸更能持久地激活副交感反应,这可能有助于解释身心调节减轻压力的好处。