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青少年运动员与非运动员男孩之间压力反射敏感性和心脏自主神经功能的比较——一项横断面研究。

Comparison of Baroreflex Sensitivity and Cardiac Autonomic Function Between Adolescent Athlete and Non-athlete Boys - A Cross-Sectional Study.

作者信息

Subramanian Senthil Kumar, Sharma Vivek Kumar, Arunachalam Vinayathan, Rajendran Rajathi, Gaur Archana

机构信息

Department of Physiology, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Vijayawada, India.

Department of Physiology, Government Institute of Medical Sciences, Greater Noida, India.

出版信息

Front Physiol. 2019 Aug 22;10:1043. doi: 10.3389/fphys.2019.01043. eCollection 2019.

Abstract

It is well known that regular physical activity improves cardiovascular health, and higher baroreflex sensitivity and heart rate variability are associated with cardiovascular health. Adolescence is the age when an individual's behavior is easily modified; early intervention at this stage in terms of physical conditioning or training prevents future cardiovascular risk. Hence, we conceived the present study to assess and compare the baroreflex sensitivity and autonomic function between adolescent athletes and non-athletes. We recruited school going athletes ( = 30) and non-athlete boys ( = 30) in the 10-19 age group after obtaining their assent and consent from their parents. We assessed height, weight, heart rate, blood pressure, baroreflex sensitivity, and cardiac autonomic function. Comparison between groups was made using the unpaired -test for height, weight, body mass index, heart rate, blood pressure, and baroreflex sensitivity and using Mann-Whitney U test for cardiac autonomic function parameters. There was a trend for higher baroreflex sensitivity in athletes. Heart rate variability (total power and SDNN) was higher in athletes. The parasympathetic tone was higher in terms of higher RMSSD, and higher HF power. Parasympathetic reactivity was higher in athletes in terms of higher 30:15 ratio and EI ratio. Athletic level physical conditioning has a positive influence on baroreflex function and autonomic function that may prove beneficial to the adolescents' cardiovascular health.

摘要

众所周知,规律的体育活动可改善心血管健康,较高的压力反射敏感性和心率变异性与心血管健康相关。青春期是个体行为易于改变的时期;在此阶段就身体调节或训练进行早期干预可预防未来的心血管风险。因此,我们开展了本研究,以评估和比较青少年运动员与非运动员之间的压力反射敏感性和自主神经功能。我们在征得10 - 19岁在校运动员(n = 30)和非运动员男孩(n = 30)及其父母的同意后进行招募。我们评估了身高、体重、心率、血压、压力反射敏感性和心脏自主神经功能。使用非配对t检验对身高、体重、体重指数、心率、血压和压力反射敏感性进行组间比较,使用曼 - 惠特尼U检验对心脏自主神经功能参数进行组间比较。运动员的压力反射敏感性有升高趋势。运动员的心率变异性(总功率和SDNN)更高。就更高的RMSSD和更高的高频功率而言,副交感神经张力更高。就更高的30:15比值和EI比值而言,运动员的副交感神经反应性更高。运动水平的身体调节对压力反射功能和自主神经功能有积极影响,这可能对青少年的心血管健康有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fecd/6713997/747f02850b2f/fphys-10-01043-g001.jpg

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