Department of Physiology and Pharmacology, Fluminense Federal University, Niterói, Brazil.
Department of Physical Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre, Brazil.
Respir Physiol Neurobiol. 2021 Aug;290:103672. doi: 10.1016/j.resp.2021.103672. Epub 2021 Apr 15.
Even though recent studies reported a positive inspiratory muscle training (IMT) effect on cardiovascular autonomic modulation, its underlying mechanisms as the breathing pattern remain unclear. The study aimed to investigate the IMT effects on resting heart rate variability (HRV), spontaneous baroreflex sensitivity (BRS), and spontaneous breathing pattern in older women. Fourteen healthy older women participated in this study, allocated in IMT (50 % MIP; n = 8) or Sham (5% MIP; n = 6) protocols for four weeks. Blood pressure, heart rate, and ventilatory data were continuously recorded before and after interventions. After four weeks, IMT-group increased maximal inspiratory pressure and vagal-mediated HRV, following by the reduction of sympatho-mediated HRV and the inspiratory time during the spontaneous breathing cycle compared to Sham-group, but did not change BRS. Therefore, the shorter inspiratory time suggests a putative mechanism behind improved vagal-mediated HRV post-IMT in older women.
尽管最近的研究报告称吸气肌训练(IMT)对心血管自主神经调节有积极影响,但作为呼吸模式的其潜在机制尚不清楚。本研究旨在探讨 IMT 对静息心率变异性(HRV)、自发性血压反射敏感性(BRS)和老年女性自主呼吸模式的影响。14 名健康的老年女性参与了这项研究,分为 IMT(50%最大吸气压力;n=8)或 Sham(5%最大吸气压力;n=6)组,进行了四周的干预。干预前后连续记录血压、心率和呼吸数据。四周后,与 Sham 组相比,IMT 组的最大吸气压力和迷走神经介导的 HRV 增加,同时交感神经介导的 HRV 和自主呼吸周期中的吸气时间减少,但 BRS 没有变化。因此,吸气时间缩短可能是 IMT 后老年女性迷走神经介导的 HRV 改善的潜在机制。
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