Grupo de Investigación Ser Cultura y Movimiento, Facultad de Salud, Universidad Santo Tomás-Bucaramanga, Santander 680001, Colombia.
Universidad de Santander, Facultad de Ciencias Médicas y de la Salud, Bucaramanga 680003, Colombia.
Int J Environ Res Public Health. 2023 Jan 26;20(3):2207. doi: 10.3390/ijerph20032207.
The cardioprotective effect of physical exercise has been demonstrated in several studies. However, no systematic or updated analysis has described the effects of physical exercise on cardiovascular autonomic modulation in postmenopausal women.
to describe the effects of physical exercise on cardiovascular autonomic modulation in postmenopausal women.
The Scopus, PubMed, and Embase databases were searched for randomized clinical trials published between January 2011 and December 2021, and regarding the effects of physical exercise on cardiovascular autonomic modulation in postmenopausal women. Two independent authors processed the citations. The methodological quality was evaluated using the PEDRo scale.
Of the 91 studies identified, only 8 met the inclusion criteria, of which 7 had fair or poor methodological quality. The analyzed studies investigated the effects of functional training, whole-body vibration, muscular resistance, stretching, and aerobic exercises performed at home or at the gym. The majority of these exercise modalities showed improvements in heart-rate variability (HRV) indices and in the low-frequency band of blood pressure variability. The meta-analysis shows that exercise increased the standard deviation of instantaneous beat-to-beat variability (SD1) (mean difference (MD) = 3.99; 95% confidence interval (CI) = 1.22 to 6.77, n = 46; I: 0%) and the standard deviation of long-term variability (SD2) (MD = 11.37; 95% CI = 2.99 to 19.75; n = 46; I: 0%).
Aerobic exercise and some nonconventional training modalities may have beneficial effects on cardiovascular autonomic modulation in postmenopausal women. More high-quality studies are still needed to further confirm their efficacy and safety.
多项研究已经证明了体育锻炼对心脏的保护作用。然而，目前尚无系统或更新的分析描述体育锻炼对绝经后女性心血管自主调节的影响。
描述体育锻炼对绝经后女性心血管自主调节的影响。
检索了 Scopus、PubMed 和 Embase 数据库，纳入了 2011 年 1 月至 2021 年 12 月发表的关于体育锻炼对绝经后女性心血管自主调节影响的随机临床试验。两名独立作者对引用文献进行处理。使用 PEDRo 量表评估方法学质量。
在 91 项研究中，仅有 8 项符合纳入标准，其中 7 项研究的方法学质量为中等或较差。分析的研究调查了功能性训练、全身振动、肌肉阻力、伸展和在家庭或健身房进行的有氧运动对心血管自主调节的影响。这些运动方式中的大多数都改善了心率变异性（HRV）指数和血压变异性的低频带。荟萃分析表明，运动增加了瞬时心跳间变异性的标准差（SD1）（平均差值（MD）=3.99；95%置信区间（CI）=1.22 至 6.77，n=46；I：0%）和长期变异性的标准差（SD2）（MD=11.37；95% CI=2.99 至 19.75；n=46；I：0%）。
有氧运动和一些非传统训练方式可能对绝经后女性的心血管自主调节有有益影响。仍需要更多高质量的研究来进一步证实其疗效和安全性。
