Dimkpa Uchechukwu, Godswill Robert C, Okonudo Peter, Ikwuka David
Human Physiology Department, Faculty of Basic Medical Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Nigeria.
J Obes Metab Syndr. 2023 Mar 30;32(1):87-97. doi: 10.7570/jomes22055. Epub 2023 Mar 9.
There is a dearth of comparative studies on heart rate (HR) abnormalities at rest, chronotropic responses during submaximal exercise, and such responses during recovery from submaximal exercise between healthy-weight and overweight/obese young adults.
Eighty healthy young adults (30 men and 50 women) aged 19 to 33 years participated in the present study. A symptom-limited, submaximal, cycle ergometer exercise test of intensity targeted at 60% to 70% of the subject's age-predicted maximum HR was performed. The HR, blood pressure, and minute ventilation were measured at rest and during exercise. Post-exercise, HR was first measured at 1 minute of recovery and then every 2 minutes until the 5th minute.
Our results showed significantly higher resting HR (<0.001), lower percentage HR reserve during exercise (<0.001), and slower HR recovery after exercise (<0.05, <0.01, or <0.001) in overweight/obese men and women than in the non-overweight/obese controls. The prevalence of high resting HR, submaximal chronotropic incompetence, and blunted HR recovery were more common in the overweight/obese individuals than in the healthy-weight controls. Peak VO and ventilatory equivalent for oxygen were associated with resting HR, exercise HR parameters, and post-exercise HR recovery indices in both men and women.
High resting HR, submaximal chronotropic incompetence, and blunted HR recovery in overweight/obese individuals in this study may be attributed to poor cardiorespiratory fitness and low respiratory efficiency.
在健康体重与超重/肥胖的年轻成年人之间,关于静息心率(HR)异常、次最大运动期间的变时性反应以及次最大运动恢复期间的此类反应的比较研究匮乏。
80名年龄在19至33岁之间的健康年轻成年人(30名男性和50名女性)参与了本研究。进行了一项症状限制的、次最大强度的蹬车测力计运动测试,运动强度目标为受试者年龄预测最大心率的60%至70%。在静息和运动期间测量心率、血压和每分通气量。运动后,首先在恢复1分钟时测量心率,然后每2分钟测量一次,直至第5分钟。
我们的结果显示,超重/肥胖的男性和女性与非超重/肥胖对照组相比,静息心率显著更高(<0.001),运动期间心率储备百分比更低(<0 .001),运动后心率恢复更慢(<0.05、<0.01或<0.001)。静息心率高、次最大变时性功能不全和心率恢复迟钝的患病率在超重/肥胖个体中比在健康体重对照组中更常见。男性和女性的峰值摄氧量和氧通气当量与静息心率、运动心率参数以及运动后心率恢复指标相关。
本研究中超重/肥胖个体的静息心率高、次最大变时性功能不全和心率恢复迟钝可能归因于心肺适能差和呼吸效率低。