Romanchuk Oleksandr
Department of Medical Rehabilitation, Ukrainian Research Institute of Medical Rehabilitation and Resort Therapy of the Ministry of Health of Ukraine, Odesa, Ukraine.
Front Netw Physiol. 2023 Oct 30;3:1276899. doi: 10.3389/fnetp.2023.1276899. eCollection 2023.
The modern practice of sports medicine and medical rehabilitation requires the search for subtle criteria for the development of conditions and recovery of the body after diseases, which would have a prognostic value for the prevention of negative effects of training and rehabilitation tools, and also testify to the development and course of mechanisms for counteracting pathogenetic processes in the body. The purpose of this study was to determine the informative directions of the cardiorespiratory system parameters dynamics during the performing a maneuver with a change in breathing rate, which may indicate the body functional state violation. The results of the study of 183 healthy men aged 21.2 ± 2.3 years who regularly engaged in various sports were analyzed. The procedure for studying the cardiorespiratory system included conducting combined measurements of indicators of activity of the respiratory and cardiovascular systems in a sitting position using a spiroarteriocardiograph device. The duration of the study was 6 min and involved the sequential registration of three measurements with a change in breathing rate (spontaneous breathing, breathing at 0.1 Hz and 0.25 Hz). Performing a breathing maneuver at breathing 0.1 Hz and breathing 0.25 Hz in comparison with spontaneous breathing leads to multidirectional significant changes in heart rate variability indicators-TP (ms), LF (ms), LFHF (ms/ms); of blood pressure variability indicators-TP (mmHg), LF (mmHg), LF (mmHg), HF (mmHg); of volume respiration variability indicators - LF, (L×min); HF, (L×min); LFHF, (L×min)/(L×min); of arterial baroreflex sensitivity indicators - BR (ms×mmHg), BR (ms×mmHg). Differences in indicators of systemic hemodynamics and indicators of cardiovascular and respiratory systems synchronization were also informative. According to the results of the study, it is shown that during performing a breathing maneuver with a change in the rate of breathing, there are significant changes in cardiorespiratory parameters, the analysis of which the increments made it possible to determine of the changes directions dynamics, their absolute values and informative limits regarding the possible occurrence of the cardiorespiratory interactions dysregulation.
现代运动医学和医学康复实践需要寻找细微标准,以确定疾病后身体状况发展和恢复的情况,这些标准对预防训练和康复工具的负面影响具有预后价值,还能证明身体对抗致病过程机制的发展和进程。本研究的目的是确定在进行呼吸频率改变的动作时心肺系统参数动态变化的信息性方向,这可能表明身体功能状态受到破坏。分析了183名年龄在21.2±2.3岁、经常参加各种运动的健康男性的研究结果。研究心肺系统的程序包括使用螺旋动脉心动图设备在坐姿下对呼吸和心血管系统活动指标进行联合测量。研究持续时间为6分钟,包括对呼吸频率变化(自主呼吸、0.1Hz呼吸和0.25Hz呼吸)进行三次测量的顺序记录。与自主呼吸相比,在0.1Hz呼吸和0.25Hz呼吸时进行呼吸动作会导致心率变异性指标——总功率(ms)、低频功率(ms)、低频/高频功率比值(ms/ms);血压变异性指标——总功率(mmHg)、低频功率(mmHg)、低频功率(mmHg)、高频功率(mmHg);容积呼吸变异性指标——低频功率(L×min);高频功率(L×min);低频/高频功率比值(L×min)/(L×min);动脉压力反射敏感性指标——压力反射增益(ms×mmHg)、压力反射增益(ms×mmHg)出现多方向的显著变化。全身血流动力学指标以及心血管和呼吸系统同步性指标的差异也具有信息价值。根据研究结果表明,在进行呼吸频率改变的呼吸动作时,心肺参数会发生显著变化,对这些变化的增量分析使得确定变化方向动态、其绝对值以及关于心肺相互作用失调可能发生的信息限度成为可能。