Yang Faming, Ma Ying, Liang Shuangyan, Shi Yali, Wang Chen
Department of Rehabilitation Sciences, Ningbo College of Health Sciences, 315100 Ningbo, Zhejiang, China.
Department of Rehabilitation Medicine, Linfen Central Hospital, 041000 Linfen, Shanxi, China.
Rev Cardiovasc Med. 2024 Jan 9;25(1):9. doi: 10.31083/j.rcm2501009. eCollection 2024 Jan.
The purpose of this study was to use a network meta-analysis (NMA) to compare the effects of aerobic training (AT), resistance training (RT), combined training (CBT), and high-intensity interval training (HIIT) on adult heart rate variability (HRV).
We searched PubMed, the Cochrane Library, Embase, the Web of Science, Wanfang Data, and the China National Knowledge Infrastructure to identify randomized controlled trials on the effects of exercise on HRV in adults. The search was conducted from the outset of these databases to April 2023. Two reviewers independently screened the retrieved articles, extracted raw data from the relevant studies, and assessed the possible risk of bias in the included studies.
The NMA showed that HIIT had the greatest effect on the low-frequency (LF) power/high-frequency (HF) power ratio, standard deviation of normal-normal intervals (SDNN), and root mean square of successive differences between adjacent normal-to-normal intervals (RMSSD) (surface under the cumulative ranking curve (SUCRA) = 99.75%, 98.7%, and 84.9%); CBT had the greatest effect on the LF power (SUCRA = 66.3%); RT had the greatest effect on the HF power (SUCRA = 72.5%).
Our NMA and SUCRA ranking results suggest that in adults, HIIT is the most effective exercise modality in improving the SDNN, RMSSD, and LF/HF power ratio; RT for the HF power; CBT for the LF power. Any NMA conducted in the future must fully explore the effects of different exercise modalities on HRV in adult subgroups of different ages and genders.
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=424054, identifier: CRD42023424054.
本研究旨在使用网络荟萃分析（NMA）比较有氧运动训练（AT）、抗阻训练（RT）、联合训练（CBT）和高强度间歇训练（HIIT）对成人心率变异性（HRV）的影响。
我们检索了PubMed、Cochrane图书馆、Embase、科学网、万方数据和中国知网，以确定关于运动对成人心率变异性影响的随机对照试验。检索从这些数据库建立之初至2023年4月进行。两名研究者独立筛选检索到的文章，从相关研究中提取原始数据，并评估纳入研究中可能存在的偏倚风险。
网络荟萃分析显示，高强度间歇训练对低频（LF）功率/高频（HF）功率比值、正常到正常间期标准差（SDNN）以及相邻正常到正常间期连续差值的均方根（RMSSD）影响最大（累积排序曲线下面积（SUCRA） = 99.75%、98.7%和84.9%）；联合训练对低频功率影响最大（SUCRA = 66.3%）；抗阻训练对高频功率影响最大（SUCRA = 72.5%）。
我们的网络荟萃分析和累积排序曲线下面积排名结果表明，在成年人中，高强度间歇训练是改善SDNN、RMSSD和低频/高频功率比值最有效的运动方式；抗阻训练对高频功率有效；联合训练对低频功率有效。未来进行的任何网络荟萃分析都必须充分探索不同运动方式对不同年龄和性别的成年亚组心率变异性的影响。
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=424054，标识符：CRD42023424054 。
