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[具体干预措施]对高血压患者心率变异性的即时影响:一项随机对照研究

Immediate Effect of on Heart Rate Variability in Patients with Hypertension: A Randomised Controlled Study.

作者信息

Govindasamy Karuppasamy, Kaur Dilpreet, Elayaraja Masilamani, Sethi Deepika, Kalidas Shantichitra, Karmakar Debajit, Orhan Bekir Erhan, Astuti Yuni, Parpa Koulla

机构信息

Department of Physical Education and Sports Sciences, Faculty of Science and Humanities, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India.

Department of Sports, Recreation and Wellness, Sri Balaji University, Pune, Maharashtra, India.

出版信息

Ann Neurosci. 2024 Dec 12:09727531241299258. doi: 10.1177/09727531241299258.

Abstract

BACKGROUND

Hypertension, a prevalent cardiovascular condition, is linked to autonomic nervous system dysregulation, often evidenced by reduced heart rate variability (HRV). Yoga, particularly , may influence autonomic control and improve HRV, thus offering potential benefits for hypertension management.

PURPOSE

This study intended to assess the impact of the regular use of practice on HRV among hypertensive patients.

METHODS

This randomised controlled study included 60 hypertensive patients aged between 40 and 60. Participants were randomised into an intervention group practicing ( = 30) and a control group with no intervention ( = 30). The outcome measures included time and frequency domain HRV variables, specifically the standard deviation of NN intervals (SDNN), the square root of the mean squared differences of successive NN intervals (RMSSD), high-frequency (HF) and low-frequency (LF) components in normalised units (n.u), and the LF/HF ratio. These were assessed both before and immediately after the intervention. The intervention group performed three rounds of under supervision, while the control group rested quietly for an equivalent duration.

RESULTS

The group demonstrated significant ( < .05) improvements in HRV parameters post-intervention compared to the control group. Mean RR interval, SDNN and RMSSD increased immediately after practice. The HF component (n.u) increased, while the LF component (n.u) and LF/HF ratio decreased ( < .05), indicating enhanced parasympathetic activity. No significant changes were observed in the control group.

CONCLUSION

's practice immediately has notable effects on HRV in hypertensive patients, showing better autonomic balance and cardiovascular performance. These results suggest as a possible non-pharmacological strategy for hypertension management. Future studies with larger sample sizes and longer durations are needed to support these results and explore long-term effects.

摘要

背景

高血压是一种常见的心血管疾病,与自主神经系统失调有关,通常表现为心率变异性(HRV)降低。瑜伽,尤其是[具体瑜伽类型未给出],可能会影响自主控制并改善HRV,从而为高血压管理带来潜在益处。

目的

本研究旨在评估定期进行[具体瑜伽类型未给出]练习对高血压患者HRV的影响。

方法

这项随机对照研究纳入了60名年龄在40至60岁之间的高血压患者。参与者被随机分为干预组(进行[具体瑜伽类型未给出]练习,n = 30)和无干预的对照组(n = 30)。结局指标包括时域和频域HRV变量,具体为NN间期标准差(SDNN)、连续NN间期平方差的均方根(RMSSD)、归一化单位(n.u)下的高频(HF)和低频(LF)成分以及LF/HF比值。在干预前和干预后立即对这些指标进行评估。干预组在监督下进行三轮[具体瑜伽类型未给出]练习,而对照组安静休息相同时长。

结果

与对照组相比,干预组干预后HRV参数有显著(P <.05)改善。[具体瑜伽类型未给出]练习后平均RR间期、SDNN和RMSSD立即增加。HF成分(n.u)增加,而LF成分(n.u)和LF/HF比值降低(P <.05),表明副交感神经活动增强。对照组未观察到显著变化。

结论

[具体瑜伽类型未给出]练习立即对高血压患者的HRV有显著影响,显示出更好的自主平衡和心血管性能。这些结果表明[具体瑜伽类型未给出]可作为高血压管理的一种可能的非药物策略。需要更大样本量和更长持续时间的未来研究来支持这些结果并探索长期影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/190e/11638923/c47a0cf1a548/10.1177_09727531241299258-fig1.jpg

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