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慢呼吸对老年人站立扰动期间心血管和肌电图反应的影响。

The effect of slow breathing on cardiovascular and electromyographic responses during standing perturbations in older adults.

作者信息

Siedlecki Patrick, Ivanova Tanya D, Garland S Jayne

机构信息

School of Kinesiology, Western University, London, ON, N6A 3K7, Canada.

Faculty of Health Sciences, Western University, London, ON, N6A 3K7, Canada.

出版信息

Eur J Ageing. 2025 Jun 5;22(1):26. doi: 10.1007/s10433-025-00863-z.

DOI:10.1007/s10433-025-00863-z
PMID:40471371
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12141172/
Abstract

A bi-directional interaction between the cardiovascular and postural control systems has been previously reported in young adults; however, limited data exist in older populations where physiological alternations in these systems are well known. The purpose of this study was to determine: (1) the effect of slow breathing on heart rate (HR) and systolic blood pressure (SBP) responses following surface support postural perturbations in older adults and (2) the effect of slow breathing on lower limb muscle burst onset and burst amplitude during postural perturbations of the support surface in older adults. Twenty community-dwelling older adults experienced posteriorly directed accelerations of treadmill belts during quiet standing while breathing spontaneously (SPON) or breathing at 6 breaths per minute (SLOW). SBP, HR, and muscle burst onset and burst amplitude were analyzed for 7 s from each perturbation's onset. Post-perturbation comparison of SLOW and SPON showed that SBP was significantly higher during SPON over the entire analyzed time period (0-7 s) (p < 0.001), while there was no difference in HR throughout the same analysis window (0-7 s) (p > 0.05). The muscle burst onset was shortened in the SLOW compared to SPON task (p < 0.001), while muscle burst amplitude was not significantly different between SPON and SLOW (p = 0.353). Although slow breathing affected cardiovascular and muscle activation onset responses during postural perturbations in older adults, they differed from the responses in younger adults reported previously. The findings highlight the physiological adaptations that may occur to maintain postural stability in older adults.

摘要

先前已有报道称,在年轻人中,心血管系统和姿势控制系统之间存在双向相互作用;然而,在已知这些系统存在生理变化的老年人群中,相关数据有限。本研究的目的是确定:(1)老年人在表面支撑姿势扰动后,慢呼吸对心率(HR)和收缩压(SBP)反应的影响;(2)老年人在支撑面姿势扰动期间,慢呼吸对下肢肌肉爆发起始和爆发幅度的影响。20名居住在社区的老年人在安静站立时,在跑步机皮带向后加速的情况下,分别进行自主呼吸(SPON)或每分钟6次呼吸(SLOW)。从每次扰动开始后的7秒内分析SBP、HR以及肌肉爆发起始和爆发幅度。对SLOW和SPON扰动后的情况进行比较,发现在整个分析时间段(0 - 7秒)内,SPON期间的SBP显著高于SLOW(p < 0.001),而在相同分析窗口(0 - 7秒)内,HR没有差异(p > 0.05)。与SPON任务相比,SLOW任务中的肌肉爆发起始缩短(p < 0.001),而SPON和SLOW之间的肌肉爆发幅度没有显著差异(p = 0.353)。虽然慢呼吸会影响老年人姿势扰动期间的心血管和肌肉激活起始反应,但这些反应与先前报道的年轻人的反应不同。这些发现突出了老年人为维持姿势稳定性可能发生的生理适应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4022/12141172/a15e753246c8/10433_2025_863_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4022/12141172/330ebe9bbd60/10433_2025_863_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4022/12141172/6c0b1f97b4aa/10433_2025_863_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4022/12141172/a15e753246c8/10433_2025_863_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4022/12141172/330ebe9bbd60/10433_2025_863_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4022/12141172/6c0b1f97b4aa/10433_2025_863_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4022/12141172/a15e753246c8/10433_2025_863_Fig3_HTML.jpg

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本文引用的文献

1
Cardiovascular response to anticipatory and reactionary postural perturbations in young adults.年轻人对预期和反应性姿势扰动的心血管反应。
Exp Physiol. 2023 Sep;108(9):1144-1153. doi: 10.1113/EP091173. Epub 2023 Jul 17.
2
The effects of slow breathing on postural muscles during standing perturbations in young adults.年轻人在站立姿势受到干扰时缓慢呼吸对姿势肌的影响。
Exp Brain Res. 2022 Oct;240(10):2623-2631. doi: 10.1007/s00221-022-06437-0. Epub 2022 Aug 13.
3
Cardiovascular response to postural perturbations of different intensities in healthy young adults.
健康年轻成年人不同强度姿势变化的心血管反应。
Physiol Rep. 2022 May;10(9):e15299. doi: 10.14814/phy2.15299.
4
Postural control in response to unilateral and bilateral external perturbations in older adults.老年人对单侧和双侧外部干扰的姿势控制。
Gait Posture. 2022 May;94:26-31. doi: 10.1016/j.gaitpost.2022.02.024. Epub 2022 Feb 23.
5
Benefits from one session of deep and slow breathing on vagal tone and anxiety in young and older adults.单次深呼吸对年轻和老年成年人迷走神经张力和焦虑的益处。
Sci Rep. 2021 Sep 29;11(1):19267. doi: 10.1038/s41598-021-98736-9.
6
Aging and the Relationship between Balance Performance, Vestibular Function and Somatosensory Thresholds.衰老与平衡表现、前庭功能和躯体感觉阈值之间的关系。
J Int Adv Otol. 2020 Dec;16(3):328-337. doi: 10.5152/iao.2020.8287.
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The effect of age on cerebral blood flow responses during repeated and sustained stand to sit transitions.年龄对重复和持续站立到坐下转换过程中大脑血流反应的影响。
Physiol Rep. 2020 May;8(9):e14421. doi: 10.14814/phy2.14421.
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Effect of Aging on Muscle-Pump Baroreflex of Individual Leg Muscles During Standing.衰老对站立时单个腿部肌肉的肌肉泵压力反射的影响。
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