Hyrylä Vesa V, Eronen Timo, Kupari Saana, Venojärvi Mika, Tikkanen Heikki O, Tarvainen Mika P
Department of Technical Physics, University of Eastern Finland, Yliopistonranta 1 F, 70211, Kuopio, Finland.
Institute of Biomedicine, Sports and Exercise Medicine, University of Eastern Finland, Yliopistonranta 1, 70210, Kuopio, Finland.
Sci Rep. 2025 Jul 6;15(1):24136. doi: 10.1038/s41598-025-09287-2.
Heart rate recovery (HRR) and fast HRR, believed to reflect parasympathetic reactivation, have been recognized as powerful predictors of all-cause mortality. In this study we propose a modified fast HRR parameter T30 and investigate if otherwise healthy subjects with type 1 diabetes (T1D) have attenuated HRR. Eighteen T1D subjects (T1D = 15 ± 7 years, HbA1c = 58 ± 0.8 mmol/mol) and thirty-five healthy matched control subjects underwent maximal cardiopulmonary exercise test. After cessation of exercise T30, T30 and monoexponential decay as well as HRR at 10, 20, 30, 60, 120 and 300 s were assessed. The T1D subjects had diminished HRR described by T30 (12.6 ± 3.9 bpm vs. 16.4 ± 4.3 bpm, p = 0.013), T30 (520 ± 263 s vs. 361 ± 133 s, p = 0.022), HRR (9.2 ± 3.5 vs. 11.6 ± 3.1 bpm, p = 0.046), HRR (13.0 ± 4.5 bpm vs. 16.3 ± 4.2 bpm, p = 0.035) and HRR (23.0 ± 6.8 bpm vs. 28.4 ± 7.1 bpm, p = 0.041) when compared to the control subjects. Subjects with T1D exhibited attenuated fast HRR suggesting that vagal reactivation may be diminished, and exercise may unmask subclinical symptoms in otherwise healthy T1D subjects.
心率恢复(HRR)和快速心率恢复(fast HRR)被认为可反映副交感神经再激活,已被公认为全因死亡率的有力预测指标。在本研究中,我们提出了一种改良的快速心率恢复参数T30,并调查在其他方面健康的1型糖尿病(T1D)患者的心率恢复是否减弱。18名T1D患者(T1D = 15 ± 7岁,糖化血红蛋白[HbA1c] = 58 ± 0.8 mmol/mol)和35名健康匹配对照受试者接受了最大心肺运动试验。运动停止后,评估T30、T30和单指数衰减以及10、20、30、60、120和300秒时的心率恢复情况。与对照受试者相比,T1D患者的心率恢复减弱,表现为T30(12.6 ± 3.9次/分钟 vs. 16.4 ± 4.3次/分钟,p = 0.013)、T30(520 ± 263秒 vs. 361 ± 133秒,p = 0.022)、心率恢复(9.2 ± 3.5 vs. 11.6 ± 3.1次/分钟,p = 0.046)、心率恢复(13.0 ± 4.5次/分钟 vs. 16.3 ± 4.2次/分钟,p = 0.035)和心率恢复(