延迟性肌肉酸痛诱发运动期间的心率变异性改变及Piezo2解读

Heart Rate Variability Alterations During Delayed-Onset Muscle Soreness-Inducing Exercise-With Piezo2 Interpretation.

作者信息

Langmár Gergely, Sümegi Tekla, Fülöp Benjámin, Pozsgai Lilla, Mocsai Tamás, Tóth Miklós, Rácz Levente, Kopper Bence, Dér András, Búzás András, Sonkodi Balázs

机构信息

Faculty of Kinesiology, Hungarian University of Sports Science, 1124 Budapest, Hungary.

Hungarian National Academy of Handball, 8630 Balatonboglár, Hungary.

出版信息

Sports (Basel). 2025 Aug 10;13(8):262. doi: 10.3390/sports13080262.

Abstract

Heart rate variability (HRV) is often modulated by pain; therefore, the objective of this study was to assess whether the induction of delayed-onset muscle soreness (DOMS) is already affected by HRV alterations during exercise, in spite of the fact that pain evolves only post-exercise. An isokinetic dynamometer was used to induce DOMS in this study on 19 young male elite handball players who were subjected to HRV measurements throughout a DOMS-inducing exercise session. The result of this study indicated that the heart rate (HR) dependence of time-frequency domain parameters could be described by an exponential-like function, while entropy showed a V-shaped function, with a minimum "turning point" separated by descending and ascending intervals. The DOMS protocol upshifted the time-frequency domain HRV parameters in the entire HR range, contrary to the sample entropy values that were systematically downshifted, indicative of an upregulated sympathetic tone. The group-averaged HR-dependent sample entropy function showed a nonlinear character under exercise, with lower values for higher DOMS than for the group with lower DOMS below the turning-point HR, and vice versa above it. The differences between the respective HRV(HR) point sets representing the low-DOMS and high-DOMS groups were quantified using a statistical method and found to be significant at the current sample size for all the HRV parameters used. Since oxidative stress is implicated in DOMS, we are the first to report that nonlinear alterations may impact HRV in a HR-dependent manner in DOMS using a Piezo2 interpretation. This finding provides further indirect evidence for an initiating neural microdamage that prevails under DOMS-inducing exercise, and the diagnostic detection of this point may provide control for avoiding further injury risk in sports and exercise activities.

摘要

心率变异性(HRV)常受疼痛调节;因此,本研究的目的是评估延迟性肌肉酸痛(DOMS)的诱发是否在运动期间就已受到HRV改变的影响,尽管疼痛仅在运动后才出现。在本研究中,使用等速测力计对19名年轻男性精英手球运动员诱发DOMS,并在整个诱发DOMS的运动过程中对他们进行HRV测量。本研究结果表明,时频域参数的心率(HR)依赖性可用指数样函数描述,而熵呈现V形函数,有一个由下降和上升区间分隔的最小“转折点”。与系统性下降的样本熵值相反,DOMS方案使整个HR范围内的时频域HRV参数上移,这表明交感神经张力上调。运动时,组平均的HR依赖性样本熵函数呈非线性特征,在转折点HR以下,DOMS较高组的值低于DOMS较低组,反之亦然。使用统计方法对代表低DOMS组和高DOMS组的各自HRV(HR)点集之间的差异进行量化,发现在当前样本量下,所有使用的HRV参数差异均显著。由于氧化应激与DOMS有关,我们首次使用Piezo2解释报告,非线性改变可能以HR依赖性方式影响DOMS中的HRV。这一发现为在诱发DOMS的运动中普遍存在的初始神经微损伤提供了进一步的间接证据,对这一点的诊断检测可为避免运动和体育活动中的进一步损伤风险提供控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73ac/12389744/390232636690/sports-13-00262-g001.jpg

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