Vagal reactivation after a cardiac rehabilitation session associated with hydration in coronary artery disease patients: crossover clinical trial.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
18 05 2021
18 05 2021
Historique:
received:
19
06
2020
accepted:
30
04
2021
entrez:
19
5
2021
pubmed:
20
5
2021
medline:
9
11
2021
Statut:
epublish
Résumé
This study aimed to investigate the hydration influence on the autonomic responses of coronary artery disease subjects in the immediate recovery period after a cardiovascular rehabilitation session, in view of the risks of a delayed autonomic recovery for this population. 28 males with coronary artery disease were submitted to: (I) Maximum effort test; (II) Control protocol (CP), composed by initial rest, warm-up, exercise and passive recovery; (III) Hydration protocol (HP) similar to CP, but with rehydration during exercise. The recovery was evaluated through the heart rate (HR) variability, HR recovery and by the rate of perceived exertion and recovery. The main results revealed that the vagal reactivation occurred at the first 30 s of recovery in HP and after the first minute in CP. A better behavior of the HR at the first minute of recovery was observed in HP. The rate of perceived exertion had a significant decrease in the first minute of recovery in HP, while in CP this occurred after the third minute. In conclusion, despite an anticipated vagal reactivation found at HP, these results should be analyzed with caution as there were no significant differences between protocols for all variables and the effect sizes were small.
Identifiants
pubmed: 34006912
doi: 10.1038/s41598-021-89840-x
pii: 10.1038/s41598-021-89840-x
pmc: PMC8131702
doi:
Substances chimiques
Mineral Waters
0
Types de publication
Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
10482Références
Floras, J. S. & Ponikowski, P. The sympathetic/parasympathetic imbalance in heart failure with reduced ejection fraction. Eur. Heart J. 36, 1974–1982 (2015).
pubmed: 25975657
pmcid: 4528097
doi: 10.1093/eurheartj/ehv087
Qiu, S. et al. Heart rate recovery and risk of cardiovascular events and all-cause. J. Am. Heart Assoc. 6, 1–12 (2017).
doi: 10.1161/JAHA.117.005505
Hsu, C., Hsieh, P., Hsiao, S. & Chien, M. Effects of exercise training on autonomic function in chronic heart failure: systematic review. Biomed. Res. Int. 2015, 1–8 (2015).
Feiereisen, P. & Delagardelle, C. Retrospective analysis of cardiac events during cardiac rehabilitation at Centre Hospitalier de Luxembourg during 2014 and 2015. Bull. Soc. Sci. Med. Grand. Duche Luxemb. 2, 13–25 (2016).
Pavy, B., Iliou, M. C., Meurin, P., Tabet, J. Y. & Corone, S. Safety of exercise training for cardiac patients: results of the French registry of complications during cardiac rehabilitation. Arch. Intern. Med. 166, 2329–2334 (2006).
pubmed: 17130385
doi: 10.1001/archinte.166.21.2329
Romero, S. A., Minson, C. T. & Halliwill, X. J. R. Recovery from exercise the cardiovascular system after exercise. J. Appl. Physiol. 122, 925–932 (2017).
pubmed: 28153943
doi: 10.1152/japplphysiol.00802.2016
Luttrell, M. J. & Halliwill, J. R. Recovery from exercise: vulnerable state, window of opportunity, or crystal ball?. Front. Physiol. 6, 1–6 (2015).
doi: 10.3389/fphys.2015.00204
Peçanha, T., Silva-Júnior, N. D. & Forjaz, C. L. D. M. Heart rate recovery: autonomic determinants, methods of assessment and association with mortality and cardiovascular diseases. Clin. Physiol. Funct. Imaging 34, 327–339 (2014).
pubmed: 24237859
doi: 10.1111/cpf.12102
Imai, K. et al. Vagally mediated heart rate recovery after exercise is accelerated in athlestes but blunted in patients with chronic heart failure. J. Am. Coll. Cardiol. 24, 1529–1535 (1994).
pubmed: 7930286
doi: 10.1016/0735-1097(94)90150-3
Thompson, P. D. et al. Exercise and acute cardiovascular events: placing the risks into perspective a scientific statement from the American heart association council on nutrition, physical activity, and metabolism and the council on clinical cardiology. Circulation 115, 2358–2369 (2007).
pubmed: 17468391
doi: 10.1161/CIRCULATIONAHA.107.181485
Shibasaki, M., Wilson, T. E. & Crandall, C. G. A physiological systems approach to human neural control and mechanisms of eccrine sweating during heat stress and exercise. J. Appl. Physiol. 100, 1692–1701 (2006).
pubmed: 16614366
doi: 10.1152/japplphysiol.01124.2005
Castro-Sepúllveda, M. et al. Hydration status after exercise affect resting metabolic rate and heart rate variability. Nutr. Hosp. 31, 1273–1277 (2015).
Charkoudian, N., Halliwill, J. R., Morgan, B. J., Eisenach, J. H. & Joyner, M. J. Influences of hydration on post-exercise cardiovascular control in humans. J. Physiol. 552, 635–644 (2003).
pubmed: 14561843
pmcid: 2343381
doi: 10.1113/jphysiol.2003.048629
de Oliveira, T. P., Ferreira, R. B., de Mattos, R. A., da Silva, J. P. & de Lima, J. R. P. Influence of water intake on post-exercise heart rate variability recovery. J. Exerc. Physiol. Online 14, 97–105 (2011).
Peçanha, T. et al. Water intake accelerates parasympathetic reactivation after high-intensity exercise. Int. J. Sport Nutr. Exerc. 24, 489–496 (2014).
doi: 10.1123/ijsnem.2013-0122
Teixeira, A. L. et al. The role of water intake on cardiac vagal reactivation after upper-body resistance exercise. Int. J. Sport Med. 36, 204–208 (2015).
Vianna, L. C., Oliveira, R. B., Silva, B. M., Ricardo, D. R. & Araújo, C. G. S. Water intake accelerates post-exercise cardiac vagal reactivation in humans. Eur. Appl. Physiol. 102, 283–288 (2008).
doi: 10.1007/s00421-007-0584-7
Moreno, I. L. et al. Effects of an isotonic beverage on autonomic regulation during and after exercise. J. Int. Soc. Sport Nutr. 10, 1–10 (2013).
doi: 10.1186/1550-2783-10-2
Vanderlei, F. M., Moreno, I. L., Carlos, L., Vanderlei, M. & Pastre, C. M. Effects of different protocols of hydration on cardiorespiratory parameters during exercise and recovery. Int. Arch. Med. 6, 1–10 (2013).
doi: 10.1186/1755-7682-6-33
Vanderlei, F. M. et al. Comparison of the effects of hydration with water or isotonic solution on the recovery of cardiac autonomic modulation. Int. J. Sport Nutr. Exerc. 25, 145–153 (2015).
doi: 10.1123/ijsnem.2014-0004
Dwan, K., Li, T., Altman, D. G. & Elbourne, D. CONSORT 2010 statement: extension to randomised crossover trials. BMJ 366, l4378 (2019).
pubmed: 31366597
pmcid: 6667942
doi: 10.1136/bmj.l4378
Catai, A. M. et al. Heart rate variability: are you using it properly? Standardisation checklist of procedures. Braz. J. Phys. Ther. 20, 91–102 (2019).
American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription (Wolters Kluwer, 2014).
Meneghelo, R. S. et al. III Diretrizes da Sociedade Brasileira de Cardiologia Sobre Teste Ergométrico. Rev. Bras. Fisioter. 95, 1–26 (2011).
Cabral-Santos, C. et al. Similar anti-inflammatory acute responses from moderate-intensity continuous and high-intensity intermittent exercise. J. Sport Sci. Med. 14, 849–856 (2015).
Mezzani, A. et al. Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: a joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitat. Eur. J. Prev. Cardiol. 20, 442–467 (2013).
pubmed: 23104970
doi: 10.1177/2047487312460484
Sawka, M. N. et al. Exercise and fluid replacement. Med. Sci. Sport Exerc. 39, 377–390 (2007).
doi: 10.1249/mss.0b013e31802ca597
Armstrong, L. E. Hydration assessment techniques. Nutr. Rev. 63, S40–S54 (2005).
pubmed: 16028571
doi: 10.1111/j.1753-4887.2005.tb00153.x
Peçanha, T. et al. Methods of assessment of the post-exercise cardiac autonomic recovery: a methodological review. Int. J. Cardiol. 227, 795–802 (2017).
pubmed: 27836300
doi: 10.1016/j.ijcard.2016.10.057
Vanderlei, L. C. M., Pastre, C. M., Hoshi, R. A., Carvalho, T. D. & Godoy, M. F. Basic notions of heart rate variability and its clinical applicability. Rev. Bras. Cir Cardiovasc. 24, 205–217 (2009).
pubmed: 19768301
doi: 10.1590/S0102-76382009000200018
Vanderlei, L. C. M., Silva, R. A., Pastre, C. M., Azevedo, F. M. & Godoy, M. F. Comparison of the Polar S810i monitor and the ECG for the analysis of heart rate variability in the time and frequency domains. Braz. J. Med. Biol. Res. 41, 854–859 (2008).
pubmed: 18853042
doi: 10.1590/S0100-879X2008005000039
Goldberger, J. J. et al. Assessment of parasympathetic reactivation after exercise. Am. J. Physiol. Heart Circ. Physiol. 290, H2446–H2452 (2006).
pubmed: 16415073
doi: 10.1152/ajpheart.01118.2005
Gutierrez, M. G., Ribeiro, F., Gomes, R. L., Valenti, V. E. & Vanderlei, L. C. M. Impact of musical auditory stimulation applied during and after aerobic exercise on vagal reentry in recovery period. J. Cardiol. Ther. 4, 588–593 (2017).
doi: 10.17554/j.issn.2309-6861.2017.04.123-2
Nunan, D. et al. Validity and reliability of short-term heart-rate variability from the Polar S810. Med. Sci. Sports Exerc. 41, 243–250 (2009).
pubmed: 19092682
doi: 10.1249/MSS.0b013e318184a4b1
Tarvainen, M. P., Niskanen, J. P., Lipponen, J. A., Ranta-aho, P. O. & Karjalainen, P. A. Kubios HRV–heart rate variability analysis software. Comput. Methods Prog. Biomed. 113, 210–220 (2014).
doi: 10.1016/j.cmpb.2013.07.024
Chen, J.-L. et al. Parasympathetic nervous activity mirrors recovery status in weightlifting performance after training. J. Strength Cond. Res. 25, 1546–1552 (2011).
pubmed: 21273908
doi: 10.1519/JSC.0b013e3181da7858
Borg, G. A. V. Psychophysical bases of perceived exertion. Med. Sci. Sport Exerc. 14, 377–381 (1982).
doi: 10.1249/00005768-198205000-00012
Laurent, C. et al. A practical approach to monitoring recovery: development of a perceived recovery status scale. J. Strength Cond. Res. 25, 620–628 (2011).
pubmed: 20581704
doi: 10.1519/JSC.0b013e3181c69ec6
Maher, J. M., Markey, J. C. & Ebert-may, D. The other half of the story: effect size analysis in quantitative research. CBE Life Sci. Educ. 12, 345–351 (2013).
pubmed: 24006382
pmcid: 3763001
doi: 10.1187/cbe.13-04-0082
Mcdermott, B. P. et al. National athletic trainers’ association position statement: fluid replacement for the physically active. J. Athl. Train. 52, 877–895 (2017).
pubmed: 28985128
pmcid: 5634236
doi: 10.4085/1062-6050-52.9.02
González-Alonso, J., Mora-Rodríguez, R. & Coyle, E. F. Stroke volume during exercise: interaction of environment and hydration. Am. J. Physiol. Heart Circ. Physiol. 278, 321–330 (2000).
doi: 10.1152/ajpheart.2000.278.2.H321