运动后恢复技术对迷走神经介导的心率变异性的影响:一项系统综述和荟萃分析。

IF 1.3 4区 医学 Q4 PHYSIOLOGY Clinical Physiology and Functional Imaging Pub Date : 2023-09-27 DOI:10.1111/cpf.12855
Sylvain Laborde, Jannik Wanders, Emma Mosley, Florian Javelle
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引用次数: 0

摘要

在运动中,运动诱发疲劳后的身体恢复是通过副交感神经系统(PNS)的重新激活介导的。量化PNS再激活的一种非侵入性方法是评估迷走神经介导的心率变异性(vmHRV),然后将其用作身体恢复的指标。这项系统综述和荟萃分析研究了运动性疲劳后的身体恢复技术对vmHRV的影响,特别是通过连续差异的均方根(RMSSD)。包括PubMed、WebOfScience和SportDiscus数据库中的随机对照试验。24项研究是系统综述的一部分,17项纳入荟萃分析。使用运动后恢复技术对RMSSD显示出小到中等的积极影响(k = 22、套期保值 = 0.40,95%置信区间[CI] = 0.20-0.61,p = 0.04),具有中等的异质性。在亚组分析中,冷水浸泡显示出中等到大的积极作用(g = 0.75、95%置信区间:0.42-1.07)。对于运动类型,阻力运动后进行的身体恢复技术(g = 0.69,95%可信区间:0.48-0.89)显示出比心血管间歇性(g = 0.52,95%CI:0.06-0.97),而心血管持续运动后进行的身体恢复技术没有效果。在训练状态和运动强度方面没有观察到显著的亚组差异。总体而言,运动后的身体恢复技术可以加速PNS的再激活,如vmHRV所示,但其有效性因技术和运动类型而异。
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Influence of physical post-exercise recovery techniques on vagally-mediated heart rate variability: A systematic review and meta-analysis

In sports, physical recovery following exercise-induced fatigue is mediated via the reactivation of the parasympathetic nervous system (PNS). A noninvasive way to quantify the reactivation of the PNS is to assess vagally-mediated heart rate variability (vmHRV), which can then be used as an index of physical recovery. This systematic review and meta-analysis investigated the effects of physical recovery techniques following exercise-induced fatigue on vmHRV, specifically via the root mean square of successive differences (RMSSD). Randomized controlled trials from the databases PubMed, WebOfScience, and SportDiscus were included. Twenty-four studies were part of the systematic review and 17 were included in the meta-analysis. Using physical post-exercise recovery techniques displayed a small to moderate positive effect on RMSSD (k = 22, Hedges' g = 0.40, 95% confidence interval [CI] = 0.20–0.61, p = 0.04) with moderate heterogeneity. In the subgroup analyses, cold water immersion displayed a moderate to large positive effect (g = 0.75, 95% CI: 0.42–1.07) compared with none for other techniques. For exercise type, physical recovery techniques performed after resistance exercise (g = 0.69, 95% CI: 0.48–0.89) demonstrated a larger positive effect than after cardiovascular intermittent (g = 0.52, 95% CI: 0.06–0.97), while physical recovery techniques performed after cardiovascular continuous exercise had no effect. No significant subgroup differences for training status and exercise intensity were observed. Overall, physical post-exercise recovery techniques can accelerate PNS reactivation as indexed by vmHRV, but the effectiveness varies with the technique and exercise type.

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来源期刊
CiteScore
3.40
自引率
5.60%
发文量
62
审稿时长
6-12 weeks
期刊介绍: Clinical Physiology and Functional Imaging publishes reports on clinical and experimental research pertinent to human physiology in health and disease. The scope of the Journal is very broad, covering all aspects of the regulatory system in the cardiovascular, renal and pulmonary systems with special emphasis on methodological aspects. The focus for the journal is, however, work that has potential clinical relevance. The Journal also features review articles on recent front-line research within these fields of interest. Covered by the major abstracting services including Current Contents and Science Citation Index, Clinical Physiology and Functional Imaging plays an important role in providing effective and productive communication among clinical physiologists world-wide.
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