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Short-term heart rate variability in asthmatic obese children: effect of exhaustive exercise and different humidity
K Rezvan1, V Dabidi Roshan, S A Mahmudi
1Department of Sport Physiology, College of Physical Education and Sport Science, University of Mazandaran, Babolsar, Iran - vdabidiroshan@yahoo.com.
Insights
Obese children with asthma show reduced heart rate variability (HRV) during aerobic exercise. High humidity environments may offer protective benefits for their autonomic function compared to dry conditions.
Area of Science:
- Pediatric Pulmonology
- Cardiovascular Physiology
- Environmental Health
Background:
- Obesity and asthma in children impact functional capacity and autonomic control.
- Limited research exists on short-term heart rate variability (HRV) in this population, especially concerning environmental humidity during physical exertion.
Purpose of the Study:
- To investigate the effect of aerobic activity on short-term HRV in obese children with mild asthma.
- To compare these effects under two distinct environmental humidity conditions (35±5% and 65±5%).
Main Methods:
- A comparative study involving 10 obese boys with mild asthma and 15 obese healthy boys.
- Progressive, exhaustive aerobic exercise on an ergometer bicycle.
- Short-term HRV measured using Holter monitoring during pre-test, mid-test, and post-test phases.
Main Results:
- HRV significantly decreased in both asthmatic and healthy children post-exercise.
- The decrease in HRV was significantly more pronounced in asthmatic children compared to healthy controls.
- A greater reduction in short-term HRV was observed in the lower humidity environment (35±5%) versus the higher humidity environment (65±5%).
Conclusions:
- Asthmatic and non-asthmatic children exhibit distinct autonomic responses to exercise-induced stress.
- Aerobic exercise in high humidity environments may provide additional benefits for short-term HRV in obese children with asthma.
- High humidity appears to enhance parasympathetic and autonomic modulation of the heart in this pediatric group.
Aim:
Asthmatic obese children experience changes in functional capacity and autonomic control. Previous heart rate variability (HRV) studies were based on 24-hour recordings, little research has been conducted on the short-term HRV in asthmatic obese children, primarily during physical effort indifferent environmental humidity conditions. The aim of this study was to evaluate the effect of aerobic activity on short-term HRV in asthmatic obese children under two different environmental humidity conditions.
Methods:
Ten obese boys with mild asthma as experimental group and 15 obese healthy boys with the same conditions were involved as a control group. Protocol included progressive and exhaustive aerobic activities on a calibrated ergometer pedal bicycle in two various environmental humidity 35±5% and 65±5%. HRV was measured by PADSY MEDSET Holter monitoring device during three phases; pre-test, mid-test and post-test. Then, short-term HRV was assessed from calculation of the mean R-R interval measured on HRV at each phases.
Results:
HRV significantly decreased at mid-test and post-test among asthmatic and health children. However, the aforesaid changes were significantly higher in the asthmatic than health children following. Moreover, decrease of short-term HRV was significantly greater in the 35±5% than 65±5% environmental humidity.
Conclusion:
Our findings suggest from the autonomic standpoint, asthmatic and non-asthmatic children respond differently to exhaustive exercise induced stress. Aerobic exercise at an environment with high humidity compared with the low humidity appears to have additional benefits on short-term HRV in that it enhances the parasympathetic and autonomic modulation of the heart in asthmatic obese children.
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