身体活动对心率变化的有益影响:系统性审查和元分析
Ouahiba El-Malahi1, Darya Mohajeri1, Raluca Mincu1
1Department of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany.
PloS one
|April 5, 2024
概括
身体活动对心率变化 (HRV) 有积极的影响,这是自主神经系统功能的关键指标. 这种益处在患有充血性心力衰竭 (CHF) 的患者中尤其显著,这表明量身定制的运动计划可以改善心血管疾病 (CVD) 的预后.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 自主神经科学 自主神经科学
背景情况:
- 心血管疾病 (CVD) 是全球死亡的主要原因.
- 心率变化 (HRV) 反映了自主神经系统的调制,并影响死亡率.
- 身体活动在各种心脏病中对HRV的影响需要进行调查.
研究的目的:
- 在患有心血管疾病的成年人中对身体活动干预措施对HRV的影响进行元分析.
- 评估冠状动脉疾病,充血性心力衰竭,外周动脉疾病或后急性冠状动脉综合征患者的HRV变化.
- 为了确定受体力活动影响的特定HRV参数.
主要方法:
- 随机和非随机对照试验的系统搜索.
- 包括患有特定心血管疾病的成年患者.
- 使用随机效应模型对时间域和频域HRV参数的元分析.
- 根据干预类型,研究设计和心脏状况进行子组和灵敏度分析.
主要成果:
- 短期HRV的RR-间隔和正常到正常间隔 (SDNN) 的标准偏差显著改善.
- 在24小时HRV中,低频与高频功率比率 (LF/HF) 的显著变化.
- 在充血性心力衰竭 (CHF) 患者中,连续正常R-R间隔 (RMSSD),SDNN和高频功率 (HF) 对连续正常R-R间隔 (RMSSD),SDNN和高频功率 (HF) 的平方根平均差异显著的积极影响.
结论:
- 身体活动在各种心血管疾病中对HRV产生有益影响.
- 身体活动对HRV的积极影响在心血管衰竭患者中尤为明显.
- 个性化心脏康复运动计划对于优化心血管疾病患者预后至关重要.
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