Acute effects of singing on cardiovascular biomarkers.

Acute effects of singing on cardiovascular biomarkers.
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DOI:
10.3389/fcvm.2022.869104
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发表时间:
2022
影响因子:
3.6
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
作者:

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唱歌是一种涉及迷走神经成分的体力活动,表现为心脏自主调节的变化。这项试点研究的目的是调查唱歌对心血管健康生物标志物的急性影响。从心脏病诊所招募成年受试者参加单次 90 分钟的研究访问。在听着由声音专家主持的 14 分钟视频唱歌之前和之后,通过外周动脉张力测量 (PAT) 测量指尖的血管功能。使用胸带传感器在基线、唱歌期间和唱歌后测量心率变异性 (HRV)。 PAT 测量结果表示为反应性充血指数 (RHI) 和弗雷明汉反应性充血指数 (fRHI)。 HRV 的测量包括连续 RR 间期差异的均方根 (RMSSD) 和 NN(或 RR)间期的标准差 (SDNN)。 60 名受试者完成了研究(68% 为女性,平均年龄 61 ±13 岁,平均 BMI 32 ± 8)。唱歌后 fRHI 显着增加(1.88 ± 0.14 至 2.10 ± 0.14,p = 0.02),而 RHI 没有显着变化(1.99 ± 0.10 至 2.12 ± 0.09,p = 0.22)。唱歌期间 HRV 降低(与基线相比)(RMSSD:42.0 ± 5 至 32.6 ± 4,p = 0.004,SDNN:54 ± 4 至 33.5 ± 3,p = 0.009)。唱歌后 HRV 测量值趋向于基线。短时间的歌唱可以显着改善血管功能。基线内皮功能异常的受试者的改善更为显着。 HRV 模式与轻强度运动相似。未来的研究应该证实血管对更持续的歌唱干预有良好的适应。 ClinicalTrials.gov,标识符:NCT03805529。
Singing is a physical activity involving components of the vagal nerves manifested as changes in cardiac autonomic regulation. The aim of this pilot study is to investigate the acute effects of singing on biomarkers of cardiovascular health. Adult subjects were recruited from cardiology clinics to participate in a single 90-min study visit. Vascular function was measured at the fingertips with peripheral arterial tonometry (PAT) before and after singing to a 14-min video led by a voice expert. Heart rate variability (HRV) was measured with a chest strap sensor at baseline, during, and after singing. PAT measurements were expressed as reactive hyperemia index (RHI) and Framingham reactive hyperemia index (fRHI). Measures of HRV included root mean square of successive RR interval differences (RMSSD) and standard deviation of NN (or RR) intervals (SDNN). Sixty subjects completed the study (68% female, mean age 61 ±13 years, mean BMI 32 ± 8). There was a significant increase in fRHI (1.88 ± 0.14 to 2.10 ± 0.14, p = 0.02) after singing with no significant change in the RHI (1.99 ± 0.10 to 2.12 ± 0.09, p = 0.22). There was a reduction in HRV during singing (compared to baseline) (RMSSD: 42.0 ± 5 to 32.6 ± 4, p = 0.004 and SDNN: 54 ± 4 to 33.5 ± 3, p = 0.009). HRV measures trended back toward baseline after singing. A short duration of singing improved vascular function acutely. Improvements were more substantial in subjects with abnormal baseline endothelial function. HRV patterns were similar to that of light-intensity exercise. Future studies should confirm favorable vascular adaptation to more sustained singing interventions. ClinicalTrials.gov, identifer: NCT03805529.
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