Effects of different exercise interventions on heart rate variability and cardiovascular health factors in older adults: a systematic review.
Effects of different exercise interventions on heart rate variability and cardiovascular health factors in older adults: a systematic review.
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DOI：
10.1186/s11556-021-00278-6
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发表时间：
2021-11-17
期刊：
影响因子：
--
通讯作者：
Hökelmann A
中科院分区：
文献类型：
--
作者：
Grässler B;Thielmann B;Böckelmann I;Hökelmann A
衰老损害自主神经、内分泌和心血管系统的生理过程，这与心血管疾病的风险增加有关。心率变异性（HRV），连续心跳的心跳到心跳的变化，是心脏自主控制和心血管健康的指标。体育活动对心血管健康有有益的影响。然而，没有进行审查，以总结不同的运动方式对老年人心率变异性的影响。因此，这项系统性综述的目的是总结耐力、阻力、协调和多模式运动干预对平均年龄60岁及以上的健康老年人的静息心率变异性和次要健康因素的影响。检索了5个数据库（PubMed、Scopus、SPORTDiscus、奥维德和科克伦图书馆）中2005年至2020年9月8日期间发表的合格研究。两名评审员独立评估了这些研究的潜在入选性。结果指标为静息心率变异性指数、压力反射敏感性、血压、体脂、体重、体重指数、心输出量、6分钟步行试验距离、每搏输出量、总外周阻力和VO 2 max或VO 2 peak从干预前到干预后的变化。最终数据集的方法学质量使用两个量表（TESTEX和STARDHRV）进行评估。该综述已在PROSPERO中注册：CRD 42020206606。文献检索共检索到3991篇文章，其中13篇被纳入综述。五项研究使用多模式，三项研究耐力，两项研究阻力，两项研究协调，一项研究使用耐力和阻力训练干预。大多数研究表明，心脏自主控制显着的积极作用，除了阻力训练干预。所有的锻炼方式都改善了次要健康因素。方法质量评估揭示了一些标准，以提高研究的质量和可比性。这项系统性综述揭示了耐力训练、协调训练和多模式训练对健康老年人心脏自主神经控制的有益影响，而阻力训练则没有。在所有类型的物理干预后，次要健康因素得到改善。未来的研究应更彻底地坚持运动干预和心电图记录的方法标准，以评估自主调节。在线版本包含补充材料，可通过10.1186/s11556-021-00278-6获得。
Aging impairs physiological processes in the autonomic nervous, endocrine, and cardiovascular systems which are associated with increased risk of cardiovascular disease. Heart rate variability (HRV), the beat-to-beat variations of successive heartbeats, is an indicator of cardiac autonomic control and cardiovascular health. Physical activity has beneficial effects on cardiovascular health. However, no review has been conducted to summarize the effects of different exercise modalities on HRV in older adults. Therefore, the aim of this systematic review was to summarize the effects of endurance, resistance, coordinative, and multimodal exercise interventions on resting HRV and secondary health factors in healthy older adults aged 60 years in average and over. Five databases (PubMed, Scopus, SPORTDiscus, Ovid, and Cochrane Library) were searched for eligible studies published between 2005 and September 8th, 2020. Two reviewers independently assessed the studies for potential inclusion. Outcome measures were changes in resting HRV indices, baroreflex sensitivity, blood pressure, body fat, body mass, body mass index, cardiac output, distance in the six-minute walking test, stroke volume, total peripheral resistance, and VO2 max or VO2 peak from pre to post intervention. The methodological quality of the final data set was assessed using two scales (TESTEX and STARDHRV). This review was registered in PROSPERO: CRD42020206606. The literature search retrieved 3991 articles, of which 13 were included in the review. Five studies used multimodal, three studies endurance, two studies resistance, two studies coordinative, and one study used an endurance and a resistance training intervention. The majority of the studies revealed significant positive effects on cardiac autonomic control, except for the resistance training interventions. All exercise modalities improved secondary health factors. The methodological quality assessment revealed a few criteria to improve the quality of and comparability between studies. This systematic review revealed beneficial effects on cardiac autonomic control in healthy older adults through endurance, coordinative, and multimodal training but not through resistance training. Secondary health factors improved after all types of physical interventions. Future investigations should more thoroughly adhere to methodological standards of exercise interventions and ECG recording for the assessment of autonomic regulation. The online version contains supplementary material available at 10.1186/s11556-021-00278-6.
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DOI：
10.1249/01.mss.0000079046.01763.8f
发表时间：
2003-08-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Carter, JB;Banister, EW;Blaber, AP
通讯作者：
Blaber, AP
影响因子：
37.8
作者：
Dekker, JM;Crow, RS;Schouten, EG
通讯作者：
Schouten, EG
影响因子：
3.1
作者：
Draghici AE;Taylor JA
通讯作者：
Taylor JA
影响因子：
4.2
作者：
Brown, Allison D.;McMorris, Carly A.;Poulin, Marc J.
通讯作者：
Poulin, Marc J.
影响因子：
2.8
作者：
Antelmi, I;De Paula, RS;Grupi, CJ
通讯作者：
Grupi, CJ