The effect of aerobic training and cardiac autonomic regulation in young adults.

OBJECTIVES We tested the effect of aerobic exercise on autonomic regulation of the heart in healthy young adults. METHODS Healthy, sedentary young adults (n = 149; age = 30.4 +/- 7.53 years) were randomized to receive 12 weeks of either aerobic conditioning or strength training. Primary outcomes were heart rate and RR interval variability (RRV) measured before and after training and after 4 weeks of sedentary deconditioning. RRV, a noninvasive index of cardiac autonomic regulation, reflects variability in the intervals between consecutive R waves of the electrocardiogram. RESULTS Aerobic conditioning but not strength training led to a significant increase in aerobic capacity (3.11 mL/kg/min), a decrease in heart rate (-3.49 beats per minute), and an increase in high-frequency RRV (0.25 natural log msec2), each of which returned to pretraining levels after deconditioning. Significant 3-way interactions, however, revealed autonomic effects only in men. CONCLUSIONS In sedentary, healthy young adults, aerobic conditioning but not strength training enhances autonomic control of the heart, but post hoc analyses suggested that gender plays a significant role in this exercise-related cardioprotection.

[1]  Y Nurhayati,et al.  Cardiovascular response of trained and untrained old men to mental challenge. , 2001, Medicine and science in sports and exercise.

[2]  Maria Grazia Valsecchi,et al.  Effects of exercise training on heart rate and QT interval in healthy young individuals: are there gender differences? , 2007, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[3]  V. Somers,et al.  Cardiovascular physiology and sleep. , 2003, Frontiers in bioscience : a journal and virtual library.

[4]  Massimo Pagani,et al.  Conversion From Vagal to Sympathetic Predominance With Strenuous Training in High-Performance World Class Athletes , 2002, Circulation.

[5]  Richard C. Steinman,et al.  Stability over time of variables measuring heart rate variability in normal subjects , 1991 .

[6]  P. Schwartz,et al.  The autonomic nervous system and sudden death. , 1998, European heart journal.

[7]  T. Church,et al.  Eight weeks of moderate-intensity exercise training increases heart rate variability in sedentary postmenopausal women. , 2004, American heart journal.

[8]  T. Seppänen,et al.  Cardiac vagal outflow after aerobic training by analysis of high-frequency oscillation of the R–R interval , 2006, European Journal of Applied Physiology.

[9]  L. A. Wolfe,et al.  Effects of physical conditioning on cardiac autonomic function in healthy middle-aged women. , 2002, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[10]  Rod K. Dishman,et al.  Compliance/adherence in health-related exercise. , 1982 .

[11]  F. Harris On the use of windows for harmonic analysis with the discrete Fourier transform , 1978, Proceedings of the IEEE.

[12]  C. Simon,et al.  Effects of increased training load on vagal-related indexes of heart rate variability: a novel sleep approach. , 2004, American journal of physiology. Heart and circulatory physiology.

[13]  James F Sallis,et al.  AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update: Consensus Panel Guide to Comprehensive Risk Reduction for Adult Patients Without Coronary or Other Atherosclerotic Vascular Diseases. American Heart Association Science Advisory and Coordinating Committee. , 2002, Circulation.

[14]  T. Seppänen,et al.  Vagal modulation of heart rate during exercise: effects of age and physical fitness. , 1998, American journal of physiology. Heart and circulatory physiology.

[15]  J. Fleiss,et al.  Comparison of 24-hour parasympathetic activity in endurance-trained and untrained young men. , 1992, Journal of the American College of Cardiology.

[16]  J. Sallis,et al.  American Heart Association guide for improving cardiovascular health at the community level: a statement for public health practitioners, healthcare providers, and health policy makers from the American Heart Association Expert Panel on Population and Prevention Science. , 2003, Circulation.

[17]  J F Cornhill,et al.  Prevalence and extent of atherosclerosis in adolescents and young adults: implications for prevention from the Pathobiological Determinants of Atherosclerosis in Youth Study. , 1999, JAMA.

[18]  J. Horne,et al.  Sleep and sleepiness following a behaviourally 'active' day. , 1985, Ergonomics.

[19]  B. Dowling,et al.  The effects of physical training on the day and night long-term heart-rates of middle-aged men , 2004, European Journal of Applied Physiology and Occupational Physiology.

[20]  J. Townend,et al.  Mortality, cardiac vagal control and physical training — what's the link? , 2002, Experimental physiology.

[21]  W D Wagner,et al.  A definition of initial, fatty streak, and intermediate lesions of atherosclerosis. A report from the Committee on Vascular Lesions of the Council on Arteriosclerosis, American Heart Association. , 1994, Arteriosclerosis and thrombosis : a journal of vascular biology.

[22]  M Ericson,et al.  Pronounced resting bradycardia in male elite runners is associated with high heart rate variability , 1997, Scandinavian journal of medicine & science in sports.

[23]  J E Frijters,et al.  A short questionnaire for the measurement of habitual physical activity in epidemiological studies. , 1982, The American journal of clinical nutrition.

[24]  L. Martins,et al.  Effects of age and physical activity on the autonomic control of heart rate in healthy men. , 2005, Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas.

[25]  F Louisy,et al.  Intense endurance training on heart rate and blood pressure variability in runners. , 2001, Medicine and science in sports and exercise.

[26]  P. Stein,et al.  Association between heart rate variability and training response in sedentary middle-aged men , 2004, European Journal of Applied Physiology and Occupational Physiology.

[27]  J. B. Carter,et al.  The effect of age and gender on heart rate variability after endurance training. , 2003, Medicine and science in sports and exercise.

[28]  R W Barnes,et al.  Cardiac autonomic function and incident coronary heart disease: a population-based case-cohort study. The ARIC Study. Atherosclerosis Risk in Communities Study. , 1997, American journal of epidemiology.

[29]  P. Raven,et al.  Differential baroreflex control of heart rate in sedentary and aerobically fit individuals. , 2000, Medicine and science in sports and exercise.

[30]  H. Minamitani,et al.  Autonomic differences between athletes and nonathletes: spectral analysis approach. , 1997, Medicine and science in sports and exercise.

[31]  J. Fleiss,et al.  Frequency Domain Measures of Heart Period Variability and Mortality After Myocardial Infarction , 1992, Circulation.

[32]  Frank Beckers,et al.  Low-dose exercise training does not influence cardiac autonomic control in healthy sedentary men aged 55 – 75 years , 2006, Journal of sports sciences.

[33]  F. Iellamo,et al.  Effects of aerobic exercise training on 24 hr profile of heart rate variability in female athletes. , 2001, The Journal of sports medicine and physical fitness.

[34]  Michele A. Parker,et al.  Relationship of Heart Rate Variability to Parasympathetic Effect , 2001, Circulation.

[36]  Martin Buchheit,et al.  Cardiac parasympathetic regulation: respective associations with cardiorespiratory fitness and training load. , 2006, American journal of physiology. Heart and circulatory physiology.

[37]  W. Strong,et al.  The pediatric aspects of atherosclerosis. , 1981, Journal of atherosclerosis research.

[38]  R. Sloan,et al.  The impact of menstrual cycle phase on cardiac autonomic regulation. , 2009, Psychophysiology.

[39]  L. DiPietro,et al.  Respiratory fitness, free living physical activity, and cardiovascular disease risk in older individuals: a doubly labeled water study. , 2000, The Journal of clinical endocrinology and metabolism.

[40]  Seppo M. Nissilä,et al.  Effects of Aerobic Training on Heart Rate Dynamics in Sedentary Subjects. , 2003, Journal of applied physiology.

[41]  P. Contreras,et al.  Relative influence of age, resting heart rate and sedentary life style in short-term analysis of heart rate variability. , 2001, Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas.

[42]  C. Simon,et al.  Inverse coupling between ultradian oscillations in delta wave activity and heart rate variability during sleep , 2001, Clinical Neurophysiology.

[43]  J. Blumenthal,et al.  Comparison of high- and low-intensity exercise training early after acute myocardial infarction. , 1988, The American journal of cardiology.

[44]  P. Williams,et al.  Relationships of heart disease risk factors to exercise quantity and intensity. , 1998, Archives of internal medicine.

[45]  H. Minamitani,et al.  Assessment of training-induced autonomic adaptations in athletes with spectral analysis of cardiovascular variability signals. , 1995, The Japanese journal of physiology.

[46]  F Lombardi,et al.  Autonomic nervous system adaptations to short-term exercise training. , 1992, Chest.

[47]  Seppo M. Nissilä,et al.  Heart rate dynamics after controlled training followed by a home-based exercise program , 2004, European Journal of Applied Physiology.

[48]  Stéphane Perrey,et al.  Quantitative Poincaré plot analysis of heart rate variability: effect of endurance training , 2003, European Journal of Applied Physiology.

[49]  C. Simon,et al.  Age‐related changes in cardiac autonomic control during sleep , 2003, Journal of sleep research.

[50]  A. Guz,et al.  Sympathetic and parasympathetic cardiac control in athletes and nonathletes at rest. , 1982, Journal of applied physiology: respiratory, environmental and exercise physiology.

[51]  D. Seals,et al.  Elevated heart rate variability in physically active young and older adult women. , 1998, Clinical science.

[52]  H. Rusko,et al.  Exhaustive Endurance Training for 6-9 Weeks did not Induce Changes in Intrinsic Heart Rate and Cardiac Autonomic Modulation in Female Athletes , 1998, International journal of sports medicine.

[53]  H Ector,et al.  The influence of age and gender on heart rate variability (HRV) , 1999, Journal of the American College of Cardiology.

[54]  W D Wagner,et al.  A definition of initial, fatty streak, and intermediate lesions of atherosclerosis. A report from the Committee on Vascular Lesions of the Council on Arteriosclerosis, American Heart Association. , 1994, Circulation.

[55]  Nicola Montano,et al.  Heart rate variability as a clinical tool. , 2002, Italian heart journal : official journal of the Italian Federation of Cardiology.

[56]  L. Ho,et al.  Short-term effect of transdermal estrogen on autonomic nervous modulation in postmenopausal women. , 2005, Fertility and sterility.

[57]  R. E. Meersman,et al.  Heart rate variability and aerobic fitness. , 1993 .

[58]  F. Carré,et al.  Does the level of chronic physical activity alter heart rate variability in healthy older women? , 2004, Clinical science.

[59]  Frédéric Costes,et al.  Autonomic adaptations to intensive and overload training periods: a laboratory study. , 2002, Medicine and science in sports and exercise.

[60]  L. V. van Amelsvoort,et al.  Exercise training and heart rate variability in older people. , 1999, Medicine and science in sports and exercise.

[61]  J. Fleiss The design and analysis of clinical experiments , 1987 .

[62]  A. Kadish,et al.  Dissociation of heart rate variability from parasympathetic tone. , 1994, The American journal of physiology.

[63]  S. Blair,et al.  Heart Rate Variability Characteristics in Sedentary Postmenopausal Women Following Six Months of Exercise Training: The DREW Study , 2008, PloS one.

[64]  G. Billman,et al.  Low-frequency component of the heart rate variability spectrum: a poor marker of sympathetic activity. , 1999, The American journal of physiology.

[65]  R. E. Meersman Respiratory sinus arrhythmia alteration following training in endurance athletes , 2004, European Journal of Applied Physiology and Occupational Physiology.

[66]  T. Rice,et al.  Heart rate and blood pressure changes with endurance training: the HERITAGE Family Study. , 2001, Medicine and science in sports and exercise.

[67]  T. Moritani,et al.  Effects of long-term exercise training on cardiac autonomic nervous activities and baroreflex sensitivity , 2003, European Journal of Applied Physiology.

[68]  P. Schwartz,et al.  ATRAMI: a mark in the quest for the prognostic value of autonomic markers. Autonomic Tone and Reflexes After Myocardial Infarction. , 1998, European heart journal.

[69]  W P Morgan,et al.  Psychological monitoring of overtraining and staleness. , 1987, British journal of sports medicine.

[70]  H. Huikuri,et al.  Controlled 5-mo aerobic training improves heart rate but not heart rate variability or baroreflex sensitivity. , 2000, Journal of applied physiology.

[71]  G. Varoneckas,et al.  Heart rhythm control during sleep. , 1984, Psychophysiology.

[72]  S. S. Hull,et al.  Exercise training confers anticipatory protection from sudden death during acute myocardial ischemia. , 1994, Circulation.

[73]  Å. Kilbom,et al.  Physical training, bradycardia, and autonomic nervous system. , 1973, Scandinavian journal of clinical and laboratory investigation.

[74]  T. Saleh,et al.  Acute injection of 17β-estradiol enhances cardiovascular reflexes and autonomic tone in ovariectomized female rats , 2000, Autonomic Neuroscience.

[75]  D H Singer,et al.  Low heart rate variability and sudden cardiac death. , 1988, Journal of electrocardiology.

[76]  A. Antoniadis,et al.  Relation between heart rate variability and training load in middle-distance runners. , 2000, Medicine and science in sports and exercise.

[77]  R E De Meersman,et al.  Heart rate variability and aerobic fitness. , 1993, American heart journal.

[78]  H. Akaike A new look at the statistical model identification , 1974 .

[79]  M. Baumert,et al.  Changes in heart rate variability of athletes during a training camp , 2006, Biomedizinische Technik. Biomedical engineering.

[80]  Alessandro Sebastian Podda,et al.  Evidence of a role of endogenous estrogen in the modulation of autonomic nervous system. , 2000, The American journal of cardiology.

[81]  D. Eckberg,et al.  Important influence of respiration on human R-R interval power spectra is largely ignored. , 1993, Journal of applied physiology.

[82]  M. Kohzuki,et al.  Exercise training fails to modify arterial baroreflex sensitivity in ovariectomized female rats. , 2007, The Tohoku journal of experimental medicine.

[83]  F. Figura,et al.  Effects of dynamic resistance training on heart rate variability in healthy older women , 2003, European Journal of Applied Physiology.

[84]  Seppo M. Nissilä,et al.  Cardiovascular autonomic function correlates with the response to aerobic training in healthy sedentary subjects. , 2003, American journal of physiology. Heart and circulatory physiology.

[85]  G W Gleim,et al.  Exercise and heart rate variability. , 1996, American heart journal.

[86]  D. Seals,et al.  Influence of physical training on heart rate variability and baroreflex circulatory control. , 1989, Journal of applied physiology.

[87]  A. Weltman,et al.  Heart period variability of trained and untrained men at rest and during mental challenge. , 1998, Psychophysiology.

[88]  A. Evans,et al.  Physical Activity and Coronary Event Incidence in Northern Ireland and France: The Prospective Epidemiological Study of Myocardial Infarction (PRIME) , 2002, Circulation.

[89]  P. Schwartz,et al.  Sympathetic--parasympathetic interaction and sudden death. , 1990, Basic research in cardiology.

[90]  G. Fletcher How to implement physical activity in primary and secondary prevention. A statement for healthcare-professionals from the Task Force on Risk-reduction, American Heart Association. , 1997, Circulation.

[91]  D. Bonaduce,et al.  Intensive training and cardiac autonomic control in high level athletes. , 1998, Medicine and science in sports and exercise.

[92]  B. Levine,et al.  Dose-response relationship of endurance training for autonomic circulatory control in healthy seniors. , 2005, Journal of applied physiology.

[93]  D. Eckberg Sympathovagal balance: a critical appraisal. , 1997, Circulation.

[94]  S. Onodera,et al.  Effects of endurance training on resting and post-exercise cardiac autonomic control. , 2001, Medicine and science in sports and exercise.

[95]  C. A. Swenne,et al.  Supine and standing sympathovagal balance in athletes and controls , 2004, European Journal of Applied Physiology and Occupational Physiology.

[96]  R. Maestri,et al.  Short-Term Heart Rate Variability Strongly Predicts Sudden Cardiac Death in Chronic Heart Failure Patients , 2003, Circulation.

[97]  H. Rusko,et al.  Endurance training, overtraining and baroreflex sensitivity in female athletes. , 1998, Clinical physiology.

[98]  J. Krieger,et al.  Breathing during sleep in normal subjects. , 1985, Clinics in chest medicine.

[99]  Cheryl C. H. Yang,et al.  Effects of estrogen on gender-related autonomic differences in humans. , 2003, American journal of physiology. Heart and circulatory physiology.

[100]  E. Pierce Relationship between Training Volume and Mood States in Competitive Swimmers during a 24-Week Season , 2002, Perceptual and motor skills.

[101]  U. Wiklund,et al.  Short-term overtraining: effects on performance, circulatory responses, and heart rate variability. , 2000, Medicine and science in sports and exercise.

[102]  Alberto Malliani,et al.  The Pattern of Sympathovagal Balance Explored in the Frequency Domain. , 1999, News in physiological sciences : an international journal of physiology produced jointly by the International Union of Physiological Sciences and the American Physiological Society.

[103]  A. Aubert,et al.  Heart Rate Variability in Athletes , 2003, Sports medicine.

[104]  J. Strackee,et al.  Comparing Spectra of a Series of Point Events Particularly for Heart Rate Variability Data , 1984, IEEE Transactions on Biomedical Engineering.

[105]  G A Colditz,et al.  A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women. , 1999, The New England journal of medicine.

[106]  J. Bigger,et al.  Baroreflex sensitivity and heart-rate variability in prediction of total cardiac mortality after myocardial infarction , 1998, The Lancet.

[107]  J. Dimsdale,et al.  Autonomic and cardiovascular function in postmenopausal women: the effects of estrogen versus combination therapy. , 2002, American journal of obstetrics and gynecology.

[108]  H V Huikuri,et al.  Heart rate variability and progression of coronary atherosclerosis. , 1999, Arteriosclerosis, thrombosis, and vascular biology.

[109]  D. Seals,et al.  Influence of exercise training on heart rate variability in post-menopausal women with elevated arterial blood pressure. , 1997, Clinical physiology.

[110]  Wayne C Levy,et al.  Exercise training and heart rate variability in older adult female subjects. , 2006, Clinical and investigative medicine. Medecine clinique et experimentale.

[111]  T. Laitinen,et al.  Physical training and heart rate and blood pressure variability: a 5-yr randomized trial. , 2004, American journal of physiology. Heart and circulatory physiology.

[112]  R Golfetti,et al.  Effects of aerobic exercise training on heart rate variability during wakefulness and sleep and cardiorespiratory responses of young and middle-aged healthy men. , 2002, Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas.

[113]  Rong Zhang,et al.  Dose-response relationship of the cardiovascular adaptation to endurance training in healthy adults: how much training for what benefit? , 2003, Journal of applied physiology.

[114]  D. Levy,et al.  Impact of reduced heart rate variability on risk for cardiac events. The Framingham Heart Study. , 1996, Circulation.

[115]  L Bosquet,et al.  Night heart rate variability during overtraining in male endurance athletes. , 2003, The Journal of sports medicine and physical fitness.

[116]  A. Camm,et al.  Components of heart rate variability--what they really mean and what we really measure. , 1993, The American journal of cardiology.

[117]  A. Rechtschaffen A manual of standardized terminology, techniques and scoring system for sleep of human subjects , 1968 .

[118]  J. E. Hansen,et al.  Optimizing the exercise protocol for cardiopulmonary assessment. , 1983, Journal of applied physiology: respiratory, environmental and exercise physiology.

[119]  G. Gleim,et al.  Effect of athletic training on heart rate variability. , 1994, American heart journal.