Skip to main content
Erschienen in: European Journal of Applied Physiology 6/2014

01.06.2014 | Original Article

Assessing autonomic response to repeated bouts of exercise below and above respiratory threshold: insight from dynamic analysis of RR variability

verfasst von: Daniela Lucini, Chiara Vigo, Fabio Tosi, Gianfranco Toninelli, Fabio Badilini, Massimo Pagani

Erschienen in: European Journal of Applied Physiology | Ausgabe 6/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The dynamics of vagal withdrawal and reactivation during pulses of exercise are described by indices computed from heart period (RR) variations, which may be sensitive to duration and load. We sought to assess the consistency over time of these indices, which is not well established.

Methods

We recorded continuous electrocardiogram during series of five successive bouts (2 min) of submaximal exercise (at 40 and 70 % of VO2peak, different days). Autonomic responsiveness was inferred from quantification of onset and offset of RR dynamics of each individual bout. Consistency of results was assessed with intraclass correlation (ICC).

Results

During exercise bouts, indices from tachycardic and bradycardic transients reach lower levels in response to higher exercise loads and progression of exercise. There is a significant effect of load and time (i.e., bout repetition) for all examined variables, with a clear interaction. However, no interaction is observed with the 60 s change in heart rate. ICC analysis demonstrates that various indices are characterized by large differences in stability, which is generally greater within the same day (e.g., tachyspeed ICC at 40 % = 0.751, at 70 % = 0.704, both days = 0.633; bradyspeed, respectively, = 0.545, 0.666, 0.516).

Conclusions

Intensity and duration of exercise modulate vagal withdrawal and reactivation. Analysis of RR variations, during successive brief exercise bouts at lower and higher intensity, ensures a consistency similar to that reported for autonomic cardiac regulation at rest and might guide the choice among multiple indices that are obtained from the tachogram.
Literatur
Zurück zum Zitat Astrand PO, Rodahl K, Dahl HA, Stromme SB (2003) Text book of work physiology. Human Kinetics Publishers, Champaign, IL Astrand PO, Rodahl K, Dahl HA, Stromme SB (2003) Text book of work physiology. Human Kinetics Publishers, Champaign, IL
Zurück zum Zitat Badilini F, Pagani M, Porta A (2005) Heartscope: a software tool addressing autonomic nervous system regulation. Comput Cardiol 32:259–262 Badilini F, Pagani M, Porta A (2005) Heartscope: a software tool addressing autonomic nervous system regulation. Comput Cardiol 32:259–262
Zurück zum Zitat Balady GJ, Arena R, Sietsema K, Myers J, Coke L, Fletcher GF, Forman D, Franklin B, Guazzi M, Gulati M, Keteyian SJ, Lavie CJ, Macko R, Mancini D, Milani RV (2010) Clinician’s Guide to cardiopulmonary exercise testing in adults: a scientific statement from the American Heart Association. Circulation 122:191–225PubMedCrossRef Balady GJ, Arena R, Sietsema K, Myers J, Coke L, Fletcher GF, Forman D, Franklin B, Guazzi M, Gulati M, Keteyian SJ, Lavie CJ, Macko R, Mancini D, Milani RV (2010) Clinician’s Guide to cardiopulmonary exercise testing in adults: a scientific statement from the American Heart Association. Circulation 122:191–225PubMedCrossRef
Zurück zum Zitat Banister EW, Calvert TW (1980) Planning for future performance: implications for long term training. Can J Appl Sport Sci 5:170–176PubMed Banister EW, Calvert TW (1980) Planning for future performance: implications for long term training. Can J Appl Sport Sci 5:170–176PubMed
Zurück zum Zitat Buchheit M, Laursen PB (2013) High-intensity interval training, solutions to the programming puzzle. Part II: anaerobic energy, neuromuscular load and practical applications. Sports Med 43:927–954PubMedCrossRef Buchheit M, Laursen PB (2013) High-intensity interval training, solutions to the programming puzzle. Part II: anaerobic energy, neuromuscular load and practical applications. Sports Med 43:927–954PubMedCrossRef
Zurück zum Zitat Buchheit M, Laursen PB, Ahmaidi S (2007) Parasympathetic reactivation after repeated sprint exercise. Am J Physiol Heart Circ Physiol 293:H133–H141PubMedCrossRef Buchheit M, Laursen PB, Ahmaidi S (2007) Parasympathetic reactivation after repeated sprint exercise. Am J Physiol Heart Circ Physiol 293:H133–H141PubMedCrossRef
Zurück zum Zitat Casadei B, Cochrane S, Johnston J, Conway J, Sleight P (1995) Pitfalls in the interpretation of spectral analysis of the heart rate variability during exercise in humans. Acta Physiol Scand 153:125–131PubMedCrossRef Casadei B, Cochrane S, Johnston J, Conway J, Sleight P (1995) Pitfalls in the interpretation of spectral analysis of the heart rate variability during exercise in humans. Acta Physiol Scand 153:125–131PubMedCrossRef
Zurück zum Zitat Conover WJ, Iman RL (1976) On some alternative procedures using ranks for the analysis of experimental designs. Commun Statist Theor Meth A 5(14):1349–1368CrossRef Conover WJ, Iman RL (1976) On some alternative procedures using ranks for the analysis of experimental designs. Commun Statist Theor Meth A 5(14):1349–1368CrossRef
Zurück zum Zitat Coote JH (2010) Recovery of heart rate following intense dynamic exercise. Exp Physiol 95:431–440PubMedCrossRef Coote JH (2010) Recovery of heart rate following intense dynamic exercise. Exp Physiol 95:431–440PubMedCrossRef
Zurück zum Zitat Dupuy O, Mekary S, Berryman N, Bherer L, Audiffren M, Bosquet L (2012) Reliability of heart rate measures used to assess post-exercise parasympathetic reactivation. Clin Physiol Funct Imaging 32:296–304PubMedCrossRef Dupuy O, Mekary S, Berryman N, Bherer L, Audiffren M, Bosquet L (2012) Reliability of heart rate measures used to assess post-exercise parasympathetic reactivation. Clin Physiol Funct Imaging 32:296–304PubMedCrossRef
Zurück zum Zitat Goldberger JJ, Le FK, Lahiri M, Kannankeril PJ, Ng J, Kadish AH (2006) Assessment of parasympathetic reactivation after exercise. Am J Physiol Heart Circ Physiol 290:H2446–H2452PubMedCrossRef Goldberger JJ, Le FK, Lahiri M, Kannankeril PJ, Ng J, Kadish AH (2006) Assessment of parasympathetic reactivation after exercise. Am J Physiol Heart Circ Physiol 290:H2446–H2452PubMedCrossRef
Zurück zum Zitat Guzzetti S, Borroni E, Garbelli PE, Ceriani E, Della BP, Montano N, Cogliati C, Somers VK, Malliani A, Porta A (2005) Symbolic dynamics of heart rate variability: a probe to investigate cardiac autonomic modulation. Circulation 112:465–470PubMedCrossRef Guzzetti S, Borroni E, Garbelli PE, Ceriani E, Della BP, Montano N, Cogliati C, Somers VK, Malliani A, Porta A (2005) Symbolic dynamics of heart rate variability: a probe to investigate cardiac autonomic modulation. Circulation 112:465–470PubMedCrossRef
Zurück zum Zitat Hautala AJ, Rankinen T, Kiviniemi AM, Makikallio TH, Huikuri HV, Bouchard C, Tulppo MP (2006) Heart rate recovery after maximal exercise is associated with acetylcholine receptor M2 (CHRM2) gene polymorphism. Am J Physiol Heart Circ Physiol 291:H459–H466PubMedCrossRef Hautala AJ, Rankinen T, Kiviniemi AM, Makikallio TH, Huikuri HV, Bouchard C, Tulppo MP (2006) Heart rate recovery after maximal exercise is associated with acetylcholine receptor M2 (CHRM2) gene polymorphism. Am J Physiol Heart Circ Physiol 291:H459–H466PubMedCrossRef
Zurück zum Zitat Iellamo F (2001) Neural control of the cardiovascular system during exercise. Ital Heart J 2:200–212PubMed Iellamo F (2001) Neural control of the cardiovascular system during exercise. Ital Heart J 2:200–212PubMed
Zurück zum Zitat Imai K, Sato H, Hori M, Kusuoka H, Ozaki H, Yokoyama H, Takeda H, Inoue M, Kamada T (1994) Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure. J Am Coll Cardiol 24:1529–1535PubMedCrossRef Imai K, Sato H, Hori M, Kusuoka H, Ozaki H, Yokoyama H, Takeda H, Inoue M, Kamada T (1994) Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure. J Am Coll Cardiol 24:1529–1535PubMedCrossRef
Zurück zum Zitat Javorka M, Zila I, Balharek T, Javorka K (2003) On- and off-responses of heart rate to exercise—relations to heart rate variability. Clin Physiol Funct Imaging 23:1–8PubMedCrossRef Javorka M, Zila I, Balharek T, Javorka K (2003) On- and off-responses of heart rate to exercise—relations to heart rate variability. Clin Physiol Funct Imaging 23:1–8PubMedCrossRef
Zurück zum Zitat Jouven X, Empana JP, Schwartz PJ, Desnos M, Courbon D, Ducimetière P (2005) Heart-rate profile during exercise as a predictor of sudden death. N Engl J Med 352:1951–1958PubMedCrossRef Jouven X, Empana JP, Schwartz PJ, Desnos M, Courbon D, Ducimetière P (2005) Heart-rate profile during exercise as a predictor of sudden death. N Engl J Med 352:1951–1958PubMedCrossRef
Zurück zum Zitat Leeper NJ, Dewey FE, Ashley EA, Sandri M, Tan SY, Hadley D, Myers J, Froelicher V (2007) Prognostic value of heart rate increase at onset of exercise testing. Circulation 115(4):468–474PubMedCrossRef Leeper NJ, Dewey FE, Ashley EA, Sandri M, Tan SY, Hadley D, Myers J, Froelicher V (2007) Prognostic value of heart rate increase at onset of exercise testing. Circulation 115(4):468–474PubMedCrossRef
Zurück zum Zitat Lucini D, Trabucchi V, Malliani A, Pagani M (1995) Analysis of initial autonomic adjustments to moderate exercise in humans. J Hypertens 13:1660–1663PubMedCrossRef Lucini D, Trabucchi V, Malliani A, Pagani M (1995) Analysis of initial autonomic adjustments to moderate exercise in humans. J Hypertens 13:1660–1663PubMedCrossRef
Zurück zum Zitat Lucini D, Solaro N, Lesma A, Gillet VB, Pagani M (2011) Health promotion in the workplace: assessing stress and lifestyle with an intranet tool. J Med Internet Res 13:e88PubMedCentralPubMedCrossRef Lucini D, Solaro N, Lesma A, Gillet VB, Pagani M (2011) Health promotion in the workplace: assessing stress and lifestyle with an intranet tool. J Med Internet Res 13:e88PubMedCentralPubMedCrossRef
Zurück zum Zitat Malliani A, Pagani M, Lombardi F, Cerutti S (1991) Cardiovascular neural regulation explored in the frequency domain. Circulation 84:482–492PubMedCrossRef Malliani A, Pagani M, Lombardi F, Cerutti S (1991) Cardiovascular neural regulation explored in the frequency domain. Circulation 84:482–492PubMedCrossRef
Zurück zum Zitat Manzi V, Castagna C, Padua E, Lombardo M, D’Ottavio S, Massaro M, Volterrani M, Iellamo F (2009) Dose-response relationship of autonomic nervous system responses to individualized training impulse in marathon runners. Am J Physiol Heart Circ Physiol 296:H1733–H1740PubMedCrossRef Manzi V, Castagna C, Padua E, Lombardo M, D’Ottavio S, Massaro M, Volterrani M, Iellamo F (2009) Dose-response relationship of autonomic nervous system responses to individualized training impulse in marathon runners. Am J Physiol Heart Circ Physiol 296:H1733–H1740PubMedCrossRef
Zurück zum Zitat Martinmaki K, Rusko H (2008) Time-frequency analysis of heart rate variability during immediate recovery from low and high intensity exercise. Eur J Appl Physiol 102:353–360PubMedCrossRef Martinmaki K, Rusko H (2008) Time-frequency analysis of heart rate variability during immediate recovery from low and high intensity exercise. Eur J Appl Physiol 102:353–360PubMedCrossRef
Zurück zum Zitat McGrow KO, Wong SP (1966) Forming inferences about some intraclass correlation coefficients. Psycol Methods 1:30–46CrossRef McGrow KO, Wong SP (1966) Forming inferences about some intraclass correlation coefficients. Psycol Methods 1:30–46CrossRef
Zurück zum Zitat Mizuno M, Kawada T, Kamiya A, Miyamoto T, Shimizu S, Shishido T, Smith SA, Sugimachi M (2010) Dynamic characteristics of heart rate control by the autonomic nervous system in rats. Exp Physiol 95(9):919–925PubMed Mizuno M, Kawada T, Kamiya A, Miyamoto T, Shimizu S, Shishido T, Smith SA, Sugimachi M (2010) Dynamic characteristics of heart rate control by the autonomic nervous system in rats. Exp Physiol 95(9):919–925PubMed
Zurück zum Zitat Mizuno M, Kawada T, Kamiya A, Miyamoto T, Shimizu S, Shishido T, Smith SA, Sugimachi M (2011) Exercise training augments the dynamic heart rate response to vagal but not sympathetic stimulation in rats. A J Physiol Regul Integr Comp Physiol 300:R969–R977CrossRef Mizuno M, Kawada T, Kamiya A, Miyamoto T, Shimizu S, Shishido T, Smith SA, Sugimachi M (2011) Exercise training augments the dynamic heart rate response to vagal but not sympathetic stimulation in rats. A J Physiol Regul Integr Comp Physiol 300:R969–R977CrossRef
Zurück zum Zitat Morise AP (2004) Heart rate recovery: predictor of risk today and target of therapy tomorrow? Circulation 110:2778–2780PubMedCrossRef Morise AP (2004) Heart rate recovery: predictor of risk today and target of therapy tomorrow? Circulation 110:2778–2780PubMedCrossRef
Zurück zum Zitat O’Leary DS, Rossi NF, Churchill PC (1997) Substantial cardiac parasympathetic activity exists during heavy dynamic exercise in dogs. Am J Physiol 273:H2135–H2140PubMed O’Leary DS, Rossi NF, Churchill PC (1997) Substantial cardiac parasympathetic activity exists during heavy dynamic exercise in dogs. Am J Physiol 273:H2135–H2140PubMed
Zurück zum Zitat Pagani M, Lombardi F, Guzzetti S, Rimoldi O, Furlan R, Pizzinelli P, Sandrone G, Malfatto G, Dell’Orto S, Piccaluga E et al (1986) Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog. Circ Res 59:178–193PubMedCrossRef Pagani M, Lombardi F, Guzzetti S, Rimoldi O, Furlan R, Pizzinelli P, Sandrone G, Malfatto G, Dell’Orto S, Piccaluga E et al (1986) Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog. Circ Res 59:178–193PubMedCrossRef
Zurück zum Zitat Piskorski J, Guzik P (2007) Geometry of the poincare plot of RR intervals and its asymmetry in healthy adults. Physiol Meas 28:287–300PubMedCrossRef Piskorski J, Guzik P (2007) Geometry of the poincare plot of RR intervals and its asymmetry in healthy adults. Physiol Meas 28:287–300PubMedCrossRef
Zurück zum Zitat Ricardo DR, Silva BM, Vianna LC, Araujo CG (2010) Cardiac vagal withdrawal and reactivation during repeated rest-exercise transitions. Eur J Appl Physiol 110:933–942PubMedCrossRef Ricardo DR, Silva BM, Vianna LC, Araujo CG (2010) Cardiac vagal withdrawal and reactivation during repeated rest-exercise transitions. Eur J Appl Physiol 110:933–942PubMedCrossRef
Zurück zum Zitat Savonen KP, Lakka TA, Laukkanen JA, Rauramaa TH, Salonen JT, Rauramaa R (2008) Workload at the heart rate of 100 beats/min and mortality in middle-aged men with known or suspected coronary heart disease. Heart 94(4):e14PubMedCrossRef Savonen KP, Lakka TA, Laukkanen JA, Rauramaa TH, Salonen JT, Rauramaa R (2008) Workload at the heart rate of 100 beats/min and mortality in middle-aged men with known or suspected coronary heart disease. Heart 94(4):e14PubMedCrossRef
Zurück zum Zitat Stanley J, Peake JM, Buchheit M (2013) Cardiac parasympathetic reactivation following exercise: implications for training prescription. Sports Med 43(12):1259–1277PubMedCrossRef Stanley J, Peake JM, Buchheit M (2013) Cardiac parasympathetic reactivation following exercise: implications for training prescription. Sports Med 43(12):1259–1277PubMedCrossRef
Zurück zum Zitat Stuckey MI, Tordi N, Mourot L, Gurr LJ, Rakobowchuk M, Millar PJ, Toth R, MacDonald MJ, Kamath MV (2012) Autonomic recovery following sprint interval exercise. Scand J Med Sci Sports 22:756–763PubMedCrossRef Stuckey MI, Tordi N, Mourot L, Gurr LJ, Rakobowchuk M, Millar PJ, Toth R, MacDonald MJ, Kamath MV (2012) Autonomic recovery following sprint interval exercise. Scand J Med Sci Sports 22:756–763PubMedCrossRef
Zurück zum Zitat Su SW, Chen W, Liu D, Fang Y, Kuang W, Yu X, Guo T, Celler BG, Nguyen HT (2010) Dynamic modelling of heart rate response under different exercise intensity. Open Med Inform J 4:81–85PubMedCentralPubMedCrossRef Su SW, Chen W, Liu D, Fang Y, Kuang W, Yu X, Guo T, Celler BG, Nguyen HT (2010) Dynamic modelling of heart rate response under different exercise intensity. Open Med Inform J 4:81–85PubMedCentralPubMedCrossRef
Zurück zum Zitat Sugawara J, Murakami H, Maeda S, Kuno S, Matsuda M (2001) Change in post-exercise vagal reactivation with exercise training and detraining in young men. Eur J Appl Physiol 85:259–263PubMedCrossRef Sugawara J, Murakami H, Maeda S, Kuno S, Matsuda M (2001) Change in post-exercise vagal reactivation with exercise training and detraining in young men. Eur J Appl Physiol 85:259–263PubMedCrossRef
Zurück zum Zitat Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart-rate variability: standards of measurements, physiological interpretation and clinical use. Circulation 93:1043–1065CrossRef Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart-rate variability: standards of measurements, physiological interpretation and clinical use. Circulation 93:1043–1065CrossRef
Zurück zum Zitat Toninelli G, Vigo C, Vaglio M, Porta A, Lucini D, Badilini F, Pagani M (2012) DynaScope: a software tool for the analysis of heart rate variability during exercise. Comput Cardiol 39:181–184 Toninelli G, Vigo C, Vaglio M, Porta A, Lucini D, Badilini F, Pagani M (2012) DynaScope: a software tool for the analysis of heart rate variability during exercise. Comput Cardiol 39:181–184
Zurück zum Zitat van de Borne P, Montano N, Zimmerman B, Pagani M, Somers VK (1997) Relationship between repeated measures of hemodynamics, muscle sympathetic nerve activity, and their spectral oscillations. Circulation 96:4326–4332PubMedCrossRef van de Borne P, Montano N, Zimmerman B, Pagani M, Somers VK (1997) Relationship between repeated measures of hemodynamics, muscle sympathetic nerve activity, and their spectral oscillations. Circulation 96:4326–4332PubMedCrossRef
Metadaten
Titel
Assessing autonomic response to repeated bouts of exercise below and above respiratory threshold: insight from dynamic analysis of RR variability
verfasst von
Daniela Lucini
Chiara Vigo
Fabio Tosi
Gianfranco Toninelli
Fabio Badilini
Massimo Pagani
Publikationsdatum
01.06.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Applied Physiology / Ausgabe 6/2014
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-014-2858-1

Weitere Artikel der Ausgabe 6/2014

European Journal of Applied Physiology 6/2014 Zur Ausgabe