Effects of exercise training on heart rate variability in individuals with lower extremity arterial disease and claudication: A systematic review.

Autor: Marçal IR; Exercise Physiology and Cardiovascular Health Lab, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa; Exercise and Chronic Disease Research Laboratory, Department of Physical Education, School of Sciences, São Paulo State University (UNESP), Bauru, Brazil., Abreu RM; Department of Physiotherapy, LUNEX International University of Health Exercise and Sports, Differdange, Luxembourg. LUNEX ASBL Luxembourg Health & Sport Sciences Research Institute, Differdange, Luxembourg., Cornelis N; Research Group for Cardiovascular Rehabilitation, KU Leuven, Department of Rehabilitation Sciences, Faculty of Movement and Rehabilitation Sciences, Leuven, Belgium., Leicht AS; Sport and Exercise Science, James Cook University, Townsville, Australia; Australian Institute of Tropical Health & Medicine, James Cook University, Townsville, Australia., Forjaz CLM; Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of Sao Paulo, São Paulo, Brazil., Cucato G; Department of Sport, Exercise and Rehabilitation, Northumbria University, United Kingdom., Brenner I; Department of Kinesiology and Trent/Fleming School of Nursing, Trent University, Peterborough, Ontario, Canada., Novakovic M; Department of Vascular Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia., Ritti-Dias R; Post-Graduate Program in Rehabilitation Science, University Nove de Julho., Ciolac EG; Exercise and Chronic Disease Research Laboratory, Department of Physical Education, School of Sciences, São Paulo State University (UNESP), Bauru, Brazil., Cornelissen VA; Research Group for Cardiovascular Rehabilitation, KU Leuven, Department of Rehabilitation Sciences, Faculty of Movement and Rehabilitation Sciences, Leuven, Belgium. Electronic address: veronique.cornelissen@kuleuven.be.
Jazyk: angličtina
Zdroj: Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing [J Vasc Nurs] 2023 Dec; Vol. 41 (4), pp. 226-234. Date of Electronic Publication: 2023 Oct 20.
DOI: 10.1016/j.jvn.2023.09.002
Abstrakt: Purpose: To perform a systematic review of studies assessing the effects of regular exercise on heart rate variability (HRV) in individuals with lower extremity arterial disease (LEAD) and symptoms of claudication.
Methods: A systematic search in the electronic databases MEDLINE, Embase, and Scielo, was conducted and updated on January 21, 2023. Randomized clinical trials investigating patients with LEAD and IC, assessing ≥ 4 wk of exercise interventions, and reporting at least one HRV measure (e.g., time or frequency domains) at baseline and follow-up were included. Two reviewers independently screened studies for inclusion, performed data extraction, and quality assessment of included studies.
Results: Data from 7 trials were included (i.e., 5 walking, 1 resistance, and 1 isometric handgrip training), totaling 327 patients (66% males; range: 61 - 68 yr; ankle brachial index: 0.4 - 0.7). Following exercise training, three studies investigating walking training reported an increase in parasympathetic modulation indices and/or a decrease in sympathetic modulation indices (n = 2) as well as an increase in non-linear indices (n = 1).
Conclusion: The current evidence is weak, and larger randomized controlled trials are needed to confirm the efficacy of exercise training in improving HRV. Additionally, the high divergence in the methodology of studies indicated the need for standard tools to improve the quality of HRV measurements in exercise trials. It is recommended to use standard procedures in future trials investigating HRV.
Competing Interests: Declaration of Competing Interest No potential conflict of interest is reported by the author(s).
(Copyright © 2023. Published by Elsevier Inc.)
Databáze: MEDLINE
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