Post-exercise Heart Rate Recovery Research Articles

Post-exercise heart rate recovery and its speed are associated with resting-reactivity cardiovagal modulation in healthy women

The present study sought to expand upon prior investigations of the relationship between post-exercise heart rate recovery (HRR) and cardiovagal resting-reactivity modulation. HRR from 1st to 5th min after maximal exercise test was correlated with a cardiovagal index of heart rate variability (SD1) at resting (supine and orthostatic positions) and its reactivity after the orthostatic stress test in 34 healthy women. Statistical analysis employed non-parametric tests with a p-value set at 5%. HRR, ∆%HRR, and coefficient of HRR (CHRR) at the 3rd and 5th min correlated with SD1 and SD1n (normalized units) in the supine position (rs = 0.36 to 0.47; p = < 0.01). From the 1st to 5th min, HRR, ∆%HRR, and CHRR correlated with SD1 and SD1n in the orthostatic position (rs = 0.29 to 0.47; p = ≤ 0.01 to 0.05), except for HRR at 5th min with SD1n (p = 0.06). Following the orthostatic stress test, HRR at 3rd and HRR, %∆HRR at 5th min correlated with ∆absSD1 (rs = 0.28 to 0.35; p = 0.02 to 0.05). All HRR measurements at 1st min correlated with ∆absSD1n (rs = 0.32 to 0.38; p = 0.01 to 0.03), and the CHRR at 1st min correlated with ∆%SD1(rs = 0.37; p = 0.01). After the sample was divided into high and low cardiovagal modulation subgroups, the subgroup with high modulation at rest (supine and orthostatic) and higher cardiovagal reactivity (reduction) showed faster HRR (p = ≤ 0.01 to 0.05; ES:0.37 to 0.50). HRR throughout the 1st to 5th min positively correlates with cardiovagal modulation in the orthostatic position, and the 3rd and 5th min positively correlate with cardiovagal modulation in both postures at rest. Faster HRR following the maximal exercise test is associated with high resting-reactivity cardiovagal modulation in healthy women.

The role of the autonomic nervous system in polycystic ovary syndrome.

This article reviewed the relationship between the autonomic nervous system and the development of polycystic ovary syndrome (PCOS). PCOS is the most common reproductive endocrine disorder among women of reproductive age. Its primary characteristics include persistent anovulation, hyperandrogenism, and polycystic ovarian morphology, often accompanied by disturbances in glucose and lipid metabolism. The body's functions are regulated by the autonomic nervous system, which consists mainly of the sympathetic and parasympathetic nervous systems. The autonomic nervous system helps maintain homeostasis in the body. Research indicates that ovarian function in mammals is under autonomic neural control. The ovaries receive central nervous system information through the ovarian plexus nerves and the superior ovarian nerves. Neurotransmitters mediate neural function, with acetylcholine and norepinephrine being the predominant autonomic neurotransmitters. They influence the secretion of ovarian steroids and follicular development. In animal experiments, estrogen, androgens, and stress-induced rat models have been used to explore the relationship between PCOS and the autonomic nervous system. Results have shown that the activation of the autonomic nervous system contributes to the development of PCOS in rat. In clinical practice, assessments of autonomic nervous system function in PCOS patients have been gradually employed. These assessments include heart rate variability testing, measurement of muscle sympathetic nerve activity, skin sympathetic response testing, and post-exercise heart rate recovery evaluation. PCOS patients exhibit autonomic nervous system dysfunction, characterized by increased sympathetic nervous system activity and decreased vagal nerve activity. Abnormal metabolic indicators in PCOS women can also impact autonomic nervous system activity. Clinical studies have shown that various effective methods for managing PCOS regulate patients' autonomic nervous system activity during the treatment process. This suggests that improving autonomic nervous system activity may be an effective approach in treating PCOS.

Investigating the Correlation between Obesity Indices and Heart Rate Recovery After Exercise Testing

Background: Heart rate recovery (HRR) after exercise is a specific measure of the functioning of the autonomic nervous system. A rapid HRR immediately after exercise is associated with a lower risk of cardiovascular disease. Besides, there is a correlation between post-exercise HRR and cardiovascular risk factors. Objectives: This study investigated the correlation between obesity indices after exercise testing and HRR to evaluate the autonomic system and the risk of cardiovascular diseases. Methods: In this cross-sectional study, 108 non-random consecutive patients over 18 years old with indications for exercise testing were selected from those referred to Modarres Hospital in Tehran between 2021 - 2022. The patients were subjected to an exercise test, and the decrease in heart rate was recorded in the first and second minutes after the exercise testing. Then, the correlation between obesity indices and risk factors for cardiovascular diseases and the HHR was evaluated. Results: Based on our results, none of the obesity indices such as weight, height, BMI, neck circumference, waist circumference, hip circumference, WHR, ABSI, ABI, or BAI showed a significant correlation with the reduction of the heart rate one and two minutes after the exercise test. However, the heart rate reduction one minute after the exercise test was significantly lower in patients with a family history of heart disease. Also, the heart rate reduction two minutes after the exercise test was significantly lower in diabetic patients, hyperlipidemic patients, and patients with insufficient sleep. Conclusions: Although there was no significant correlation between obesity indices and heart rate reduction after exercise tests due to the harmful effects of obesity and overweight on cardiac function and its increasing prevalence, clinical trial studies will be beneficial in clarifying the effects of obesity indices on cardiac efficiency.

Augmented sympathoexcitation slows postexercise heart rate recovery.

Slow heart rate recovery following exercise may be influenced by persistent sympathoexcitation. This study examined 1) the effect of muscle metaboreflex activation (MMA) on heart rate recovery following dynamic exercise; and 2) whether the effect of MMA on heart rate recovery is reversible by reducing sympathoexcitation [baroreflex activation via phenylephrine (PE)] in canines. Twenty-two young adults completed control and MMA protocols during cycle ergometry at 110% ventilatory threshold with 5 min recovery. Heart rate recovery kinetics [tau (τ), amplitude, end-exercise, and end-recovery heart rate] and root mean square of successive differences (RMSSD) were measured. Five chronically instrumented canines completed control, MMA (50%-60% imposed reduction in hindlimb blood flow), and MMA with end-exercise PE infusion (MMA + PE) protocols during moderate exercise (6.4 km·h-1) and 3 min recovery. Heart rate recovery kinetics and MAP were measured. MAP increased during MMA versus control in canines (P < 0.001). Heart rate recovery τ was slower during MMA versus control in humans (17% slower; P = 0.011) and canines (150% slower; P = 0.002). Heart rate recovery τ was faster during MMA + PE versus MMA (40% faster; P = 0.034) and was similar to control in canines (P = 0.426). Amplitude, end-exercise, and end-recovery heart rate were similar between conditions in humans (all P ≥ 0.122) and in canines (all P ≥ 0.084). MMA decreased RMSSD in early recovery (P = 0.004). MMA-induced sympathoexcitation slows heart rate recovery and this effect is markedly attenuated with PE. Therefore, elevated sympathoexcitation via MMA impairs heart rate recovery and inhibition of this stimulus normalizes, in part, heart rate recovery.NEW & NOTEWORTHY Augmented sympathoexcitation, via muscle metaboreflex activation, functionally slows heart rate recovery in both young healthy adults and chronically instrumented canines. Furthermore, elevated sympathoexcitation corresponded with lower parasympathetic activity, as assessed by heart rate variability, during the first 3 min of recovery. Finally, sympathoinhibition, via phenylephrine infusion, normalizes heart rate recovery during muscle metaboreflex activation.

Comparison of cardiac autonomic functions in elite endurance athletes and non-athletic healthy population: A cross-sectional study

Objectives: Long-term endurance training in elite endurance athletes (EEA) is known to affect the autonomic function by increasing the vagal tone which reflects in resting heart rate variability (HRV) but does this high resting vagal tone also affects the post-exercise heart rate recovery (HRR) remains unknown. Post-exercise HRR is used to prescribe and monitor athletic training. Hence, the aim was to determine HRR after maximal exercise among EEA and non-athletics healthy (NAH) populations and correlate it with resting HRV. Materials and Methods: Fifteen EEA and 15 NAH active male subjects of &gt;18 years participated in this study. The resting HRV was measured with a continuous lead II electrocardiogram in the supine position for 10 min. The incremental exercise testing was done and post-exercise HRR data were collected. Results: In time domain analysis, average RR, median RR, root mean square of sequential deviations and percentage of successive interval difference larger than 50 ms were significantly higher, whereas the average heart rate was significantly lower in the EEA group. In the frequency domain analysis, low-frequency power–normalised units (LFnu), and low frequency (LF)/high frequency (HF) was significantly lower while high-frequency power––normalised units were significantly higher in the EEA group. The resting HRV indices did not correlate to HRR in both groups. Conclusion: The athletes have better adapted cardiac autonomic function as compared to the NAH group with higher resting vagal tone and better HRR. HRR did not correlate with resting HRV in either group, suggesting that parasympathetic activity causing a rapid decrease in heart rate post-exercise is independent of basal parasympathetic tone.

Reliability of 400-m Walk Test Performance and Postexercise Cardiac Autonomic Markers in Older Women

The 400-m walk test (400MWT) is a useful tool to assess mobility and aerobic fitness, while postexercise heart rate recovery (HRR) and heart rate variability (HRV) are noninvasive tools for assessing cardiovascular health. However, measures of reliability, agreement, minimal detectable change (MDC), and coefficient of variation (CV) in older women with different levels of physical activity are lacking. This study aimed to evaluate measures of the reliability of the 400MWT and postexercise markers of cardiac autonomic control in active and sedentary older women. Eighteen physically active and 18 sedentary older women, performed the 400MWT twice, followed by measures of HRR at 1 (HRR1′) and 2 min (HRR2′), and HRV. Reliability was assessed by the intraclass correlation coefficient (ICC) and agreement by Bland–Altman plots. The standard error of measurement, CV, and MDC were calculated. The active group walked faster and completed the 400MWT in a shorter time than the sedentary group (all ps ≤ .03). In addition, in general, the active group presented higher HRR1′ and HRR2′ (all ps ≤ .04). 400MWT performance showed good reliability in both groups (ICC ≥ .78; all ps &lt; .001; CVs ≤ 14% and MDC &lt; 49 s). Indexes of cardiac autonomic control showed poor to good reliability (all ps &lt; .001) with higher CVs than the 400MWT: HRV (ICC ≥ .39; CVs = 41.9%–97.6%; MDC = 12.1–31), HRR1′ (ICC ≥ .63; CVs = 36.2%–49.5%; MDC = 8.3–14.3 bpm), and HRR2′ (ICC ≥ .77; CVs = 33%–43.2%; MDC = 12.7–13.8 bpm). The 400MWT and HRR are reliable measures for the assessment of sedentary and physically active older women, but the reliability of HRV indexes varies according to the group.

Effects of Sitting Recovery Protocols on Postexercise Heart Rate in Young Adults

Abstract Background We aimed to compare the effects of 3 different upright seated recovery protocols on heart rate recovery (HRR) after a submaximal ergometer exercise. Methods The study included 30 young adult volunteers (15 men and 15 women). Participants performed a submaximal cycle exercise test at a constant workload of 60 Watts until a steady HR was achieved. This was followed by 5 min of: (a) inactive, (b) active loadless, and (c) passive recovery protocols. The HRR was assessed as the difference between the peak exercise HR and the HR recorded following 1 min of recovery and as the percentage HR decline after 1 min postexercise. Abnormal HRR was defined as a reduction of 1-min HRR ≤12 b · min−1 or ≤15 b · min−1 or ≤18 b · min−1. Results In both sexes, HRR was faster during inactive recovery compared with active recovery. In males, HRR was faster during inactive recovery compared with passive recovery protocol. In females, HRR was faster during passive recovery compared with active recovery protocol. The prevalence of impaired HRR was greater in the active recovery compared with the passive and inactive recovery protocols in both sexes. Conclusion The present findings suggest that in both sexes, the postexercise HRR was mediated by a combined action of the central command and other inputs or stimuli arising from skeletal muscle activities. In addition, the active recovery protocol resulted to a slower HRR and elicited more abnormal postexercise HR responses compared with the other recovery protocols.

Prognostic value of the post-exercise heart rate recovery and BHDE-index in chronic obstructive pulmonary disease

BackgroundThe BODE index, consisting of body mass index (B), airflow obstruction (O), dyspnea score (D), and exercise capacity (E), can predict outcomes in COPD. However, when spirometry was restricted to prevent cross-infection such as COVID-19 pandemic, a modified index would be needed. Because cardiovascular dysfunction is associated with poor clinical outcomes in COPD, we conducted a novel BHDE-index by replacing spirometry with post-exercise heart rate recovery (HRR, H) and evaluated its predictive performance in this observational study.MethodsFrom January 2019 to December 2019, enrolled patients were analyzed as a derivation cohort for the setup of the model. This model was verified in another group of patients generated between January 2020 and December 2020, as the validation cohort. The post exercise HRR was defined as the difference of heart rate immediately after and 1 min after test cessation.ResultsA total of 447 patients with COPD were enrolled. Patients with abnormal HRR were older, with more severe airway obstruction, severe airway symptoms, faster resting heart rate, shorter 6-min walk distance and higher frequency of severe acute exacerbation in previous one year. The prediction performance of the BHDE-index for one-year severe COPD exacerbation was similar to that of the BODE-index in both the derivation and validation groups [area under the receiver operating characteristic curve (AUROC) 0.76 vs. 0.75, p = 0.369; AUROC 0.74 vs. 0.79, p = 0.05]. The prediction performance for 1 year mortality was also similar between BHDE-index and BODE-index in both cohorts [AUROC 0.80 vs. 0.77, p = 0.564; 0.76 vs. 0.70, p = 0.234]. Univariate and multivariate analyses also showed that the BHDE-index was an independent and important predictor of annual severe COPD exacerbation in the derivation and validation cohorts.ConclusionsThe BHDE-index is a good and easy-to-perform prediction model for the risk of severe acute exacerbation and 1-year mortality in COPD wherever spirometry results are unavailable.

Heart Rate Responses at Rest, during Exercise and after Exercise Periods in Relation to Adiposity Levels among Young Nigerian Adults.

There is a dearth of comparative studies on heart rate (HR) abnormalities at rest, chronotropic responses during submaximal exercise, and such responses during recovery from submaximal exercise between healthy-weight and overweight/obese young adults. Eighty healthy young adults (30 men and 50 women) aged 19 to 33 years participated in the present study. A symptom-limited, submaximal, cycle ergometer exercise test of intensity targeted at 60% to 70% of the subject's age-predicted maximum HR was performed. The HR, blood pressure, and minute ventilation were measured at rest and during exercise. Post-exercise, HR was first measured at 1 minute of recovery and then every 2 minutes until the 5th minute. Our results showed significantly higher resting HR (P<0.001), lower percentage HR reserve during exercise (P<0.001), and slower HR recovery after exercise (P<0.05, P<0.01, or P<0.001) in overweight/obese men and women than in the non-overweight/obese controls. The prevalence of high resting HR, submaximal chronotropic incompetence, and blunted HR recovery were more common in the overweight/obese individuals than in the healthy-weight controls. Peak VO2 and ventilatory equivalent for oxygen were associated with resting HR, exercise HR parameters, and post-exercise HR recovery indices in both men and women. High resting HR, submaximal chronotropic incompetence, and blunted HR recovery in overweight/obese individuals in this study may be attributed to poor cardiorespiratory fitness and low respiratory efficiency.

Association Between Arterial Stiffness and Measures of Autonomic Dysfunction in People With Chronic Kidney Disease.

Autonomic nervous system (ANS) dysfunction and vascular stiffness increase cardiovascular risk in people with chronic kidney disease (CKD). Chronic elevations in sympathetic activity can lead to increased arterial stiffness; however, the relationship between these variables is unknown in CKD. To explore the association between measures of autonomic function and arterial stiffness in patients with moderate-to-severe CKD. This study was a prespecified secondary analysis of a randomized controlled trial. This included the following measures: 24-hour ambulatory blood pressure (BP), carotid-femoral and carotid-radial pulse wave velocity (PWV), and postexercise heart rate recovery (HRR). We used mixed effect linear regression models with Bayesian information criteria (BIC) to assess the contribution of ANS measurements. Forty-four patients were included in the analysis. Mean carotid-femoral and carotid-radial PWV were 7.12 m/s (95% CI 6.13, 8.12) and 8.51 m/s (7.90, 9.11), respectively. Mean systolic dipping, calculated as percentage change in mean systolic readings from day to night, was 10.0% (95% CI 7.79, 12.18). Systolic dipping was independently associated with carotid-radial PWV, MD -0.09 m/s (95% CI -0.15, -0.02) and had the lowest BIC. Systolic dipping was associated with carotid-radial PWV in people with moderate-to-severe CKD; however, there was no association with carotid-femoral PWV. Systolic dipping may be a feasible surrogate of ANS function, as the association with carotid-radial PWV was consistent with the minimal clinically important difference (MCID). Future studies are needed to define the relationship between ANS function, arterial stiffness, and CV events over time in people with CKD.

Comparison of postexercise heart rate recovery times between athletes and nonathletes in Saudi Arabia

Comparison of postexercise heart rate recovery times between athletes and nonathletes in Saudi Arabia

Does Exercise Training Improve Cardiac-Parasympathetic Nervous System Activity in Sedentary People? A Systematic Review with Meta-Analysis.

The aim of this study was to investigate the training-induced effect on cardiac parasympathetic nervous system (PNS) activity, assessed by resting heart rate variability (HRV) and post-exercise heart rate recovery (HRR), in sedentary healthy people. Electronic searches were carried out in PubMed, Embase, and Web of Science. Random-effects models of between-group standardised mean difference (SMD) were estimated. Heterogeneity analyses were performed by means of the chi-square test and I2 index. Subgroup analyses and meta-regressions were performed to investigate the influence of potential moderator variables on the training-induced effect. The results showed a small increase in RMSSD (SMD+ = 0.57 [95% confidence interval (CI) = 0.23, 0.91]) and high frequency (HF) (SMD+ = 0.21 [95% CI = 0.01, 0.42]) in favour of the intervention group. Heterogeneity tests reached statistical significance for RMSSD and HF (p ≤ 0.001), and the inconsistency was moderate (I2 = 68% and 60%, respectively). We found higher training-induced effects on HF in studies that performed a shorter intervention or lower number of exercise sessions (p ≤ 0.001). Data were insufficient to investigate the effect of exercise training on HRR. Exercise training increases cardiac PNS modulation in sedentary people, while its effect on PNS tone requires future study.

Determinants of ventilatory inefficiency in transthyretin cardiac amyloidosis: The role of excessive ventilatory drive.

Background and objective: Along with impaired aerobic capacity, increased slope of the relationship between ventilation (VE) and pulmonary CO2 output (VCO2), i.e., VE-VCO2 slope is a common finding in patients with cardiac amyloidosis (CA), which suggests ventilatory inefficiency. Little is known about mechanisms leading to ventilatory inefficiency in CA patients. The purpose of this investigation was to examine the factors that underlie the abnormal ventilatory efficiency in transthyretin hereditary CA patients, such as excessive ventilatory drive, inability of pulmonary blood flow to increase adequately during exercise and excessive sympathetic stimulation, which are known mechanisms of VE-VCO2 slope increase. Methods: In this single-center retrospective observational study, consecutive patients (n = 41) with known familial transthyretin amyloidosis p.Val142Ile mutation carriers with confirmed cardiac phenotype were included. Results: Compared with CA patients without ventilatory inefficiency (VE-VCO2 slope < 36), patients with ventilatory inefficiency (VE-VCO2 slope ≥ 36) had increased inter-ventricular septum thickness, lower VO2 peak along with hyperventilation, and prolonged post-exercise heart rate recovery. By multivariate analysis, only excess of minute-ventilation at anaerobic threshold (β = 0.127; p = 0.011) remained an independent predictor of ventilatory inefficiency. Conclusion: Our data suggest that high ventilatory stimulation during exercise leading to hyperventilation is the main determinant of ventilatory inefficiency in hereditary transthyretin cardiac amyloidosis patients. This novel finding helps to better understand the mechanism of exercise intolerance in these patients where physiological limitation may be related to both heart dysfunction and abnormal pulmonary response.

EFFECT OF RAMADAN FASTING ON POST-EXERCISE HEART RATE RECOVERY AT TWO MINUTES AND BODY COMPOSITION IN HEALTHY MALE ADULTS

Background: The effects of Ramadan fasting on weight loss are well-known but its effects on heart rate recovery after 2 minutes (HRR2) have not been investigated. The present study aims to observe the effects of Ramadan fasting on body composition variables and post-exercise heart rate recovery after two minutes of rest. Methods: A prospective, observational study was conducted from April 2019 to July 2020. Sixty-four healthy male participants aged 26 to 53 years were enrolled on the first day of fasting in Islamic month of Ramadan and were followed up for two weeks. Baseline anthropometric measurements and body composition measurements were recorded on day 1 of Ramadan in a fasting state. Peak heart rate and heart rate recovery were recorded immediately after exercise and after two minutes of rest. Blood pressure was also recorded after cessation of exercise. After fourteen days of fasting, anthropometric measurements and aforementioned readings with repeat exercise protocol were recorded. Results: Mean BMI, waist circumference and body fat ratio of the study participants reduced significantly after fourteen days of Ramadan fasting. The resting heart rate of the study participants was significantly reduced from 74.5±9.7 to 68.4±10.7 bpm (p&lt;0.001). HRR2 of rest significantly increased from 22.9±11.7 to 30.3±13.7 bpm (p=0.001). None of the smokers showed an improvement in heart rate recovery after two minutes of rest. Conclusion: Ramadan fasting resulted in significant improvement in body fat ratio, BMI, waist circumference and heart rate recovery after two minutes of rest in healthy adult males. Pak J Physiol 2022;18(2):10?4

Heart rate recovery as an assessment of cardiorespiratory fitness in young adults.

Cardiorespiratory fitness, typically measured as peak oxygen uptake (VO2peak) during maximal graded exercise testing (GXTmax), is a predictor of morbidity, mortality, and cardiovascular disease. However, measuring VO2peak is costly and inconvenient and thus not widely used in clinical settings. Alternatively, postexercise heart rate recovery (HRRec), which is an index of vagal reactivation, is a valuable assessment of VO2peak in older adults and athletes. However, the validity of HRRec as a clinical indicator of cardiorespiratory fitness in young, sedentary adults, who are a rapidly growing population at risk for developing obesity and cardiovascular disease, has not been fully elucidated. We investigated the association between cardiorespiratory fitness, measured by VO2peak (mL·kg-1·min-1), and HRRec measures after a GXTmax in 61 young (25.2 ± 6.1 years), sedentary adults (40 females) using 3 methods. We examined the relationship between VO2peak and absolute (b·min-1) and relative (%) HRRec measures at 1, 2, and 3 min post GXTmax, as well as a measure of the slow component HRRec (HRRec 1 min minus HRR 2 min), using Pearson's correlation analysis. VO2peak (36.5 ± 7.9 mL·kg-1·min-1) was not significantly correlated with absolute HRRec at 1 min (r = 0.18), 2 min (r = 0.04) or 3 min (r = 0.01). We also found no significant correlations between VO2peak and relative HRRec at 1 min (r = 0.09), 2 min (r = -0.06) or 3 min (r = -0.10). Lastly, we found no correlation between the measure of the slow component HRRec and VO2peak (r = -0.14). Our results indicate that HRRec measures are not a valid indicator of cardiorespiratory fitness in young, sedentary adults.

Correlation between Post Exercise Heart Rate Recovery and Body Composition in Healthy Female Adults

Introduction: Post-exercise heart rate recovery (HRR) is an indicator of parasympathetic stimulation and impaired HRR is an independent predictor of cardiometabolic risk factors.&#x0D; Aims &amp; Objectives: This study aims at documenting the correlation between different body composition variables and post-exercise HRR in the apparently healthy female population of Pakistan.&#x0D; Place and duration of study: The study was conducted at Shifa College of Medicine from April 10, 2019 to July 20, 2020.&#x0D; Material &amp; Methods: Ninety healthy females aged 18 to 50 years participated in this cross-sectional study. Body composition variables including waist circumference (WC), body fat ratio (BFR), body mass index (BMI), and physical activity were measured. Resting heart rate and the systolic and diastolic blood pressure prior to the exercise were measured. Peak heart rate (HR) was recorded immediately after exercise. After two minutes of rest, the drop in HR was measured and HRR was calculated.&#x0D; Results: Mean age and BMI of the participants were 30.63±9.18 years and 24.56±4.24, respectively. Impaired HRR after two minutes of exercise (HRR2) was found in 63.3% of participants. A significant negative correlation was found between the BMI, BFR and WC with heart rate recovery (r=-0.64, r=-0.67 and -0.66 respectively; p&lt;0.001*). Participants with BMI less than 23 reported higher HRR compared to the subjects with BMI ? 23 (p&lt;0.001*). Study subjects with a BFR of less than 30 reported significantly higher HRR compared to the participants with a body fat ratio?30 (p&lt;0.001*).&#x0D; Conclusion: A significant correlation was found between HRR2 and body composition variables in healthy female adults.

IDF21-0335 Does serum vitamin D level effects post exercise heart rate recovery in patients with diabetes mellitus?

Background: Vitamin D deficiency is very common irrespective of age, race, and geographic location. Studies showed that the prevalence of vitamin D deficiency is higher in people with diabetes than those without diabetes. Autonomic neuropathy is a common complication of diabetes mellitus. Autonomic dysfunction has been associated with all-cause mortality, cardiac disease morbidity, and mortality in diabetes. Heart Rate Variability (HRV) and Heart Rate Recovery (HRR) both are the measures of autonomic nervous system function.

Association of Morning Surge and Postexercise Heart Rate and Blood Pressure Recovery

The autonomic nervous system plays an active role in the regulation of early morning blood pressure (BP) and BP/pulse regulation in the treadmill exercise test (TET). We evaluated the relationship between BP/pulse changes during TET and morning blood pressure surge (MS). Patients who underwent ambulatory blood pressure measurement (ABPM) and TET in the same visit between 2017 and 2020 were evaluated retrospectively. Patients with previously diagnosed hypertension and/or using antihypertensives and office BP ≥ 140/90 were excluded from the study.MS values and dipping percentage were calculated from ABPM data. The patients were analyzed by dividing them into two groups according to the MS median, and BP/pulse values during exercise and recovery periods were compared in these groups. 202 patients [median age 45 (39-51), male 134 (66.3%)] were included in the study. MS median was 18.5 (10.75-27) mmHg. TET recovery period 3rd-min systolic blood pressure (RSBP) was higher in the group with high MS (p: 0.017). Systolic and diastolic dipping percentages were higher in the group with higher MS (p: 0.015, p: 0.040, respectively). Peak systolic and diastolic BP, RSBP, and recovery 3rd min diastolic BP were positively correlated with MS (p < 0.05, for all). Additionally, an independent relationship was observed between RSBP and MS (β: 0.205, p: 0.028). We found an independent association between RSBP and MS. Increased RSBP may be associated with target organ damage and cardiovascular events such as MS.

Effect of 6 Hz theta frequency binaural beats on post-exercise heart rate and blood pressure recovery

Background: Binaural beats are an auditory illusion which causes entrainment of various brain waves in the central nervous system which corresponds to various mind consciousness levels. Six Hz binaural beats have found to be causing entrainment similar to that in relaxation techniques such as meditation. Post-exercise recovery of heart rate is a prognostic indicator of various clinical health. The study investigated the effect of presentation of theta binaural beats on post-exercise recovery of heart rate and blood pressure. Aims and Objectives: This study aims to compare the effect of 6 Hz theta frequency binaural beats to placebo music on post-exercise blood pressure and heart rate recovery. Materials and Methods: It is an observational cross-sectional study in which subjects were enrolled for two sessions of maximal exercise till 70% VO2 max which was followed by presentation of either binaural beats or placebo during the relaxation period. Recording of heart rate recovery time (HRT) and heart rate recovery ratio and systolic blood pressure recovery time with systolic blood pressure recovery ratio (SBPR1 and SBPR3) were calculated. All data were analyzed using paired t-test. Results: Forty subjects participated out of which 25 were male and 15 were female. HRT was significantly decreased in the participants when presented with binaural beats as compared to placebo. No significant difference was seen in blood pressure recovery time. Among the participants, the subjects performing moderate physical activity showed increased fall in heart rate and blood pressure in the 1st and 3rd s measured by the recovery ratio. No significant difference was seen in slight and vigorous physical activity subjects. Conclusion: Theta binaural beats presented in post-exercise period hasten the heart rate and blood pressure recovery suggestive of entrainment of theta waves which correspond to brain waves similar to that during relaxation techniques such as meditation probably by increasing sympathetic withdrawal and parasympathetic activation.

Racial Differences On Post Exercise Heart Rate Recovery In Healthy Sedentary Adult Males-- A Meta-Analysis Study

Introduction: Post-exercise heart rate recovery (PEHRR) is the measure of parasympathetic function of heart which decreases the heart rate as the person stops exercising. The post exercise heart rate recovery is easily measurable index of heart parasympathetic activity. The post – exercise heart rate recovery is computed as peak heart rate minus the heart rate measured after 1 min of termination of exercise. The risk of cardiovascular disease in individual with African background is greater as compared to Caucasians and Asian population. The aim of this study was to analyze the difference in post exercise heart rate recovery in individuals from different ethnic backgrounds. Methods: A thorough literature search was carried out on PubMed, Google Scholar and PakMediNet with articles published between 2007 till 2021. The articles with post – exercise heart rate recovery in male adults with different ethnic backgrounds were included. A total of 8 studies were included after meeting the inclusion criteria for the meta-analysis. The studies that measured heart rate recovery after 1 minute of termination of exercise were included. Results: Out of 174 subjects 51 individuals were Africans, 104 were Asians and 19 were Caucasians. The post exercise heart raterecovery was not found to be statistically significant between the individuals from different ethnic groups (p value-0.258). Conclusion: The post – exercise heart rate recovery is not influenced by the racial differences. Further research on larger scale assessing the impact of parasympathetic activity in terms of heart rate recovery in individual from different ethnic background is required as very limited data is available till date.