scholarly journals Interval Hypoxic Training in Rehabilitation Program for Adolescents with Overweight / Obesity and Comorbid Arterial Hypertension: Open-Label Randomized Study

2021 ◽  
Vol 20 (1) ◽  
pp. 51-61
Author(s):  
Alexandra V. Mashanskaya ◽  
Anna V. Pogodina ◽  
Alina V. Atalyan ◽  
Lyubov V. Rychkova ◽  
Olga V. Bugun ◽  
...  

Background. Searching for new strategies for the rehabilitation of adolescents with obesity and comorbid arterial hypertension (AHT) before significant pathological changes development in the cardiovascular system remains the urgent challenge. Objective. The aim of the study was to examine the effect of interval hypoxic training (IHT) on blood pressure (BP) levels in adolescents with overweight / obesity and comorbid AHT. Methods. Adolescents aged 14-17 years with body mass index SDS ≥ 1 and grade I AHT (mean level of systolic and/or diastolic BP ≥ 95th percentile for population of corresponding age, sex and height) have been randomized to the group «aerobic training» (treadmill walking) and “aerobic training + IHT” (usage of hypoxicator in intermittent operation cycles). All patients were on subcaloric diet (10% reduction in caloric intake for given age). Primary outcome measure was the difference between groups on systolic/diastolic BP levels according to 24-hour BP monitoring after completion of training program (10 classes each). The effects of IHT on body composition (bioelectrical impedance analysis), heart rate variability and psychoemotional state (Spielberger scale, assessment of health, activity and mood) were further estimated. Results. 43 patients were assigned to the index group, and 42 — to the control group. 67 patients have completed the research program. 5 patients (12%) from the IHT group and 13 patients (31%; p = 0.029) from the control group prematurely discontinued participation in the trial due to poor exercise tolerance. The groups were comparable in baseline systolic and diastolic BP. Decrease in BP occurred in both groups after 10 workouts. There were no differences in decrease value: mean difference for SBP was 2.4 mm Hg (95% CI -6.6 ... 1.8), for DBP — 0.2 mm Hg (-3.6 ... 4.0). However, the incidence of reaching the targeted SBP (< 95th percentile for the corresponding age and sex) after completion of the treatment was recorded in 66% patients in the experimental group and in 42% patients in the control group (p = 0,047). Positive dynamics in several indicators of heart rate variability and psychoemotional state were mentioned in the IHT group. Conclusion. The IHT implementation in the complex of rehabilitation program for adolescents with overweight / obesity and AHT has no additional positive effect on BP levels. However, the incidence of reaching the targeted SBP (< 95th percentile for the corresponding age and sex) after completion of the treatment was recorded in 66% patients in the experimental group and in 42% patients in the control group (p = 0,054).

2000 ◽  
Vol 89 (5) ◽  
pp. 1825-1829 ◽  
Author(s):  
Antti Loimaala ◽  
Heikki Huikuri ◽  
Pekka Oja ◽  
Matti Pasanen ◽  
Ilkka Vuori

Endurance-trained athletes have increased heart rate variability (HRV), but it is not known whether exercise training improves the HRV and baroreflex sensitivity (BRS) in sedentary persons. We compared the effects of low- and high-intensity endurance training on resting heart rate, HRV, and BRS. The maximal oxygen uptake and endurance time increased significantly in the high-intensity group compared with the control group. Heart rate did not change significantly in the low-intensity group but decreased significantly in the high-intensity group (−6 beats/min, 95% confidence interval; −10 to −1 beats/min, exercise vs. control). No significant changes occurred in either the time or frequency domain measures of HRV or BRS in either of the exercise groups. Exercise training was not able to modify the cardiac vagal outflow in sedentary, middle-aged persons.


2006 ◽  
Vol 34 (01) ◽  
pp. 23-36 ◽  
Author(s):  
Chih-Chieh Hsu ◽  
Ching-Sung Weng ◽  
Te-Sheng Liu ◽  
Yuh-Show Tsai ◽  
Yung-Hsien Chang

In this research, heart rate variability (HRV), pulse rate variability (PRV) and human skin conductance (SC) of all acupoints on Heart Meridian were used to evaluate the effects of electrical acupuncture (EA) on acupoint BL15 (Bladder Meridian). Ten healthy volunteers (aged 23 ± 6) were selected as the control group on the first day, and then used again as the experimental group on the second day. The control group received sham EA during the study, while subjects of the experimental group were stimulated by 2 Hz EA on acupoint BL15 for 10 minutes. Electrocardiogram (ECG), wrist blood pressure pulse meter and skin conductance response (SCR) device were used to measure and analyze HRV, PRV and SCR for the two groups before and after stimulation. From the spectrum analysis of ECG and pulse pressure graph, we found that the EA applied on BL15 could induce a significant increase in the normalized high frequency power (nHFP) component of HRV and PRV, as well as a significant decrease in the normalized low frequency power (nLFP) part ( p < 0.05). Moreover, both the heart rate and pulse rate were reduced in the analysis of the time domain of ECG and PRV. Furthermore, most of the SCR values at acupoints were decreased after stimulation. These results also indicate that the stimulation of BL15 by EA could cause relaxation, calmness and reduce feeling of tension or distress.


2020 ◽  
Vol 14 (2) ◽  
pp. 18-24
Author(s):  
Martina Šperková ◽  
Kateřina Kapounková ◽  
Iva Hrnčiříková ◽  
Zora Svobodová ◽  
Alexandra Malá ◽  
...  

The aim of this research was determined the effect of respiratory intervention for twelve weeks and physical intervention for twelve weeks on selected parameters of heart rate variability in hematooncological patients after treatment. Spectral analysis of heart rate variability was measured by DiANS PF8 machine with Medical DiANS PC software. Evaluated were complex indices – Total score and Sympathovagal balance (S-V balance). The intervention programme was composed of three months of respiratory training and then three months of physical training. The experimental group, which absolved this combination of respiratory and physical intervention, was assessed at free time points: firstly, before the respiratory intervention, secondly between the respiratory and the physical intervention and thirdly after the physical intervention. The control group (without intervention) was measured twice between six months. 30 hematooncological patients (16 women and 14 men) were participated in this research, ranging in age 53,74±14,76 years from Internal Hematology and Oncology Clinic of The University Hospital Brno. Results of selected parameters of heart rate variability showed improvements, but without statistically significant effect of intervention programme.


2019 ◽  
Vol 22 (1) ◽  
pp. 34-44
Author(s):  
Wan-Ling Chang ◽  
Jiunn-Tay Lee ◽  
Chi-Rong Li ◽  
Amy H. T. Davis ◽  
Chia-Chen Yang ◽  
...  

Background: Autonomic dysfunction, cognitive impairment, and psychological distress are associated with poorer prognosis in patients with acute ischemic stroke (AIS). Heart rate variability (HRV) biofeedback (BF) improves autonomic dysfunction, cognitive impairment, and psychological distress in other patient populations, but its effect in patients with AIS is still unclear. Objective: This study investigated the effects of an HRVBF intervention on autonomic function, cognitive impairment, and psychological distress in patients with AIS. Method: In this randomized, controlled, single-blind trial, patients with AIS were randomly assigned to the experimental or control group. The experimental group received four HRVBF training sessions. The control group received usual care. Repeated measures of HRV, mini-mental status examination (MMSE), and Hospital Anxiety and Depression Scales (HADS) were collected prior to and at 1 and 3 months postintervention. Results: A total of 35 patients completed the study (19 experimental, 16 control). HRV and HADS significantly improved in the experimental group ( p < .001) but not in the control group. Likewise, only the experimental group showed significant improvements in HRV, MMSE, and HADS over time ( p < .05). Conclusion: HRVBF is a promising intervention for improving autonomic function, cognitive impairment, and psychological distress in patients with AIS. More studies of HRVBF interventions are needed to further optimize the effects of HRVBF on autonomic, cognitive, and psychological function in patients with AIS.


2019 ◽  
Vol 19 (1) ◽  
pp. 42-49
Author(s):  
V Gorelik ◽  
C Filippova

Aim. The article deals with establishing the efficiency of applying control and measuring indexes at Physical Education classes (physical development indexes, heart rate variability) as factors of health development and academic performance assessment. Materials and methods. We examined 20 fifth-grade male pupils (n = 20) from school No 90 (Togliatti), who formed  the basic experimental group and followed a correction and development program. We also examined pupils of the same gender, age, and number at school No 91 (Togliatti) to form the control group with a standard school program. The following methods of diagnostics were used: a computer program ‘Express Assessment of Pupils’ Physical Health’ and heart rate variability assessment by means of Varicard 2.51 hardware and software complex. Results. The article provides the experimental justification of using the dynamics of functional indicators (physical development indexes, heart rate variability) as control and measuring indexes at Physical Education classes. We established that at the initial stage of the pedagogical experiment there were no significant differences between the indicators of physical health in the experimental and control groups. In the experimental group, after lessons, including the selection of correction and development exercises depending on physical development indexes and heart rate variability, we registered a significant improvement of the parameters studied. In the control group, there were no significant changes in physical development or health status. Therefore, physiological markers provide a maximal objectivation of physical development, health, and academic progress assessment in pupils at PE lessons. Conclusion. Measuring physical development and health indexes in screening mode allows: 1) to perform a dynamic control of children ontogenesis, 2) to detect and promptly prevent dysontogenesis, 3) to prevent schoolchildren’s disadaptation after overloads.


2021 ◽  
Author(s):  
Irani Fariburz Z ◽  
Trivedi Gunjan Y ◽  
Sinha Neeta

Aim: The objective of the study was to compare the impact of daily 10 min humming practice for one week on heart-brain coherence and attention on college students. Methodology: The evidence indicates that increased heart-brain coherence facilitates better emotional regulation and thereby increases attention. Simple humming practice was identified as a method to increase the heart-brain coherence. Each student was assigned randomly to an experimental group or control group. The experimental group (n= 15) performed 10-minutes humming daily for 7 days and the control group (n=15) was not asked to do anything. 10-minute humming was simplified Bhramari practice with total breath duration of 13 seconds based on short training. SDMT (Symbol Digit Modalities Test) and Heart Brain Coherence (using Emwave Pro Device by HeartMath Inc.) was conducted for both the groups on Day 1 and Day 7. Statistical analysis was conducted using student-t test to understand the results. Results: For the experimental group, there was statistically significant improvement in both “Coherence” and “SDMT” score on Day 7 (compared to Day 1, p&lt;.05). For control group, the change in both parameters was not statistically significant. Conclusions: The results confirm that a short duration humming practice just for one week can increase the heart-brain coherence and Heart Rate Variability and has a significant impact on increasing attention amongst the college students. These findings can be leveraged to facilitate better concentration and potentially increased performance for college students.


2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Li-Wei Chien ◽  
Miao-Hsiang Lin ◽  
Hsueh-Yu Chung ◽  
Chi-Feng Liu

This study aimed to evaluate the effect of transcutaneous electric acupoint stimulations (TEAS) on body composition and heart rate variability (HRV) in postmenopausal women with obesity. In this prospective study, 49 postmenopausal women were recruited in Taiwan. Body composition was used as a screening test for obesity (percentage body fat > 30%, waist circumference > 80 cm). The experimental group (n= 24) received TEAS treatment 30 min twice per week for 12 weeks at the Zusanli (ST 36) and Sanyinjiao (SP 6) acupoints. The control group (n= 25) did not receive any intervention. The study of HRV was analyzed by time (standard deviation of the normal-to-normal (NN) intervals (SDNN) and square root of the mean squared differences of successive NN intervals (RMSSD) indices) and frequency domain methods. Power spectral components were obtained at low (LF) and high (HF) frequencies. Body composition and HRV values were measured at the 4th, 8th, and 12th weeks. A total of 40 subjects completed this study. Waist circumference and percentage body fat in the experimental group (n= 20) were significantly less than those of the control group (n= 20) at the 8th and 12th weeks (allP< .05). Additionally, at the same time points, percentage lean body mass in the experimental group was significantly greater than that in the control group (P< .05). SDNN values increased significantly at the 4th and 8th weeks when compared with the control group (allP< .05). At 12 weeks, SDNN value was not significantly different from that of the control group (P= .105). TEAS treatment improves body composition, and has a transient effect on the HRV in postmenopausal women with obesity.


Sensors ◽  
2018 ◽  
Vol 18 (8) ◽  
pp. 2469 ◽  
Author(s):  
Daniele Di Lernia ◽  
Pietro Cipresso ◽  
Elisa Pedroli ◽  
Giuseppe Riva

In this paper, we describe and test a new portable device that is able to deliver tactile interoceptive stimulation. The device works by delivering precise interoceptive parasympathetic stimuli to C-tactile afferents connected to the lamina I spinothalamocortical system. In humans, interoceptive stimulation can be used to enhance heart rate variability (HRV). To test the effectiveness of the device in enhancing HRV, 13 subjects were randomly assigned in a single-blind between-subjects design either to the experimental condition or to the control condition. In the experimental condition, subjects received stimulation with the developed device; in the control condition subjects received stimulation with static non-interoceptive pressure. Subjects’ electrocardiograms (ECG) were recorded, with sampling at 1000 Hz for 5 min as a baseline, and then during the stimulations (11 min). Time domain analyses were performed to estimate the short-term vagally mediated component (rMSSD) of HRV. Results indicated that the experimental group showed enhanced rMSSD, compared to the control group. Moreover, frequency domain analyses indicated that high frequency band power, which reflects parasympathetic activity in humans, also appeared to be enhanced in the experimental group compared to control subjects. Conclusions and future challenges for an embodied perspective of rehabilitative medicine are discussed.


Author(s):  
Alexandr V. Yashkov ◽  
Svetlana Y. Statskaya ◽  
Alexandr B. Popolitov

BACKGROUND: Despite the wide prevalence of arterial hypertension in modern society, including in the Russian population, patients sometimes do not suspect the presence of the disease, and among patients with an established diagnosis, drug therapy has low effectiveness. AIMS: Of the study was to study the effect of dry carbon dioxide baths and ozone therapy on heart rate variability and reocardiography in patients with hypertension. MATERIALS AND METHODS: We observed 71 patients with stage I hypertension and grade 12 arterial hypertension. Patients were randomly selected into three groups: in the control group (n=18), patients received complex spa treatment, including diet, physical therapy, massage of the collar area and aromatherapy; in the comparison group (n=20) basic spa therapy and dry carbon dioxide baths; in the main group (n=33) basic spa therapy, ozone therapy and dry carbon dioxide baths. RESULTS: The combined use of dry carbon dioxide baths and ozone therapy in the complex treatment of patients with hypertension in sanatorium conditions is accompanied by a significant improvement in heart rate variability and central hemodynamics. CONCLUSION: Complex spa treatment of patients with hypertension with the additional appointment of dry carbon dioxide baths and ozone therapy helps to reduce the tension of the central mechanisms of regulation of the cardiovascular system, restore vegetative balance and vascular tone.


2016 ◽  
Vol 9 (9) ◽  
pp. 67 ◽  
Author(s):  
Cengiz Taskin

<p class="apa">The aim of study was to examine the effect of eight weekly aerobic exercises on auditory reaction time and maxvo<sub>2</sub> in visual impairments. Forty visual impairment children that have blind 3 classification from the Turkey, experimental group; (age=15.60±1.10 years; height=164.15±4.88 cm; weight=66.60±4.77 kg) for twenty subject and control group; (age=15.40±1.09; height=166.30±3.87 cm; weight=65.20±3.94 kg) for twenty subject, participated as volunteer in this research. The audio reaction time in dominant hand assessments were made by Newtest 1/1000 sensitive reaction timer. This study that used the 20-m shuttle run test to estimate peak oxygen consumption (VO<sub>2</sub>max) for visual impairment children in experimental and control groups on a wooden gymnasium floor. Exercise intensity was determined according to the workload reached during the maximal graded exercise test. Reserve heart rate was calculated as the difference between peak and resting heart rate, multiplied by the intensity of exercise and added to resting heart rate, according to the Karvonen method. MaxVO<sub>2 </sub>was significantly different between experimental and control group in pre-test (P&lt;0.05). On the other hand, auditory reaction time was insignificant differences between experimental and control grouping pre-test (P&gt;0.05). Auditory reaction time and MaxVO<sub>2 </sub>was significantly different between pre-test and post-test in experimental group (P&lt;0.05). On the other hand, auditory reaction time and MaxVO<sub>2</sub>was insignificant differences between pre-test and post-test in control group (P&gt;0.05). In conclusion, regular aerobic training programs in visual-impaired ones will lead to improvements in auditory reaction time and maximal oxygen capacity and sweep their disadvantages in comparison to their peers.</p>


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