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Cardiac Control: Anthropology
Cardiac Control: Anthropology
Cardiac Control: Anthropology
,JollTTialof
PHYSIOLOGICAL
ANTHROPOLOGY
Suzukii),Katsuhiro
Shigehiro Sumi2) and Michitaka Matsubara3)
ijepsp
RieultyofScience
& 7lechnologrl
Meijo University
SchoolofJnternatienalLibernl
Studies,
Chutvo Uhivensity
Department ofNkurotagnl
Mrgo.va & SPorts
CityRehabilitation Center
runners using frequency analysis of HRM ]beenty-two female 2003;Kannankeril et al.,2004;Pierpont et al.,2000).Imaiet
young (n;1I; YG) and middle-aged (n=11; MG) distance al, (1994) reported that the HR recovery 30 seconds
runners participated in thisstudy The two groupsperformed irnmediately after exercise was strongly influenced by the
incremental cycle exercise with progressive intensity until vagus nerve activitM not by thedecrease in sympathetic nerye
exhaustion. The RrR intervals were processed by the activity. Kannankeril et al. (2004)
also reported that cardiac
maximum entropy methed fordetermination of HF power on parasympathetic nerve activity increasedone minute after
successive 7-secondsegments of 70 seconds of the recovery exercise. The results of these previous studies (Imai et al.,
period.In the YG, theHF power of the second 7-secsegment 1994;Kannankerilet al., 2004) suggest that reactivation of
showed significantly higher values than the 7sec before parasympathetic nervous activity after exercise occurs to a
cessation of exercise ip<O,O05), whereas the MG exhibited considerable degree during the early recovery period
significantly highervalues inthe thirdsegment (p<O.O05), The immediately after exercise, However, itdoesnot seem thatthe
YG indicated significantly higherHF power than the MG in timing hasbeenfuIIy examined.
the fifth segment (p<O.O045), These findings suggested the Heartrate variability (HR]V) iswidely used as an indexto
occurrence efparasympathetic reactivation at an car]ier period assess cardiac autonomic nervous activity noninvasively Many
compared to the previous findings. Multipleinfiuences of researchers havc exarnincd the autonomic nervous activity
[DOI:
10.2114ijpa2.27.325] method (Macor et al., 1996; Murasato et al., 1998; Sumi et al.,
Keywords: heartrate recovery, autonomic nervous system, 1994),which do not depend on stationary data,have been
maximum entropy method developed. These newer methods make itpossible to assess
autonomic nervous activity based on a short-term R-R
intervat, Sincethe lowerfrequencylimitofthe high-frequency
Introduction (HF) component of HRM which is the index of cardiac
parasympatheticnervous activity (Task Force of the European
The heartrate (HR)is antagonistically controlled by the Society of Cardiologyand the North American Society of
sympathetic the autonomic nervous
activity of system and the Pacing and Electrophysiology,1996),is O.15Hz, the required
parasympathcticbranchof the vagus nerve. The increase in shortest time-series data length to assess HF power is
HR duringexercise isbroughtabout by the inhibitionof the appreximately 7 seconds (1seclO.15), By analyzing a 7-second
vagus nerve and the activation of thesympathetic nervous segment using the newer methods, itispossibleto evaluate HF
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rate intrainedfemale subjects (Duet al,,2005), The possible constant during Followinga 3-minrest, the subjects
the test,
factors
related to post-exerciseHR recovery are age and perforrncd a 2-min warm-up pedalingat OXM and then
athletic level(Buchheit and Gindre, 2006; Darr et al., 1988; exercised with progressiveintensityuntil a subject could no
Lipsitz et al., 1990; Shannon et al., 1987; Yamasaki et al., longermaintain the pedaling rate (volitional exhaustion). The
1996). Darr et al. (1988) reported that trajned subjects, work load was increased by 20W・min-i. The pedaLing
irrespectiveof age, demonstrated a significantly fasterHR frequency was set at 50 rev・ min-T. Irnrnediately
after cessation
recovery than untrained subjects, Increasingage rcsulted in a of exercise, the subjects were instructed
to stop pedalingand to
slower decline of heartrate after exercise (KDstis et al,, 1982), stay on for2min, No
the ergometer attempt was made to
Therefore,post-exerciseHR recovery of a young group with control breathing
frequency
duringand after the test,
Alltests
high athlctic levelsis infiuenced by the status of age and were conducted in a centrolled environment with proper
athletic leve]. It is expected thatthe post-exercise HR wM experimental design.
During the tests,all subjects were
recover earlier than thatof older runners. The significance of mentally andphysically fit.
this study is to findthe timing of parasympathetic reactivation Oxygen uptake was obtained using an Oxycon-a automatic
after exercise using a newer method and to obtain newer online breath-by-breath system (Jaeger, Mljnhard by
findings on the cardiac autonomic modulation in female Netherlands). The system isadapted forexpired and inspired
distancerunners, volumes, Breath-by-breath datawere averaged to provideone
This study aims to assess the cardiac autonomic nervous datapointfbreach 30-secperiod.This was subjected to a
activity immediately after exercise in femaledistance runners three-way calibration process,involving
a flowvolume sensor,
by using the newer method of frequencyanalysis of HR]l Itis gas analyzer, and de]aytime calibration. The flowvolume
hypothesized thatthe timing of recovery of HF power can be sensor calibration ensures that a measuring system of thc
distinguishedby analyzing a shorter time segment than was Oxycon (consisting the amplifier, TripleM and pressure
of
done in previous studies (Imai et al., I994; Kannankeril et a],, transducer)is functioning correctly. A calibrated 3-L syringe
2004), even in the change in HR with time immediately after connected to the [[tiple V assembly was used, A series of six
exercise. Funherrnore, the timing of recovery of HF power in complete pumps of the syringe was repeated until thepercent
highlytrained young femalerunners isfaster than in well- difference betweenthecurrent and previous volume calibration
trained middle-aged femalenmners. was less than 1%. The gasanalyzer and delaytime calibration
involvedan automated calibration procedure (Carter and
the test,respcctively. Thc subjects wcre informcdabout the obtained every indirectautomatic manometer
minute with an
aim of the study and itspossible risks, and all gave their (STBF-680E
CollinDenshi, Aichi,Japan).
written infbrrned consent beforeentering thc study. This study
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the recovery. The measured R-R interval time series data considered thattotalpower immediately after exercise was as
were then transferred by an AD converter (AD12-8(PM),lowas thatduringcxercisc and confirrned thecentral frequency
CONTEC, Osaka, Japan) from the ECG to a personal in the power spectrum. Furthermore, BR during the testwas
computer (XexIO VGN-T91PSY SONYI Ibkyo, Japan) with a measured by automatic an online breath-by-breathsystem. The
sampling rate at 1 kHz. Based on theR-R interval
timeseries peak frequency
range of HF power was determined
basedon
data,a time series analysis system (MemCalc,
Suwa TTust, the results ofthese caleulations.
removed thevalues, which were not adequate as human R-R 1994),Post-hoctestingusing a Bonferroniadjustment was
intervals (less than 272msec, more than 3000msec).If the used to assess specific differences between 7sec before
ectopic beatswere mixed inbetweennormal R waves, they cessation of exercise and 70see of the recovery period and
were removed and made primaryR-R intervals, In thisstudy, between-groupcomparisons at the same time points,The
the total numbers of R-R intervals removed from each results ofLilliefbrs testrevealed thatno normality concerning
subjeet's original data were 22,5± 18,82 in the YG and HRV parameterswas obtainea so that non-parametric tests
6.5± 7.61in theMG. The outliers of theoriginal datawere were used. As regards resting value and each segment ofHF
O.9± O.72% in the YG and O,2± O.24% in theMG. Sincethe powerbetween7 sec befbrecessation of exercise and 70 sec of
R-R interval time series datawere unequally spaced they were the recovery periodthe comparisen betweenbothgroupswas
made even. The function of MemCalc isto interpolate datato performedusing a Mann-WhitneyU test.A Wilcoxon signed-
even it out. That is,it connects anteroposterior data dots raTik testwith Bonferroni correction was employed in the pair-
linearly and sets the height of the dotto where the straight line wise comparisons between7sec beforecessation of exercise
crosses the vertical line. The latter was taken at the observed and each successive time pointin each group.The significant
tirne and observed value. We resampled the data at even differencebetween the proponionsof the tenth 7 sec segrnent
intervals fromthe R-R interval time series data,which became of HF (HF6].7e) to the resting value in both groups was
a continuous function. The resampling frequencyat rest was 1 assessed using a chi-square test for independence.The ]evelof
Hz,and thedataduringexercise and recovery was 3.33Hz, sigriificance was set at p<O,05, Data were analyzed using
The resting value was calculated as theaverage value taken StatVicwJ5.0and SPSS 15.0JforWindows.
oyer a 3-minperiodin sitting position on the cycle ergometer
Thc HF power spectrum (ms2) was set as the sum of the significantly longer in the MG ip<O,OOOI), but current
powerfromO,15to O.4Hz at rest.The HF power fromthe peak training status was significantly higherintheYG (P<O.OOO1).
of exercise to the end of the recovery period was set between Therewas a significant groupsXtime points interaction fbr
O.IS and 1.0Hz,dependingon the subjects. The upper limit of HR [F(2.390, 47.794)=26.100;p<O.OOI; Greenhouse-Geisser
the frequency range was altered by respiratory frequency correction applied; Fig.1],The HR in bothgroups decreased
becauseHF power was infiuenced by respiratory activity immediately after exercise, Inthe YG, HR of the second 7-sec
(Hirsh and Bishop, 1981). During high-intensity exercise, the segment (HR7-m) indicated a significantly lowerlevelthan
central frequency responded to respiratory frequcncy even if HRp,ak (p<O,O05), whereas, inthe MG, HR,4n, demonstrated a
tota1power was low (Sumi et al., 2006), In this studM we significantly lower level than HRp,,k (p<O・O05)・ HR,,,,kWaS
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Table 1. Churacteristicsefsubjects
YG(n=:11) MG {n 11)
==
lgo (496.5f650.8)
inthe YG 5,8% (8.71150.6)
and intheMG. This
differenccwas statistically significant (x2=84,OO1, p<O.OO1).
160
In the comparison betweenboth groups,the YG indicated
significantly highervalues after HF2s 3s ip<O.O045).
A 140ge
Therewas a significant gToupsXtime points interaction fbr
12ooEE BR [F(2.949,58.979) 29,244;p<O,OO1; Greenhouse-Geisser
==
proponionsof HFG]"o to the resting value were 76.3% (Kannankeril and Goldbcrger, 2002).Thatis,duringexercise
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Suzuki,S et al.JPh.vsiolAnthiepol,
27:325-332,2008 329
Ta'ble2.High-frcquencycomponentefheartratevariabilityimmediatelyafterexercise
Timesegment
HF power (ins2) pvalue
Csec) MG
YG(n=11) Ma(n=11) vs. Peak {YG}vs. Pcak (MG)YG vs.
Time segment
Breathing rate (tirneslmin) p value
Valuesare means ± SD; YG, youmg group; MG, middle-aged group. The results frem the repeated-measures two-way ANOVA for the bTeathingrate data
demonstrated thatthere was a signthcant groupXtime interaction(F (2.94Y, 58.979)=29.244; p<O,OOI; Greenhouse-Geisser correction applicd). Alpha
levelswere adjusted by the Bonferreni tcchnique forcomparisons at ten time points between7sec beforecessation ofexeTcise (Peak)
forspeeific differenee
in young group(i,e,, group(i.c.,
gp<O.OS/10=O.O05), and eleven time points
'p<O.05AO=:O.O05)
and 70secof thc rccovery period the and rn{ddle-aged
forbetween-groupdifTerences(i.c.,tp<O.OSIII=O.O045).
the decreascin parasympathetic nervous activity and the nervous system reactivation appeared after HR reached lower
increase
in sympathetic nerve activity result in therise ofHR. levels,
In contrast, after exercise, HR is decreasedby interaction We think that the methods and segment of analysis are
betweenthe inhibition of the sympathetic nerve activity and different from the findingsof these studies. The previous
parasympathetic reactivation (Goldberger et al., 2006; Pierpont studies examined a segment datasetting after exercise between
and Xloth,2004), However, there isno agreernent of findings 15 and 60 seconds (Goldberger et al.,2006;]mai et al., 1994).
concerning the timing of change of the autonomic nervous Tn the current studM HR decreasedup to 55.1% of HR.,,.in
system. The previous stud{es stated that vagus nerve activity only 70 seconds after exercise inthc YG and 76.6% intheMG.
was reactivated immediately after exercise (Arai et al., 1989; Therefbre, inorder to assess the cardiac autonomic modulation
Imai et al., 1994) and was associated with the exponential mechanism, which changes from moment to moment, data
decline ofcardiac activity (Nishime et al,, 2000;Perini et al., lengthfbranalysis should be as short as possible. The 7-sec
1989). On the other hana Savin et al. (1982) reportcd thatthe segment used in our study isthe shortest datalengthto detect
reduction in sympathetic nerve activjty contributed greatly to HI7 using frequencyanalysis. Heretofbre, HR recovery has
HR recovery immediately after exercise and parasympathetic been a clinically important indexto evaluate possible mortality
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al.,2000).However,HR recovery cannot bc used as an index In thisstudM HF power inYG started to recover ear!ier A,han
ofthe assessment of parasympatheticreactivation becauseitis in MG. The result suggests thatfactors such as age, physical
influencedby sympathetic fitness, and training status influence the timing ofHF recovery
and parasympathetic nervous
activity (Kannankeril et al.,2004),On the other hand since the in female distancerunners, Previous studies showed the
conventional techniques such as FFT and AR need stationary influence of age on parasympathetic modulation of HR by
data,thcy could not be used duringrccovery after exercise, estimating HF power (Stratton et al.,2003). Darr et al. (1988)
Thcrefbre, validity is doubtfu1in the assessment of cardiac indicatedthattrained subjects demonstrateda significantly
autonomic modulation mechanisms using these techniques. fasterHR recoyery than untrained subjects, which was
RecentlMKaiklconen et al. (2007), and Martinmtiki and R/usko particularly marked duringfast-phase recoyery, Buchheitand
(2008) jnvestigated the acute rccovery of HRV by analyzing Gindre (2006) reported a significant relationship betweenHR
minute-by-minute values immediate]y after different jntensity recovery and trainingloadcstimated by the Baeckesport score.
exercises using the Short-time Fourier transfbrm,which jsan Therefbre, multiple infiuencesof thesefactors to HF recovery
extension of theFFT,However,spectral powerswere averaged afier exercise are suggested, A future examination isrequired
for each successive 60-sec periodin thc methods of the to examine the factor which reflects most strongly the timing
aforementioned study, We stM believethat a preeisc ofHF recovery or the presenceof other factors.
descriptionof HI(V dynamics immediately after exercjse The validity of themethod used in our study was verified by
caniiot be provided through such a long time segment (i.e., 1 our investigation ofpossible djfl}]rentiation of HF recovery in
min). Goldberger et al, (2006) recently examined HRV using the subject groups with different properties. With respect to the
the time-domain method and revealed thatthe effect of the occurrence of parasympathetie reactiyatjon after exercise, it
parasympathetic nervous system appeared 30 seconds after remains unclear becausethe time varies wildly from 30
exercisc, We provedthatHF powcr increases within 30 seconds seconds (Imai et al., 1994)to one minute (Kannankeril et al.,
after excrcise in both groups.It indicates that frcquency 2004),In this studM we were able to detectthe timingof
analysis ofHRV using themaximum entropy method can also reactivation with more detailedscales by measuring HF
detectaspects of change in autonomic nervous activity after recovery as one segment fbr 7 seconds compared to previous
cxerclse. studies.In spite of the differeneesin age and athletic level
In this studM HRV was observed for 70 seconds after among the subjects, the differencein timing of HF recovery
exercise, which isa shorter time compared to previous studies, was just one segment (YG:HF7.i4, MG: HFi4.2i).However,
e.g., Martinrnaki and Rusko (2008), which observed HRV for thisis not a small difference becauseHF is infiuenced by
10 minutes after exercise and Kaikkonen et al, (2007) and respiration (Hirsh
and Bishop,1981).Thc BR of YG was
Goldberger et al. (2006), which observed HRV for5 minutes approximately 3.4times (29,1/60'7) forthe 7-secsegment of
after exercise. Thisiswhy thisstudy aims to findthe mutation HF7.i4,while thatof MG was approximately 4.4 timcs
point when HF power begins to increase,whjch is (37.9/60*7) fbr the 7-sec segment of HF,4 ,,. Considering the
demonstrated at a near-zero level duringexercise, HF recovery results, a differencc up to 14 second in time pointwhen the
ofboth groupsfbr70 seconds shows a small value, HF after 70 eardiac vagus nerve activity ofboth groupsstarted te reactivate
seconds dcmonstrates 76.3% at rest in the YG and only 5.8% is possible.Therefore,the detectionof fUrtherdetailcd
in the MG, However,the discovery of the mutation pointsof differences remains to be solved, However,the method used in
bothgroupswill providea basisto predict modulation of HR this study showed validity in evaluating eardiac autonomic
recovery after exercise. Earlyrecovery ofHF immediately after nervous activity becausewe could detect more detailed timing
exercise could be observed becausewell-trained subjects were ofthe reactivation and the difference betweentwo groupswith
examined in thisstudy. The characteristics of trainingand age differentcharacteristics.
of the subjects require a longer analysis time,
The time pointthat jndicatcda significant increaseor Mlethodologicallimitations
decreasein each peak of HR and HF after exercise in both This study hasdiscovered threemethodological limitations.
groupswas thc same, (Reference to Fig. 1 and Table 2), The First,HRY indicates yariability of the R-R interval, not an
strong association of parasympathetic nervo"s activity with indexfordetermination of cardiac autonomic nervous activity
theideathatHF issynchronous with a change intidalvolume physiological verification fbr the HI(V index in autonomic
or breathingfrequency (Hirshand Bishop, 1981). It is nervous activity immediately after exercise, including the
confirmed that the main driverofHRV even immediately after influenceofmedical agents,
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(2005)
indicated Goldberger
JJ,Le FK LahiriM, Kannankeri] PJ,Ng J,Kadish
rlahara
exercise was not examined. et al. a
indicated that direct stirnulation of the central chemoreceptor exercise. Am J Physiol Heart Circ Physiol 290:
by C02 increases the ampljtude of respiratory arrhythrnia H2446-H2452
and Aguilaniu,2006). Therefbre,this study indicates
<Peronnet Hayano J,[[ajrlor
JA, Mukai S, Okada A, Watanabe Yl Takata
that HF power is influenced not only by vagus nerve activ{ty K, FiijinamiT (1994) Assessment of frequencyshifts in
butalso by reflex enhancement. R.R interval variability and respiration with complex
Thirathc LF (sumof the power from 0.04to O.15Hz)fHF demodulation.
J Appl Physiol77i2879-2888
ratio refiects the balance of sympathetic and parasympathetic HirschJA, BishopB (1981) Respiratory sinus arrhythmia in
nervous activity (fask Force of the European Societyof humans:how breathing patternmodulates heartrate, Am J
Cardiologyand the North American Societyof Pacing and Physiol241: H620-H629
ElectrophysioTogyl 1996).Inthe presentstudy, a 7-secsegment ImaiK, SatoH, HoriM, Kusuoka H, OzakiH, Ybkoyama H,
isanalyzed in order to examine parasympathetic reactivation. Takeda H, Inoue M, Kamada T (1994) Vagal]ymediated
The segment data of 25 sec (1secfO.04) at the earliest is heartrate recovery after exercise is accelerated in athletes
needed to estimate LF power.Therefbre, the influences of butbluntedinpatientswith chronic heartfailure. j Am Coll
sympathetic nerve activity and sympathovagal balance Cardiol24: 1529-1535
immediately after exercise are net clear. JavorkaM, ZilaI,BalharekT, JavorkaK (2003) On- and off-
responses of heartrate to exercise-relations to heartrate
Acknewledgements Thisstudy was partly supported by a variability,ClinPhysiolFunctImagjng23:1-8
Grant-jn-Aid Research(C)of the Japan Society KaiklconenR Nummela A, Rusko H (2007)
fbrScientific Heart rate
fbrthe Promotionof Science(No17500486), variability dynamicsduring ear]y recovery after d{fTerent
endurance exercises. Eur J App] Physio] 102: 79-86
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