Title Parasympathetic reactivation after maximal CPET depends on exercise modality and resting vagal activity in healthy men.
Author Cunha, Felipe A; Midgley, Adrian W; Goncalves, Thiago; Soares, Pedro P; Farinatti, Paulo
Journal Springerplus Publication Year/Month 2015
PMID 25793148 PMCID PMC4359698
Affiliation + expend 1.Medical Sciences Graduate Program, Faculty of Medical Sciences, University of Rio de Janeiro State, Rio de Janeiro, Brazil ; Institute of Physical Education and Sports, Laboratory of Physical Activity and Health Promotion, University of Rio de Janeiro State, Rio de Janeiro, Brazil.

PURPOSE: The main purpose of this study was to investigate parasympathetic reactivation of the heart [evaluated through heart rate recovery (HRR) and HR variability (HRV)] after maximal cardiopulmonary exercise testing (CPET) using three different exercise modalities. METHODS: Twenty healthy men, aged 17 to 28 yr, performed three maximal CPETs (cycling, walking, and running) separated by 72 h and in a randomized, counter-balanced order. HRR was determined from the absolute differences between HRpeak and HR at 1-3 min after exercise. The root mean square of successive R-R differences calculated for consecutive 30-s windows (rMSSD30s) was calculated to assess the parasympathetic reactivation after maximal CPET. RESULTS: Lower HRpeak, VO2peak and energy expenditure were observed after the cycling CPET than the walking and running CPETs (P < 0.001). Both HRR and rMSSD30s were significantly greater during recovery from the cycling CPET compared to the walking and running CPETs (P < 0.001). Furthermore, Delta rMSSD (i.e. resting minus postexercise rMSSD every 30 s into the recovery period) was positively related to the resting high-frequency component (HF), rMSSD, and standard deviation of all normal R-R intervals (SDNN) (rs = 0.89 to 0.98; P < 0.001), and negatively related to the resting low-frequency component (LF) and sympathovagal balance (LF:HF ratio) after all exercise conditions (rs = -0.73 to -0.79 and -0.86 to -0.90, respectively; P < 0.001). CONCLUSIONS: These findings support that parasympathetic reactivation after maximal CPET (as assessed by HRR and rMSSD30s) depends on exercise modality and cardiac autonomic control at rest.

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