Physical Activity and Heart Rate Variability Among Middle Age to Older Adults with Heart Failure: The State of Science
Keywords:
Physical activity, Heart rate variability, Autonomic nervous system, Heart failureAbstract
Physical activity or exercise relates to the physiological responses especially in heart rate variability (HRV). HRV is a predictor of prognosis of heart failure and cardiac functions. However, little is known about the relationship of physical activity, HRV improvement and autonomic regulation in heart failure of older adults. The purpose of this state of science review is to synthesize the evidence that shows the effects of physical activity or exercise, HRV and physiological outcomes.
The literature searched includes 12 studies from four electronic databases (PsycInfo, Pubmed, Scopus, and CINAHL). The findings revealed that physical activity or exercise will improve HRV. This review showed that physical activity improves cardiac autonomic function (nerohormornal activation, sympathetovocal balance, baroreceptor reflex) and inhibits alpha 2 antagonist to improve HR reserve and RR intervals and prevent premature ventricular contraction (PVC).
However, the level of physical activity and intensity are not clear. Tailored interventions or community-based programs will be effective in order to maintain physical activity and functional outcomes. A higher HRV is related to the functional capacity compared to the lower. Therefore, healthcare providers should regularly assess heart rate variability among heart failure patients to determine the threshold and recovery for physical functioning in regards to the stress form physical activity.
References
Felber Dietrich, D., Schindler, C., Schwartz, J., Barthelemy, J.C., Tschopp, J.M., Roche, F., . . . Ackermann-Liebrich, U. (2006). Heart rate variability in an ageing population and its association with lifestyle and cardiovascular risk factors: results of the SAPALDIA study. Europace, 8(7), 521-529.
Gademan, M.G., Swenne, C.A., Verwey, H. F., van der Laarse, A., Maan, A.C., van de Vooren, H., . . . van der Wall, E.E. (2007). Effect of exercise training on autonomic derangement and neurohumoral activation in chronic heart failure. Journal of Cardiac Failure, 13(4), 294-303.
Galetta, F., Franzoni, F., Tocchini, L., Camici, M., Milanesi, D., Belatti, F., . . . Santoro, G. (2013). Effect of physical activity on heart rate variability and carotid intima-media thickness in older people. Internal and Emergency Medicine, 8 Suppl 1, S27-29.
Goernig, M., Schroeder, R., Roth, T., Truebner, S., Palutke, I., Figulla, H.R., Leder, U., & Voss, A. (2008). Peripheral arterial disease alters heart rate variability in cardiovascular patients. Pacing and clinical electrophysiology: PACE, 31(7), 858–862.
Guiraud, T., Labrunee, M., Gaucher-Cazalis, K., Despas, F., Meyer, P., Bosquet, L., . . . Pathak, A. (2013). High-intensity interval exercise improves vagal tone and decreases arrhythmias in chronic heart failure. Medicine and Science in Sports and Exercise, 45(10), 1861-1867.
Huikuri, H.V., & Stein, P.K. (2013). Heart rate variability in risk stratification of cardiac patients. Progress in Cardiovascular Disease, 56(2), 153-159.
Jakovljevic, D.G. (2018). Physical activity and cardiovascular aging: Physiological and molecular insights. Experimental Gerontology, 109, 67–74.
Kiselev, A.R., Gridnev, V.I. & Posnenkova, O.M. (2013). Dynamics of low-frequency oscillations in heart rate in chronic heart failure patients during load tests under 0.1 Hz controlled breathing. Health Science Journal, 7(1), 90-98.
Neves, V.R., Kiviniemi, A.M., Hautala, A.J., Karjalainen, J., Piira, O.P., Catai, A.M., Mäkikallio, T.H., Huikuri, H.V., & Tulppo, M.P. (2011). Heart rate dynamics after exercise in cardiac patients with and without type 2 diabetes. Frontiers in physiology, 2, 57.
Lai, F.C., Chang, W. L., & Jeng, C. (2012). The relationship between physical activity and heart rate variability in orthotopic heart transplant recipients. Journal of Clinical Nursing, 21(21-22), 3235-3243.
Madden, K.M., Levy, W.C., & Stratton, J.K. (2006). Exercise training and heart rate variability in older adult female subjects. Clinical and investigative medicine. Medecine clinique et experimentale, 29(1), 20–28.
Meredith, S.J., Cox, N.J., Ibrahim, K., Higson, J., McNiff, J., Mitchell, S., … Lim, S.E.R. (2023). Factors that influence older adults' participation in physical activity: a systematic review of qualitative studies. Age and ageing, 52(8), afad145.
Murad, K., Brubaker, P.H., Fitzgerald, D.M., Morgan, T.M., Goff, D.C., Jr., Soliman, E.Z., . . . Kitzman, D.W. (2012). Exercise training improves heart rate variability in older patients with heart failure: a randomized, controlled, single-blinded trial. Congestive Heart Failure, 18(4), 192-197.
Nakayama, N., Negi, K., Watanabe, K., & Hirai, M. (2014). Life activities improve heart rate variability in patients with mild hypertension and/or the initial stage of heart failure. Journal of Clinical Nursing, 23(3-4), 367-373.
Nicolini, P., Ciulla, M.M., De Asmundis, C., Magrini, F., & Brugada, P. (2012). The prognostic value of heart rate variability in the elderly, changing the perspective: from sympathovagal balance to chaos theory. Pacing and Clinical Electrophysiology, 35(5), 622-638.
Perini, R., Milesi, S., Fisher, N.M., Pendergast, D.R., & Veicsteinas, A. (2000). Heart rate variability during dynamic exercise in elderly males and females. European Journal of Applied Physiology, 82(1-2), 8-15.
Piotrowicz, E., Buchner, T., Piotrowski, W., & Piotrowicz, R. (2015). Influence of home-based telemonitored Nordic walking training on autonomic nervous system balance in heart failure patients. Archives of Medical Science, 11(6), 1205-1212.
Reis, M. S., Arena, R., Archiza, B., de Toledo, C. F., Catai, A. M., & Borghi-Silva, A. (2014). Deep breathing heart rate variability is associated with inspiratory muscle weakness in chronic heart failure. Physiotherapy research international: The journal for researchers and clinicians in physical therapy, 19(1), 16–24.
Reis, M. S., Arena, R., Deus, A. P., Simões, R. P., Catai, A. M., & Borghi-Silva, A. (2010). Deep breathing heart rate variability is associated with respiratory muscle weakness in patients with chronic obstructive pulmonary disease. Clinics, 65(4), 369–375.
Rossi Caruso, F.C., Arena, R., Mendes, R.G., Reis, M.S., Papa, V., & Borghi-Silva, A. (2011). Heart rate autonomic responses during deep breathing and walking in hospitalised patients with chronic heart failure. Disability Rehabilitation, 33(9), 751-757.
Routledge, F.S., Campbell, T.S., McFetridge-Durdle, J.A., & Bacon, S.L. (2010). Improvements in heart rate variability
with exercise therapy. The Canadian journal of cardiology, 26(6), 303–312.
Sandercock, G.R., Grocott-Mason, R., & Brodie, D.A. (2007). Changes in short-term measures of heart rate variability after eight weeks of cardiac rehabilitation. Clinical Autonomic Research, 17(1), 39-45.
Schlagintweit, J., Laharnar, N., Glos, M., Zemann, M., Demin, A.V., Lederer, K., … Fietze, I. (2023). Effects of sleep fragmentation and partial sleep restriction on heart rate variability during night. Scientific Reports, 13(1), 6202.
Sessa, F., Anna, V., Messina, G., Cibelli, G., Monda, V., Marsala, G., … Salerno, M. (2018). Heart rate variability as predictive factor for sudden cardiac death. Aging, 10(2), 166–177.
Soares-Miranda, L., Sattelmair, J., Chaves, P., Duncan, G., Siscovick, D.S., Stein, P.K., … Mozaffarian, D. (2014). Physical activity and heart rate variability in older adults: The cardiovascular health study. Circulation, 129(21), 2100-2110.
Souza, H.C.D., Philbois, S.V., Veiga, A.C., & Aguilar, B.A. (2021). Heart rate variability and cardiovascular fitness: What we know so far. Vascular health and risk management, 17, 701-711.
Whittemore, R., & Knafl, K. (2005). The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546-553.
Woo, M.A., Moser, D.K., Stevenson, L.W., & Stevenson, W.G. (1997). Six-minute walk test and heart rate variability: lack of association in advanced stages of heart failure. American Journal of Critical Care, 6(5), 348-354.
World Health Organization (2015). Global strategy on Diet, physical activity, and health: Physical activity and older adults. Retrieved December 20, 2023, from http://www.who.int/dietphysicalactivity/factsheet_olderadults/en/
World Health Organization (2022). Physical activity. Retrieved December 20, 2023, from https://www.who.int/news-room/fact-sheets/detail/physical-activity
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