Improvement of Sympathovagal Balance by Regular Exercise May Counteract the Ageing Process. A Study by the Analysis of QT Variability.

QT interval variability ageing athletes autonomic nervous system complexity half-marathon heart rate variability physical exercise

Journal

Frontiers in physiology
ISSN: 1664-042X
Titre abrégé: Front Physiol
Pays: Switzerland
ID NLM: 101549006

Informations de publication

Date de publication:
2022
Historique:
received: 21 02 2022
accepted: 04 04 2022
entrez: 6 5 2022
pubmed: 7 5 2022
medline: 7 5 2022
Statut: epublish

Résumé

QT interval (QT) variability analysis provides pathophysiological and prognostic information utilized in cardiac and non-cardiac diseases, complementary to those obtained from the analysis of heart period (HP) variability. An increased QT variability has been associated to a higher risk for cardiac events and poorest prognosis. Autonomic cardiovascular adaptation to internal and external challenges, such those occurring in athletes exposed to high levels of physical stress and in ageing could also be deepen by analyzing QT variability, searching for early prognostic signatures. The aim of the study was to analyze the QT variability and cardiac control complexity in a group of middle-aged half-marathon runners at baseline (B) and at a 10-year follow-up (FU). We found that the overall QT variability decreased at FU, despite the inescapable increase in age (52.3 ± 8.0 years at FU). This change was accompanied by an increase of the HP variability complexity without changes of the QT variability complexity. Of notice, over the years, the group of athletes maintained their regular physical activity by switching to a moderate intensity rather than strenuous. In conclusion, regular and moderate exercise over the years was beneficial for this group of athletes, as reflected by the decreased overall QT variability that is known to be associated to lower cardiovascular risk. The concomitant enhanced cardiac control complexity also suggests a trend opposite to what usually occurs with ageing, resulting in a more flexible cardiac control, typical of younger people.

Identifiants

pubmed: 35514344
doi: 10.3389/fphys.2022.880250
pii: 880250
pmc: PMC9065681
doi:

Types de publication

Journal Article

Langues

eng

Pagination

880250

Informations de copyright

Copyright © 2022 De Maria, Lucini, Gois, Catai, Perego, Malacarne, Pagani, Porta and Dalla Vecchia.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Pacing Clin Electrophysiol. 1997 Oct;20(10 Pt 2):2614-24
pubmed: 9358509
Circulation. 1991 Aug;84(2):482-92
pubmed: 1860193
Circulation. 2003 Jun 24;107(24):3109-16
pubmed: 12821592
Lancet. 2011 Oct 1;378(9798):1244-53
pubmed: 21846575
PLoS One. 2019 May 7;14(5):e0216567
pubmed: 31063482
Med Biol Eng Comput. 1998 Jan;36(1):35-42
pubmed: 9614746
Med Biol Eng Comput. 2019 Aug;57(8):1753-1762
pubmed: 31187400
Lancet. 2017 Dec 16;390(10113):2643-2654
pubmed: 28943267
Neurobiol Aging. 2002 Jan-Feb;23(1):23-6
pubmed: 11755014
Circulation. 2010 Aug 17;122(7):743-52
pubmed: 20713909
J Cardiovasc Electrophysiol. 1998 Sep;9(9):899-908
pubmed: 9786070
Curr Treat Options Cardiovasc Med. 2018 Aug 28;20(10):84
pubmed: 30155804
Int J Cardiol. 2010 May 28;141(2):122-31
pubmed: 19910061
BMJ Open. 2019 Oct 28;9(10):e032832
pubmed: 31662403
N Engl J Med. 2000 Nov 9;343(19):1355-61
pubmed: 11070099
Cardiovasc Res. 1993 Mar;27(3):482-8
pubmed: 8490949
Am J Physiol Heart Circ Physiol. 2011 Apr;300(4):H1412-7
pubmed: 21257917
J Electrocardiol. 2011 Nov-Dec;44(6):662-8
pubmed: 21908003
Heart. 1997 Apr;77(4):375-7
pubmed: 9155622
Physiol Meas. 2017 Jun 27;38(7):1472-1489
pubmed: 28430108
Physiol Meas. 2013 Nov;34(11):1435-48
pubmed: 24104598
Biol Cybern. 1998 Jan;78(1):71-8
pubmed: 9485587
Am J Hypertens. 1996 Dec;9(12 Pt 1):1147-56
pubmed: 8972884
Open Heart. 2014 Feb 11;1(1):e000005
pubmed: 25332775
Front Physiol. 2020 Nov 09;11:578173
pubmed: 33240101
N Engl J Med. 2012 Jan 12;366(2):130-40
pubmed: 22236223
Europace. 2016 Jun;18(6):925-44
pubmed: 26823389
J Electrocardiol. 2020 Mar - Apr;59:88-92
pubmed: 32023499
Med Biol Eng Comput. 2021 Sep;59(9):1865-1876
pubmed: 34342819
Am J Physiol Heart Circ Physiol. 2010 May;298(5):H1406-14
pubmed: 20154259
Med Biol Eng Comput. 1998 Jan;36(1):27-34
pubmed: 9614745
Circulation. 2001 Apr 24;103(16):2072-7
pubmed: 11319197
Lancet. 1998 Feb 14;351(9101):478-84
pubmed: 9482439
Front Cardiovasc Med. 2022 Feb 03;8:784170
pubmed: 35187105
Front Physiol. 2019 Nov 29;10:1478
pubmed: 31849718
J Appl Physiol (1985). 2018 Mar 1;124(3):791-804
pubmed: 29212671
Open Heart. 2021 Feb;8(1):
pubmed: 33563778
J Am Coll Cardiol. 2004 Oct 6;44(7):1481-7
pubmed: 15464332
J Hypertens. 2017 Aug;35(8):1666-1675
pubmed: 28399043
Circulation. 2015 Apr 21;131(16):1384-91
pubmed: 25847988
Circulation. 2003 Jan 7;107(1):139-46
pubmed: 12515756
Biophys J. 1991 Apr;59(4):945-9
pubmed: 2065195
Physiol Meas. 2013 Jan;34(1):17-33
pubmed: 23242201

Auteurs

Beatrice De Maria (B)

IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy.

Daniela Lucini (D)

BIOMETRA Department, University of Milan, Milan, Italy.
Exercise Medicine Unit, IRCCS, Istituto Auxologico Italiano, Milan, Italy.

Mariana de Oliveira Gois (MO)

Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil.

Aparecida Maria Catai (AM)

Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil.

Francesca Perego (F)

IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy.

Mara Malacarne (M)

BIOMETRA Department, University of Milan, Milan, Italy.
Exercise Medicine Unit, IRCCS, Istituto Auxologico Italiano, Milan, Italy.

Massimo Pagani (M)

Exercise Medicine Unit, IRCCS, Istituto Auxologico Italiano, Milan, Italy.

Alberto Porta (A)

Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Department of Cardiothoracic, Vascular Anesthesia and Intensive Care, Policlinico San Donato, San Donato Milanese, Milan, Italy.

Laura Adelaide Dalla Vecchia (LA)

IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy.

Classifications MeSH