Typological Features of the Heart Rate Autonomic Regulation under Simulating a Rise to a Height by Using Additional Respiratory Resistance

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Abstract

The aim of this work was to study the indicators of heart rate variability (HRV) under conditions of additional respiratory resistance (ADR), as an imitation of climbing to a height, in young men with different types of autonomic regulation. The study involved 715 young men aged 19 to 24 years. HRV parameters were assessed by the method of variational pulsometry (BioMouse). Each subject passed two tests lasting 5 min: background, and under conditions of DDS. An ETM 2.0 resistive mask was used to simulate climbing (ADS simulation), in three altitudes: 3000, 9000, 18000 feet. Each person performed only one test; the height of the lift was not reported to him. Based on the results of background testing, two groups were created: the OB group – with balanced sympathetic and parasympathetic influences on HRV (stress index 25–100 c.u., VLF above 240 ms2), the PT group – with a moderate predominance of parasympathetic (vagal) influences (stress index below 25 c.u., VLF above 500 ms2). In the background testing, the OB group was characterized by higher values of the Bayevsky indices (IVR, VPR, PAPR), reflecting the predominance of sympathetic tone, and the PT group had higher values of the variation range of the duration of R–R intervals, RMSSD, SDNN, pNN50%, which are considered markers of increased vagal tone, and the total power of the HRV spectrum TP. Under conditions of ADR, without taking into account the height of the simulated rise, in the OB group, an increase in indicators correlated with vagal activity was revealed: the range of R–R intervals, RMSSD, SDNN, the HF range in the HRV spectrum, with a decrease in the Baevsky indices (IVR, VPR, PAPR, stress index). The increase in spectral measures of HRV associated with sympathetic activity (LF%) ant TP reached the level of statistical significance only when simulating an ascent to an altitude of 18 000 feet. In the PT group, the changes were oppositely directed: a decrease in correlates of vagal activity and an increase in sympathetic tone, regardless of the height of the lift. However, in both groups, the range of R–R intervals increased the most at 9000 feet, which is critical for the development of mountain sickness. Differences in the autonomic regulation of the cardiovascular system in young men determine the direction and severity of shifts in HRV indicators when simulating a rise to a height. In the OB group under conditions of ADR, when simulating a rise to insignificant heights, the indicators associated with vagal activity increase, with an increase in the height of the rise, an increase in parameters reflecting the sympathetic tone joins them. In the PT group, an expected increase in sympathetic tone was found at all altitudes.

About the authors

V. O. Erkudov

Saint-Petersburg State Pediatric Medical University

Email: nbpankova@gmail.com
Russia, St. Petersburg

K. U. Rozumbetov

Karakalpak State University named after Berdakh

Email: nbpankova@gmail.com
Uzbekistan, Nukus

A. P. Pugovkin

Saint-Petersburg State Pediatric Medical University

Email: nbpankova@gmail.com
Russia, St. Petersburg

A. T. Matchanov

Karakalpak State University named after Berdakh

Email: nbpankova@gmail.com
Uzbekistan, Nukus

N. B. Pankova

Institute of General Pathology and Pathophysiology

Author for correspondence.
Email: nbpankova@gmail.com
Russia, Moscow

References

  1. Raven P.B., Jackson A.W., Page K. et al. The physiological responses of mild pulmonary impaired subjects while using a “demand” respirator during rest and work // Am. Ind. Hyg. Assoc. J. 1981. V. 42. № 4. P. 247.
  2. Middleton J.D., Lopes H. Face masks in the covid-19 crisis: caveats, limits, and priorities // BMJ. 2020. V. 369. P. m2030.
  3. Özdemir L., Azizoğlu M., Yapıcı D. Respirators used by healthcare workers due to the COVID-19 outbreak increase end-tidal carbon dioxide and fractional inspired carbon dioxide pressure // J. Clin. Anesth. 2020. V. 66. P. 109901.
  4. Сегизбаева М.О., Александрова Н.П. Влияние тренировки с использованием дыхательного тренажера Elevation Training Mask 2.0 на функциональный резерв респираторной мускулатуры // Физиология человека. 2018. Т. 44. № 6. С. 59. Segizbaeva M.O., Aleksandrova N.P. Effect of the Elevation Training Mask on the functional outcomes of the respiratory muscles // Human Physiology. 2018. V. 44. № 6. P. 656.
  5. Porcari J.P., Probst L., Forrester K. et al. Effect of wearing the Elevation Training Mask on aerobic capacity, lung function, and hematological variables // J. Sports Sci. Med. 2016. V. 15. № 2. P. 379.
  6. Granados J., Gillum T.L., Castillo W. et al. “Functional” respiratory muscle training during endurance exercise causes modest hypoxemia but overall is well tolerated // J. Strength Cond. Res. 2016. V. 30. № 3. P. 755.
  7. Romero-Arenas S., López-Pérez E., Colomer-Poveda D., Márquez G. Oxygenation responses while wearing the elevation training mask during an incremental cycling test // J. Strength Cond. Res. 2021. V. 35. № 7. P. 1897.
  8. Gáspari A.F., Carvalho L., Teodoro C.L. et al. Is Elevation Training Mask a strategy to increase lactate clearance through respiratory muscle loading? // J. Strength Cond. Res. 2018. V. 32. № 9. P. e12.
  9. Бреслав И.С., Ноздрачев А.Д. Регуляция дыхания: висцеральная и поведенческая составляющие // Успехи физиологических наук. 2007. Т. 38. № 2. С. 26.
  10. Еркудов В.О., Пуговкин А.П. Эффекты добавочного дыхательного сопротивления у подростков с повышенным тонусом симпатической нервной системы // Патогенез. 2019. Т. 17. № 1. С. 82. Erkudov V.O., Pugovkin A.P. [Effects of additional respiratory resistance in adolescents with increased sympathetic tone] // Patogenez [Pathogenesis]. 2019. V. 17. № 1. P. 82.
  11. Панкова Н.Б. Функциональные пробы для оценки состояния здоровых людей по вариабельности сердечного ритма // Российский физиологический журнал им. И.М. Сеченова. 2013. Т. 99. № 6. С. 682. Pankova N.B. [Functional tests for the assessment of the healthy people state via using heart rate variability] // Ross. Fiziol. Zh. Im. I.M. Sechenova. 2013. V. 99. № 6. P. 682.
  12. Jung H.C., Lee N.H., John S.D., Lee S. The elevation training mask induces modest hypoxaemia but does not affect heart rate variability during cycling in healthy adults // Biol. Sport. 2019. V. 36. № 2. P. 105.
  13. Бяловский Ю.Ю., Булатецкий С.В. Механизмы общего адаптационного синдрома при действии увеличенного респираторного сопротивления // Спортивная медицина: наука и практика. 2016. Т. 6. № 3. С. 29. Byalovsky Yu.Yu., Bulatetsky S.V. The mechanisms of general adaptation syndrome:influence of increased respiratory resistance // Sports Medicine: Research and Practice. 2016. V. 6. № 3. P. 29.
  14. Hermand E., Lhuissier F.J., Pichon A. et al. Exercising in hypoxia and other stimuli: heart rate variability and ventilatory oscillations // Life (Basel). 2021. V. 11. № 7. P. 625.
  15. Baevsky R.M., Bennett B.S., Bungo M.W. et al. Adaptive responses of the cardiovascular system to prolonged spaceflight conditions: assessment with Holter monitoring // J. Cardiovasc. Diagn. Proced. 1997. V. 14. № 2. P. 53.
  16. Шлык Н.И. Нормативы вариационного размаха кардиоинтервалов в покое и ортостазе при разных типах регуляции у лыжников-гонщиков в тренировочном процессе // Наука и спорт: современные тенденции. 2021. Т. 9. № 4. С. 35. Shlyk N.I. Standards of the variational range of cardiointervals at rest and during orthostasis challenge with different types of regulation in ski racers in the training process // Science and Sport: Current Trends. 2021. V. 9. № 4. P. 35.
  17. Максимов А.Л., Аверьянова И.В. Информативные маркеры состояния кардиогемодинамики у юношей с различными типами вегетативной регуляции в процессе велоэргометрической нагрузки субмаксимальной мощности // Физиология человека. 2019. Т. 45. № 3. С. 61. Maksimov A.L., Averyanova I.V. Informative markers of cardiohemodynamic state in young males with different types of autonomic regulation during a submaximal cycle of ergometric exercise // Human Physiology. 2019. V. 45. № 3. P. 283.
  18. Natarajan A., Pantelopoulos A., Emir-Farinas H., Natarajan P. Heart rate variability with photoplethysmography in 8 million individuals: a cross-sectional study // Lancet Digit. Health. 2020. V. 2. № 12. P. e650.
  19. Баевский Р.М., Кириллов О.И., Клецкин С.З. Математический анализ изменений сердечного ритма при стрессе. М.: Наука, 1984. 221 с. Baevsky R.M., Kirillov O.I., Kletskin S.Z. [Mathematical analysis of changes in heart rate during stress]. M.: Nauka, 1984. 221 p.
  20. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use / Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology // Eur. Heart J. 1996. V. 17. № 3. P. 354.
  21. Shaffer F., Ginsberg J.P. An Overview of Heart Rate Variability Metrics and Norms // Front. Public Health. 2017. V. 5. P. 258.
  22. Шлык Н.И., Сапожникова Е.Н., Кириллова Т.Г., Семенов В.Г. Типологические особенности функционального состояния регуляторных систем у школьников и юных спортсменов (по данным анализа вариабельности сердечного ритма) // Физиология человека. 2009. Т. 35. № 6. С. 85. Shlyk N.I., Sapozhnikova E.N., Kirillova T.G., Semenov V.G. Typological characteristics of the functional state of regulatory systems in schoolchildren and young athletes (according to heart rate variability data) // Human Physiology. 2009. V. 35. № 6. P. 730.
  23. Шлык Н.И., Зуфарова Э.И. Нормативы показателей вариабельности сердечного ритма у исследуемых 16–21 года с разными преобладающими типами вегетативной регуляции // Вестник Удмуртского университета. Серия Биология. Науки о Земле. 2013. № 4. С. 96. Shlyk N.I., Zufarova E.I. [Qualifying standards of heart rate variability for 16–21 years old testees with different prevalent types of autonomic regulation of heart] // Bulletin of Udmurt University. Series Biology. Earth Sciences. 2013. № 4. P. 96.
  24. Billman G.E. The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance // Front. Physiol. 2013. V. 4. P. 26.
  25. Perini R., Veicsteinas A. Heart rate variability and autonomic activity at rest and during exercise in various physiological conditions // Eur. J. Appl. Physiol. 2003. V. 90. № 3–4. P. 317.
  26. La Rovere M.T., Porta A., Schwartz P.J. Autonomic Control of the Heart and Its Clinical Impact. A Personal Perspective // Front. Physiol. 2020. V. 11. P. 582.
  27. Ruffle J.K., Hyare H., Howard M.A. et al. The autonomic brain: Multi-dimensional generative hierarchical modelling of the autonomic connectome // Cortex. 2021. V. 143. P. 164.
  28. Valenza G., Sclocco R., Duggento A. et al. The central autonomic network at rest: Uncovering functional MRI correlates of time-varying autonomic outflow // Neuroimage. 2019. V. 197. P. 383.
  29. Usui H., Nishida Y. The very low-frequency band of heart rate variability represents the slow recovery component after a mental stress task // PLoS One. 2017. V. 12. № 8. P. e0182611.
  30. Панкова Н.Б., Архипова Е.Н., Алчинова И.Б. и др. Сравнительный анализ методов экспресс-оценки функционального состояния сердечно-сосудистой системы // Вестник восстановительной медицины. 2011. № 6(46). С. 60. Pankova N.B., Arkhipova E.N., Alchinova I.B. et al. [Comparative analysis of methods for rapid assessment of the functional state of the cardiovascular system] // Bulletin of Rehabilitation Medicine. 2011. № 6(46). P. 60.
  31. Stuckless T.J.R., Vermeulen T.D., Brown C.V. et al. Acute intermittent hypercapnic hypoxia and sympathetic neurovascular transduction in men // J. Physiol. 2020. V. 598. № 3. P. 473.
  32. Mellor A., Bakker-Dyos J., OʼHara J. et al. Smartphone-Enabled Heart Rate Variability and Acute Mountain Sickness // Clin. J. Sport. Med. 2018. V. 28. № 1. P. 76.

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Copyright (c) 2023 В.О. Еркудов, К.У. Розумбетов, А.П. Пуговкин, А.Т. Матчанов, Н.Б. Панкова

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