Beneficial impacts of physical activity on heart rate variability: A systematic review and meta-analysis.

<h4>Background</h4>Cardiovascular diseases (CVD) are the leading causes of morbidity and mortality. Heart rate variability (HRV) represents the modulatory capacity of the autonomous nervous system and influences mortality. By surveying this meta-analysis, we investigated the impact of ph...

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Main Authors: Ouahiba El-Malahi, Darya Mohajeri, Raluca Mincu, Alexander Bäuerle, Korbinian Rothenaicher, Ramtin Knuschke, Christos Rammos, Tienush Rassaf, Julia Lortz
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0299793&type=printable
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author Ouahiba El-Malahi
Darya Mohajeri
Raluca Mincu
Alexander Bäuerle
Korbinian Rothenaicher
Ramtin Knuschke
Christos Rammos
Tienush Rassaf
Julia Lortz
author_facet Ouahiba El-Malahi
Darya Mohajeri
Raluca Mincu
Alexander Bäuerle
Korbinian Rothenaicher
Ramtin Knuschke
Christos Rammos
Tienush Rassaf
Julia Lortz
author_sort Ouahiba El-Malahi
collection DOAJ
description <h4>Background</h4>Cardiovascular diseases (CVD) are the leading causes of morbidity and mortality. Heart rate variability (HRV) represents the modulatory capacity of the autonomous nervous system and influences mortality. By surveying this meta-analysis, we investigated the impact of physical activity on HRV.<h4>Methods</h4>Databases, online journal libraries and clinical trial registries were searched for publications of randomized controlled and non-randomized controlled trials concerning adults with coronary artery disease (CAD)/ischemic heart disease (IHD), congestive heart failure (CHF), peripheral arterial disease (PAD) or after acute coronary syndrome (ACS) joining an intervention group with physical activity or a control group with usual care or no intervention. Extracted time-domain and frequency-domain parameter of HRV were analyzed in a meta-analysis using a random effect model. Subgroup analyses concerning intervention type, study design and type of heart disease and sensitivity analysis were performed.<h4>Results</h4>Significant results were obtained for RR-Interval (p = 0.05) and standard deviation of Normal-to-Normal intervals (SDNN) (p = 0.01) for short-term assessment and for the ratio of low-frequency power (LF) to high-frequency power (HF) (p = 0.05) for 24-hour assessment. Subgroup analyses also resulted significant: root-mean-square difference of successive normal R-R intervals (RMSSD) (p = 0.01), SDNN (p = 0.02) and HF (p < 0.01) concerning CHF.<h4>Conclusion</h4>We were able to demonstrate the positive impact of physical activity on HRV, especially in patients with CHF. Cardiac rehabilitation exercise programs need to be individualized to identify the most beneficial method of training for improving the prognosis of patients with CVD.
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spelling doaj-art-a58344c894dd494da5f26b70896531a62024-12-13T05:31:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01194e029979310.1371/journal.pone.0299793Beneficial impacts of physical activity on heart rate variability: A systematic review and meta-analysis.Ouahiba El-MalahiDarya MohajeriRaluca MincuAlexander BäuerleKorbinian RothenaicherRamtin KnuschkeChristos RammosTienush RassafJulia Lortz<h4>Background</h4>Cardiovascular diseases (CVD) are the leading causes of morbidity and mortality. Heart rate variability (HRV) represents the modulatory capacity of the autonomous nervous system and influences mortality. By surveying this meta-analysis, we investigated the impact of physical activity on HRV.<h4>Methods</h4>Databases, online journal libraries and clinical trial registries were searched for publications of randomized controlled and non-randomized controlled trials concerning adults with coronary artery disease (CAD)/ischemic heart disease (IHD), congestive heart failure (CHF), peripheral arterial disease (PAD) or after acute coronary syndrome (ACS) joining an intervention group with physical activity or a control group with usual care or no intervention. Extracted time-domain and frequency-domain parameter of HRV were analyzed in a meta-analysis using a random effect model. Subgroup analyses concerning intervention type, study design and type of heart disease and sensitivity analysis were performed.<h4>Results</h4>Significant results were obtained for RR-Interval (p = 0.05) and standard deviation of Normal-to-Normal intervals (SDNN) (p = 0.01) for short-term assessment and for the ratio of low-frequency power (LF) to high-frequency power (HF) (p = 0.05) for 24-hour assessment. Subgroup analyses also resulted significant: root-mean-square difference of successive normal R-R intervals (RMSSD) (p = 0.01), SDNN (p = 0.02) and HF (p < 0.01) concerning CHF.<h4>Conclusion</h4>We were able to demonstrate the positive impact of physical activity on HRV, especially in patients with CHF. Cardiac rehabilitation exercise programs need to be individualized to identify the most beneficial method of training for improving the prognosis of patients with CVD.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0299793&type=printable
spellingShingle Ouahiba El-Malahi
Darya Mohajeri
Raluca Mincu
Alexander Bäuerle
Korbinian Rothenaicher
Ramtin Knuschke
Christos Rammos
Tienush Rassaf
Julia Lortz
Beneficial impacts of physical activity on heart rate variability: A systematic review and meta-analysis.
PLoS ONE
title Beneficial impacts of physical activity on heart rate variability: A systematic review and meta-analysis.
title_full Beneficial impacts of physical activity on heart rate variability: A systematic review and meta-analysis.
title_fullStr Beneficial impacts of physical activity on heart rate variability: A systematic review and meta-analysis.
title_full_unstemmed Beneficial impacts of physical activity on heart rate variability: A systematic review and meta-analysis.
title_short Beneficial impacts of physical activity on heart rate variability: A systematic review and meta-analysis.
title_sort beneficial impacts of physical activity on heart rate variability a systematic review and meta analysis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0299793&type=printable
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