Racial Differences On Post Exercise Heart Rate Recovery In Healthy Sedentary Adult Males-- A Meta-Analysis Study
DOI:
https://doi.org/10.46568/bios.v2i2.41Keywords:
PEHRR, Ethnicities, Sedentary adult malesAbstract
Introduction: Post-exercise heart rate recovery (PEHRR) is the measure of parasympathetic function of heart which decreases the heart rate as the person stops exercising. The post exercise heart rate recovery is easily measurable index of heart parasympathetic activity. The post – exercise heart rate recovery is computed as peak heart rate minus the heart rate measured after 1 min of termination of exercise. The risk of cardiovascular disease in individual with African background is greater as compared to Caucasians and Asian population. The aim of this study was to analyze the difference in post exercise heart rate recovery in individuals from different ethnic backgrounds.
Methods: A thorough literature search was carried out on PubMed, Google Scholar and PakMediNet with articles published between 2007 till 2021. The articles with post – exercise heart rate recovery in male adults with different ethnic backgrounds were included. A total of 8 studies were included after meeting the inclusion criteria for the meta-analysis. The studies that measured heart rate recovery after 1 minute of termination of exercise were included.
Results: Out of 174 subjects 51 individuals were Africans, 104 were Asians and 19 were Caucasians. The post exercise heart raterecovery was not found to be statistically significant between the individuals from different ethnic groups (p value-0.258). Conclusion: The post – exercise heart rate recovery is not influenced by the racial differences. Further research on larger scale assessing the impact of parasympathetic activity in terms of heart rate recovery in individual from different ethnic background is required as very limited data is available till date.
References
Bisschoff CA, Coetzee B, Esco MR. Heart rate variability and recovery as predictors of elite, African, male badminton players’ performance levels. International Journal of Performance Analysis in Sport. 2018 Jan 2;18(1):1-6.
Sheng Y, Zhu L. The crosstalk between autonomic nervous system and blood vessels. International journal of physiology, pathophysiology and pharmacology. 2018;10(1):17.
Ziemssen T, Siepmann T. The investigation of the cardiovascular and sudomotor autonomic nervous system—a review. Frontiers in neurology. 2019 Feb 12;10:53.
Daanen HA, Lamberts RP, Kallen VL, Jin A, Van Meeteren NL. A systematic review on heart-rate recovery to monitor changes in training status in athletes. International journal of sports physiology and performance. 2012 Sep 1;7(3):251-60.
Azam F, Shaheen A, Irshad K, Liaquat A, Naveed H, Shah SU. Association of postexercise heart rate recovery with body composition in healthy male adults: Findings from Pakistan. Annals of Noninvasive Electrocardiology. 2020 May;25(3):e12711.
Jouven X, Empana JP, Schwartz PJ, Desnos M, Courbon D, Ducimetière P. Heart-rate profile during exercise as a predictor of sudden death. New England journal of medicine. 2005 May 12;352(19):1951-8.
Lampert R, Ickovics J, Horwitz R, Lee F. Depressed autonomic nervous system function in African Americans and individuals of lower social class: a potential mechanism of race-and class-related disparities in health outcomes. American heart journal. 2005 Jul 1;150(1):153-60.
Prado DM, Dias RG, Trombetta IC. Cardiovascular, ventilatory, and metabolic parameters during exercise: differences between children and adults. Arquivos brasileiros de cardiologia. 2006;87:e149-55.
Michael S, Graham KS, Davis GM. Cardiac autonomic responses during exercise and post-exercise recovery using heart rate variability and systolic time intervals—a review. Frontiers in physiology. 2017 May 29;8:301.
Alansare A, Alford K, Lee S, Church T, Jung HC. The effects of high-intensity interval training vs. moderate-intensity continuous training on heart rate variability in physically inactive adults. International journal of environmental research and public health. 2018 Jul;15(7):1508.
Memon AR. Physical activity to prevent non-communicable diseases: current status and national-level policy in Pakistan. Journal of Pakistan Medical Association. 2020 Jan 14.
Espinoza-Salinas A, Molina-Sotomayor E, Cano-Montoya J, Gonzalez-Jurado JA. Is Active Lifestyle Related to Autonomic Nervous System Function and Lipid Profile in People with Overweight? A Study Pilot. Sustainability. 2021 Jan;13(5):2439.
Oyeyemi AY, Ewah PA, Oyeyemi AL. Comparison of recovery cardiovascular responses of young physically active and sedentary Nigerian undergraduates following exercise testing. International Journal of Physical Education, Sports and Health. 2015;2(2):60-5.
Van de Vegte YJ, van der Harst P, Verweij N. Heart rate recovery 10 seconds after cessation of exercise predicts death. Journal of the American Heart Association. 2018 Apr 5;7(8):e008341.
Dimkpa U, Oji JO. Association of heart rate recovery after exercise with indices of obesity in healthy, non-obese adults. European journal of applied physiology. 2010 Mar;108(4):695-9.
Buchheit, M., Papelier, Y., Laursen, P. B., & Ahmaidi, S. (2007). Noninvasive assessment of cardiac parasympathetic function: postexercise heart rate recovery or heart rate variability? American Journal of Physiology-Heart and Circulatory Physiology, 293(1), H8-H10.
Pepera G, Panagiota Z. Comparison of heart rate response and heart rate recovery after step test among smoker and non-smoker athletes. African Health Sciences. 2021 Apr 16;21(1):105-1.
Yu, Y., Liu, T., Wu, J., Zhu, P., Zhang, M., Zheng, W., & Gu, Y. (2017). Heart rate recovery in hypertensive patients: relationship with blood pressure control. Journal of human hypertension, 31(5), 354-360.
Wändell, P. E., Carlsson, A. C., & Theobald, H. (2010). Effect of heart-rate recovery on long-term mortality among men and women. International journal of cardiology, 144(2), 276-279.
Carroll, S., Marshall, P., Ingle, L., & Borkoles, E. (2012). Cardiorespiratory fitness and heart rate recovery in obese premenopausal women. Scandinavian journal of medicine & science in sports, 22(6), e133-e139.
Morita AA, Silva LK, Bisca GW, Oliveira JM, Hernandes NA, Pitta F, Furlanetto KC. Heart rate recovery, physical activity level, and functional status in subjects with COPD. Respiratory care. 2018 Aug 1;63(8):1002-8.
Guilkey JP, Dykstra B, Erichsen J, Mahon AD. Heart rate response and variability following maximal exercise in overweight children. Pediatric exercise science. 2017 Aug 1;29(3):341-9.
Hattiwale HM, Hattiwale SH, Dhundasi SA, Das KK. Recovery heart rate response in sedentary and physically active young healthy adults of Bijapur, Karnataka, India. Basic Sci Med. 2012;1(5):30-3.
Facioli TP, Philbois SV, Gastaldi AC, Almeida DS, Maida KD, Rodrigues JA, Sánchez-Delgado JC, Souza HC. Study of heart rate recovery and cardiovascular autonomic modulation in healthy participants after submaximal exercise. Scientific Reports. 2021 Feb 11;11(1):1-9.
Al-Shamsi S, Regmi D, Govender RD. Incidence of cardiovascular disease and its associated risk factors in at-risk men and women in the United Arab Emirates: a 9-year retrospective cohort study. BMC cardiovascular disorders. 2019 Dec;19(1):1-9.
Koenig J, Thayer JF. Sex differences in healthy human heart rate variability: a meta-analysis. Neuroscience & Biobehavioral Reviews. 2016 May 1;64:288-310.
Vasankari V, Husu P, Vähä-Ypyä H, Suni J, Tokola K, Halonen J, Hartikainen J, Sievänen H, Vasankari T. Association of objectively measured sedentary behaviour and physical activity with cardiovascular disease risk. European journal of preventive cardiology. 2017 Aug 1;24(12):1311-8.
Sun P, Yan H, Ranadive SM, Lane AD, Kappus RM, Bunsawat K, Baynard T, Hu M, Li S, Fernhall B. Autonomic recovery is delayed in Chinese compared with Caucasian following treadmill exercise. PloS one. 2016 Jan 19;11(1):e0147104.
Schutte AE. Ethnicity and Cardiovascular Disease. InTextbook of Vascular Medicine 2019 (pp. 287-295). Springer, Cham.
Esco M. Cardiovascular autonomic modulation following maximal exercise: Its relationship to race, VO2max, and resting heart rate variability (Doctoral dissertation)
Medeiros, W. M., de Luca, F. A., de Figueredo Júnior, A. R., Mendes, F. A., & Gun, C. (2018). Heart rate recovery improvement in patients following acute myocardial infarction: exercise training, β‐blocker therapy or both. Clinical physiology and functional imaging, 38(3), 351-359.
Patil RB, Doddamani BR, Bhutkar M, Awanti SM. A comparative study of physical fitness among rural farmers and urban sedentary group of Gulbarga District. Al. Ameen J. Med. Sci. 2012;5(1):39-44.
Barak OF, Ovcin ZB, Jakovljevic DG, Lozanov-Crvenkovic Z, Brodie DA, Grujic NG. Heart rate recovery after submaximal exercise in four different recovery protocols in male athletes and non-athletes. Journal of sports science & medicine. 2011 Jun;10(2):369.
Kwon O, Park S, Kim YJ, Min SY, Kim YR, Nam GB, Choi KJ, Kim YH. The exercise heart rate profile in master athletes compared to healthy controls. Clinical physiology and functional imaging. 2016 Jul;36(4):286-92.
Matsuo T, Saotome K, Seino S, Eto M, Shimojo N, Matsushita A, Iemitsu M, Ohshima H, Tanaka K, Mukai C. Low-volume, high-intensity, aerobic interval exercise for sedentary adults: $$dot {V} $$ V˙ O 2max, cardiac mass, and heart rate recovery. European journal of applied physiology. 2014 Sep;114(9):1963-72.
Qiu S, Cai X, Sun Z, Li L, Zuegel M, Steinacker JM, Schumann U. Heart rate recovery and risk of cardiovascular events and all‐cause mortality: a meta‐analysis of prospective cohort studies. Journal of the American Heart Association. 2017 May 9;6(5):e005505.
Kokkinos P, Myers J, Doumas M, Faselis C, Pittaras A, Manolis A, Kokkinos JP, Narayan P, Papademetriou V, Fletcher R. Heart rate recovery, exercise capacity, and mortality risk in male veterans. European journal of preventive cardiology. 2012 Apr 1;19(2):177-84.
Rahul NV, Agarwal M, Vishwakarma P, Kanchan A, Kumar P. Heart rate recovery in normal and obese males with and without parental history of cardiovascular disease. Journal of Family Medicine and Primary Care. 2020 May;9(5):2379.
Fan LM, Collins A, Geng L, Li JM. Impact of unhealthy lifestyle on cardiorespiratory fitness and heart rate recovery of medical science students. BMC public health. 2020 Dec;20(1):1-8.
Peçanha T, Silva‐Júnior ND, Forjaz CL. Heart rate recovery: autonomic determinants, methods of assessment and association with mortality and cardiovascular diseases. Clinical physiology and functional imaging. 2014 Sep;34(5):327-39.
Baek, J., Park, D., Kim, I., Won, J. U., Hwang, J., & Roh, J. (2013). Autonomic dysfunction of overweight combined with low muscle mass. Clinical Autonomic Research, 23(6), 325-331.
Derevere J. Effect of Ethnicity on Changes in VO2max and Cardiac Output in Response to Short-Term High Intensity Interval Training.
Choi JB, Hong S, Nelesen R, Bardwell WA, Natarajan L, Schubert C, Dimsdale JE. Age and ethnicity differences in short-term heart-rate variability. Psychosomatic medicine. 2006 May 1;68(3):421-6.
Vranish JR, Holwerda SW, Young BE, Credeur DP, Patik JC, Barbosa TC, Keller DM, Fadel PJ. Exaggerated vasoconstriction to spontaneous bursts of muscle sympathetic nerve activity in healthy young black men. Hypertension. 2018 Jan;71(1):192-8.
Colangelo LA, Yano Y, Jacobs Jr DR, Lloyd-Jones DM. Association of Resting Heart Rate With Blood Pressure and Incident Hypertension Over 30 Years in Black and White Adults: The CARDIA Study. Hypertension. 2020 Sep;76(3):692-8.
O’Neill J, Tayebjee MH. Why are South Asians seemingly protected against the development of atrial fibrillation? A review of current evidence. Trends in cardiovascular medicine. 2017 May 1;27(4):249-57.
Zion AS, Bond V, Adams RG, Williams D, Fullilove RE, Sloan RP, Bartels MN, Downey JA, De Meersman RE. Low arterial compliance in young African-American males. American Journal of Physiology-Heart and Circulatory Physiology. 2003 Aug;285(2):H457-62.
Chaturvedi, N. (2003). Ethnic differences in cardiovascular disease. Heart, 89(6), 681-686.
Bathula R, Hughes AD, Panerai R, Potter J, Thom SM, Francis DP, Shore AC, Kooner J, Chaturvedi N. Indian Asians have poorer cardiovascular autonomic function than Europeans: this is due to greater hyperglycaemia and may contribute to their greater risk of heart disease. Diabetologia. 2010 Oct;53(10):2120-8.
Lau CP, Tse HF, Siu CW, Gbadebo D. Atrial electrical and structural remodeling: implications for racial differences in atrial fibrillation. J Cardiovasc Electrophysiol. 2012 Nov;23 Suppl 1:S36-40. doi: 10.1111/jce.12022. PMID: 23140346.
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