Key result
Chronic endurance training linked to higher very low frequency HRV versus recreational activity in middle-aged athletes.
Why the study?
Reports are contradictory regarding the effects of chronic and acute exercise on nocturnal heart rate variability in individuals exercising well beyond physical activity guidelines.
Does chronic endurance training and acute exercise alter power spectral analysis components of heart rate variability in middle-aged adults?
Observational (n=151)
No
Does chronic endurance training and acute exercise alter power spectral analysis components of heart rate variability in middle-aged adults?
Chronic endurance training and acute exercise in middle-aged athletes shift nocturnal heart rate variability toward sympathetic dominance, highlighting potential autonomic mechanisms underlying exercise-induced cardiac adaptations.
Observed VLF differences suggest autonomic adaptations but should not change practice; leaves open causal effects and prognostic relevance.
Moderate to vigorous physical activity performed regularly is cardioprotective and reduces all-cause mortality, concomitant with increased resting heart rate variability (HRV). However, there are contradictory reports regarding the effects of chronic and acute exercise on nocturnal HRV in those performing exercise well-beyond physical activity guidelines. Therefore, the purpose of this study was to compare the power spectral analysis components of HRV in middle-aged endurance athletes (EA) and recreationally active individuals (REC) and explore acute exercise effects in EA. A total of 119 EA (52, 49–57 years) and 32 REC (56, 52–60 years) were recruited to complete 24 h Holter monitoring (GE SEER 1000) in the absence of exercise. Fifty one EA (52, 49–57 years) then underwent 24 h Holter monitoring following an intense bout of endurance exercise. Power spectral HRV analysis was completed hourly and averaged to quantify morning (1000–1200 h), evening (1900–2100 h), and nocturnal (0200–0400 h) HRV. EA had greater very low frequency (VLF) and low frequency (LF) (both p < 0.001) compared to REC. LF/high frequency (HF) was greater in EA at 0200–0400 h ( p = 0.04). Among all participants, the change in HR and HF from 1000–1200 to 0200–0400 h was negatively correlated ( r = −0.47, p < 0.001). Following acute exercise in EA, only nocturnal HRV was assessed. VLF ( p < 0.001) and HF ( p = 0.008) decreased, while LF/HF increased ( p = 0.02). These results suggest that in EA, both long-term and acute exercises increase nocturnal sympathovagal activity through an increase in LF and decrease in HF, respectively. Further work is required to understand the mechanism underlying reduced nocturnal HRV in middle-aged EA and the long-term health implications.
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Bentley et al. (2023) conducted an observational in Healthy middle-aged adults (n=151). Chronic endurance training vs. Recreationally active individuals was evaluated on Very low frequency (VLF) heart rate variability (p=<0.001). Chronic endurance training in middle-aged athletes significantly increased very low frequency heart rate variability compared to recreationally active individuals.
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