Key result
Pre-exercise manual acupuncture lowers heart rate during low-intensity and early high-intensity exercise versus no stimulation.
Why the study?
The effects of bradycardia induced by pre-exercise acupuncture on heart rate responses during short-duration exercise were not well understood.
Does pre-exercise manual acupuncture stimulation reduce heart rate response during short-duration exercise in healthy subjects?
RCT (n=29)
Open-label
Randomized crossover
No
Does pre-exercise manual acupuncture stimulation reduce heart rate response during short-duration exercise in healthy subjects?
p-value: p=<0.05
Pre-exercise acupuncture stimulation induces a transient bradycardic effect that persists through low-intensity exercise and reduces perceived exertion.
Hypothesis-generating for transient HR effects in healthy subjects; does not support practice change and requires confirmation in larger trials.
Background The purpose of the present study was to investigate the effects of bradycardia induced by pre-exercise acupuncture on heart rate responses during short-duration exercise. Methods A total of 29 healthy subjects underwent two protocols: protocol 1 assessed the effects of manual acupuncture on heart rate response during rest, and protocol 2 tested the hypothesis that the bradycardic effects induced by pre-exercise acupuncture continue during low- and high-intensity exercise. Their average age, height, weight, and body mass index were 21.2 ± 2.0 years, 167.2 ± 8.8 cm, 63.8 ± 12.8 kg, and 22.7 ± 3.5 kg/m2, respectively. In acupuncture stimulations for protocols 1 and 2, an acupuncture needle was inserted into the lower leg and manual acupuncture stimulation was performed at 1 Hz. Results In protocol 1 (resting condition), acupuncture stimulation induced a bradycardic response, which continued for 4 min after the cessation of acupuncture stimulation (p < 0.05). In protocol 2, the bradycardic response induced by pre-exercise acupuncture stimulation remained during low-intensity exercise and in the beginning of high-intensity exercise performed immediately after the cessation of acupuncture stimulation (p < 0.05). However, the effects disappeared when post-acupuncture exercise was performed when the heart rate was approximately 140 beats/min during high-intensity exercise. The rating of perceived exertion after exercise differed significantly between the acupuncture stimulation task (7.9 ± 1.6) and no-stimulation task (8.5 ± 2.0) (p = 0.03) only in the low intensity group. Conclusion This study may provide new insights into the effect of acupuncture stimulation on psycho-physiological conditions during exercise.
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Nakahara et al. (2021) conducted an RCT in Healthy subjects (n=29). Pre-exercise manual acupuncture stimulation vs. No-stimulation (rest) was evaluated on Heart rate response during short-duration exercise (p=<0.05). Pre-exercise manual acupuncture stimulation significantly reduced heart rate during low-intensity exercise and the initial phase of high-intensity exercise compared to no stimulation (p < 0.05).
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