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European Journal of Applied Physiology

, Volume 115, Issue 4, pp 763–773 | Cite as

Peripheral heart action (PHA) training as a valid substitute to high intensity interval training to improve resting cardiovascular changes and autonomic adaptation

  • Alessandro PirasEmail author
  • Michela Persiani
  • Nicholas Damiani
  • Monica Perazzolo
  • Milena Raffi
Original Article

Abstract

Purpose

The present study evaluated the effects of peripheral heart action training compared with high intensity interval training on changes in autonomic regulation and physical fitness.

Methods

Eighteen young adults (9 women, 9 men) (age 24 ± 3 years, BMI of 22.67 kg/m2, V′O2max 32.89 ml/kg/min) were randomly assigned to either a high intensity interval training group (n = 8) or a peripheral heart action training (PHA) group (n = 10). Before and after training, maximal whole-body muscular strength, time series of beat-to-beat intervals for heart rate variability, and baroreflex sensitivity were recorded. Arterial baroreflex sensitivity and heart rate variability were estimated on both time and frequency domains. Physical fitness level was evaluated with maximum oxygen consumption test.

Results

The effects of PHA whole-body resistance training increased muscular strength and maximum oxygen consumption, with an effect on vagal–cardiac control and cardiovagal baroreflex sensitivity.

Conclusions

After 30 training sessions performed in 3 months, PHA resistance exercise promoted cardiovascular adaptations, with a decrease in the power spectral component of vascular sympathetic activity and an increase in the vagal modulation. Low-frequency oscillation estimated from systolic blood pressure variability seems to be a suitable index of the sympathetic modulation of vasomotor activity. This investigation also want to emphasize the beneficial effects of this particular resistance exercise training, considering also that the increase in muscular strength is inversely associated with all-cause mortality and the prevalence of metabolic syndrome, independent of cardiorespiratory fitness levels.

Keywords

Heart rate variability Baroreflex sensitivity Resistance exercise PHA peripheral heart action HIIT high intensity interval training 

Abbreviations

ANCOVA

Analysis of covariance

(a-v)O2

Artero-venous oxygen difference

BRS

Baroreflex sensitivity

BP

Blood pressure

SBP

Systolic blood pressure

DBP

Diastolic blood pressure

ECG

Electrocardiogram

FFT

Fast Fourier transformation

HIIT

High intensity interval training

HRV

Heart rate variability

HF

High frequency

LF

Low frequency

NN50

The number of interval differences of successive R–R intervals greater than 50 ms

N

Newton

PHA

Peripheral heart action

pNN50

Proportion derived by dividing NN50 by the total number of R–R intervals NN50

RM

Maximum repetition

%1-RM

The percentage of one maximum repetition

RMSSD

The square root of the mean squared differences of successive R–R intervals

SDNN

Standard deviation of the R–R interval

V′O2max

Maximum oxygen consumption

Notes

Conflict of interest

The author(s) declare(s) that there is no conflict of interests regarding the publication of this article.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Alessandro Piras
    • 1
    Email author
  • Michela Persiani
    • 1
  • Nicholas Damiani
    • 1
  • Monica Perazzolo
    • 1
  • Milena Raffi
    • 1
  1. 1.Department of Biomedical and Neuromotor SciencesUniversity of BolognaBolognaItaly

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