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Does Exercise Training Improve Cardiac-Parasympathetic Nervous System Activity in Sedentary People? A Systematic Review with Meta-Analysis

Author

Listed:
  • Antonio Casanova-Lizón

    (Department of Sport Sciences, Sports Research Centre, Miguel Hernández University of Elche, 03202 Alicante, Spain)

  • Agustín Manresa-Rocamora

    (Department of Sport Sciences, Sports Research Centre, Miguel Hernández University of Elche, 03202 Alicante, Spain
    Department of Sport Sciences, Alicante Institute for Health and Biomedical Research (ISABIAL), Miguel Hernandez University, 03010 Alicante, Spain)

  • Andrew A. Flatt

    (Department of Health Sciences and Kinesiology, Georgia Southern University—Armstrong Campus, Savannah, GA 31419, USA)

  • José Manuel Sarabia

    (Department of Sport Sciences, Sports Research Centre, Miguel Hernández University of Elche, 03202 Alicante, Spain
    Department of Sport Sciences, Alicante Institute for Health and Biomedical Research (ISABIAL), Miguel Hernandez University, 03010 Alicante, Spain)

  • Manuel Moya-Ramón

    (Department of Sport Sciences, Sports Research Centre, Miguel Hernández University of Elche, 03202 Alicante, Spain
    Department of Sport Sciences, Alicante Institute for Health and Biomedical Research (ISABIAL), Miguel Hernandez University, 03010 Alicante, Spain)

Abstract

The aim of this study was to investigate the training-induced effect on cardiac parasympathetic nervous system (PNS) activity, assessed by resting heart rate variability (HRV) and post-exercise heart rate recovery (HRR), in sedentary healthy people. Electronic searches were carried out in PubMed, Embase, and Web of Science. Random-effects models of between-group standardised mean difference (SMD) were estimated. Heterogeneity analyses were performed by means of the chi-square test and I 2 index. Subgroup analyses and meta-regressions were performed to investigate the influence of potential moderator variables on the training-induced effect. The results showed a small increase in RMSSD (SMD + = 0.57 [95% confidence interval (CI) = 0.23, 0.91]) and high frequency (HF) (SMD + = 0.21 [95% CI = 0.01, 0.42]) in favour of the intervention group. Heterogeneity tests reached statistical significance for RMSSD and HF ( p ≤ 0.001), and the inconsistency was moderate ( I 2 = 68% and 60%, respectively). We found higher training-induced effects on HF in studies that performed a shorter intervention or lower number of exercise sessions ( p ≤ 0.001). Data were insufficient to investigate the effect of exercise training on HRR. Exercise training increases cardiac PNS modulation in sedentary people, while its effect on PNS tone requires future study.

Suggested Citation

  • Antonio Casanova-Lizón & Agustín Manresa-Rocamora & Andrew A. Flatt & José Manuel Sarabia & Manuel Moya-Ramón, 2022. "Does Exercise Training Improve Cardiac-Parasympathetic Nervous System Activity in Sedentary People? A Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 19(21), pages 1-20, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:13899-:d:953404
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    References listed on IDEAS

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    1. Silvio A. Oliveira-Junior & Daniel Boullosa & Maria L. M. Mendonça & Larissa F. C. Vieira & Wania W. Mattos & Bruna O. C. Amaral & Dayanne S. Lima-Borges & Filipe A. Reis & Marcelo D. M. Cezar & Luiz , 2021. "Effects of Circuit Weight-Interval Training on Physical Fitness, Cardiac Autonomic Control, and Quality of Life in Sedentary Workers," IJERPH, MDPI, vol. 18(9), pages 1-18, April.
    2. Goodarz Danaei & Eric L Ding & Dariush Mozaffarian & Ben Taylor & Jürgen Rehm & Christopher J L Murray & Majid Ezzati, 2009. "The Preventable Causes of Death in the United States: Comparative Risk Assessment of Dietary, Lifestyle, and Metabolic Risk Factors," PLOS Medicine, Public Library of Science, vol. 6(4), pages 1-23, April.
    3. Mathilde Picard & Igor Tauveron & Salwan Magdasy & Thomas Benichou & Reza Bagheri & Ukadike C Ugbolue & Valentin Navel & Frédéric Dutheil, 2021. "Effect of exercise training on heart rate variability in type 2 diabetes mellitus patients: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-26, May.
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