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AJPH First Look, published online ahead of print Mar 19, 2009
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AJPH.2007.133165v1
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May 2009, Vol 99, No. 5 | American Journal of Public Health 921-928
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.133165


RESEARCH AND PRACTICE

The Effect of Aerobic Training and Cardiac Autonomic Regulation in Young Adults

Richard P. Sloan, PhD, Peter A. Shapiro, MD, Ronald E. DeMeersman, PhD, Emilia Bagiella, PhD, Elizabeth N. Brondolo, PhD, Paula S. McKinley, PhD, Iordan Slavov, PhD, Yixin Fang, PhD and Michael M. Myers, PhD

At the time of the study, Richard P. Sloan and Paula S. McKinley were with the Division of Behavioral Medicine, Department of Psychiatry, Columbia University, New York, NY. Peter A. Shapiro was with the Division of Consultation/Liaison Psychiatry, Department of Psychiatry, Columbia University, New York. Ronald E. DeMeersman was with the Department of Rehabilitation Medicine, Columbia University, New York. Emilia Bagiella was with the Division of Biostatistics, Mailman School of Public Health, Columbia University, New York. Elizabeth N. Brondolo was with St. John's University, New York. Iordan Slavov was with the Visiting Nurse Service, New York. Yixin Fang was with the Department of Mathematics and Statistics, Georgia State University, Atlanta. Michael M. Myers was with the New York State Psychiatric Institute, New York.

Correspondence: Requests for reprints should be sent to Richard P. Sloan, PhD, Division of Behavioral Medicine, Department of Psychiatry, Columbia University, 1150 St Nicholas Ave, Suite 121, New York, NY 10032 (e-mail: rps7{at}columbia.edu).

Objectives. We tested the effect of aerobic exercise on autonomic regulation of the heart in healthy young adults.

Methods. Healthy, sedentary young adults (n = 149; age = 30.4 ± 7.53 years) were randomized to receive 12 weeks of either aerobic conditioning or strength training. Primary outcomes were heart rate and RR interval variability (RRV) measured before and after training and after 4 weeks of sedentary deconditioning. RRV, a noninvasive index of cardiac autonomic regulation, reflects variability in the intervals between consecutive R waves of the electrocardiogram.

Results. Aerobic conditioning but not strength training led to a significant increase in aerobic capacity (3.11 mL/kg/min), a decrease in heart rate (–3.49 beats per minute), and an increase in high-frequency RRV (0.25 natural log msec2), each of which returned to pretraining levels after deconditioning. Significant 3-way interactions, however, revealed autonomic effects only in men.

Conclusions. In sedentary, healthy young adults, aerobic conditioning but not strength training enhances autonomic control of the heart, but post hoc analyses suggested that gender plays a significant role in this exercise-related cardioprotection.




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