Vagal modulation and symptomatology following a 6-month aerobic exercise program for women with fibromyalgia
- PMID: 25786042
Vagal modulation and symptomatology following a 6-month aerobic exercise program for women with fibromyalgia
Abstract
Objectives: To examine the effects of a supervised aerobic exercise programme on heart rate variability (HRV) parameters and symptom severity in women with fibromyalgia (FM).
Methods: Thirty-two women with FM were randomly allocated to one of two groups: aerobic exercise (AE) or usual care control for 24 weeks. Women allocated to AE performed two aerobic exercise sessions per week of 45-60 min duration including 15-20 min of steady-state aerobic exercise at 60-65% of predicted maximum heart rate (HRmax) and 15 min of interval training at 75-80% HRmax (six repetitions of 1.5 min, with 1 min interpolated rest intervals). Cardiac autonomic modulation was assessed using power spectral analysis of HRV. Symptom severity was assessed by a 10 cm visual analogue scale (VAS) for pain, sleep disturbances, stiffness, anxiety and depression.
Results: After 24 weeks, the women in the exercise group showed an increase (4.8 ± 0.2 to 5.2 ± 0.2) in total power (LnTP, p<0.001), low frequency power (LnLF, p<0.01), high frequency power (LnHF, p<0.001), and the root-mean-square of successive R-R intervals (rMSSD, p<0.001). In addition, significant group-by-time interaction effects were observed for LnHF (p=0.036) and LnLF/HF (p=0.014). Improvements in anxiety and depression were also observed in AE versus control patients.
Conclusions: These results show that a programme of aerobic exercise training induced changes in cardiac autonomic nervous system modulation in FM and that these changes in HRV parameters were accompanied by changes in anxiety and depression.
Similar articles
-
Effects of a hydrotherapy programme on symbolic and complexity dynamics of heart rate variability and aerobic capacity in fibromyalgia patients.Clin Exp Rheumatol. 2015 Jan-Feb;33(1 Suppl 88):S73-81. Epub 2015 Mar 18. Clin Exp Rheumatol. 2015. PMID: 25786047 Clinical Trial.
-
Autonomic nervous system profile in fibromyalgia patients and its modulation by exercise: a mini review.Clin Physiol Funct Imaging. 2013 Mar;33(2):83-91. doi: 10.1111/cpf.12000. Epub 2012 Nov 4. Clin Physiol Funct Imaging. 2013. PMID: 23383685 Review.
-
The effects of 12 weeks of resistance exercise training on disease severity and autonomic modulation at rest and after acute leg resistance exercise in women with fibromyalgia.Arch Phys Med Rehabil. 2010 Oct;91(10):1551-7. doi: 10.1016/j.apmr.2010.07.003. Arch Phys Med Rehabil. 2010. PMID: 20875513
-
Exercise in fibromyalgia and related inflammatory disorders: known effects and unknown chances.Exerc Immunol Rev. 2009;15:42-65. Exerc Immunol Rev. 2009. PMID: 19957871 Review.
-
Resistance exercise training improves heart rate variability in women with fibromyalgia.Clin Physiol Funct Imaging. 2008 Jan;28(1):49-54. doi: 10.1111/j.1475-097X.2007.00776.x. Epub 2007 Nov 14. Clin Physiol Funct Imaging. 2008. PMID: 18005081 Clinical Trial.
Cited by
-
Autonomic responses to aerobic and resistance exercise in patients with chronic musculoskeletal pain: A systematic review.PLoS One. 2023 Aug 14;18(8):e0290061. doi: 10.1371/journal.pone.0290061. eCollection 2023. PLoS One. 2023. PMID: 37578955 Free PMC article.
-
Physical Activity in Long COVID: A Comparative Study of Exercise Rehabilitation Benefits in Patients with Long COVID, Coronary Artery Disease and Fibromyalgia.Int J Environ Res Public Health. 2023 Aug 3;20(15):6513. doi: 10.3390/ijerph20156513. Int J Environ Res Public Health. 2023. PMID: 37569053 Free PMC article.
-
Optimal dose and type of exercise to reduce pain, anxiety and increase quality of life in patients with fibromyalgia. A systematic review with meta-analysis.Front Physiol. 2023 Apr 12;14:1170621. doi: 10.3389/fphys.2023.1170621. eCollection 2023. Front Physiol. 2023. PMID: 37123268 Free PMC article.
-
Effect of Exercise Interventions on Health-Related Quality of Life in Patients with Fibromyalgia Syndrome: A Systematic Review and Network Meta-Analysis.J Pain Res. 2022 Nov 22;15:3639-3656. doi: 10.2147/JPR.S384215. eCollection 2022. J Pain Res. 2022. PMID: 36444171 Free PMC article. Review.
-
A Systematic Review and Meta-Analysis of the Effectiveness of High-Intensity Interval Training in People with Cardiovascular Disease at Improving Depression and Anxiety.Evid Based Complement Alternat Med. 2022 Oct 6;2022:8322484. doi: 10.1155/2022/8322484. eCollection 2022. Evid Based Complement Alternat Med. 2022. PMID: 36248418 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous