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Biomechanics and Medicine in Swimming XI

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<strong>Biomechanics</strong><strong>and</strong>medic<strong>in</strong>e<strong>in</strong>swimm<strong>in</strong>gXi<br />

Heart Rate Responses Dur<strong>in</strong>g Gradually Increas<strong>in</strong>g<br />

<strong>and</strong> Decreas<strong>in</strong>g Exercise <strong>in</strong> Water<br />

nishimura, K. 1 , nose, Y. 2 , Yoshioka, A. 2 , Kawano, h. 3 , onodera,<br />

s. 4 , takamoto, n. 1<br />

1Hiroshima Institute of Technology, Hiroshima, Japan<br />

2Graduate School of Kawasaki University of Medical Welfare, Kurashiki,<br />

Japan<br />

3Waseda University, Tokorozawa, Japan<br />

4Kawasaki University of Medical Welfare, Kurashiki, Japan<br />

The purpose of this study was to determ<strong>in</strong>e the heart rate (HR)<br />

responses dur<strong>in</strong>g <strong>and</strong> after gradually <strong>in</strong>creas<strong>in</strong>g <strong>and</strong> decreas<strong>in</strong>g<br />

exercise <strong>in</strong> water <strong>and</strong> on l<strong>and</strong>. Eight healthy Japanese males volunteered<br />

for this study. Subjects performed arm crank<strong>in</strong>g exercise<br />

(calibration <strong>and</strong> triangular tests) for 32 -m<strong>in</strong> <strong>and</strong> recovered for<br />

1 -m<strong>in</strong>. HR <strong>and</strong> cardiac autonomic nervous system activity were<br />

cont<strong>in</strong>uously measured. The amplitude <strong>and</strong> phase lags at the top<br />

<strong>and</strong> bottom of the work rate were measured <strong>in</strong> each cycle. The<br />

results were as follows; 1) the HR phase response was shorter <strong>in</strong><br />

water than on l<strong>and</strong>, but there were no differences <strong>in</strong> amplitude,<br />

2) reactivation <strong>in</strong> cardiac parasympathetic nerve was greater <strong>in</strong><br />

water. Thus, exercise <strong>and</strong> recovery <strong>in</strong> water may enhance the stability<br />

of autonomic nervous activity, not only dur<strong>in</strong>g exercise but<br />

also after exercise.<br />

Key words: arm crank<strong>in</strong>g exercise, gradually <strong>in</strong>creas<strong>in</strong>g <strong>and</strong> decreas<strong>in</strong>g<br />

exercise, water immersion, heart rate response, recovery after excise<br />

IntroductIon<br />

In water, humans have different physiological responses than on l<strong>and</strong><br />

due to the <strong>in</strong>fluence of the physical characteristics of water, such as water<br />

temperature (hydrostatic), water pressure, buoyancy <strong>and</strong> viscosity. Venous<br />

return is greater <strong>in</strong> water than on l<strong>and</strong>, which causes <strong>in</strong>creased<br />

stroke volume <strong>and</strong> cardiac output, decreased heart rate, <strong>and</strong> <strong>in</strong>creased<br />

cardiac parasympathetic nervous system modulation.<br />

Dur<strong>in</strong>g arm crank<strong>in</strong>g exercise, there are no significant differences of<br />

oxygen uptake between <strong>in</strong>-water <strong>and</strong> on-l<strong>and</strong> conditions, despite water<br />

immersion-<strong>in</strong>duced bradycardia (Kimura et al., 2001). In addition, the<br />

high frequency component <strong>in</strong> heart rate variability, an <strong>in</strong>dex of cardiac<br />

autonomic nervous system, is enhanced at the onset of arm crank<strong>in</strong>g<br />

exercise <strong>in</strong> water compared with the on l<strong>and</strong> response. These data suggest<br />

that dur<strong>in</strong>g exercise at the same work-load, heart rate responses<br />

<strong>in</strong>clud<strong>in</strong>g heart rate variability are different between on-l<strong>and</strong> <strong>and</strong> <strong>in</strong>water<br />

conditions. Heart rate k<strong>in</strong>etics (i.e., phase response <strong>and</strong> amplitude)<br />

dur<strong>in</strong>g s<strong>in</strong>usoidal exercise are affected by cardiopulmonary fitness<br />

(Fukuoka et al., 2002), physical fitness status (Fukuoka et al., 2002) <strong>and</strong><br />

low <strong>in</strong>tensity aerobic tra<strong>in</strong><strong>in</strong>g (Nabekura et al., 2007). In fact, the time<br />

delay of heart rate <strong>in</strong> response to s<strong>in</strong>usoidal exercise is shorter <strong>in</strong> highly<br />

fit <strong>in</strong>dividuals, suggest<strong>in</strong>g that heart rate k<strong>in</strong>etics <strong>in</strong> response to s<strong>in</strong>usoidal<br />

exercise may reflect physical fitness. However, the effects of environmental<br />

factors, <strong>in</strong> particular water immersion, on heart rate k<strong>in</strong>etics <strong>in</strong><br />

response to gradually <strong>in</strong>creased <strong>and</strong> decreased exercise workload, such as<br />

<strong>in</strong> s<strong>in</strong>usoidal or gradually <strong>in</strong>creas<strong>in</strong>g <strong>and</strong> decreas<strong>in</strong>g exercise, are largely<br />

unknown.<br />

It has been shown that the time constant of heart rate decl<strong>in</strong>e for the<br />

first 30 second (T30) after exercise can serve as a specific <strong>in</strong>dex to assess<br />

post-exercise reactivation of cardiac parasympathetic nerve activity<br />

(Imai et al., 1994). Nishimura et al. suggested that sup<strong>in</strong>e float<strong>in</strong>g after<br />

exercise <strong>in</strong>duced a greater activation <strong>in</strong> the cardiac parasympathetic nervous<br />

system, via <strong>in</strong>crease of central venous pressure <strong>and</strong> cardiac output,<br />

<strong>and</strong> the subsequent arterial baroreflex response caused by greater venous<br />

208<br />

return, lead<strong>in</strong>g to bradycardia (Nishimura et al., 2006).<br />

Therefore, it was hypothesized that 1) the phase response <strong>and</strong> amplitude<br />

of heart rate dur<strong>in</strong>g gradually <strong>in</strong>creas<strong>in</strong>g <strong>and</strong> decreas<strong>in</strong>g arm<br />

crank<strong>in</strong>g exercise <strong>in</strong> water exercise is higher than on l<strong>and</strong>, <strong>and</strong> 2) the<br />

activation of the cardiac parasympathetic nervous system after exercise<br />

<strong>in</strong> the water is greater than after on-l<strong>and</strong> exercise. To test these hypotheses,<br />

the present study was designed to determ<strong>in</strong>e the effects of heart<br />

rate response dur<strong>in</strong>g <strong>and</strong> after gradually <strong>in</strong>creas<strong>in</strong>g <strong>and</strong> decreas<strong>in</strong>g arm<br />

crank<strong>in</strong>g exercise <strong>in</strong> the water <strong>and</strong> on l<strong>and</strong>.<br />

Methods<br />

Eight healthy Japanese males volunteered for this study. Their mean (±<br />

SD) age, height, body weight, <strong>and</strong> % body fat were 20.9 ± 0.6 years,<br />

175.3 ± 4.2 cm, 66.9 ± 4.7 kg, <strong>and</strong> 13.9 ± 2.8 %, respectively. All subjects<br />

signed an <strong>in</strong>formed consent form prior to participation <strong>in</strong> this study.<br />

Subjects performed arm crank<strong>in</strong>g exercise for 32 -m<strong>in</strong>utes <strong>and</strong> recovered<br />

for 1 -m<strong>in</strong>ute <strong>in</strong> a st<strong>and</strong><strong>in</strong>g position. Subjects performed two<br />

types of exercise, a calibration test <strong>and</strong> a triangular test. The calibration<br />

test consisted of three 4-m<strong>in</strong>ute bouts of exercise at 20, 60 <strong>and</strong> 40% of<br />

peak oxygen uptake (VO2peak) with a total duration of 12 -m<strong>in</strong>utes.<br />

The triangular test consider of 4-m<strong>in</strong>ute bouts of gradually <strong>in</strong>creas<strong>in</strong>g<br />

<strong>and</strong> decreas<strong>in</strong>g work load exercise between 20 <strong>and</strong> 60%VO2peak for<br />

20 -m<strong>in</strong>utes. Both experimental tests were performed on l<strong>and</strong> (L-condition)<br />

<strong>and</strong> <strong>in</strong> water (W-condition). Water temperature was 30 ºC <strong>and</strong><br />

water level was at the height of the iliac crest.<br />

Heart rate <strong>and</strong> cardiac autonomic nervous system activity were<br />

cont<strong>in</strong>uously measured under both conditions. Heart rate maximal <strong>and</strong><br />

m<strong>in</strong>imal values, amplitude (difference between maximal <strong>and</strong> m<strong>in</strong>imal<br />

values), <strong>and</strong> phase lags at the top <strong>and</strong> bottom of the work rate were<br />

measured <strong>in</strong> each exercise cycle. The cardiac autonomic nervous system<br />

activity was calculated us<strong>in</strong>g the Maximum Entropy Calculation (Mem-<br />

Calc) methodology. The heart rate variability frequency doma<strong>in</strong> spectrum<br />

was divided <strong>in</strong>to two parts: high frequency (HF; 0.15-0.40Hz)<br />

<strong>and</strong> low frequency (LF; 0.04-0.15Hz). The cardiac autonomic nervous<br />

system activity was transformed <strong>in</strong>to natural logarithmic values to obta<strong>in</strong><br />

a statistically normal distribution. The natural logarithm of HF was<br />

taken as an <strong>in</strong>dex of cardiac parasympathetic nervous system modulation.<br />

T30 reflected reactivation of cardiac parasympathetic was calculated<br />

by decrease of heart rate calculated from RR <strong>in</strong>tervals 30 seconds<br />

after exercise. All experiments were performed at the same time. All<br />

subjects fasted dur<strong>in</strong>g three hours prior to the experiments, <strong>and</strong> caffe<strong>in</strong>e<br />

<strong>in</strong>take was not allowed either dur<strong>in</strong>g that time. Room temperature <strong>and</strong><br />

humidity were 27.3 ± 1.2ºC <strong>and</strong> 64.9 ± 5.0%, respectively.<br />

All data are expressed as mean ± st<strong>and</strong>ard deviation. Two-way analysis<br />

of variance for repeated measurements (condition × time course)<br />

<strong>and</strong> paired t-tests were used to compare values obta<strong>in</strong>ed dur<strong>in</strong>g the Lcondition<br />

<strong>and</strong> the W-condition trials. The level of significance was set<br />

up at p< 0.05.<br />

Table 1. Changes <strong>in</strong> heart rate dur<strong>in</strong>g each work load both <strong>in</strong> the Wcondition<br />

<strong>and</strong> on the L-condition.<br />

work load(watt) L-condition(bpm) W-condition(bpm)<br />

Rest on l<strong>and</strong> 59.3±7.8 57.0±13.5<br />

Calibration 20 93.0±7.0 84.3±9.4 *<br />

Calibration 60 129.1±13.8 119.2±16.2 *<br />

Calibration 40 115.8±15.6 102.7±14.5 *<br />

Increas<strong>in</strong>g 40 114.7±16.1 99.6±14.5 *<br />

Increas<strong>in</strong>g 45 117.8±14.9 102.2±15.5 *<br />

Increas<strong>in</strong>g 50 120.7±14.9 104.9±15.0 *<br />

Increas<strong>in</strong>g 55 123.9±15.1 108.1±15.3 *<br />

Increas<strong>in</strong>g 60 128.1±14.4 110.8±15.3 *<br />

Decreas<strong>in</strong>g 55 130.6±15.3 112.6±15.3 *

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