abstract: ABSTRACT Objective: The purpose of this randomized parallel two-arm trial was to examine the effect that an intervention of combining daily almond consumption (2.5 ounces) with a walking program would have on heart rate recovery and resting heart rate when compared to the control group that consumed a placebo (cookie butter) in men and postmenopausal women, aged 20-69, in Phoenix, Arizona. Design: 12 men and women from Phoenix, Arizona completed an 8-week walking study (step goal: 10,000 steps per day). Subjects were healthy yet sedentary, non-smokers, free from gluten or nut allergies, who had controlled blood pressure. At week 5, participants were randomized into one of two groups: ALM (2.5 oz of almonds daily for last 3 weeks of trial) or CON (4 tbsp of cookie butter daily for last 3 weeks of trial). Body weight, BMI, and percent body fat were measured using a stadiometer and Tanita at the screening visit. Resting heart rate, heart rate recovery, and anthropometric measurements were taken at weeks 0, 5, and 8. Results: 8 weeks of walking 10,000 steps per day, with or without 3 weeks of almond consumption did not significantly improve heart rate recovery (p=0.818) or resting heart rate (0.968). Conclusions: Almond consumption in combination with a walking intervention does not significantly improve heart rate recovery or resting heart rate. / Dissertation/Thesis / Masters Thesis Nutrition 2016

Treadmill is a highly popular fitness equipments. One of the most important purposes of running is to consume redundant energy of the body. A well designed exercise intensity plan can achieve the benefits of exercise while avoiding sport injuries. Calculating the appropriate exercise intensity is therefore a valuable study issue. Current commercially available treadmills cannot provide sufficient physiological data. In particular, in order to measure the ground reaction force (GRF) of the runners, traditional approach is to design treadmill as a rigid body. Such treadmills are thus expensive and heavy. To estimate heart rate (HR), ECG measurement is typically required. However, sweat can cause the patch to loose and the quality of the signal transmission can also be degraded by environmental noises. Thus the aim of this work is to develop a simple and effective method to assess exercise intensity by estimating HR with GRF.. To achieve this goal, this work places load cells under the legs of the treadmill. By constructing the dynamic model of the treadmill via system identification technique, we can estimate the actual GRF from the measurements of the load cells. After computing the TVI (Total Vertical Impulse) index from the GRF, this work then investigates the linear relationship between TVI and running energy consumption by estimating HR from TVI. Based on the known relationship between HR and exercise intensity, we can observe the runner¡¦s condition from the speed of HR recovery and the HR time response during running. By means of linear regression method, it is found that the linear relations between TVI index and these HR measures are statistically significant. The p-value of such statically tests become even smaller when TVI index is normalized.

A criterion method to evaluate cardiorespiratory health is measuring peak oxygen consumption (VO2 peak) from a maximal graded exercise test (GXT). While VO2 peak is a valuable measure, heart rate recovery (HRRec) and endothelial function (EF) also describe cardiorespiratory health and fitness. The purpose of this study was to investigate whether differences exist in VO2 peak, HRRec, and EF between healthy-weight (HW) and obese (OB) women and children and to determine if there were significant correlations among these variables. A total of 60 women and children participated in this study. Anthropometric, body composition, resting heart rate and blood pressure (BP) were measured. EF was evaluated to determine the reactive hyperemia index (RHI). Finally, each subject performed a graded exercise test (GXT) to determine VO2 peak. Following the GXT, the subjects’ recovery responses were monitored for 5 minutes. A factorial MANOVA was used to evaluate differences between obesity status and age in relative VO2 peak and relative HRRec. The MANOVA resulted in a significant (p < 0.001) main effect for obesity status and age, but there was no interaction effect. HW individuals had a greater relative VO2 peak compared to OB individuals. Children had a greater relative VO2 peak and HRRec compared to adults. Absolute VO2 peak and absolute HRRec were examined using univariate ANOVAs. Women had greater absolute VO2 peak values compared to children (p2 peak and absolute HRRec, relative HRRec, and RHI. Relative VO2 peak was significantly correlated to RHI. Absolute HRRec was correlated with relative HRRec and RHI. Relative HRRec was correlated with RHI. Lack of significant differences in HRRec and EF across adiposity levels were likely due to the obese, but otherwise healthy population recruited for this study. Age affected the response to all variables included in this study.

Purpose To evaluate the information provided by Polar Vantage V, a new generation of heart rate monitor/watch (HRM-watch) to the user, regarding the acute:chronic load ratio (ACLR), based onthe external and internal load measures and examine the measures against psychological and physiological measures before and during a threshold test with VO2max testing. Method A five-week prospective study with results and data collected during and after four normal training weeks and during a fifth week with a very high training load. The results from HRM-watchwere then evaluated against the results from physiological and psychological tests. Eight endurance runners were recruited. Results Differences in ACLR against the differences in HRR show a R2 value of 0.77 (p&lt;0.05). ACLR signicantly increased with an average of 0.33 from 0.93 to 1.26 (p=0.003, 95 % CI= 0.17 {0.49). Differences in ACLR against dierences in total mood disturbance (TMD) from POMS showin regression analyses a R2value of 0.67 (p=0.05). No significant difference was noted in neither resting HRV (p=0.3, 95% CI= -22.2 { 8.5) or standing HRV (p=0.15, 95% CI= - 4.15 { 20.8). Conclusion Based on the result of the present study it can be concluded that training status, well-being and present mood state can be predicted fairly good with the information from the internal and external load measurements from the Polar Vantage V. However, the power of present exploratory study was low due to a low number of included participants. Future research with greater number of participants and an improved study design is needed to verify these interesting findings.

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Exhaustion disorder (ED) is a Swedish criteria-based medical diagnosis related to burnout, that often requires long term rehabilitation and sick leave. Comorbidity of functional gastrointestinal (GI) problems and ED has been reported and may be mediated by dysregulated vagal function. This study aimed to explore whether vagus nerve regulation evaluated with the vagal estimate Heart rate recovery (HRR60s), is quadratically associated with severity of ED, affective, GI symptoms/diagnoses, and work ability, using data from a randomized controlled trial. On baseline 16.1% of participants (n = 155) showed attenuated (&lt;25 beats/minute) or fast HRR60s (&gt;51 beats/minute) (82.6/17.4% women/men; N = 161; M = 43yrs; SD = 8.5). Controlling for effects of BMI, fitness (Vo2max), age and sex all subjects were in the HRR60s range defined as normal (27-47, n = 152). The explanatory power of cross-sectional correlations where similar using a quadratic and a linear model. The main hypothesis was therefore not supported. Within-subject analyses showed a tendency that longitudinal increase in HRR60s was associated with a decrease in burnout symptoms up to a certain tip-point, where it contrariwise was associated with higher ratings. Lower prevalence of GI symptoms/diagnoses than in earlier publications indicate that these may be underreported in data. In conclusion preliminary results suggest that evaluating HRR60s in ED using an inverted U-shaped model of cardiac vagal regulation may add information of stage, degree of severity of ED and progress of treatment on an individual basis, which may not be transparent in cross-sectional analysis. / Utmattningssyndrom (ED) är en svensk kriterie-baserad diagnos som ofta kräver långvarig rehabilitering och sjukskrivning. Komorbiditet mellan ED och gastrointestinala (GI) symtom har rapporterats och kan vara medierade av dysreglerad vagusaktivitet. Denna studie avsåg att undersöka om vagusreglering utvärderad med Heart rate recovery (HRR60s) är kvadratiskt associerad med grad av ED, emotionella, GI symtom/diagnoser och arbetsförmåga, med data från en randomiserad kontrollerad studie. 16.1% av deltagarna (n = 155) hade låg (&lt;25 hjärtslag/minut) eller hög HRR60s (&gt;51 hjärtslag/minut) vid första mättillfället (82.6/17.4% kvinnor/män; N = 161; M = 43yrs; SD = 8.5). Mätvärden kontrollerade för BMI, fitness (Vo2max), ålder och kön låg alla inom definierad normalvariation (HRR60s 27-47, n = 152). Förklaringsgraden i tvärsnittsanalys var likartad för en linjär och kvadratisk modell. Resultatet stödde därmed inte huvudhypotesen. Upprepade mätningar per individ visade en tendens till att HRR60s som ökade longitudinellt var associerat med minskade utmattningssymtom upp till en brytpunkt, där de istället associerades med högre värden. I studien var prevalensen för GI-symtom lägre än tidigare visats för ED, vilket indikerar att det kan finnas en underrapportering i data. Sammantaget tyder preliminärt resultat på att en inverterad kvadratisk modell av hjärtvagusreglering utvärderad med HRR60s kan bidra med information om fas, grad av ED och behandlingsprogress på individnivå, som inte blir transparent vid tvärsnittsanalys.

<p>Cilj ove teze bio je utvrđivanje polnih razlika<br />u mehanizmima vegetativne regulacije srčane<br />frekvencije, kao i utvrđivanje razlika u regulaciji srčane frekvencije kod žena po<br />fazama menstrualnog ciklusa. Kori&scaron;ćeni su<br />parametri varijabilnosti srčanog ritma (heart<br />rate variability) - HRV i oporavka srčane<br />frekvencije (heart rate recovery) - HRR.</p><p>Ispitivanje je obuhvatilo 90 ispitanika; 45<br />osoba mu&scaron;kog pola (20.4&plusmn;0.7 god., 184&plusmn;5.00<br />cm, 79.38&plusmn;9.42 kg, BMI 23.53&plusmn;2.83) i 45<br />osoba ženskog pola (20.5&plusmn;0.6 god., 168&plusmn;5.25<br />cm, 60.96&plusmn;6.93 kg, BMI 21.57&plusmn;2.23) -<br />studenata Univerziteta u Novom Sadu. Za<br />prikupljanje podataka kori&scaron;ćen je pulsmetar<br />(Polar, Finska). Ispitivanje je sprovedeno u<br />mirovanju, kao i u periodu oporavka posle<br />kratkotrajnog fizičkog opterećenja poznatog<br />intenziteta. U prvom modulu snimanje je<br />obavljano u miru, u sedećem poloţaju na<br />samom ergo-biciklu, stopala na platformi<br />ispred pedala, noge u fleksiji od 90&deg; u<br />kolenom zglobu, ruke na natkolenicama. U<br />drugom modulu snimanje je obavljeno u<br />priodu petominutnog oporavka posle<br />maksimalnog opteraćenja u trajanju od 30<br />sekundi (supramaksimalno opterećenje) -<br />Wingate protokol. U grupi mu&scaron;karaca<br />sprovedeno je jednokratno merenje, dok su za<br />grupu ţena isti moduli snimanja primenjeni u ri navrata: 1. U fazi menstrualnog krvarenja,<br />rana folikularna faza - najniži nivoi estrogena<br />i progesterona. 2. Kasna folikularna faza -<br />visok estrogen. 3. Srednja lutealna faza -<br />visok nivo progesterona i estrogena.<br />U miru kao i u poslednjem trominutnom<br />intervalu petominutnog oporavka određeni su<br />sledeći parametri varijabilnosti srčanog ritma:<br />srednja vrednost NN intervala - RRNN,<br />standardna devijacija NN intervala - SDNN,<br />kvadratni koren iz srednje vrednosti kvadrata<br />sukcesivnih razlika susednih NN intervala<br />(root mean square of successive differences) -<br />RMSSD, broj sucesivnih NN intervala koji<br />se razlikuju za vi&scaron;e od 50ms - NN50 i<br />procentualni udeo NN50 u ukupnom broju<br />NN intervala - pNN50. Od parametara<br />frekvencijskog domena, nakon brze Furijeove<br />transformacije analizirani su sledeći<br />parametri: snaga spektra niske frekvencije<br />(LF; 0,04-0,15Hz) i snaga spektra visoke<br />frekvencije (HF; 0,15-0,40Hz).<br />Oporavak srčane frekvencije u toku<br />petominutnog oporavka nakon<br />supramaksimalnog opterećenja na bicikl<br />ergometru procenjivan je pomoću sledećih parametara: 1. Apsolutna razlika između<br />vrednosti srčane frekvencije odmah po<br />zavr&scaron;etku opterećenja i frekvencije<br />registrovane nakon 60 sekundi oporavka -<br />HRR60. 2. Vremenska konstanta<br />kratkoročnog oporavka srčane frekvencije u<br />prvih 30 sekundi - T30. 3. Vremenska<br />konstanta opadanja srčane frekvencije u toku<br />petominutnog oporavka - T.<br />Utvrđeno je da mu&scaron;karci imaju veći pik snage<br />kao i prosečnu snagu pri supramaksimalnom<br />opterećenju u odnosu na grupu ţena bez<br />obzira na fazu menstrualnog ciklusa; dok su<br />bazalna i maksimalna srčana frekvencija bile<br />iste u obe grupe.<br />Postoje polne razlike u mehanizmima<br />vegetativne regulacije srčane frekvencije u<br />mirovanju. Najbolje su vidljive kroz<br />parametre frekvencijkog domena HRV-a (LF<br />i HF), odnosno prirodne logaritme ovih<br />vrednosti (lnLF i lnHF). Statistički značajne<br />razlike u vrednostima parametara<br />frekvencijskog domena HRV-a između grupe<br />mu&scaron;karaca i grupe ţena u sve tri faze<br />menstrualnog ciklusa potvrđene su i u fazi<br />oporavka posle supramaksimalnog opterećenja.<br />Postoje polne razlike u parasimpatičkoj<br />reaktivaciji posle supramaksimalnog<br />opterećenja koja je značajno brţa kod<br />mu&scaron;karaca. One se najbolje mogu proceniti<br />kroz matematičke modele oporavka srčane<br />frekvencije i vremensku konstantu opadanja<br />srčane frekvencije u prvih 30 sekundi<br />oporavka - T30.<br />Nisu utvrđene razlike u mehanizmima<br />vegetativne regulacije srčane frekvencije u<br />miru u grupi ţena po fazama menstrualnog<br />ciklusa; procenjeno kroz parametre<br />vremenskog i frekvencijskog domena HRVa.<br />Parametri vremenskog i frekvencijskog<br />domena HRV-a registrovani u mirovanju kao<br />i u fazi odmora posle supramaksimalnog<br />opterećenja nisu dovoljno osetljivi za<br />utvrđivanje razlika u vegetativnoj regulaciji<br />srčane frekvencije kod žena po fazama<br />menstrualnog ciklusa.<br />Nijedan od registrovanih parametara<br />oporavka srčane frekvencije (HRmax,<br />HRoporavak, HRR60, T i T30) nije se pokazao<br />dovoljno osetljivim za utvrđivanje promena u<br />parasimpetičkoj reaktivaciji kroz faze<br />menstrualnog ciklusa.</p> / <p>The aim of this study was to determine<br />gender differences in autonomic heart rate<br />control mechanisms, as well as to determine<br />heart rate control differences in women<br />during menstrual cycle. Heart rate variability<br />- HRV and heart rate recovery - HRR parameters were used.<br />The study included 90 participants; 45 males<br />(20.4&plusmn;0.7 yrs., 184&plusmn;5.00 cm, 79.38&plusmn;9.42 kg,<br />BMI 23.53&plusmn;2.83) and 45 females (20.5&plusmn;0.6<br />yrs., 168&plusmn;5.25 cm, 60.96&plusmn;6.93 kg, BMI<br />21.57&plusmn;2.23) - students of the University of<br />Novi Sad. Heart rate monitor (Polar,<br />Finland) was used for data collection.<br />Measurements were conducted while resting<br />as well as in a short recovery period after a<br />brief physical strain of known intensity. In<br />the first mode, heart rate monitoring was<br />conducted on relaxed subjects, in a sitting<br />position on an ergo-bike, feet on the<br />platform in front of the pedals, legs bent at<br />knees at 90&deg;, hands on thighs. In the second<br />mode heart rate monitoring was conducted in<br />a five-minute resting period after 30 seconds<br />of maximal exercise (supramaximal<br />exercise) - Wingate protocol. There was a<br />single monitoring in the male group, while in<br />the female group each monitoring mode was<br />conducted three times: 1. During the phase<br />of menstrual bleeding, early follicular phase<br />- the lowest levels of estrogen and<br />progesterone 2. Late follicular phase - high<br />estrogen. 3. Mid-luteal phase - high progesterone and estrogen.<br />While resting as well as in the last three<br />minutes of five-minute recovery period after<br />the exercise the following parameters of<br />heart rate variability were determined: the<br />mean value of NN intervals - RRNN, the<br />standard deviation of NN intervals - SDNN,<br />the square root of the mean of the squares of<br />the successive differences between adjacent<br />NN intervals (root mean square of<br />successive differences) - RMSSD, the<br />number of pairs of successive NN intervals<br />that differ by more than 50 ms - NN50 and<br />the proportion of NN50 divided by total<br />number of NN intervals pNN50. After the<br />fast Fourier transformation, following<br />frequency domain parameters were<br />analyzed: power spectrum of low frequency<br />(LF; 0,04-0,15Hz) and power spectrum of<br />high frequency (HF; 0,15-0,40Hz).<br />Heart rate recovery during the five-minute<br />resting period after the supramaximal<br />exercise on the ergo-bike was evaluated<br />through following parameters: 1. Absolute<br />difference between the heart rate<br />immediately after the exercise and the heart rate registered after 60 seconds of recovery -<br />HRR60. 2. Time constant of short-time heart<br />rate recovery in the first 30 seconds - T30. 3.<br />Time constant of heart rate decay<br />during the five-minute recovery period - T.<br />It was found that men had greater peak and<br />average power during supramaximal<br />exercise compared to a group of women<br />regardless of the phase of menstrual cycle;<br />while basal and maximal heart rate were the<br />same in both groups.<br />There are gender differences in autonomic<br />heart rate control mechanisms while resting.<br />These are best visible through frequency<br />domain HRV parameters (LF and HF), and<br />their natural logarithms (lnLF and lnHF).<br />Statistically significant differences in the<br />frequency domain HRV parameters between<br />the group of men and the group of women in<br />all three phases of the menstrual cycle, were<br />also found in recovery period after<br />supramaximal exercise.<br />There are gender differences in<br />parasympathetic reactivation after<br />supramaximal exercise which is significantly faster in men. These differences are best<br />assessed through mathematical models of<br />heart rate recovery and the time constant of<br />short-time heart rate recovery in the first 30<br />seconds - T30 .<br />No differences in autonomic heart rate<br />control mechanisms while resting in the<br />female group during three phases of<br />menstrual cycle were found; assessed<br />through the time and frequency domain<br />HRV parameters. The time and frequency<br />domain HRV parameters registered while<br />resting and during recovery period after<br />supramaximal еxеrcise were not sensitive<br />enough to determine differences in<br />autonomic heart rate control in women<br />through three phases of menstrual cycle.<br />None of the registered heart rate recovery<br />parameters (HRmax, HRR60, HRoporavak, T i<br />T30) were sensitive enough to determine<br />changes in parasympathetic reactivation<br />through a menstrual cycle.</p>

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Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2018-07-09T19:24:27Z No. of bitstreams: 1 CristianeRochadaSilvaDissertacao2018.pdf: 5301288 bytes, checksum: d93f6864fe5fb158fcddd3b560878637 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2018-07-09T19:24:49Z (GMT) No. of bitstreams: 1 CristianeRochadaSilvaDissertacao2018.pdf: 5301288 bytes, checksum: d93f6864fe5fb158fcddd3b560878637 (MD5) / Made available in DSpace on 2018-07-09T19:24:49Z (GMT). No. of bitstreams: 1 CristianeRochadaSilvaDissertacao2018.pdf: 5301288 bytes, checksum: d93f6864fe5fb158fcddd3b560878637 (MD5) Previous issue date: 2018-05-14 / The aim of the present study was to analyse heart rate recovery (HRR) and chronotropic index (CI) after treadmill Bruce test in obese elderly women classified on the basis of relative manual grip strength. Methods: Eighty-eight obese elderly women who were between the ages of 60 and 87 participated in the study and were categorized and enrolled to one of two groups based on lower (< 1.51 m²) or higher (≥ 1.51 m²) relative handgrip strength, respectively. The heart rate recovery in the first and second minutes following the treadmill exercise test and the chronotropic index were compared between groups. Results: The higher relative handgrip strength group presented a significantly higher peak heart rate (p= 0,019) during exercise and a faster HRR at the first (p = 0.003) and second minutes (p = 0.002) after the ergometric test compared to the low manual grip strength group (p=0,001). Furthermore, there was a tendency (p = 0.059) towards a significantly higher CI, six-minute walk test (p = 0.001) and low time up and go time in the group of high relative manual grip strength compared to the low force group. Conclusion: In conclusion, elderly women with greater relative handgrip strength also demonstrated a better heart rate response during and following exercise and tendency to higher chronotropic index, possibly indicating better autonomic balance. / O objetivo do presente estudo foi analisar a recuperação da frequência cardíaca (RFC) e o índice cronotrópico (IC) após teste de Bruce em esteira em mulheres idosas obesas classificadas com base na força de preensão manual relativa (FPMR). Métodos: Participaram voluntariamente do estudo 88 mulheres idosas obesas entre 60 e 87 anos que foram categorizadas em dois grupos: baixa força de preensão manual relativa (<1,51 m²) e alta força de preensão manual relativa (≥ 1,51 m²). A RFC no primeiro e no segundo minutos e o índice cronotrópico após o teste ergométrico em esteira foram comparados entre os grupos. Resultados: O grupo de alta força de preensão manual relativa apresentou valores de frequência cardíaca máxima significativamente maiores durante o teste ergométrico (p= 0,019), RFC mais rápida no primeiro (p = 0,003) e segundo minutos (p = 0,002) após o teste ergométrico comparado ao grupo de baixa força de preensão manual relativa (p=0,001). Observamos tendência (p = 0,059) em direção a um IC significativamente maior, Teste de caminhada de 6 minutos (p = 0,001) e baixo tempo no time up and go no grupo de alta força de preensão manual relativa comparado ao grupo de baixa força. Conclusão: Mulheres idosas com alta força de preensão manual relativa apresentam uma melhor resposta da frequência cardíaca durante e após o teste ergométrico, tendência a um índice cronotrópico superior possivelmente indicando um melhor equilíbrio autonômico após o esforço físico e maior capacidade funcional.