L'estratto di barbabietola rossa accelera il recupero delle dinamiche di variabilità non lineare della frequenza cardiaca dopo l'esercizio: uno studio randomizzato

  • Cicero Jonas R Benjamim Department of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
  • Rafael Rodrigues dos Santos Department of Physiology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
  • Andrey Porto Autonomic Nervous System Center (CESNA), Sao Paulo State University, UNESP, Marilia-SP, Brazil.
  • Carlos Roberto Bueno Junior Department of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
  • David M. Garner Autonomic Nervous System Center (CESNA), Sao Paulo State University, UNESP, Marilia-SP, Brazil; Cardiorespiratory Research Group, Department of Biological and Medical Sciences, Faculty of Health and Life Sciences, Oxford Brookes University, Headington Campus, Oxford, OX3 0BP, United Kingdom.
  • Vitor Valenti Autonomic Nervous System Center (CESNA), Sao Paulo State University, UNESP, Marilia-SP, Brazil.
Parole chiave: Sistema nervoso autonomo, Beta vulgaris L, Cuore, Frequenza cardiaca, Fisiologia cardiovascolare

Abstract

Introduzione: Lo studio del comportamento degli indici HRV non lineari in situazioni mediate dall'esercizio può rivelare altri modi per analizzare il recupero dell'HRV dopo situazioni stressanti. Studiare gli effetti acuti dell'estratto di barbabietola rossa sul recupero autonomo dopo una sessione acuta di esercizi di resistenza. Metodi: Questo è uno studio randomizzato, crossover, in doppio cieco, controllato con placebo. Abbiamo valutato 12 adulti maschi sani che hanno partecipato a due protocolli in giorni randomizzati: estratto di barbabietola (600 mg in capsule) e placebo (600 mg in capsule). Entrambi i protocolli sono stati applicati 120 minuti prima di una sessione di esercizi di resistenza (75% 1RM). Le dinamiche non lineari dell'HRV (analisi simbolica, SampEn, DFA e frammentazione HR) sono state studiate prima, durante l'esercizio e durante il recupero dall'esercizio di forza. Risultati: il protocollo dell'estratto di barbabietola rossa ha intensificato il recupero dell'analisi simbolica dell'HRV tramite l'indice 0V% (zero variazioni opposte) e 2UV% (due diverse variazioni); accelerare il recupero dall'analisi frattale (DFA); tuttavia, non è stato in grado di innescare cambiamenti durante il recupero nella frammentazione di SampEn e HR. Conclusione: l'assunzione di estratto di barbabietola prima dell'esercizio di resistenza migliora il recupero autonomo dinamico non lineare dell'HRV dopo lo sforzo fisico.

Riferimenti bibliografici

-Acharya, R.U.; Lim, C.M.; Joseph, P. Heart rate variability analysis using correlation dimension and detrended fluctuation analysis. Innovation and Research in Biomedical Engineering-IRBM. Vol. 23. Núm. 6. p. 333-339. 2000. https://doi.org/10.1016/S12979562(02)90002

-Belli, J. F.; Bacal, F.; Bocchi, E. A.; Guimarães, G. V. Ergoreflex activity in heart failure. Arquivos brasileiros de cardiologia. Vol. 97. Núm. 2. p.171-178. 2011. https://doi.org/10.1590/s0066-782x2011005000072

-Benjamim, C. J. R.; Kliszczewicz, B.; Garner, D. M.; Cavalcante, T. C. F.; Silva, A. A. M.; Santana, M. D. R.; Valenti, V. E. Is Caffeine Recommended Before Exercise? A Systematic Review to Investigate Its Impact on Cardiac Autonomic Control Via Heart Rate and Its Variability. Journal of the American College of Nutrition. Vol. 39. Núm. 6. p. 563-573. 2020. https://doi.org/10.1080/07315724.2019.1705201

-Bond, V.; Curry, B. H.; Adams, R. G.; Asadi, M. S.; Stancil, K. A.; Millis, R. M.; Haddad, G. E. Effects of Nitrate Supplementation on Cardiovascular and Autonomic Reactivity in African-American Females. ISRN Physiology. p.676235. 2014 https://doi.org/10.1155/2014/676235

-Caliskan, S. G.; Bilgin, M. D. Non-linear analysis of heart rate variability for evaluating the acute effects of caffeinated beverages in young adults. Cardiology in the young. Vol. 30. Núm. 7. p. 1018-1023. 2020. https://doi.org/10.1017/S1047951120001481

-Cassidy, A.; Mukamal, K. J.; Liu, L.; Franz, M.; Eliassen, A. H.; Rimm, E. B. High anthocyanin intake is associated with a reduced risk of myocardial infarction in young and middle-aged women. Circulation. Vol. 127. Núm. 2. p. 188-196. 2013. https://doi.org/10.1161/CIRCULATIONAHA.112.122408

-Costa, M. D.; Davis, R. B.; Goldberger, A. L. Heart Rate Fragmentation: A Symbolic Dynamical Approach. Frontiers in physiology. Vol. 8. Nú. 827. 2017. https://doi.org/10.3389/fphys.2017.00827

-Costa, M. D.; Davis, R. B.; Goldberger, A. L. Heart Rate Fragmentation: A New Approach to the Analysis of Cardiac Interbeat Interval Dynamics. Frontiers in physiology. Vol. 8. Núm. 255. 2017. https://doi.org/10.3389/fphys.2017.00255

-Costa, M. D.; Redline, S.; Davis, R. B.; Heckbert, S. R.; Soliman, E. Z.; Goldberger, A. L. Heart Rate Fragmentation as a Novel Biomarker of Adverse Cardiovascular Events: The Multi-Ethnic Study of Atherosclerosis. Frontiers in physiology. Vol. 9. Núm. 1117. 2018. https://doi.org/10.3389/fphys.2018.01117

-Oliveira, L. S.; Fontes, A. M. G. G.; Vitor, A. L. R.; Vanderlei, F. M.; Garner, D. M.; Valenti, V. E. Lower Systolic Blood Pressure in Normotensive Subjects is Related to Better Autonomic Recovery Following Exercise. Scientific reports. Vol. 10. Núm. 1. p. 1006. 2020. https://doi.org/10.1038/s41598-020-58031-5

-Dominguez, R., Cuenca, E.; Maté-Muñoz, J. L.; García-Fernández, P.; Serra-Paya, N.; Estevan, M. C.; Herreros, P. V.; Garnacho-Castaño, M. V. Effects of Beetroot Juice Supplementation on Cardiorespiratory Endurance in Athletes. A Systematic Review. Nutrients. Vol. 9. Núm. 43. 2017. https://doi.org/10.3390/nu9010043

-Eggebeen, J.; Kim-Shapiro, D. B.; Haykowsky, M.; Morgan, T. M.; Basu, S.; Brubaker, P.; Rejeski, J.; Kitzman, D. W. One Week of Daily Dosing With Beetroot Juice Improves Submaximal Endurance and Blood Pressure in Older Patients With Heart Failure and Preserved Ejection Fraction. JACC. Heart failure. Vol. 4. Núm. 6. p. 428-437. 2016. https://doi.org/10.1016/j.jchf.2015.12.013

-Goldberger, A. L.; Amaral, L. A.; Glass, L.; Hausdorff, J. M.; Ivanov, P. C.; Mark, R. G.; Mietus, J. E.; Moody, G. B.; Peng, C. K.; Stanley, H. E. PhysioBank, PhysioToolkit, and PhysioNet: components of a new research resource for complex physiologic signals. Circulation. Vol. 101. Núm. 23. p. E215-E220. 2020. https://doi.org/10.1161/01.cir.101.23.e215

-Gomes, R. L.; Vanderlei, L. C.; Garner, D. M.; Santana, M. D.; Abreu, L. C.; Valenti, V. E. Poincaré plot analysis of ultra-short-term heart rate variability during recovery from exercise in physically active men. The Journal of sports medicine and physical fitness. Vol. 58. Núm. 7-8. p.998-1005. 2018. https://doi.org/10.23736/S0022-4707.17.06922-5

-Gonzaga, L. A.; Vanderlei, L. C. M.; Gomes, R. L.; Valenti, V. E. Caffeine affects autonomic control of heart rate and blood pressure recovery after aerobic exercise in young adults: a crossover study. Scientific reports. Vol. 7. Núm. 1. p. 14091. 2017. https://doi.org/10.1038/s41598-017-14540-4

-Heffernan, K. S.; Fahs, C. A.; Shinsako, K. K.; Jae, S. Y.; Fernhall, B. Heart rate recovery and heart rate complexity following resistance exercise training and detraining in young men. American journal of physiology. Heart and circulatory physiology. Vol. 293. Núm. 5. p. H3180-H3186. 2007. https://doi.org/10.1152/ajpheart.00648.2007

-Jackson, A. S.; Pollock, M. L. Generalized equations for predicting body density of men. The British journal of nutrition. Vol. 40. Núm. 3. p. 497-504. 1978. https://doi.org/10.1079/bjn19780152

-Jakubowski, H. Pathophysiological consequences of homocysteine excess. The Journal of nutrition. Vol. 136. Núm. 6 Suppl. p. 1741S-1749S. 2006. https://doi.org/10.1093/jn/136.6.1741S

-Jones, A. M.; Thompson, C.; Wylie, L. J.; Vanhatalo, A. Dietary Nitrate and Physical Performance. Annual review of nutrition. Vol. 38. p.303-328. 2018. https://doi.org/10.1146/annurev-nutr-082117-051622

-Laborde, S.; Mosley, E.; Thayer, J. F. Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research - Recommendations for Experiment Planning, Data Analysis, and Data Reporting. Frontiers in psychology. Vol. 8. Núm. 213. 2017. https://doi.org/10.3389/fpsyg.2017.00213

-Lampert, R.; Bremner, J. D.; Su, S.; Miller, A.; Lee, F.; Cheema, F.; Goldberg, J.; Vaccarino, V. Decreased heart rate variability is associated with higher levels of inflammation in middle-aged men. American heart journal. Vol. 156. Núm. 4. p. 759.e1-759.e7597. 2008. https://doi.org/10.1016/j.ahj.2008.07.009

-Lohman, T.G. R.A.; Martorelli, R. Antropometric standardization reference manual. Human Kinetics Books. 1998.

-Makikallio, T. H.; Høiber, S.; Køber, L.; Torp-Pedersen, C.; Peng, C. K.; Goldberger, A. L.; Huikuri, H. V. Fractal analysis of heart rate dynamics as a predictor of mortality in patients with depressed left ventricular function after acute myocardial infarction. TRACE Investigators. TRAndolapril Cardiac Evaluation. The American journal of cardiology. Vol. 83. Núm. 6. p.836-839. 1999. https://doi.org/10.1016/s0002-9149(98)01076-5

-Notay, K.; Incognito, A. V.; Millar, P. J. Acute beetroot juice supplementation on sympathetic nerve activity: a randomized, double-blind, placebo-controlled proof-of-concept study. American journal of physiology. Heart and circulatory physiology. Vol. 313. Núm. 1. p. H59-H65. 2017. https://doi.org/10.1152/ajpheart.00163.2017

-Peçanha, T.; Bartels, R.; Brito, L. C.; Paula-Ribeiro, M.; Oliveira, R. S.; Goldberger, J. J. Methods of assessment of the post-exercise cardiac autonomic recovery: A methodological review. International journal of cardiology. Vol. 227. p.795-802. 2017. https://doi.org/10.1016/j.ijcard.2016.10.057

-Porta, A.; Tobaldini, E.; Guzzetti, S.; Furlan, R.; Montano, N.; Gnecchi-Ruscone, T. Assessment of cardiac autonomic modulation during graded head-up tilt by symbolic analysis of heart rate variability. American journal of physiology. Heart and circulatory physiology. Vol. 293. Núm. 1. p. H702-H708. 2007. https://doi.org/10.1152/ajpheart.00006.2007

-Pryor, J. L.; Wolf, S. T.; Sforzo, G.; Swensen, T. (2017). The Effect of Betaine on Nitrate and Cardiovascular Response to Exercise. International journal of exercise science. Vol. 10. Núm. 4. p. 550-559. 2017.

-Quintana, D.S. Statistical considerations for reporting and planning heart rate variability case-control studies. Psychophysiology. Vol. 54. Núm. 3. p.344-349. 2017. DOI: 10.1111/psyp.12798.

-Ricci-Vitor, A.L.; Santos, A.A.S.; Godoy, M.F.; Ramos, E. M. C.; Pastre, C. M.; Vanderlei, L.C.M. Impact of strength training on fractal correlation property of heart rate variability and peripheral muscle strength in COPD. Experimental & Clinical Cardiology. Vol. 20. Núm. 7. p.450-474. 2013.

-Richman, J. S.; Moorman, J. R. Physiological time-series analysis using approximate entropy and sample entropy. American journal of physiology. Heart and circulatory physiology. Vol. 278. Núm. 6. p.H2039-H2049. 2000. https://doi.org/10.1152/ajpheart.2000.278.6.H2039

-Rincon Soler, A. I.; Silva, L. E. V.; Fazan, R.; Murta, L. O. The impact of artifact correction methods of RR series on heart rate variability parameters. Journal of applied physiology. Vol. 124. Núm. 3. p. 646-652. 2018. https://doi.org/10.1152/japplphysiol.00927.2016

-Rzewnicki, R.; Vanden Auweele, Y.; Bourdeaudhuij, I. Addressing overreporting on the International Physical Activity Questionnaire (IPAQ) telephone survey with a population sample. Public health nutrition. Vol. 6. Núm. 3. p. 299-305. 2003. https://doi.org/10.1079/PHN2002427

-Sawicki, T.; Wiczkowski, W. The effects of boiling and fermentation on betalain profiles and antioxidant capacities of red beetroot products. Food chemistry. Vol. 259. p. 292-303. 2018. https://doi.org/10.1016/j.foodchem.2018.03.143

-Seiler, S.; Haugen, O.; Kuffel, E. Autonomic recovery after exercise in trained athletes: intensity and duration effects. Medicine and science in sports and exercise. Vol. 39. Núm. 8. p. 1366-1373. 2007. https://doi.org/10.1249/mss.0b013e318060f17d

-Silva, L. E. V.; Fazan, R.; Marin-Neto, J. A. PyBioS: A freeware computer software for analysis of cardiovascular signals. Computer methods and programs in biomedicine. Vol. 197. 105718. 2020. https://doi.org/10.1016/j.cmpb.2020.105718

-Siri, W. E. Body composition from fluid spaces and density: analysis of methods. 1961. Nutrition. Vol. 9. Núm. 5. p. 480-492. 1993.

-Vanderlei, L. C.; Pastre, C. M.; Hoshi, R. A.; Carvalho, T. D.; Godoy, M. F. Basic notions of heart rate variability and its clinical applicability. Revista brasileira de cirurgia cardiovascular: orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular. Vol. 24. Núm. 2. p. 205-217. 2009. https://doi.org/10.1590/s0102-76382009000200018

-Zhao, G.; He, F.; Wu, C.; Li, P.; Li, N.; Deng, J.; Zhu, G.; Ren, W.; Peng, Y. Betaine in Inflammation: Mechanistic Aspects and Applications. Frontiers in immunology. Vol. 9. p. 1070. 2018. https://doi.org/10.3389/fimmu.2018.01070

Pubblicato
2023-12-28
Come citare
Benjamim, C. J. R., Santos, R. R. dos, Porto, A., Bueno Junior, C. R., Garner, D. M., & Valenti, V. (2023). L’estratto di barbabietola rossa accelera il recupero delle dinamiche di variabilità non lineare della frequenza cardiaca dopo l’esercizio: uno studio randomizzato. RBNE - Giornale Brasiliano Di Nutrizione Sportiva, 17(106), 585-599. Recuperato da https://www.rbne.com.br/index.php/rbne/article/view/2192
Sezione
Articoli Scientifici - Original