游泳運動對健康中老年人運動後恢復期心臟代償現象之影響

Effects of Swimming Exercise on Post-Exercise Cardiac Compensation in Healthy Middle-Aged Adults

10.5297/ser.1402.011

黃香萍(Hsiang-Ping Huang)；王鶴森(Ho-Seng Wang)；林信甫(Hsin-Fu Lin)

心跳率 ； 每跳輸出量 ； 心輸出量 ； 左心室收縮時距 ； 左心室壓力改變速率 ； heart rate ； stroke volume ； cardiac output ； left ventricular ejection time ； left ventricular longitudinal strain

大專體育學刊

14卷2期（2012 / 06 / 01）

239 - 247

繁體中文;英文

運動後恢復期心臟代償反應與心肺健康有重要的關係，而游泳運動受到姿勢與環境的影響，可能引發與陸上運動不同的心臟代償生理反應。本研究目的為探討單次不同強度游泳運動對成年健康男女性運動後心臟代償現象的影響。受試者為8位成年健康男性（年齡：50.1 ± 3.1歲），及9位成年健康女性（年齡：53.9± 2.2歲）。依平衡次序方式進行三次的試驗；分別為30分鐘低強度（40% HRR, LE組）、中強度（70%HRR, ME組）游泳運動試驗及控制組（C組），並於試驗後第1、2、3、4、12及24小時觀察心臟功能參數（心跳率、每跳輸出量、心輸出量、左心室收縮時距、左心室壓力改變速率）。所得數據以混合設計三因子（性別 × 試驗 × 時間）變異數分析心臟功能參數。研究結果發現：每跳輸出量、左心室收縮時距、左心室壓力改變速率交互作用皆未達顯著。心跳率之組別與時間交互作用達顯著，單純主要效果分析運動後1小時，ME組 (82.2 ± 2.8 beats/min) 顯著高於LE組 (75.8 ± 2.3 beats/min)，兩組皆顯著高於C組（66.0 ± 1.8 beats/min）。運動後2小時，僅ME組顯著高於C組，運動後3、4小時ME組及LE組皆顯著高於C組。心輸出量之組別主要效果達顯著，ME組（4.6 ± 0.2 L/min）與LE組（4.5 ± 0.2 L/min）皆顯著高於C組（4.2 ± 0.2 L/min）。本研究結論：無規律運動習慣之中老年人從事單次30分鐘低或中強度游泳運動後恢復期，仍存在心輸出量因運動強度增加而上升的心臟代償現象，此現象主要是透過較高的心跳率而達成，且持續至運動後4 小時，同時此現象並無性別差異存在。

Post-exercise cardiac compensation is closely associated with cardiovascular health. Swimming exercise could elicit different post-exercise physiological responses compared to land-based exercise due to the environment and posture differences. The purpose of this study was to examine the effect of swimming exercise at two different intensities on post-exercise cardiac compensation in healthy middle-aged adults. Eight male (50.1 ± 3.1 yr) and 9 female (53.9 ± 2.2 yr) subjects were recruited for this study. Each subject completed an initial graded exercise test to determine individual maximal heart rate (HRmax) followed by a 30-min swimming exercise at low (40% HRR, LE), moderate (70% HRR, ME) intensities, and a sham control (CON) by using counter-balanced design. Hemodynamic variables were obtained at 1, 2, 3, 4, 12, and 24-h after exercise by using a 24-h ambulatory blood pressure monitor. Three-way analysis of variance (ANOVA) was used to assess the differences, main effects and interaction (gender × intensity × time) between controlled variables. We found no significant difference in stroke volume (SV), left ventricular ejection time (LV ejection time) and LV dp/dt Max after LE and ME. However, heart rate was significantly increased one hour after exercise in ME compared to LE (82.2 ± 2.8 vs. 75.8 ± 2.3 beats/ min), and both ME and LE showed higher than CON (66 ± 1.8 beats/min). The main effect on cardiac output was reached significantly higher in both ME (4.6 ± 0.2 L/min) and LE (4.5 ± 0.2 L/min) than CON (4.2 ± 0.2 L/min). Our findings conclude that cardiac compensation was still observed during 4-h recovery after 30-min swimming exercise at 40% HRR as well as 70% HRR without any gender difference.

1. 蔡忠昌、陳怡瑜(2009)。大學生性別、心肺功能與心率變異的相關性。大專體育學刊，11(3)，143-153。
   連結：
2. Achten, J.,Jeukendrup, A. E.(2003).Heart rate monitoring: Applications and limitations.Sports Medicine,33(7),517-538.
3. Alderman, B. L.,Arent, S. M.,Landers, D. M.,Rogers, T. J.(2007).Aerobic exercise intensity and time of stressor administration influence cardiovascular responses to psychological stress.Psychophysiology,44(5),759-766.
4. Bosquet, L.,Gamelin, F. X.,Berthoin, S.(2008).Reliability of postexercise heart rate recovery.International Journal of Sports Medicine,29(3),238-243.
5. Carter, R., III.,Watenpaugh, D. E.,Smith, M. L.(2001).Gender differences in cardiovascular regulation during recovery from exercise.Journal of Applied Physiology,91(4),1902-1907.
6. Cole, C. R.,Blackstone, E. H.,Pashkow, F. J.,Snader, C. E.,Lauer, M. S.(1999).Heart-rate recovery immediately after exercise as a predictor of mortality.New England Journal of Medicine,341(18),1351-1357.
7. Convertino, V. A.,Tatro, D. L.,Rogan, R. B.(1993).Renal and cardiovascular responses to water immersion in trained runners and swimmers.European Journal of Applied Physiologyand Occupational Physiology,67(6),507-512.
8. Cox, K. L.,Burke, V.,Beilin, L. J.,Grove, J. R.,Blanksby, B. A.,Puddey, I. B.(2006).Blood pressure rise with swimming versus walking in older women: The Sedentary Women Exercise Adherence Trial 2 (SWEAT 2).Journal of Hypertension,24(2),307-314.
9. Del Coso, J.,Hamouti, N.,Aguado-Jimenez, R.,Mora-Rodriguez, R.(2010).Restoration of blood Ph between repeated bouts of high-intensity exercise: Effects of various active-recovery protocols.European Journal of Applied Physiology and Occupational Physiology,108(3),523-532.
10. Deschenes, M. R.,Hillard, M. N.,Wilson, J. A.,Dubina, M. I.,Eason, M. K.(2006).Effects of gender on physiological responses during submaximal exercise and recovery.Medicine & Science in Sports & Exercise,38(7),1304-1310.
11. Goodman, J. M.,Busato, G.-M.,Frey, E.,Sasson, Z.(2009).Left ventricular contractile function is preserved during prolonged exercise in middleaged men.Journal of Applied Physiology,106(2),494-499.
12. Goodman, J. M.,McLaughlin, P. R.,Liu, P. P.(2001).Left ventricular performance during prolonged exercise: Absence of systolic dysfunction.Clinical Science,100(5),529-537.
13. Heffernan, K. S.,Kelly, E. E.,Collier, S. R.,Fernhall, B .(2006).Cardiac autonomic modulation during recovery from acute endurance versus resistance exercise.European Journal of Cardiovascular Prevention and Rehabilitation,13(1),80-86.
14. Jouven, X.,Empana, J.-P.,Schwartz, P. J.,Desnos, M.,Courbon, D.,Ducimetière, P.(2005).Heart-rate profile during exercise as a predictor of sudden death.The New England Journal of Medicine,352(19),1951-1958.
15. Kaikkonen, P.,Rusko, H.,Martinmäki, K.(2008).Post-exercise heart rate variability of endurance athletes after different high-intensity exercise interventions.Scandinavian Journal of Medicine and Science in Sports,18(4),511-519.
16. Lovallo, W. R.,Gerin, W.(2003).Psychophysiological reactivity: Mechanisms and pathways to cardiovascular disease.Psychosomatic Medicine,65(1),36-45.
17. Montain, S. J.,Coyle, E. F.(1992).Influence of graded dehydration on hyperthermia and cardiovascular drift during exercise.Journal of Applied Physiology,73(4),1340-1350.
18. Mourot, L.,Bouhaddi, M.,Tordi, N.,Rouillon, J. D.,Regnard, J.(2004).Short- and long-term effects of a single bout of exercise on heart rate variability: Comparison between constant and interval training exercises.European Journal of Applied Physiology,92(4-5),508-517.
19. Nishime, E. O.,Cole, C. R.,Blackstone, E. H.,Pashkow, F. J.,Lauer, M. S.(2000).Heart rate recovery and treadmill exercise score as predictors of mortality in patients referred for exercise ECG.Journal of American Medical Association,284(11),1392-1398.
20. Onorati, P.,Martolini, D.,Ora, J.,Valli, G.,Fedeli, A.,Palange, P.(2008).Estimation of the exercise ventilatory compensation point by the analysis of the relationship between minute ventilation and heart rate.European Journal of Applied Physiology,104(1),87-94.
21. Perini, R.,Orizio, C.,Comandè, A.,Castellano, M.,Beschi, M.,Veicsteinas, A.(1989).Plasma norepinephrine and heart rate dynamics during recovery from submaximal exercise in man.European Journal of Applied Physiology and Occupational Physiology,58(8),879-883.
22. Rowell, L. B.(1993).Human cardiovascular control.New York:Oxford University Press.
23. Seiler, S.,Haugen, O.,Kuffel, E.(2007).Autonomic recovery after exercise in trained athletes: Intensity and duration effects.Medicine & Science in Sports & Exercise,39(8),1366-1373.
24. Short, K. R.,Sedlock, D. A.(1997).Excess postexercise oxygen consumption and recovery rate in trained and untrained subjects.Journal of Applied Physiology,83(1),153-159.
25. Tanaka, H.(2009).Swimming exercise: Impact of aquatic exercise on cardiovascular health.Sports Medicine,39(5),377-387.
26. Tanaka, H.,Bassett, D. R., Jr.,Howley, E. T.,Thompson, D. L.,Ashraf, M.,Rawson, F. L.(1997).Swimming training lowers the resting blood pressure in individuals with hypertension.Journal of Hypertension,15(6),651-657.
27. Tordi, N.,Mourot, L.,Colin, E.,Regnard, J.(2010).Intermittent versus constant aerobic exercise: Effects on arterial stiffness.European Journal of Applied Physiology,108(4),801-809.
28. Viik, J.(2005).Modes of heart rate compensations during exercise ECG test.Anatolian Journal of Cardiology,5(4),312-314.
29. Wang, S. C.,Lin, H. F.,Wu, C. F.,Lin, B. N.,Wang, Y. S.,Huang, Y. J.(2010).Aerobic power assessment by using a 10 min heart rate control running on treadmill.Journal of Sports Medicine and Physical Fitness,50(1),32-36.
30. Watenpaugh, D. E.,Pump, B.,Bie, P.,Norsk, P.(2000).Does gender influence human cardiovascular and renal responses to water immersion?.Journal of Applied Physiology,89(2),621-628.
31. Wiebe, C. G.,Gledhill, N.,Warburton, D. E.,Jamnik, V. K.,Ferguson, S.(1998).Exercise cardiac function in endurance-trained males versus females.Clinical Journal of Sports Medicine,8(4),272-279.
32. Wilmore, J. H.,Stanforth, P. R.,Gagnon, J.,Rice, T.,Mandel, S.,Leon, A. S.(2001).Cardiac output and stroke volume changes with endurance training: The heritage family study.Medicine & Science in Sports & Exercise,33(1),99-106.

1. 何承訓,王群維,王順正,王重凱(2023)。單次不同下肢阻力運動對健康成年男性脈波傳導速率與血壓之影響。大專體育學刊，25(1)，60-79。