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Cardiac Autonomic Regulation During Submaximal Exercise in Women with Fibromyalgia

Abstract

Fibromyalgia (FM) patients present impaired cardiac autonomic regulation during maximal exercise; however, it is unknown whether these alterations also manifest during submaximal exercise. The aim of this study was to compare the on-transient heart rate (HR) response and HR variability during a constant-load submaximal cycling exercise between FM and control (CON) women. Ten women with FM (age: 45.2±9.3 years) and 10 age-matched CON women (age: 48.4±6.1 years) performed a 15-min cycling exercise, with the work rate fixed at 50% of the individual peak power output attained in a maximal graded exercise test. The time intervals between consecutive heartbeats were recorded regularly during the exercise for subsequent analysis of on-transient HR response and HR variability indices. The on-transient HR time constant was similar (=0.83) between the FM (41.0±14.1 sec) and CON (42.2±10.4 sec). During the 5-10 and 10-15 min of exercise, HR variability indices indicating sympathetic and parasympathetic activities were similar (>0.05) between FM and CON groups. In conclusion, women with FM presented a normal cardiac autonomic response to submaximal cycling exercise. These findings have clinical relevance, as submaximal exercises are commonly prescribed for FM patients.

References
1.
Fisher J . Autonomic control of the heart during exercise in humans: role of skeletal muscle afferents. Exp Physiol. 2013; 99(2):300-5. DOI: 10.1113/expphysiol.2013.074377. View

2.
Urhausen A, Weiler B, Coen B, Kindermann W . Plasma catecholamines during endurance exercise of different intensities as related to the individual anaerobic threshold. Eur J Appl Physiol Occup Physiol. 1994; 69(1):16-20. DOI: 10.1007/BF00867921. View

3.
Furlan R, Colombo S, Perego F, Atzeni F, Diana A, Barbic F . Abnormalities of cardiovascular neural control and reduced orthostatic tolerance in patients with primary fibromyalgia. J Rheumatol. 2005; 32(9):1787-93. View

4.
Reyes del Paso G, Garrido S, Pulgar A, Duschek S . Autonomic cardiovascular control and responses to experimental pain stimulation in fibromyalgia syndrome. J Psychosom Res. 2011; 70(2):125-34. DOI: 10.1016/j.jpsychores.2010.09.012. View

5.
Zakynthinaki M . Modelling heart rate kinetics. PLoS One. 2015; 10(4):e0118263. PMC: 4395265. DOI: 10.1371/journal.pone.0118263. View