Paradoxical dissociation between heart rate and heart rate variability following different modalities of exercise in individuals with metabolic syndrome: The RESOLVE study
Abstract
Aims To analyse the effects of different modalities of exercise training on heart rate variability (HRV) in individuals with metabolic syndrome (MetS). Methods and results Eighty MetS participants (aged 50-70 years) were housed and managed in an inpatient medical centre for 21 days, including weekends. Physical activity and food intake/diet were intensively monitored. Participants were randomly assigned into three training groups, differing only by intensity of exercise: moderate-endurance-moderate-resistance ( re), high-resistance-moderate-endurance ( Re), and moderate-resistance-high-endurance ( rE). HRV was recorded before and after the intervention by 24-hour Holter electrocardiogram. Although mean 24-hour heart rate decreased more in Re than re (-11.6 ± 1.6 vs. -4.8 ± 2.1%; P = 0.010), low frequency/high frequency decreased more in re than Re (-20.4 ± 5.5% vs. + 20.4 ± 9.1%; P = 0.002) and rE (-20.4 ± 5.5% vs. -0.3 ± 11.1%; P = 0.003). Very low frequency increased more in Re than re (+121.2 ± 35.7 vs. 42.9 ± 11.3%; P = 0.004). For all HRV parameters, rE ranged between re and Re values. Low frequency/high frequency changes were linked with visceral fat loss only in re (coefficient 5.9, 95% CI 1.9-10.0; P = 0.004). By day 21, HRV parameters of MetS groups (heart rate -8.6 ± 1.0%, standard deviation of R-R intervals + 34.0 ± 6.6%, total power + 63.3 ± 11.1%; P < 0.001) became closer to values of 50 aged-matched healthy controls. Conclusions A 3-week residential programme with intensive volumes of physical activity (15-20 hours per week) enhanced HRV in individuals with MetS. Participants with moderate intensity of training had greater improvements in sympathovagal balance, whereas those with high intensity in resistance training had greater decreases in heart rate and greater increases in very low frequency. Modality-specific relationships were observed between enhanced HRV and visceral fat loss. Clinical Trial Registration URL: http://www.clinicaltrials.gov . Unique identifier: NCT00917917.
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Low HRV is a marker of cardiovascular risk.
“Therefore, low HRV is a marker of cardiovascular risk [18].”
From Heart rate variability in type 2 diabetes mellitus: A systematic review and meta–analysis (2018) · cites this paper as [18]
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Heart rate variability as a possible predictor of sport performance in junior rhythmic gymnastics
Urzeală, C., Bota, A., Şerbănoiu, S., Mezei, M., Dutheil, F., & Courteix, D. (2020) · Isokinetics and Exercise Science · doi:10.3233/ies-192222 · Cited by 5 · see citing works
Guzmán, J. E. O., Sánchez-Soler, M., Prieto-Mondragón, L. D. P., Arias-Mutis, O. J., Bizy, A., Calvo, C. J., Alberola, A. M., & Zarzoso, M. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14176129 · Cited by 4 · see citing works
Metabolic Syndrome, Hormones, and Exercise
Δίπλα, Κ., Zafeiridis, A., & Tordjman, K. M. (2020) · Contemporary Endocrinology · doi:10.1007/978-3-030-33376-8_29 · Cited by 3 · see citing works
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Clinchamps, M., Bouillon‐Minois, J., Trousselard, M., Schmidt, J., Pic, D., Taillandier, T., Mermillod, M., Pereira, B., & Dutheil, F. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-080177 · Cited by 3 · see citing works
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Data Mining for Estimating the Impact of Physical Activity Levels on the Health-Related Well-Being
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BASIC MECHANOTHERAPY DEVICES IN THE REHABILITATION OF PATIENTS WITH SPINAL DYSFUNCTION
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CIRCADIAN RHYTHM OF CARDIAC OUTPUT DURING ANURIA IN ACUTE RENAL FAILURE IN INFANTS
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Pheochromocytoma and heart rate variability: a systematic review and meta-analysis
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Risques psychosociaux, biomarqueurs du stress et sédentarité au travail
Clinchamps, M. (2024) · theses.fr (ABES) · doi:10.70675/f7fded06zbd50z4b94za835zaceb55c78968
- Authors
- Boudet, G., Walther, G., Courteix, D., Obert, P., Lesourd, B., Pereira, B., Chapier, R., Vinet, A., Chamoux, A., Naughton, G., Poirier, P., & Dutheil, F.
- Affiliations
- Université Clermont Auvergne (FR)
- Université d'Avignon et des Pays de Vaucluse (FR)
- Centre Hospitalier Universitaire de Clermont-Ferrand (FR)
- Australian National University (AU)
- Institut universitaire de cardiologie et de pneumologie de Québec (CA)
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Dutheil, Frédéric
- ORCID
- Venue
- European Journal of Preventive Cardiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-11-19
- Volume
- 24
- Issue
- 3
- Pages
- 281-296
- ISSN
- 2047-4873 (ISSN-L)
- 2047-4881
- OpenAlex
- W2551965522
- Cited by
- 39
- References
- 65
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 2 · 2022: 6 · 2021: 7 · 2020: 7 · 2019: 3 · 2018: 2 · 2017: 5
- FWCI
- 2.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Preventive Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- HAL (submittedVersion)
- Funders
- Université Blaise Pascal
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- metabolic syndrome, heart rate variability, exercise training, resistance training, endurance training, exercise intensity, sympathovagal balance, autonomic nervous system, heart rate, older adults, inpatient rehabilitation, Holter monitoring, 24-hour heart rate, LF/HF ratio, very low frequency power, total power
- MeSH terms
- Aged, Exercise Therapy, Female, Health Status, Heart Rate, Humans, Inpatients, Male, Middle Aged, Time Factors, Biomarkers, Electrocardiography, Ambulatory, Treatment Outcome, Exercise Tolerance, Recovery of Function, Metabolic Syndrome, Muscle Strength, Resistance Training
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