Variabilidad de la frecuencia cardiaca: evaluación del entrenamiento deportivo. Revisión de tema
Barra lateral del artículo
Publicado:
feb. 15, 2019
Palabras clave:
atleta, ejercicio, sistema nervioso autónomo, sistema cardiovascular
Contenido principal del artículo
Resumen
La variabilidad de la frecuencia cardiaca es un método no invasivo para evaluar la respuesta del sistema nervioso autónomo sobre el sistema cardiovascular, evalúa la capacidad de recuperación del sistema cardiovascular como respuesta al ejercicio físico. El análisis de los índices de la variabilidad de la frecuencia cardiaca refleja la respuesta autonómica cardiovascular a las diferentes cargas de entrenamiento. Esta revisión temática muestra las conclusiones y los protocolos de evaluación utilizados para controlar y evaluar el entrenamiento en atletas. La variabilidad de la frecuencia cardiaca fue analizada por los métodos de dominio tiempo y frecuencia. La búsqueda se realizó en las bases de datos de SCOPUS, PubMed y el motor de búsqueda google académico, utilizando las palabras clave “heart rate variability” “athletes”, “cardiac autonomic modulations”. Los artículos seleccionados tuvieron como población objeto de estudio atletas de nivel competitivo de diferentes deportes. En conclusión, La evaluación de la Variabilidad de la frecuencia cardiaca permite determinar la adaptación o inadaptación a las cargas de entrenamiento, programar el volumen y la intensidad adecuada de la carga de entrenamiento, supervisar el rendimiento a lo largo de los periodos de entrenamiento y monitorear el estado de forma deportiva durante los campeonatos en todos los deportes.
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Cómo citar
Porras-Alvarez, J., & Bernal-Calderón, M. O. (2019). Variabilidad de la frecuencia cardiaca: evaluación del entrenamiento deportivo. Revisión de tema. Duazary, 16(2), 259–269. https://doi.org/10.21676/2389783X.2750
Sección
Artículo de revisión
No se permite un uso comercial de la obra original ni de las posibles obras derivadas, la distribución de las cuales se debe hacer con una licencia igual a la que regula la obra original.
Citas
. Boron F, Boulpaep L. Medical Physiology. Second edition, Elsevier Saunders; 2012.
2. Goldsmith RL, Bloomfield DM, Rosenwinkel T. Exercise and autonomic function. Coron Artery Dis. 2000;11(2):129-135. https://www.ncbi.nlm.nih.gov/pubmed/10758814.
3. Aubert AE, Seps B & Beckers F. Sports Med. (2003);33:889. Doi: https://doi.org/10.2165/00007256-200333120-00003.
4. Rodas G, Carballido P, Capdevilla L. Heart Rate Variability: definition, measurement and clinical relation aspects. Archivos medicina del deporte. 2008;30(123):41-47. https://www.researchgate.net/publication/287702610_Heart_rate_variability_Definition_measurement_and_clinical_relation_aspects_part_II
5. Kleiger RE, Stein PK, Bigger JT. Heart rate variability: measurement and clinical utility. Ann Noninvasive Electrocardiol.. 2005;10(1):88-101. Doi: https://doi.org/10.1111/j.1542-474X.2005.10101.x.
6. Gamelin FX, Berthoin S, Bosquet L. Validity of the polar S810 heart rate monitor to measure RR intervals at rest. Med Sci Sports Exerc. 2006;38(5):887. https://www.ncbi.nlm.nih.gov/pubmed/16672842.
7. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation Baltimore. 1996;(93):1043-64. Doi: https://doi.org/10.1161/01.CIR.93.5.1043.
8. Cambri LT, Fronchetti L, De-Oliveira FR, da Silva GM. Variabilidade da frequência cardíaca e controle metabólico. Arquivos Sanny Pesquisa Saúde. 2008;1(1):72-82. http://www.academia.edu/23089546/Variabilidade_da_freq%C3%BC%C3%AAncia_card%C3%ADaca_e_controle_metab%C3%B3lico.
9. Rodas G, Yanguas X, Pedret C, Ramos J, Capdevila L. Canvis de la variabilitat de la freqüència cardíaca (VFC) de jugadors d’hoquei durant el Campionat del Món de 2006. Apunts Med Sport. 2011;46(171):117-123. https://www.raco.cat/index.php/Apunts/article/view/246215/335032.
10. DeBoer RW, Karemaker JM, Strackee J. Spectrum of a series of point events, generated by the integral pulse frequency modulation model. Med. Biol. Eng. Comput. 1985;(23):138-143. Doi: https://doi.org/10.1007/BF02456750.
11. Martinelli FS, Chacon-Mikahil MP, Martins LE, Lima-Filho EC, Golfetti R et al. Heart rate variability in athletes and nonathletes at rest and during head-up tilt. Braz J Med Biol Res. 2005;38(4):639-47. Doi: http://dx.doi.org/10.1590/S0100-879X2005000400019.
12. Christoforidi V, Koutlianos N, Deligiannis P, Kouidi E, Deligiannis A. Heart rate variability in free diving athletes. Clin Physiol Func Imag. 2012;32(2):162-6. Doi: https://doi.org/10.1111/j.1475-097X.2011.01070.x.
13. Iellamo F, Legramante JM, Pigozzi F, Spataro A, Norbiato G, Lucini D, et al. Conversion from vagal to sympathetic predominance with strenuous training in high-performance world class athletes. Circulation. 2002;105(23):2719-2724. Doi: 10.1161/01.CIR.0000018124.01299.AE.
14. Daniłowicz-Szymanowicz L, Raczak G, Pinna GD, Maestri R, Ratkowski W, Figura-Chmielewska, et al. The effects of an extreme endurance exercise event on autonomic nervous system activity. Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego. 2005;19(109):28-31. https://www.ncbi.nlm.nih.gov/pubmed/16194022.
15. Morales J, Garcia V, García-Massó X, Salvá P, Escobar R. The use of heart rate variability in assessing precompetitive stress in high-standard judo athletes. Int J Sports Med 2013;34(02):144-151. Doi: http://dx.doi.org/10.1055/s-0032-1323719.
16. Blasco-Lafarga C, Martínez-Navarro I, Mateo-March M. Is baseline cardiac autonomic modulation related to performance and physiological responses following a supramaximal Judo test?. PloS one. 2013;8(10):e78584. Doi: https://doi.org/10.1371/journal.pone.0078584.
17. Baumert M, Brechtel L, Lock J, Hermsdorf M, Wolff R, Baier V, et al. Heart rate variability, blood pressure variability, and baroreflex sensitivity in overtrained athletes. Clin J Sport Med. 2006a;16(5):412-417. Doi: 10.1097/01.jsm.0000244610.34594.07.
18. Baumert M, Brechtel L, Lock J, Voss A. Changes in heart rate variability of athletes during a training camp. Biomed Tech. 2006b;51(4):201-204. Doi: 10.1515/BMT.2006.037.
19. Plews DJ, Laursen PB, Kilding AE, Buchheit M. Heart rate variability in elite triathletes, is variation in variability the key to effective training? A case comparison. Eur J Appl Physiol. 2012;112(11):3729-3741. Doi: https://doi.org/10.1007/s00421-012-2354-4.
20. Botek M, McKune A, Krejci J, Stejskal P, Gaba A. Change in performance in response to training load adjustment based on autonomic activity. Int J Sports Med. 2014;35(06):482-488. Doi: https://doi.org/10.1055/s-0033-1354385.
21. Da Silva DF, Verri SM, Nakamura FY, Machado FA. Longitudinal changes in cardiac autonomic function and aerobic fitness indices in endurance runners: A case study with a high-level team. Eur J sport science. 2014;14(5):443-451. Doi: 10.1080/17461391.2013.832802.
22. DeSaa YS, Sarmiento JM, Martín-González D, Rodríguez-Ruiz ME, Quiroga JM, García-Manso. Aplicación de la variabilidad de la frecuencia cardiaca en la caracterización de deportistas de élite de lucha canaria con diferente nivel de rendimiento. Revista Andaluza de Medicina del Deporte. 2009;(4):120-5. http://www.elsevier.es/es-revista-revista-andaluza-medicina-del-deporte-284-pdf-X1888754609461988
23. Earnest CP, Jurca R, Church TS, Chicharro JL, Hoyos J, Lucia A. Relation between physical exertion and heart rate variability characteristics in professional cyclists during the Tour of Spai. Br J Sports Med. 2004;38:568–575. Doi: 10.1136/bjsm.2003.005140.
24. Sartor F, Vailati E, Valsecchi V, Vailati F, Torre AL. Heart rate variability reflects training load and Psychophysiological status in young elite gymnasts. J Strength and Conditioning Research. 2013;27(10):2782-2790. Doi: 10.1519/JSC.0b013e31828783cc.
25. Botero RD, León HH, Melo CE, Porras AJ, Villanueva VAM, et al. The Autonomic Nervous System In Cyclists: A Useful Tool To Guide Young Talents?. Med Sci Sports Exerc. 530 Walnut ST, Philadelphia, PA 19106-3621 USA: Lippincott Williams & Wilkins. 2013;45(5):134-134.
26. Kaikkonen P, Rusko H, Martinmäki K. Post-exercise heart rate variability of endurance athletes after different high-intensity exercise interventions. Scand J Med Sci Sports. 2008;18(4):511-519. Doi: 10.1111/j.1600-0838.2007.00728.x.
27. Buchheit M, Kuitunen S, Voss SC, Williams BK, Mendez-Villanueva A, Bourdon PC. Physiological strain associated with high-intensity hypoxic intervals in highly trained young runners. J Strength Cond Res. 2012;26(1):94-105. Doi: 10.1519/JSC.0b013e3182184fcb.
28. Sztajzel J, Jung M, Sievert K, De Luna BA. Cardiac autonomic profile in different sports disciplines during all-day activity. J Sports Med Phys Fitness. 2008;48(4):495-501. https://search.proquest.com/openview/f7ee937561267eb26cd9b57210d9d2b3/1?pq-origsite=gscholar&cbl=4718.
29. Koyama K, Inoue T, Hasegawa A, Oriuchi N, Okamoto E, Tomaru Y et al. Alternating myocardial sympathetic neural function of athlete’s heart in professional cycle racers examined with iodine-123-MIBG myocardial scintigraphy. Ann Nuclear Medicine. 2001;15(4):307-12. https://www.ncbi.nlm.nih.gov/pubmed/11577754.
30. Dewland TA, Androne AS, Lee FA, Lampert RJ, Katz SD. Effect of acetylcholinesterase inhibition with pyridostigmine on cardiac parasympathetic function in sedentary adults and trained athletes. Am J Physiol Heart Circ Physiol. 2007;293(1):86-92. Doi: https://doi.org/10.1152/ajpheart.01339.2006
31. Pichot V, Roche F, Gaspoz JM, Enjolras F, Antoniadis A, Minini P, et al. Relation between heart rate variability and training load in middle-distance runners. Med Sci Sports Exerc. 2000;32(10):1729-36. https://www.ncbi.nlm.nih.gov/pubmed/11039645
32. Melanson EL, Freedson PS. The effect of endurance training on resting heart rate variability in sedentary adult males. Eur J Appl Physiol. 2001;85:442-9. Doi: https://doi.org/10.1007/s004210100479.
33. Aubert AE, Beckers F, Ramaekers D. Short-term heart rate variability in young athletes. J Cardiology. 2001;(1):85-88. https://www.ncbi.nlm.nih.gov/pubmed/11433833.
34.Borges NR, Reaburn PR, Doering TM, Argus CK, & Driller, M. W. Autonomic cardiovascular modulation in masters and young cyclists following high-intensity interval training. Clin Autonomic Research. 2017;27(2):83-90.
35. Bonaduce D, Petretta M, Cavallaro V, Apicella C, Ianniciello A et al. Intensive training and cardiac autonomic control in high level athletes. Med Sci Sports Exerc. 1998;30(5):691-6. Doi: 10.1097/00005768-199805000-00008.
36. Danilowicz-Szymanowicz L, Figura-Chmielewska M, Raczak A, Szwoch M, Ratkowski W. The assessment of influence of long-term exercise training on autonomic nervous system activity in young athletes preparing for competitions. Pol Merkur Lekarski. 2011;30(175):19-25. https://www.ncbi.nlm.nih.gov/pubmed/21542239
37. Cruz GH, Orellana JN, Taraco AR & Colmenero BR. Leukocyte Populations are Associated with Heart Rate Variability After a Triathlon. J human kinetics. 2016;54(1):55-63. Doi: https://doi.org/10.1515/hukin-2016-0036.
38. Martinmaki K, Rusko H, Kooistra L, Kettunen J, Saalasti S. Intraindividual validation of heart rate variability indexes to measure vagal effects on hearts. Am J Physiol Heart Circ Physiol. 2006;290(2):640-647. Doi: https://doi.org/10.1152/ajpheart.00054.2005
39. Hautala A. Effect of physical exercise on autonomic regulation of heart rate. Oulun yliopisto. 2004:1-76. http://jultika.oulu.fi/files/isbn9514273354.pdf.
40. Leicht AS, Graham D, Allen AJ, Hoey AJ. Influence of Intensive Cycling Training on Heart Rate Variability During Rest and Exercise. Canad J Applied Physiol. 2003;28(6):898-909. Doi: https://doi.org/10.1139/h03-064.
41. Tulppo MP, Hautala AJ, Mäkikallio TH, Laukkanen RT, Nissilä S et al. Effects of aerobic training on heart rate dynamics in sedentary subjects. Applied Physiology. 2003;95:364-72. Doi: https://doi.org/10.1152/japplphysiol.00751.2002.
42. Matthew LC, Wood R, Welsch M. Influence of short term endurance exercise training on heart rate variability. Med Sci Sports Exerc. 2003;35(6):961-9. Doi: 10.1249/01.MSS.0000069410.56710.DA.
43. Alom MM, Bhuiyan NI, Hossain MM, Hoque MF, Rozario RJ, Nessa W. Physical training induced resting bradycardia and its association with cardiac autonomic nervous activities. J Mymensingh Med. 2011;20(4):665-70. https://www.ncbi.nlm.nih.gov/pubmed/22081187.
44.Sharma D, Paudel BH, Khadka R, Thakur D, Sapkota NK, Shah DK, et al. Time domain and frequency domain analysis of heart rate variability in elite Nepalese football players. Inter J Biomedical Research. 2015;6(9):641-646. https://www.researchgate.net/publication/282750853_Time_domain_and_frequency_domain_analysis_of_heart_rate_variability_in_elite_Nepalese_football_players.
45. Rumenig E, Bertuzzi R, Nakamura F, Franchini E, Matsushigue K, Kiss M. Cinética e variabilidade da freqüência cardíaca mediante exercício físico predominantemente aeróbio: influência da intensidade e do tempo de análise. Revista Brasileira de Educação Física e Esporte. 2007;21(3):205-218. Doi: http://dx.doi.org/10.1590/S1807-55092007000300005
46. Michael S, Graham KS, Davis GM. Cardiac Autonomic Responses during Exercise and Post-exercise Recovery Using Heart Rate Variability and Systolic Time Intervals-A Review. Frontiers in physiology. 2017; (8):301. Doi: https://doi.org/10.3389/fphys.2017.00301
47. Janssen MJ, de Bie J, Swenne CA, Oudhof J. Supine and standing sympathovagal balance in athletes and controls. Europ. J. Appl. Physiol. 1993;67(2):164-7. Doi: https://doi.org/10.1007/BF00376661
48. Boullosa DA, Abreu L, Nakamura FY, Muñoz VE, Domínguez E, Leicht AS. Cardiac autonomic adaptations in elite Spanish soccer players during preseason. Inter J Sports Physiol Performance. 2013;8(4):400-409. Doi: https://doi.org/10.1123/ijspp.8.4.400
49.Korobeynikov G, Korobeynikova L, Potop V, Nikonorov D, Semenenko V, Dakal N, et al. Heart rate variability system in elite athletes with different levels of stress resistance. J Physical Education and Sport. 2018;18(2):550-554. Doi:10.7752/jpes.2018.02079
50. Furlan R, Piazza S, Dell’Orto S, Gentile E, Cerutti S, Pegani M et al. Early and late effects of exercise and athletic training on neural mechanisms controlling heart rate. Cardiovascular Research. 1993;27(3):482-8. Doi: https://doi.org/10.1093/cvr/27.3.482
51. Bosquet L, Papelier Y, Léger L, Legros P. Night heart rate variability during overtraining in male endurance athletes. J Sports Med Phys Fit. 2003;43(4):506-512. https://www.researchgate.net/publication/8883124_Night_heart_rate_variability_during_overtraining_in_male_endurance_athletes.
52. Perini R, Veicsteinas A. Heart rate variability and autonomic activity at rest and during exercise in various physiological conditions. Eur J Appl Physiol. 2003;90(3-4):317-325. Doi: https://doi.org/10.1007/s00421-003-0953-9.
2. Goldsmith RL, Bloomfield DM, Rosenwinkel T. Exercise and autonomic function. Coron Artery Dis. 2000;11(2):129-135. https://www.ncbi.nlm.nih.gov/pubmed/10758814.
3. Aubert AE, Seps B & Beckers F. Sports Med. (2003);33:889. Doi: https://doi.org/10.2165/00007256-200333120-00003.
4. Rodas G, Carballido P, Capdevilla L. Heart Rate Variability: definition, measurement and clinical relation aspects. Archivos medicina del deporte. 2008;30(123):41-47. https://www.researchgate.net/publication/287702610_Heart_rate_variability_Definition_measurement_and_clinical_relation_aspects_part_II
5. Kleiger RE, Stein PK, Bigger JT. Heart rate variability: measurement and clinical utility. Ann Noninvasive Electrocardiol.. 2005;10(1):88-101. Doi: https://doi.org/10.1111/j.1542-474X.2005.10101.x.
6. Gamelin FX, Berthoin S, Bosquet L. Validity of the polar S810 heart rate monitor to measure RR intervals at rest. Med Sci Sports Exerc. 2006;38(5):887. https://www.ncbi.nlm.nih.gov/pubmed/16672842.
7. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation Baltimore. 1996;(93):1043-64. Doi: https://doi.org/10.1161/01.CIR.93.5.1043.
8. Cambri LT, Fronchetti L, De-Oliveira FR, da Silva GM. Variabilidade da frequência cardíaca e controle metabólico. Arquivos Sanny Pesquisa Saúde. 2008;1(1):72-82. http://www.academia.edu/23089546/Variabilidade_da_freq%C3%BC%C3%AAncia_card%C3%ADaca_e_controle_metab%C3%B3lico.
9. Rodas G, Yanguas X, Pedret C, Ramos J, Capdevila L. Canvis de la variabilitat de la freqüència cardíaca (VFC) de jugadors d’hoquei durant el Campionat del Món de 2006. Apunts Med Sport. 2011;46(171):117-123. https://www.raco.cat/index.php/Apunts/article/view/246215/335032.
10. DeBoer RW, Karemaker JM, Strackee J. Spectrum of a series of point events, generated by the integral pulse frequency modulation model. Med. Biol. Eng. Comput. 1985;(23):138-143. Doi: https://doi.org/10.1007/BF02456750.
11. Martinelli FS, Chacon-Mikahil MP, Martins LE, Lima-Filho EC, Golfetti R et al. Heart rate variability in athletes and nonathletes at rest and during head-up tilt. Braz J Med Biol Res. 2005;38(4):639-47. Doi: http://dx.doi.org/10.1590/S0100-879X2005000400019.
12. Christoforidi V, Koutlianos N, Deligiannis P, Kouidi E, Deligiannis A. Heart rate variability in free diving athletes. Clin Physiol Func Imag. 2012;32(2):162-6. Doi: https://doi.org/10.1111/j.1475-097X.2011.01070.x.
13. Iellamo F, Legramante JM, Pigozzi F, Spataro A, Norbiato G, Lucini D, et al. Conversion from vagal to sympathetic predominance with strenuous training in high-performance world class athletes. Circulation. 2002;105(23):2719-2724. Doi: 10.1161/01.CIR.0000018124.01299.AE.
14. Daniłowicz-Szymanowicz L, Raczak G, Pinna GD, Maestri R, Ratkowski W, Figura-Chmielewska, et al. The effects of an extreme endurance exercise event on autonomic nervous system activity. Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego. 2005;19(109):28-31. https://www.ncbi.nlm.nih.gov/pubmed/16194022.
15. Morales J, Garcia V, García-Massó X, Salvá P, Escobar R. The use of heart rate variability in assessing precompetitive stress in high-standard judo athletes. Int J Sports Med 2013;34(02):144-151. Doi: http://dx.doi.org/10.1055/s-0032-1323719.
16. Blasco-Lafarga C, Martínez-Navarro I, Mateo-March M. Is baseline cardiac autonomic modulation related to performance and physiological responses following a supramaximal Judo test?. PloS one. 2013;8(10):e78584. Doi: https://doi.org/10.1371/journal.pone.0078584.
17. Baumert M, Brechtel L, Lock J, Hermsdorf M, Wolff R, Baier V, et al. Heart rate variability, blood pressure variability, and baroreflex sensitivity in overtrained athletes. Clin J Sport Med. 2006a;16(5):412-417. Doi: 10.1097/01.jsm.0000244610.34594.07.
18. Baumert M, Brechtel L, Lock J, Voss A. Changes in heart rate variability of athletes during a training camp. Biomed Tech. 2006b;51(4):201-204. Doi: 10.1515/BMT.2006.037.
19. Plews DJ, Laursen PB, Kilding AE, Buchheit M. Heart rate variability in elite triathletes, is variation in variability the key to effective training? A case comparison. Eur J Appl Physiol. 2012;112(11):3729-3741. Doi: https://doi.org/10.1007/s00421-012-2354-4.
20. Botek M, McKune A, Krejci J, Stejskal P, Gaba A. Change in performance in response to training load adjustment based on autonomic activity. Int J Sports Med. 2014;35(06):482-488. Doi: https://doi.org/10.1055/s-0033-1354385.
21. Da Silva DF, Verri SM, Nakamura FY, Machado FA. Longitudinal changes in cardiac autonomic function and aerobic fitness indices in endurance runners: A case study with a high-level team. Eur J sport science. 2014;14(5):443-451. Doi: 10.1080/17461391.2013.832802.
22. DeSaa YS, Sarmiento JM, Martín-González D, Rodríguez-Ruiz ME, Quiroga JM, García-Manso. Aplicación de la variabilidad de la frecuencia cardiaca en la caracterización de deportistas de élite de lucha canaria con diferente nivel de rendimiento. Revista Andaluza de Medicina del Deporte. 2009;(4):120-5. http://www.elsevier.es/es-revista-revista-andaluza-medicina-del-deporte-284-pdf-X1888754609461988
23. Earnest CP, Jurca R, Church TS, Chicharro JL, Hoyos J, Lucia A. Relation between physical exertion and heart rate variability characteristics in professional cyclists during the Tour of Spai. Br J Sports Med. 2004;38:568–575. Doi: 10.1136/bjsm.2003.005140.
24. Sartor F, Vailati E, Valsecchi V, Vailati F, Torre AL. Heart rate variability reflects training load and Psychophysiological status in young elite gymnasts. J Strength and Conditioning Research. 2013;27(10):2782-2790. Doi: 10.1519/JSC.0b013e31828783cc.
25. Botero RD, León HH, Melo CE, Porras AJ, Villanueva VAM, et al. The Autonomic Nervous System In Cyclists: A Useful Tool To Guide Young Talents?. Med Sci Sports Exerc. 530 Walnut ST, Philadelphia, PA 19106-3621 USA: Lippincott Williams & Wilkins. 2013;45(5):134-134.
26. Kaikkonen P, Rusko H, Martinmäki K. Post-exercise heart rate variability of endurance athletes after different high-intensity exercise interventions. Scand J Med Sci Sports. 2008;18(4):511-519. Doi: 10.1111/j.1600-0838.2007.00728.x.
27. Buchheit M, Kuitunen S, Voss SC, Williams BK, Mendez-Villanueva A, Bourdon PC. Physiological strain associated with high-intensity hypoxic intervals in highly trained young runners. J Strength Cond Res. 2012;26(1):94-105. Doi: 10.1519/JSC.0b013e3182184fcb.
28. Sztajzel J, Jung M, Sievert K, De Luna BA. Cardiac autonomic profile in different sports disciplines during all-day activity. J Sports Med Phys Fitness. 2008;48(4):495-501. https://search.proquest.com/openview/f7ee937561267eb26cd9b57210d9d2b3/1?pq-origsite=gscholar&cbl=4718.
29. Koyama K, Inoue T, Hasegawa A, Oriuchi N, Okamoto E, Tomaru Y et al. Alternating myocardial sympathetic neural function of athlete’s heart in professional cycle racers examined with iodine-123-MIBG myocardial scintigraphy. Ann Nuclear Medicine. 2001;15(4):307-12. https://www.ncbi.nlm.nih.gov/pubmed/11577754.
30. Dewland TA, Androne AS, Lee FA, Lampert RJ, Katz SD. Effect of acetylcholinesterase inhibition with pyridostigmine on cardiac parasympathetic function in sedentary adults and trained athletes. Am J Physiol Heart Circ Physiol. 2007;293(1):86-92. Doi: https://doi.org/10.1152/ajpheart.01339.2006
31. Pichot V, Roche F, Gaspoz JM, Enjolras F, Antoniadis A, Minini P, et al. Relation between heart rate variability and training load in middle-distance runners. Med Sci Sports Exerc. 2000;32(10):1729-36. https://www.ncbi.nlm.nih.gov/pubmed/11039645
32. Melanson EL, Freedson PS. The effect of endurance training on resting heart rate variability in sedentary adult males. Eur J Appl Physiol. 2001;85:442-9. Doi: https://doi.org/10.1007/s004210100479.
33. Aubert AE, Beckers F, Ramaekers D. Short-term heart rate variability in young athletes. J Cardiology. 2001;(1):85-88. https://www.ncbi.nlm.nih.gov/pubmed/11433833.
34.Borges NR, Reaburn PR, Doering TM, Argus CK, & Driller, M. W. Autonomic cardiovascular modulation in masters and young cyclists following high-intensity interval training. Clin Autonomic Research. 2017;27(2):83-90.
35. Bonaduce D, Petretta M, Cavallaro V, Apicella C, Ianniciello A et al. Intensive training and cardiac autonomic control in high level athletes. Med Sci Sports Exerc. 1998;30(5):691-6. Doi: 10.1097/00005768-199805000-00008.
36. Danilowicz-Szymanowicz L, Figura-Chmielewska M, Raczak A, Szwoch M, Ratkowski W. The assessment of influence of long-term exercise training on autonomic nervous system activity in young athletes preparing for competitions. Pol Merkur Lekarski. 2011;30(175):19-25. https://www.ncbi.nlm.nih.gov/pubmed/21542239
37. Cruz GH, Orellana JN, Taraco AR & Colmenero BR. Leukocyte Populations are Associated with Heart Rate Variability After a Triathlon. J human kinetics. 2016;54(1):55-63. Doi: https://doi.org/10.1515/hukin-2016-0036.
38. Martinmaki K, Rusko H, Kooistra L, Kettunen J, Saalasti S. Intraindividual validation of heart rate variability indexes to measure vagal effects on hearts. Am J Physiol Heart Circ Physiol. 2006;290(2):640-647. Doi: https://doi.org/10.1152/ajpheart.00054.2005
39. Hautala A. Effect of physical exercise on autonomic regulation of heart rate. Oulun yliopisto. 2004:1-76. http://jultika.oulu.fi/files/isbn9514273354.pdf.
40. Leicht AS, Graham D, Allen AJ, Hoey AJ. Influence of Intensive Cycling Training on Heart Rate Variability During Rest and Exercise. Canad J Applied Physiol. 2003;28(6):898-909. Doi: https://doi.org/10.1139/h03-064.
41. Tulppo MP, Hautala AJ, Mäkikallio TH, Laukkanen RT, Nissilä S et al. Effects of aerobic training on heart rate dynamics in sedentary subjects. Applied Physiology. 2003;95:364-72. Doi: https://doi.org/10.1152/japplphysiol.00751.2002.
42. Matthew LC, Wood R, Welsch M. Influence of short term endurance exercise training on heart rate variability. Med Sci Sports Exerc. 2003;35(6):961-9. Doi: 10.1249/01.MSS.0000069410.56710.DA.
43. Alom MM, Bhuiyan NI, Hossain MM, Hoque MF, Rozario RJ, Nessa W. Physical training induced resting bradycardia and its association with cardiac autonomic nervous activities. J Mymensingh Med. 2011;20(4):665-70. https://www.ncbi.nlm.nih.gov/pubmed/22081187.
44.Sharma D, Paudel BH, Khadka R, Thakur D, Sapkota NK, Shah DK, et al. Time domain and frequency domain analysis of heart rate variability in elite Nepalese football players. Inter J Biomedical Research. 2015;6(9):641-646. https://www.researchgate.net/publication/282750853_Time_domain_and_frequency_domain_analysis_of_heart_rate_variability_in_elite_Nepalese_football_players.
45. Rumenig E, Bertuzzi R, Nakamura F, Franchini E, Matsushigue K, Kiss M. Cinética e variabilidade da freqüência cardíaca mediante exercício físico predominantemente aeróbio: influência da intensidade e do tempo de análise. Revista Brasileira de Educação Física e Esporte. 2007;21(3):205-218. Doi: http://dx.doi.org/10.1590/S1807-55092007000300005
46. Michael S, Graham KS, Davis GM. Cardiac Autonomic Responses during Exercise and Post-exercise Recovery Using Heart Rate Variability and Systolic Time Intervals-A Review. Frontiers in physiology. 2017; (8):301. Doi: https://doi.org/10.3389/fphys.2017.00301
47. Janssen MJ, de Bie J, Swenne CA, Oudhof J. Supine and standing sympathovagal balance in athletes and controls. Europ. J. Appl. Physiol. 1993;67(2):164-7. Doi: https://doi.org/10.1007/BF00376661
48. Boullosa DA, Abreu L, Nakamura FY, Muñoz VE, Domínguez E, Leicht AS. Cardiac autonomic adaptations in elite Spanish soccer players during preseason. Inter J Sports Physiol Performance. 2013;8(4):400-409. Doi: https://doi.org/10.1123/ijspp.8.4.400
49.Korobeynikov G, Korobeynikova L, Potop V, Nikonorov D, Semenenko V, Dakal N, et al. Heart rate variability system in elite athletes with different levels of stress resistance. J Physical Education and Sport. 2018;18(2):550-554. Doi:10.7752/jpes.2018.02079
50. Furlan R, Piazza S, Dell’Orto S, Gentile E, Cerutti S, Pegani M et al. Early and late effects of exercise and athletic training on neural mechanisms controlling heart rate. Cardiovascular Research. 1993;27(3):482-8. Doi: https://doi.org/10.1093/cvr/27.3.482
51. Bosquet L, Papelier Y, Léger L, Legros P. Night heart rate variability during overtraining in male endurance athletes. J Sports Med Phys Fit. 2003;43(4):506-512. https://www.researchgate.net/publication/8883124_Night_heart_rate_variability_during_overtraining_in_male_endurance_athletes.
52. Perini R, Veicsteinas A. Heart rate variability and autonomic activity at rest and during exercise in various physiological conditions. Eur J Appl Physiol. 2003;90(3-4):317-325. Doi: https://doi.org/10.1007/s00421-003-0953-9.