Tags

Type your tag names separated by a space and hit enter

Heart Rate Variability Mainly Relates to Cognitive Executive Functions and Improves Through Exergame Training in Older Adults: A Secondary Analysis of a 6-Month Randomized Controlled Trial.
Front Aging Neurosci. 2020; 12:197.FA

Abstract

Heart rate variability (HRV) mirrors autonomic nervous system activities and might serve as a parameter to monitor health status in older adults. However, it is currently unknown which functional health measures, including cognitive, physical, and gait performance parameters, are most strongly related to HRV indices. This knowledge would enable implementing HRV assessments into health monitoring routines and training planning for older adults. Simultaneous cognitive-motor and exergame training may be effective to improve HRV indices but has not been investigated yet. Eighty-nine healthy older adults (≥70 years of age) were randomized into three groups: (1) virtual reality video game dancing, i.e., exergaming (DANCE); (2) treadmill walking with simultaneous verbal memory training (MEMORY); or (3) treadmill walking only (PHYS). Strength and balance exercises complemented each program. Over 6 months, two weekly 1-h training sessions were performed. HRV indices (standard deviation of N-N intervals, SDNN; root mean square of successive R-R interval differences, RMSSD; and absolute power of high-frequency band (0.15-0.4 Hz), HF power) and various measures of cognitive, physical, and gait performance were assessed at baseline and after 3 months and 6 months. Multiple linear regression analyses with planned comparisons were calculated. At baseline, 8-12% of HRV variance was significantly explained by cognitive executive functions and leg strength (inversely related). Verbal long-term memory, aerobic and functional fitness, and gait performance did not contribute to the model (SDNN: R2 = 0.082, p = 0.016; RMSSD: R2 = 0.121, p = 0.013; HF power: R2 = 0.119, p = 0.015). After 6 months, DANCE improved HRV indices, while MEMORY and PHYS did not (time × intervention interactions: first-contrast DANCE/MEMORY vs. PHYS: SDNN p = 0.014 one-tailed, ΔR 2 = 0.020 and RMSSD p = 0.052 one-tailed (trend), ΔR 2 = 0.007; second-contrast DANCE vs. MEMORY: SDNN p = 0.002 one-tailed, ΔR 2 = 0.035, RMSSD p = 0.017 one-tailed, ΔR 2 = 0.012, and HF power p = 0.011 one-tailed, ΔR 2 = 0.013). We conclude that mainly cognitive executive functions are associated with HRV indices and that exergame training improves global and parasympathetic autonomic nervous system activities in older adults. Periodic assessments of HRV in older citizens could be particularly beneficial to monitor cognitive health and provide indications for preventative exercise measures.

Authors+Show Affiliations

Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, St. Gallen, Switzerland. Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport, ETH Zurich, Zurich, Switzerland.Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, St. Gallen, Switzerland.Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, St. Gallen, Switzerland. Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport, ETH Zurich, Zurich, Switzerland.Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, St. Gallen, Switzerland.Geriatrische Klinik St. Gallen, St. Gallen, Switzerland. Department of Geriatric Medicine, University of Zurich, Zurich, Switzerland.Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport, ETH Zurich, Zurich, Switzerland. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32760267

Citation

Eggenberger, Patrick, et al. "Heart Rate Variability Mainly Relates to Cognitive Executive Functions and Improves Through Exergame Training in Older Adults: a Secondary Analysis of a 6-Month Randomized Controlled Trial." Frontiers in Aging Neuroscience, vol. 12, 2020, p. 197.
Eggenberger P, Annaheim S, Kündig KA, et al. Heart Rate Variability Mainly Relates to Cognitive Executive Functions and Improves Through Exergame Training in Older Adults: A Secondary Analysis of a 6-Month Randomized Controlled Trial. Front Aging Neurosci. 2020;12:197.
Eggenberger, P., Annaheim, S., Kündig, K. A., Rossi, R. M., Münzer, T., & de Bruin, E. D. (2020). Heart Rate Variability Mainly Relates to Cognitive Executive Functions and Improves Through Exergame Training in Older Adults: A Secondary Analysis of a 6-Month Randomized Controlled Trial. Frontiers in Aging Neuroscience, 12, 197. https://doi.org/10.3389/fnagi.2020.00197
Eggenberger P, et al. Heart Rate Variability Mainly Relates to Cognitive Executive Functions and Improves Through Exergame Training in Older Adults: a Secondary Analysis of a 6-Month Randomized Controlled Trial. Front Aging Neurosci. 2020;12:197. PubMed PMID: 32760267.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Heart Rate Variability Mainly Relates to Cognitive Executive Functions and Improves Through Exergame Training in Older Adults: A Secondary Analysis of a 6-Month Randomized Controlled Trial. AU - Eggenberger,Patrick, AU - Annaheim,Simon, AU - Kündig,Kerstin A, AU - Rossi,René M, AU - Münzer,Thomas, AU - de Bruin,Eling D, Y1 - 2020/07/15/ PY - 2020/04/01/received PY - 2020/06/05/accepted PY - 2020/8/8/entrez PY - 2020/8/8/pubmed PY - 2020/8/8/medline KW - cognitive–motor training KW - dual-task training KW - elderly KW - executive functions KW - functional fitness KW - gait variability KW - normalized heart rate variability KW - verbal long-term memory SP - 197 EP - 197 JF - Frontiers in aging neuroscience JO - Front Aging Neurosci VL - 12 N2 - Heart rate variability (HRV) mirrors autonomic nervous system activities and might serve as a parameter to monitor health status in older adults. However, it is currently unknown which functional health measures, including cognitive, physical, and gait performance parameters, are most strongly related to HRV indices. This knowledge would enable implementing HRV assessments into health monitoring routines and training planning for older adults. Simultaneous cognitive-motor and exergame training may be effective to improve HRV indices but has not been investigated yet. Eighty-nine healthy older adults (≥70 years of age) were randomized into three groups: (1) virtual reality video game dancing, i.e., exergaming (DANCE); (2) treadmill walking with simultaneous verbal memory training (MEMORY); or (3) treadmill walking only (PHYS). Strength and balance exercises complemented each program. Over 6 months, two weekly 1-h training sessions were performed. HRV indices (standard deviation of N-N intervals, SDNN; root mean square of successive R-R interval differences, RMSSD; and absolute power of high-frequency band (0.15-0.4 Hz), HF power) and various measures of cognitive, physical, and gait performance were assessed at baseline and after 3 months and 6 months. Multiple linear regression analyses with planned comparisons were calculated. At baseline, 8-12% of HRV variance was significantly explained by cognitive executive functions and leg strength (inversely related). Verbal long-term memory, aerobic and functional fitness, and gait performance did not contribute to the model (SDNN: R2 = 0.082, p = 0.016; RMSSD: R2 = 0.121, p = 0.013; HF power: R2 = 0.119, p = 0.015). After 6 months, DANCE improved HRV indices, while MEMORY and PHYS did not (time × intervention interactions: first-contrast DANCE/MEMORY vs. PHYS: SDNN p = 0.014 one-tailed, ΔR 2 = 0.020 and RMSSD p = 0.052 one-tailed (trend), ΔR 2 = 0.007; second-contrast DANCE vs. MEMORY: SDNN p = 0.002 one-tailed, ΔR 2 = 0.035, RMSSD p = 0.017 one-tailed, ΔR 2 = 0.012, and HF power p = 0.011 one-tailed, ΔR 2 = 0.013). We conclude that mainly cognitive executive functions are associated with HRV indices and that exergame training improves global and parasympathetic autonomic nervous system activities in older adults. Periodic assessments of HRV in older citizens could be particularly beneficial to monitor cognitive health and provide indications for preventative exercise measures. SN - 1663-4365 UR - https://www.unboundmedicine.com/medline/citation/32760267/Heart_Rate_Variability_Mainly_Relates_to_Cognitive_Executive_Functions_and_Improves_Through_Exergame_Training_in_Older_Adults:_A_Secondary_Analysis_of_a_6_Month_Randomized_Controlled_Trial_ L2 - https://doi.org/10.3389/fnagi.2020.00197 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.