Twelve weeks of hiking training improves heart rate variability and cardio-respiratory endurance in women with panic disorder

Ashkriz, Nahid; Bolboli, Lotfali; Khani, Mostafa; Afroundeh, Roghayyeh; Eskandarnejad, Mahta

doi:10.22059/sshr.2024.381744.1162

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	Twelve weeks of hiking training improves heart rate variability and cardio-respiratory endurance in women with panic disorder
Sport Sciences and Health Research
دوره 16، شماره 2، مهر 2024، صفحه 267-277 اصل مقاله (571.7 K)
نوع مقاله: Research Paper
شناسه دیجیتال (DOI): 10.22059/sshr.2024.381744.1162
نویسندگان
Nahid Ashkriz¹؛ Lotfali Bolboli^* ²؛ Mostafa Khani³؛ Roghayyeh Afroundeh¹؛ Mahta Eskandarnejad⁴
¹Department of Sports Physiology, Faculty of Educational Sciences and Psychology, Mohaghegh Ardabili University, Ardabil, Iran
²Sports Physiology Department, Faculty of Educational Sciences and Psychology, Mohaghegh Ardabili University, Ardabil, Iran
³Department of Sports Physiology, Faculty of Physical Education, Tabriz University, Tabriz, Iran
⁴Department of Movement Behavior, Faculty of Physical Education, Tabriz University, Tabriz, Iran
چکیده
Background: Heart rate variability (HRV) as a non-invasive indicator measures the activity level of the autonomic nervous system. Exercise has significant positive effects in increasing HRV indicators, which ultimately leads to cardiovascular health. People with panic disorder (PD) generally have low HRV indices and are more exposed to cardiovascular risks. Aim: The aim of the present study is investigating the effect of 12 weeks of hiking training on HRV of women with PD. Materials and Methods: In this semi-experimental clinical trial, 18 women with PD with average panic scores (45.00±19.55) as determined by Albany Panic and Phobia Questionnaire (APPQ) in two training group (12 weeks of hiking training with 70% to 80% MHR, three sessions a week, each one an-hour, and control group (without any regular physical activity) participated randomly. HRV of subjects was measured by Holter monitoring device (with 7 leads VX3+ SN 17570 made in USA) while resting and lying back for 20 min before and after 12 weeks. Results: The results of covariance analysis showed that panic scores (P≤0.001) and HRV factors including: SDNN (P≤0.05), SDNN index (P≤ 0.01) and TP (P≤0.03) of the subjects in the training group improved significantly but HF, LF, LF/HF, did not show significant changes (P≥0.05). Conclusion: It seems that 12 weeks of hiking training improves some of the HRV indices of women, which prevents the risk of cardiovascular diseases, and also reduces the symptoms of panic in women.
کلیدواژه‌ها
heart rate variability (HRV)؛ hiking training؛ panic disorder word

مراجع
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Twelve weeks of hiking training improves heart rate variability and cardio-respiratory endurance in women with panic disorder

[2] Piralaiy E, Siahkuhian M, Dabbagh Nikokheslat S, Bolboli L, Aslan Abadi N, Sheikhalizadeh M. "Impact of glycemic control and disease duration on Heart Rate Variability (HRV) in type-2 diabetic neuropathy men. Studies in Medical Sciences. 2017; 28(6): 425-34.

[3] Falahati MA, Taheri F, Najafi mojre M, Zokaei M. "Common methods in the analysis of heart rate variability: A review study. Iran Occupational Health. 2020; 17(1 #AG00288): 43.

[4] Petrowski K, Herold U, Joraschky P, Mück-Weymann M, Siepmann M. "The effects of psychosocial stress on heart rate variability in panic disorder". German J Psychiatry. 2010; 13(2): 66-73.

[7] Kulaksizoglu S, Kulaksizoglu B. "Changes in serum BDNF levels after treatment of panic disorder patients". Annals of Medical Research. 2019; 26(7): 1157-60.

[8] Konishi Y, Tanii H, Otowa T, Sasaki T, Kaiya H, Okada M, Okazaki Y. "The association of BDNF val66met polymorphism with trait anxiety in panic disorder". The Journal of Neuropsychiatry and Clinical Neurosciences. 2014; 26(4): 344-51. DOI: https://doi.org/10.1176/appi.neuropsych.11120359.

[9] Machado S, Telles G, Magalhaes F, Teixeira D, Amatriain-Fernández S, Budde H, et al. "Can regular physical exercise be a treatment for panic disorder? A systematic review". Expert Review of Neurotherapeutics. 2022: 1-12. DOI: https://doi.org/10.1080/14737175.2021.2005581.

[11] Zhang Y, Zhou B, Qiu J, Zhang L, Zou Z. "Heart rate variability changes in patients with panic disorder". Journal of Affective Disorders. 2020; 267: 297-306. DOI: https://doi.org/10.1016/j.jad.2020.01.132.

[12] Herhaus B, Siepmann M, Kahaly GJ, Conrad R, Petrowski K. "Effect of a biofeedback intervention on heart rate variability in individuals with panic disorder: A randomized controlled trial". Psychosomatic Medicine. 2022; 84(2): 199-209. DOI: https://doi.org/10.1097/PSY.0000000000001031.

[13] Cheng YC, Su MI, Liu CW, Huang YC, Huang WL. "Heart rate variability in patients with anxiety disorders: A systematic review and meta‐analysis". Psychiatry and Clinical Neurosciences. 2022. 76(7): 292-302. https://doi.org/10.1111/pcn.13356.

[15] Sardinha A, Araújo CGS, Soares-Filho GLF, Nardi AE. "Anxiety, panic disorder and coronary artery disease: issues concerning physical exercise and cognitive behavioral therapy". Expert Review of Cardiovascular Therapy. 2011; 9(2): 165-75. DOI: https://doi.org/10.1586/erc.10.170.

[16] Moosefid M. "Predicting social well-being based on health-oriented lifestyle and irrational beliefs in women with panic disorder". Iranian Journal of Rehabilitation Research in Nursing. 2022; 8(4): 65-75. DOI: https://doi.org/10.22034/IJRN.8.4.65.

[17] Fattorini L, Pittiglio G, Federico B, Pallicca A, Bernardi M, Rodio A. "Workload comparison between hiking and indoor physical activity". Journal of Strength & Conditioning Research. 2012; 26(10): 2883-9. DOI: https://doi.org/10.1519/JSC.0b013e318242a61e.

[18] Luong MW, Ignaszewski M, Taylor C. "Stress testing: A contribution from Dr Robert A. Bruce, father of exercise cardiology". British Columbia Medical Journal. 2016; 58(2): 70-6.

[19] She J, Nakamura H, Makino K, Ohyama Y, Hashimoto H. "Selection of suitable maximum-heart-rate formulas for use with Karvonen formula to calculate exercise intensity". International Journal of Automation and Computing. 2015; 12: 62-9. DOI: https://doi.org/10.1007/s11633-014-0824-3.

[21] Asmundson GJ, Fetzner MG, DeBoer LB, Powers MB, Otto MW, Smits JA. "Let's get physical: a contemporary review of the anxiolytic effects of exercise for anxiety and its disorders". Depression and Anxiety. 2013; 30(4): 362-73. DOI: https://doi.org/10.1002/da.22043.

[22] Bischoff S, Wieder G, Einsle F, Petzold MB, Janßen C, Mumm JL, et al. "Running for extinction? Aerobic exercise as an augmentation of exposure therapy in panic disorder with agoraphobia". Journal of Psychiatric Research. 2018; 101: 34-41. DOI: https://doi.org/10.1016/j.jpsychires.2018.03.001.

[24] Plag J, Ergec DL, Fydrich T, Ströhle A. "High-intensity interval training in panic disorder patients: a pilot study". The Journal of Nervous and Mental Disease. 2019; 207(3): 184-7. DOI: https://doi.org/10.1097/NMD.0000000000000944.

[26] Iranpour A, Bolboli L. "Evaluation of heart rate fluctuations with two frequency and time domain methods following aerobic training in academic active men". Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2019; 4(4): 30-45.