Cardiovascular autonomic modulation during passive heating protocols: a systematic review
Ferreira FC, Vaz Padilha MCS, Rocha TMDMS, Lima LS, Carandina A, Bellocchi C, Tobaldini E, Montano N, Soares PPDS, Rodrigues GD
Physiological measurement · 7 citations
How it was studied
- Design
- Systematic review (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Government
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Government
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Government
- Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro
- University or hospital
- Programa de Fomento à Pesquisa na UFF
Based on 4 listed funder(s).
Publication
- Published
- 2022-11-07 · Physiol Meas · vol. 44 · issue 1 · p. 01TR01
- Publisher
- IOP Publishing
- Cited
- 10 citations · more than 51% of similar papers · 0.4× the field average
- References
- 58 works
- Access
- Paywalled
- Research areas
- Heart Rate Variability and Autonomic Control · Thermoregulation and physiological responses · Infrared Thermography in Medicine
- Keywords
- Baroreflex, Heart rate variability, Medicine, Autonomic nervous system, Heart rate, Cardiology, Heat stress, Internal medicine, Blood pressure, Physical therapy, Physical medicine and rehabilitation
- MeSH
- cardiovascular system, heart, autonomic nervous system, humans, hyperthermia, induced, blood pressure, heart rate, baroreflex, adult, hot temperature
10 authors
From BR, IT
- Felipe Castro FerreiraUniversidade Federal Fluminense
- Michelle Cristina Salabert Vaz PadilhaUniversidade Federal Fluminense
- Teresa Mell da Mota Silva RochaUniversidade Federal Fluminense
- Ligia Soares LimaUniversidade Federal Fluminense
- Angelica CarandinaUniversity of Milan; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
- Chiara BellocchiUniversity of Milan; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Abstract
Objective.To conduct a systematic review of the possible effects of passive heating protocols on cardiovascular autonomic control in healthy individuals.Approach.The studies were obtained from MEDLINE (PubMed), LILACS (BVS), EUROPE PMC (PMC), and SCOPUS databases, simultaneously. Studies were considered eligible if they employed passive heating protocols and investigated cardiovascular autonomic control by spontaneous methods, such as heart rate variability (HRV), systolic blood pressure variability (SBPV), and baroreflex sensitivity (BRS), in healthy adults. The revised Cochrane risk-of-bias tool (RoB-2) was used to assess the risk of bias in each study.Main results.Twenty-seven studies were included in the qualitative synthesis. Whole-body heating protocols caused a reduction in cardiac vagal modulation in 14 studies, and two studies reported both increased sympathetic modulation and vagal withdrawal. Contrariwise, local-heating protocols and sauna bathing seem to increase cardiac vagal modulation. A reduction of BRS was reported in most of the studies that used whole-body heating protocols. However, heating effects on BRS remain controversial due to methodological differences among baroreflex analysis and heating protocols.Significance.Whole-body heat stress may increase sympathetic and reduce vagal modulation to the heart in healthy adults. On the other hand, local-heating therapy and sauna bathing seem to increase cardiac vagal modulation, opposing sympathetic modulation. Nonetheless, further studies should investigate acute and chronic effects of thermal therapy on cardiovascular autonomic control.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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