Acute Moderate Exercise Does Not Further Alter the Autonomic Nervous System Activity in Patients with Sickle Cell Anemia

作者: Mona Hedreville , Keyne Charlot , Xavier Waltz , Stéphane Sinnapah , Nathalie Lemonne

DOI: 10.1371/JOURNAL.PONE.0095563

关键词:

摘要: A decreased global autonomic nervous system (ANS) activity and increased sympathetic activation in patients with sickle cell anemia (SCA) seem to worsen the clinical severity could play a role pathophysiology of disease, notably by triggering vaso-occlusive crises. Because exercise challenges ANS general population, we sought determine whether short (<15 min) progressive moderate session conducted until first ventilatory threshold had an effect on group SCA healthy individuals (CONT group). Temporal spectral analyses nocturnal heart rate variability were performed before 3 nights following session. Standard deviation all normal RR intervals (SDNN), total power, low frequencies (LF) high powers (HF) lower but LF/HF was higher than CONT group. Moderate did not modify both groups. In addition, no adverse events occurred during entire protocol. These results imply that this kind is detrimental for patients.

参考文章(43)
Nelson I. Oguanobi, Basden J.C. Onwubere, Benedict C. Anisiuba, Samuel O. Ike, Emmanuel C. Ejim, Obike G. Ibegbulam, Clinical findings associated with cardiovascular autonomic dysfunction in adult sickle cell anaemia patients. Acta Cardiologica. ,vol. 67, pp. 169- 175 ,(2012) , 10.1080/AC.67.2.2154207
Jens Vent-Schmidt, Xavier Waltz, Aurélien Pichon, Marie-Dominique Hardy-Dessources, Marc Romana, Philippe Connes, Indirect viscosimetric method is less accurate than ektacytometry for the measurement of red blood cell deformability. Clinical Hemorheology and Microcirculation. ,vol. 59, pp. 115- 121 ,(2015) , 10.3233/CH-131727
Abdoulaye Samb, Samir K Ballas, Pascal Bogui, Edwige Balayssac-Siransy, Philippe Connes, Nalourgo Tuo, Clotaire Danho, Mor Diaw, Ibrahima Sanogo, Marie-Dominique Hardy-Dessources, Mild haemorheological changes induced by a moderate endurance exercise in patients with sickle cell anaemia. British Journal of Haematology. ,vol. 154, pp. 398- 407 ,(2011) , 10.1111/J.1365-2141.2011.08728.X
Xavier Waltz, Mona Hedreville, Stéphane Sinnapah, Yann Lamarre, Valérie Soter, Nathalie Lemonne, Maryse Etienne-Julan, Eric Beltan, Tawfik Chalabi, Roger Chout, Olivier Hue, Danièle Mougenel, Marie-Dominique Hardy-Dessources, Philippe Connes, Delayed beneficial effect of acute exercise on red blood cell aggregate strength in patients with sickle cell anemia Clinical Hemorheology and Microcirculation. ,vol. 52, pp. 15- 26 ,(2012) , 10.3233/CH-2012-1540
Amparo Vayá, Susana Collado, Ma Angeles Dasí, Ma Luz Pérez, Jose Luis Hernandez, Eva Barragán, Erythrocyte deformability and aggregation in homozygous sickle cell disease. Clinical Hemorheology and Microcirculation. ,vol. 58, pp. 497- 505 ,(2014) , 10.3233/CH-131717
Yann Lamarre, Marie-Dominique Hardy-Dessources, Marc Romana, Marie-Laure Lalanne-Mistrih, Xavier Waltz, Marie Petras, Lydia Doumdo, Anne Blanchet-Deverly, Jean Martino, Benoît Tressières, Frederic Maillard, Vanessa Tarer, Maryse Etienne-Julan, Philippe Connes, Relationships between systemic vascular resistance, blood rheology and nitric oxide in children with sickle cell anemia or sickle cell-hemoglobin C disease Clinical Hemorheology and Microcirculation. ,vol. 58, pp. 307- 316 ,(2014) , 10.3233/CH-121661
Philippe Connes, Roberto Machado, Olivier Hue, Harvey Reid, Exercise limitation, exercise testing and exercise recommendations in sickle cell anemia Clinical Hemorheology and Microcirculation. ,vol. 49, pp. 151- 163 ,(2011) , 10.3233/CH-2011-1465
P. Barbeau, K. F. Woods, L. T. Ramsey, M. S. Litaker, D. M. Pollock, J. S. Pollock, L.-A. Callahan, A. Kutlar, G. A. Mensah, B. Gutin, Exercise in sickle cell anemia: effect on inflammatory and vasoactive mediators. Endothelium-journal of Endothelial Cell Research. ,vol. 8, pp. 147- 155 ,(2001) , 10.3109/10623320109165323
Sarah R. Pearson, Abbey Alkon, Marsha Treadwell, Brian Wolff, Keith Quirolo, W. Thomas Boyce, Autonomic reactivity and clinical severity in children with sickle cell disease. Clinical Autonomic Research. ,vol. 15, pp. 400- 407 ,(2005) , 10.1007/S10286-005-0300-9
Arto Hautala, Mikko P. Tulppo, Timo H. Mäkikallio, Raija Laukkanen, Seppo Nissilä, Heikki V. Huikuri, Changes in cardiac autonomic regulation after prolonged maximal exercise Clinical Physiology. ,vol. 21, pp. 238- 245 ,(2001) , 10.1046/J.1365-2281.2001.00309.X