Comparing heart rate variability changes following exercise in young men who are athletes, obese non-athletes and non-obese non-athletes

ISRCTN ISRCTN88544091
DOI https://doi.org/10.1186/ISRCTN88544091
Secondary identifying numbers RP/ESCSD-02/2020
Submission date
06/05/2022
Registration date
10/05/2022
Last edited
08/07/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Not Specified
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims


Who can participate?
Men aged 20-30 years including normal-weight non-athletes, obese non-athletes and athletes.

What does the study involve?
All participants will carry out sprinting, resistance or quiet sitting and their heart rate and blood pressure will be measured before the activity and at various times up to 12-14 hours after the activity. They will do all three activities in random order.

What are the possible benefits and risks of participating?
Each participant will receive their own fitness test results, which may help them develop training programs. They may experience breathlessness, muscle tiredness and soreness during or after exercise tests. The sensation of breathlessness will resolve immediately after termination of the exercise, while the muscle soreness may remain for a few hours after the exercise. The researchers will try to reduce discomfort by including a standard warm-up /cool-down and will closely monitor physical and emotional states during exercise and recovery.

Where is the study run from?
Macao Polytechnic University (Macau)

When is the study starting and how long is it expected to run for?
January 2020 to November 2023

Who is funding the study?
Macao Polytechnic University (Macao S.A.R)

Who is the main contact?
Dr Qingde Shi, qdshi@ipm.edu.mo

Contact information

Dr Qingde Shi
Principal Investigator

Faculty of Health Sciences and Sports, Macao Polytechnic University
Rua de Luís Gonzaga Gomes
Macao
-
Macao

ORCiD logoORCID ID 0000-0002-3959-4526
Phone +853-85996780
Email qdshi@ipm.edu.mo

Study information

Study designRandomised cross-over trial
Primary study designInterventional
Secondary study designRandomised cross over trial
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet.
Scientific titleAutonomic recovery after exercise in trained endurance athletes: Implications for training prescription
Study objectivesBackground:
During exercise, heart rate increases from the resting level are mainly accomplished by increasing sympathetic modulation and withdrawing parasympathetic activity to the heart. Such exercise-induced imbalance in the cardiac autonomic nervous activity attenuates the heart rate variability (HRV), which is an indicator of the autonomic function of the cardiovascular system and its adaptability to internal and external stimuli. Accordingly, HRV recovery of individuals after a workout, which reflects the reactivation of the cardiac parasympathetic neural activity, is often used as a cardiovascular system recovery marker in guiding the subsequent training load prescription to avoid unnecessary overloading. In addition, sympathovagal imbalance in the cardiovascular system, with lowered parasympathetic and heightened sympathetic activation, is commonly found in obese individuals. However, the HRV responses to exercise in obese people were inconclusive in previous studies. Whether obesity influences the post-exercise HRV recovery in untrained individuals and athletes is unknown. The current study aims to examine the interaction of the post-exercise HRV recovery across normal-weight non-athletes, obese non-athletes and athletes. The study's findings should help to optimize training prescriptions for different populations.

Hypothesis:
Post-exercise heart rate variability (HRV) would be reduced from the corresponding non-exercising control values in non-athlete and athlete groups. The attenuated post-exercise HRV would regain faster in athletes than non-athletes, while the rate of HRV resumption would be comparatively lower in obese individuals. This study examined the alterations of heart rate variability following iso-duration resistance and sprint-interval exercises as well as non-exercise control in non-athlete (non-obese and obese) and athlete participants.
Ethics approval(s)Approved 03/08/2020, Pedagogic and Research Affairs Office (Macao Polytechnic University, Rua de Luís Gonzaga Gomes, Macao S.A.R; +853-85996333; dei@ipm.edu.mo). ref: CI144/DEI/2020
Health condition(s) or problem(s) studiedTo compare the differences in autonomic function recovery after acute exercise in non-athletes and athletes to provide a basis for training prescription.
InterventionAll participants (normal weight non-athletes, obese non-athletes and athletes) will perform a sprint-interval exercise (SIE, 4 x 30-s all-out sprints with 4-min recovery), resistance exercise (RES, 1 set x 9 exercises at 10 RM) and control trials. The order in which the three trials are assigned to the participants in a random fashion. In the control trial, the experimental procedures are the same as that of the exercise trials, except that the exercise is replaced by quiet sitting.
Intervention typeOther
Primary outcome measureHeart rate variability will be measured using a Holter electrocardiogram device at 0-120 min post-exercise, for one night's sleep, and 12-14 h post-exercise.
Secondary outcome measuresBlood pressure will be measured using an ambulatory blood pressure monitor (ABPM) at 0-120 min post-exercise, for one night's sleep, and 12-14 h post-exercise.
Overall study start date01/01/2020
Completion date31/10/2023

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexMale
Target number of participants60
Key inclusion criteriaNon-athletes:
1. Male non-athletes who occasionally participate in recreational sports activities
2. Aged 20-30 years
3. Divided into two groups according to their obesity status, with cut-off for obesity set at the percentage of body fat of ≥25%: normal weight non-athlete and obese non-athlete groups.

Athletes:
1. Macao-trained endurance runners who participate in competitive endurance races with regular endurance training of an average of at least 5 days/week and 60 min/day for the previous 3 years or more
2. Aged 20-30 years (20-30 years old) will be recruited to participate in this study
Key exclusion criteria1. Hormonal, orthopaedic, cardiovascular diseases, diabetes, hyperlipidemia, and hypertension identified by a medical screen
2. Smokers
3. On medication or dietary supplements of various types
Date of first enrolment01/11/2020
Date of final enrolment01/05/2023

Locations

Countries of recruitment

  • Macao

Study participating centre

Exercise Physiology Lab
P116, MPI Multisport Pavilion
Macao Polytechnic University
Rua de Luís Gonzaga Gomes
Macao
-
Macao

Sponsor information

Macau Polytechnic Institute
University/education

Macao Polytechnic University
Rua de Luís Gonzaga Gomes
Macao
-
Macao

Phone +853-85996333
Email dei@ipm.edu.mo
Website https://www.mpu.edu.mo/
ROR logo "ROR" https://ror.org/02sf5td35

Funders

Funder type

University/education

Instituto Politécnico de Macau
Government organisation / Local government
Alternative name(s)
IPM
Location
Macao

Results and Publications

Intention to publish date31/10/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planThe datasets, including raw data, generated during the current study will be available upon request from Dr Qingde Shi (qdshi@ipm.edu.mo) after publication of the data-related paper in a peer-reviewed academic journal.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/09/2022 08/07/2025 Yes No

Editorial Notes

08/07/2025: Publication reference added.
09/05/2022: Trial's existence confirmed by the Teaching and Research Office of the Macao Polytechnic Institute.