Obesity and Prader-Willi Syndrome Affect Heart Rate Recovery from Dynamic Resistance Exercise in Youth

Following exercise, heart rate decline is initially driven by parasympathetic reactivation and later by sympathetic withdrawal. Obesity delays endurance exercise heart rate recovery (HRR) in both children and adults. Young people with Prader-Willi Syndrome (PWS), a congenital cause for obesity, have...

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Main Authors: Diobel M. Castner, Susan J. Clark, Daniel A. Judelson, Daniela A. Rubin
Format: Article
Language:English
Published: MDPI AG 2016-01-01
Series:Diseases
Subjects:
Online Access:http://www.mdpi.com/2079-9721/4/1/4
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author Diobel M. Castner
Susan J. Clark
Daniel A. Judelson
Daniela A. Rubin
author_facet Diobel M. Castner
Susan J. Clark
Daniel A. Judelson
Daniela A. Rubin
author_sort Diobel M. Castner
collection DOAJ
description Following exercise, heart rate decline is initially driven by parasympathetic reactivation and later by sympathetic withdrawal. Obesity delays endurance exercise heart rate recovery (HRR) in both children and adults. Young people with Prader-Willi Syndrome (PWS), a congenital cause for obesity, have shown a slower 60-s endurance exercise HRR compared to lean and obese children, suggesting compromised regulation. This study further evaluated effects of obesity and PWS on resistance exercise HRR at 30 and 60 s in children. PWS (8–18 years) and lean and obese controls (8–11 years) completed a weighted step-up protocol (six sets x 10 reps per leg, separated by one-minute rest), standardized using participant stature and lean body mass. HRR was evaluated by calculated HRR value (HRRV = difference between HR at test termination and 30 (HRRV30) and 60 (HRRV60) s post-exercise). PWS and obese had a smaller HRRV30 than lean (p < 0.01 for both). Additionally, PWS had a smaller HRRV60 than lean and obese (p = 0.01 for both). Obesity appears to delay early parasympathetic reactivation, which occurs within 30 s following resistance exercise. However, the continued HRR delay at 60 s in PWS may be explained by either blunted parasympathetic nervous system reactivation, delayed sympathetic withdrawal and/or poor cardiovascular fitness.
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spelling doaj.art-90e4fa92b78a4b97863fdd706fa1f7522022-12-22T03:57:57ZengMDPI AGDiseases2079-97212016-01-0141410.3390/diseases4010004diseases4010004Obesity and Prader-Willi Syndrome Affect Heart Rate Recovery from Dynamic Resistance Exercise in YouthDiobel M. Castner0Susan J. Clark1Daniel A. Judelson2Daniela A. Rubin3Department of Kinesiology, California State University, Fullerton, 800 North State College Boulevard, Fullerton, CA 92834, USADivision of Pediatric Endocrinology, Children’s Hospital of Orange County, 1201 West La Veta Avenue, Orange, CA 92868, USADepartment of Kinesiology, California State University, Fullerton, 800 North State College Boulevard, Fullerton, CA 92834, USADepartment of Kinesiology, California State University, Fullerton, 800 North State College Boulevard, Fullerton, CA 92834, USAFollowing exercise, heart rate decline is initially driven by parasympathetic reactivation and later by sympathetic withdrawal. Obesity delays endurance exercise heart rate recovery (HRR) in both children and adults. Young people with Prader-Willi Syndrome (PWS), a congenital cause for obesity, have shown a slower 60-s endurance exercise HRR compared to lean and obese children, suggesting compromised regulation. This study further evaluated effects of obesity and PWS on resistance exercise HRR at 30 and 60 s in children. PWS (8–18 years) and lean and obese controls (8–11 years) completed a weighted step-up protocol (six sets x 10 reps per leg, separated by one-minute rest), standardized using participant stature and lean body mass. HRR was evaluated by calculated HRR value (HRRV = difference between HR at test termination and 30 (HRRV30) and 60 (HRRV60) s post-exercise). PWS and obese had a smaller HRRV30 than lean (p < 0.01 for both). Additionally, PWS had a smaller HRRV60 than lean and obese (p = 0.01 for both). Obesity appears to delay early parasympathetic reactivation, which occurs within 30 s following resistance exercise. However, the continued HRR delay at 60 s in PWS may be explained by either blunted parasympathetic nervous system reactivation, delayed sympathetic withdrawal and/or poor cardiovascular fitness.http://www.mdpi.com/2079-9721/4/1/4adiposityautonomic nervous systemheart rate recoverychildhood obesitypediatricphysical activity
spellingShingle Diobel M. Castner
Susan J. Clark
Daniel A. Judelson
Daniela A. Rubin
Obesity and Prader-Willi Syndrome Affect Heart Rate Recovery from Dynamic Resistance Exercise in Youth
Diseases
adiposity
autonomic nervous system
heart rate recovery
childhood obesity
pediatric
physical activity
title Obesity and Prader-Willi Syndrome Affect Heart Rate Recovery from Dynamic Resistance Exercise in Youth
title_full Obesity and Prader-Willi Syndrome Affect Heart Rate Recovery from Dynamic Resistance Exercise in Youth
title_fullStr Obesity and Prader-Willi Syndrome Affect Heart Rate Recovery from Dynamic Resistance Exercise in Youth
title_full_unstemmed Obesity and Prader-Willi Syndrome Affect Heart Rate Recovery from Dynamic Resistance Exercise in Youth
title_short Obesity and Prader-Willi Syndrome Affect Heart Rate Recovery from Dynamic Resistance Exercise in Youth
title_sort obesity and prader willi syndrome affect heart rate recovery from dynamic resistance exercise in youth
topic adiposity
autonomic nervous system
heart rate recovery
childhood obesity
pediatric
physical activity
url http://www.mdpi.com/2079-9721/4/1/4
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