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Poorly organized training schedules that are not focused on optimizing the cardiopulmonary fitness of the runner may lead to negative outcomes in their performance. Further, reduced cardiopulmonary fitness of a distance runner may lead to an imbalance of sympathetic and parasympathetic inputs of cardiac autonomic regulation. This altered balance of the regulation of the heart may recur as a vicious cycle, further hampering the runner's performance. The study assessed the effects of specialized training programs on the remodeling of cardiac autonomic regulation in relation to improving cardiopulmonary fitness and running performance of Sri Lankan male distance runners (N = 22). Before the intervention, runners were found to have more sympathetic dominancy on cardiac autonomic regulation along with suboptimal cardiopulmonary fitness level and suboptimal performance. After the intervention, more parasympathetic dominancy in cardiac autonomic regulation and improved cardiopulmonary fitness parameters were achieved. Post-intervention race timing of long-distance runners was significantly improved (p < 0.05) compared to the pre-intervention race timing irrespective of lower VO2peak level. The specialized training program used in this study optimized the parasympathetic dominancy of the autonomic regulation of the cardiovascular system of the Sri Lankan national long-distance runners. The runners were able to record significantly improved race timing after the specialized training intervention even though their VO2peak level was dropped. Thus, it is concluded that achieving parasympathetic dominant cardiac autonomic regulation is a better indicator than achieving higher VO2max levels given the performance of distance runners.

References

  1. Ahmaidi, S., Granier, P., Taoutaou, Z., Mercier, J., Dubouchaud, H., & Prefaut, C. (1996). Effects of active recovery on plasma lactate and anaerobic power following repeated intensive exercise. Medicine and Science in Sports and Exercise, 28, 450–456.
     Google Scholar
  2. Arbab-Zadeh, A., Perhonen, M., Howden, E., Peshock, R. M., Zhang, R., Adams-Huet, B., Haykowsky, M. J., & Levine, B. D. (2014). Cardiac remodeling in response to 1 year of intensive endurance training. Circulation, 130, 2152–2161.
     Google Scholar
  3. Ba, A., Delliaux, S., Bregeon, F., Levy, S., & Jammes, Y. (2009). Post-exercise heart rate recovery in healthy, obeses, and COPD subjects: Relationships with blood lactic acid and PaO2 levels. Clinical Research in Cardiology, 98, 52–58.
     Google Scholar
  4. Barnes, K. R., & Kilding, A. E. (2015). Running economy: measurement, norms, and determining factors. Sports Medicine-Open, 1(1), 115.
     Google Scholar
  5. Bauer, R., Waldrop, T., Iwamoto, G., & Holzwarth, M. (1992). Properties of ventrolateral medullary neurons that respond to muscular contraction. Brain Research Bulletin, 28, 167–178.
     Google Scholar
  6. Becker, L. K., Santos, R. A., & Campagnole-Santos, M. J. (2005). Cardiovascular effects of angiotensin II and angiotensin-(1–7) at the RVLM of trained normotensive rats. Brain Research, 1040, 121–128.
     Google Scholar
  7. Burgess, H. J., Trinder, J., Kim, Y., & Luke, D. (1997). Sleep and circadian influences on cardiac autonomic nervous system activity. American Journal of Physiology-Heart and Circulatory Physiology, 273(4), H1761–H1768.
     Google Scholar
  8. Coates, A. M., Millar, P. J., & Burr, J. F. (2018). Blunted cardiac output from overtraining is related to increased arterial stiffness. Medicine & Science in Sports & Exercise, 50(12), 2459–2464.
     Google Scholar
  9. Covassin, N., De Zambotti, M., Cellini, N., Sarlo, M., & Stegagno, L. (2013). Cardiovascular down‐regulation in essential hypotension: Relationships with autonomic control and sleep. Psychophysiology, 50, 767–776.
     Google Scholar
  10. Facioli, T. P., Philbois, S. V., Gastaldi, A. C., Almeida, D. S., Maida, K. D., Rodrigues, J. A., Sánchez-Delgado, J. C., & Souza, H. C. (2021). Study of heart rate recovery and cardiovascular autonomic modulation in healthy participants after submaximal exercise. Scientific Reports, 11(1), 19.
     Google Scholar
  11. Fadel, P. J., & Raven, P. B. (2012). Human investigations into the arterial and cardiopulmonary baroreflexes during exercise. Experimental Physiology, 97, 39–50.
     Google Scholar
  12. Fagard, R. H. (1997). Impact of different sports and training on cardiac structure and function. Cardiology Clinics, 15(3), 397–412.
     Google Scholar
  13. Fisher, J. P., Adlan, A. M., Shantsila, A., Secher, J. F., Sorensen, H., & Secher, N. H. (2013). Muscle metaboreflex and autonomic regulation of heart rate in humans. The Journal of Physiology, 591(15), 3777–3788.
     Google Scholar
  14. Fleck, S. J. (1983). Body composition of elite American athletes. The American Journal of Sports Medicine, 11(6), 398–403.
     Google Scholar
  15. Gevirtz, R. N., & Lehrer, P. M. (2016). Cardiorespiratory biofeedback. In M. Schwartz & F. Andrasik (Eds.), Biofeedback: A practitioner’s guide (4th ed.). The Guilford Press.
     Google Scholar
  16. Gordon, D., Hopkins, S., King, C., Keiller, D., & Barnes, R. J. (2011). Incidence of the plateau at VO2max is dependent on the anaerobic capacity. International Journal of Sports Medicine, 32(1), 1–6.
     Google Scholar
  17. Hartwich, D., Dear, W. E., Waterfall, J. L., & Fisher, J. P. (2011). Effect of muscle metaboreflex activation on spontaneous cardiac baroreflex sensitivity during exercise in humans. The Journal of Physiology, 589(24), 6157–6171.
     Google Scholar
  18. Hottenrott, K., Ludyga, S., & Schulze, S. (2012). Effects of high intensity training and continuous endurance training on aerobic capacity and body composition in recreationally active runners. Journal of Sports Science & Medicine, 11(3), 483–488.
     Google Scholar
  19. Hydren, J. R., & Cohen, B. S. (2015). Current scientific evidence for a polarized cardiovascular endurance training model. The Journal of Strength & Conditioning Research, 29(12), 3523–3530.
     Google Scholar
  20. Imai, K., Sato, H., Hori, M., Kusuoka, H., Ozaki, H., Yokoyama, H., Takeda, H., Inoue, M., & Kamada, T. (1994). Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure. Journal of the American College of Cardiology, 24, 1529–1535.
     Google Scholar
  21. Levy, M. N. (1995). Neural control of the heart: The importance of being ignorant. Journal of Cardiovascular Electrophysiology, 6(4), 283–293.
     Google Scholar
  22. Makivić, B., Nikić Djordjević, M., & Willis, M. S. (2013). Heart Rate Variability (HRV) as a tool for diagnostic and monitoring performance in sport and physical activities. Journal of Exercise Physiology Online, 16(3), 103131.
     Google Scholar
  23. Malik, M., Bigger, J. T., Camm, A. J., Kleiger, R. E., Malliani, A., Moss, A. J., & Schwartz, P. J. (1996). Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. European Heart Journal, 17(3), 354-381.
     Google Scholar
  24. McArdle, W. D., Katch, F. I., & Katch, V. L. (2016). Training the anaerobic and aerobic energy systems. In W. D. McArdle, F. I. Katch & V. L. Katch (Eds.). Essentials of exercise physiology (5th ed.). Philadelphia: Wolters Kluwer.
     Google Scholar
  25. McCraty, R., & Shaffer, F. (2015). Heart rate variability: New perspectives on physiological mechanisms, assessment of self-regulatory capacity, and health risk. Global Advances in Health and Medicine, 4(1), 46–61.
     Google Scholar
  26. Michael, S., Graham, K. S., & Davis, G. M. (2017). Cardiac autonomic responses during exercise and post-exercise recovery using heart rate variability and systolic time intervals—A review. Frontiers in Physiology, 8, 119.
     Google Scholar
  27. Monedero, J., & Donne, B. (2000). Effect of recovery interventions on lactate removal and subsequent performance. International Journal of Sports Medicine, 21(08), 593–597.
     Google Scholar
  28. Mueller, P. J. (2010). Physical (in)activity-dependent alterations at the rostral ventrolateral medulla: influence on sympathetic nervous system regulation. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 298(6), R1468–R1474.
     Google Scholar
  29. O’Sullivan, S. E., & Bell, C. (2000). The effects of exercise and training on human cardiovascular reflex control. Journal of the Autonomic Nervous System, 81(1-3), 16–24.
     Google Scholar
  30. Peçanha, T., Silva-Júnior, N. D., & Forjaz, C. L. de M. (2014). Heart rate recovery: autonomic determinants, methods of assessment and association with mortality and cardiovascular diseases. Clinical Physiology and Functional Imaging, 34(5), 327-339.
     Google Scholar
  31. Raczak, G., Danilowicz-Szymanowicz, L., Kobuszewska-Chwirot, M., Ratkowski, W., Figura-Chmielewska, M., & Szwoch, M. (2006). Long-term exercise training improves autonomic nervous system profile in professional runners. Kardiologia Polska (Polish Heart Journal), 64(2), 135–140.
     Google Scholar
  32. Roberts, S. S., Teo, W.-P., Aisbett, B., & Warmington, S. A. (2019). Extended sleep maintains endurance performance better than normal or restricted sleep. Medicine and Science in Sports and Exercise, 51, 2516–2523.
     Google Scholar
  33. Ross, R., Blair, S. N., Arena, R., Church, T. S., Després, J.-P., Franklin, B. A., Haskell, W. L., Kaminsky, L. A., Levine, B. D., Lavie, C. J., Myers, J., Niebauer, J., Sallis, R., Sawada, S. S., Sui, X., & Wisløff, U. (2016). Importance of assessing cardiorespiratory fitness in clinical practice: A case for fitness as a clinical vital sign: A scientific statement from the American Heart Association. Circulation, 134(24), e653-e699.
     Google Scholar
  34. Shaffer, F., & Ginsberg, J. P. (2017). An overview of heart rate variability metrics and norms. Frontiers in Public Health, 5, 117.
     Google Scholar
  35. Shaffer, F., McCraty, R., & Zerr, C. L. (2014). A healthy heart is not a metronome: an integrative review of the heart’s anatomy and heart rate variability. Frontiers in Psychology, 5, 119.
     Google Scholar
  36. Stanley, J., Peake, J. M., & Buchheit, M. (2013). Cardiac parasympathetic reactivation following exercise: Implications for training prescription. Sports Medicine, 43, 1259–1277.
     Google Scholar
  37. Stein, R., Medeiros, C. M., Rosito, G. A., Zimerman, L. I., & Ribeiro, J. P. (2002). Intrinsic sinus and atrioventricular node electrophysiologic adaptations in endurance athletes. Journal of the American College of Cardiology, 39(6), 1033–1038.
     Google Scholar
  38. Sun, H.-J., Li, P., Chen, W.-W., Xiong, X.-Q., & Han, Y. (2012). Angiotensin II and angiotensin-(1-7) in paraventricular nucleus modulate cardiac sympathetic afferent reflex in renovascular hypertensive rats. PLoS One, 7, 111.
     Google Scholar
  39. Uusitalo, A. L. T., Tahvanainen, K. U. O., Uusitalo, A. J., & Rusko, H. K. (1996). Non-invasive evaluation of sympathovagal balance in athletes by time and frequency domain analyses of heart rate and blood pressure variability. Clinical Physiology, 16(6), 575–588.
     Google Scholar
  40. Uusitalo, A. L. T., Uusitalo, A. J., & Rusko, H. K. (2000). Heart rate and blood pressure variability during heavy training and overtraining in the female athlete. International Journal of Sports Medicine, 21(01), 45–53.
     Google Scholar
  41. Vatner, S. F., & Pagani, M. (1976). Cardiovascular adjustments to exercise: hemodynamics and mechanisms. Progress in Cardiovascular Diseases, 19(2), 91–108.
     Google Scholar
  42. Wijayasiri, K. D. C. U., Wimalasekera, S. W., Waidyasekara, H., Sivayogan, S., & Thurairaja, C. (2018). Effectiveness of training on cardiopulmonary fitness of Sri Lankan national sprinters. The Ceylon Medical Journal, 63(01), 39.
     Google Scholar