Effect of aerobic training on baroreflex sensitivity, heart rate recovery, and heart rate variability in type 2 diabetes: a systematic review

Objective Dysfunction of cardiac autonomic control (CAC) in people with type 2 diabetes mellitus (T2DM) is a predictor of cardiovascular disease mortality. The purpose of this study was to systematically review the literature on the effects of aerobic exercise training on CAC in people with T2DM. Me...

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Bibliographic Details
Published in:International journal of diabetes in developing countries 2024-12, Vol.44 (4), p.652-663
Main Authors: Parveen, Sarah, Azharuddin, Muhammad, Noohu, Majumi M.
Format: Article
Language:English
Subjects:
Aerobics
Autonomic nervous system
Baroreceptors
Cardiovascular diseases
Diabetes
Diabetes mellitus (non-insulin dependent)
Family Medicine
General Practice
Health Administration
Heart diseases
Heart rate
Medicine
Medicine & Public Health
Physical training
Reflexes
Review Article
Reviews
Systematic review
Citations: Items that this one cites
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Summary:Objective Dysfunction of cardiac autonomic control (CAC) in people with type 2 diabetes mellitus (T2DM) is a predictor of cardiovascular disease mortality. The purpose of this study was to systematically review the literature on the effects of aerobic exercise training on CAC in people with T2DM. Methods Electronic databases (MEDLINE, Scopus, and Web of Science) were systematically searched to retrieve relevant evidence from inception to April 2021. Studies investigating the effect of aerobic training on CAC assessed by heart rate variability, baroreflex sensitivity, and heart rate recovery were included in the review. Two authors independently assessed trial quality using the PEDro scale & extracted the following data: study design and participant characteristics, intervention protocol, outcome measures, & major findings of the study. Results Ten studies enrolling 651 subjects met the eligibility criteria. Out of the 10 studies, only 4 were randomized controlled trials (RCTs). Eight out of ten studies showed a positive change in cardiac autonomic function. PEDro was used for quality and characteristic assessment which revealed fair-quality evidence. Six studies showed a high risk of bias according to the Cochrane risk of bias tool. Conclusion Evidence from this systematic review suggests that aerobic training may positively influence CAC in people with T2DM. However, further large-scale, robust RCTs are required.
ISSN:0973-3930
1998-3832
DOI:10.1007/s13410-023-01292-3