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The relation of autonomic function to physical fitness in patients suffering from alcohol dependence.

Abstract：

BACKGROUND:Reduced cardio-vascular health has been found in patients suffering from alcohol dependence. Low cardio-respiratory fitness is an independent predictor of cardio-vascular disease. METHODS:We investigated physical fitness in 22 alcohol-dependent patients 10 days after acute alcohol withdrawal and compared results with matched controls. The standardized 6-min walk test (6 MWT) was used to analyze the relationship of autonomic dysfunction and physical fitness. Ventilatory indices and gas exchanges were assessed using a portable spiroergometric system while heart rate recordings were obtained separately. We calculated walking distance, indices of heart rate variability and efficiency parameters of heart rate and breathing. In addition, levels of exhaled carbon monoxide were measured in all participants to account for differences in smoking behaviour. Multivariate analyses of variance (MANOVA) were performed to investigate differences between patients and controls with regard to autonomic and efficiency parameters. RESULTS:Patients walked a significantly shorter distance in comparison to healthy subjects during the 6 MWT. Significantly decreased heart rate variability was observed before and after the test in patients when compared to controls, while no such difference was observed during exercise. The efficiency parameters indicated significantly reduced efficiency in physiological regulation when the obtained parameters were normalized to the distance. DISCUSSION:The 6 MWT is an easily applied instrument to measure physical fitness in alcohol dependent patients. It can also be used during exercise interventions. Reduced physical fitness, as observed in our study, might partly be caused by autonomic dysfunction, leading to less efficient regulation of physiological processes during exercise.

journal_name

Drug Alcohol Depend

journal_title

Drug and alcohol dependence

authors

Herbsleb M,Schulz S,Ostermann S,Donath L,Eisenträger D,Puta C,Voss A,Gabriel HW,Bär KJ

doi

10.1016/j.drugalcdep.2013.03.016

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

505-12

issue

3

eissn

0376-8716

issn

1879-0046

pii

S0376-8716(13)00111-7

journal_volume

132

pub_type

杂志文章

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