On the significance of estimating cardiorespiratory coupling strength in sports medicine

Raphael Martins de Abreu; Beatrice Cairo; Alberto Porta

doi:10.3389/fnetp.2022.1114733

On the significance of estimating cardiorespiratory coupling strength in sports medicine

Front Netw Physiol. 2023 Jan 4:2:1114733. doi: 10.3389/fnetp.2022.1114733. eCollection 2022.

Authors

Raphael Martins de Abreu^{1

2}, Beatrice Cairo³, Alberto Porta^{3

4}

Affiliations

¹ Department of Physiotherapy, LUNEX University, International University of Health, Exercise & Sports S.A., Differdange, Luxembourg.
² LUNEX ASBL Luxembourg Health & Sport Sciences Research Institute, Differdange, Luxembourg.
³ Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
⁴ Department of Cardiothoracic, Vascular Anesthesia and Intensive Care, IRCCS Policlinico San Donato, San Donato Milanese, Italy.

Abstract

The estimation of cardiorespiratory coupling (CRC) is attracting interest in sports physiology as an important tool to characterize cardiac neural regulation genuinely driven by respiration. When applied in sports medicine, cardiorespiratory coupling measurements can provide information on the effects of training, pre-competition stress, as well as cardiovascular adjustments during stressful stimuli. Furthermore, since the cardiorespiratory coupling is strongly affected by physical activity, the study of the cardiorespiratory coupling can guide the application of specific training methods to optimize the coupling between autonomic activity and heart with possible effects on performance. However, a consensus about the physiological mechanisms, as well as methodological gold standard methods to quantify the cardiorespiratory coupling, has not been reached yet, thus limiting its application in experimental settings. This review supports the relevance of assessing cardiorespiratory coupling in the sports medicine, examines the possible physiological mechanisms involved, and lists a series of methodological approaches. cardiorespiratory coupling strength seems to be increased in athletes when compared to sedentary subjects, in addition to being associated with positive physiological outcomes, such as a possible better interaction of neural subsystems to cope with stressful stimuli. Moreover, cardiorespiratory coupling seems to be influenced by specific training modalities, such as inspiratory muscle training. However, the impact of cardiorespiratory coupling on sports performance still needs to be better explored through ad hoc physical exercise tests and protocols. In addition, this review stresses that several bivariate and multivariate methods have been proposed to assess cardiorespiratory coupling, thus opening new possibilities in estimating cardiorespiratory interactions in athletes.

Keywords: autonomic nervous system; cardiac control; cardioventilatory coupling; heart rate variability; sports medicine.

Publication types

Review