Investigation of Autonomic Stress Response Patterns in College Students With Varying Physical Activity Levels

NCT07360821 — Not yet recruiting, 60 participants, Beijing Sport University

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RegistryNCT07360821, acronym ANS Stress/PA
StatusNot yet recruiting
Study typeObservational
Enrollment60 (Estimated)
SponsorBeijing Sport University (Other)
ConditionsAutonomic Nervous System Activity, Cardiovascular, Physical Activity Level
InterventionsCardiopulmonary Exercise Testing (Diagnostic test)
Datesstart 2026-02-25 (estimated), primary completion 2026-04-30 (estimated), completion 2026-07-30 (estimated), first posted 2026-01-22, last updated 2026-01-22

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All trials for Autonomic Nervous System Activity All trials for Cardiovascular All trials of Cardiopulmonary Exercise Testing

-Summary

This study aims to investigate the differences in cardiovascular stress response patterns among individuals with various physical activity levels (sedentary controls and different types of athletes). By synchronously monitoring ECG, heart rate, skin sympathetic nerve activity (SKNA), blood pressure, and cardiac output, the study will characterize physiological dynamics during resting, orthostatic challenge, cold pressor stress, and maximal exercise.

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+Detailed description

Participants will be categorized into five groups based on their training background: sedentary, endurance, strength, technical, and traditional ethnic sports. The experimental protocol includes baseline measurements in lying, standing, and sitting positions, followed by a series of acute stress tests: a lie-to-stand orthostatic test, a slow breathing test, and a cold pressor test. Finally, participants will perform a ramp incremental exercise test on a cycle ergometer. Synchronous physiological data including HRV and SKNA will be collected to evaluate the dynamic regulation of the autonomic nervous system.

+Arms and interventions

ArmTypeInterventionsDescription
Sedentary ControlDiagnostic Test: Cardiopulmonary Exercise TestingHealthy adults with minimal physical activity, screened via SBQ and IPAQ-S questionnaires as baseline controls
Endurance AthletesDiagnostic Test: Cardiopulmonary Exercise TestingLong-distance runners or triathletes with over 1 year of regular aerobic training (e.g., 800m+ running, swimming).
Strength AthletesDiagnostic Test: Cardiopulmonary Exercise TestingAthletes specializing in anaerobic/power-based training, such as weightlifting, wrestling, or sprinting.
Traditional Ethnic SportsDiagnostic Test: Cardiopulmonary Exercise TestingPractitioners of mind-body exercises like Tai Chi or Baduanjin, emphasizing respiratory control and mild intensity
  • Cardiopulmonary Exercise Testing (Diagnostic test): Cardiopulmonary Exercise Testing (CPET) is a non-invasive, integrated assessment of the cardiovascular, respiratory, and muscular systems' responses to physical stress.

+Outcome measures

Primary outcomes

  • Heart Rate Variability [Baseline (10-minute rest), during the 10-minute mental stress test, and during the cardiopulmonary exercise test (approx. 20 minutes)]: Time-domain metrics (e.g., RMSSD, SDNN) derived from ECG recordings to evaluate cardiovagal modulation and cardiac autonomic balance.
  • Skin Sympathetic Nerve Activity [Baseline (10-minute rest), during the 10-minute mental stress test, and during the cardiopulmonary exercise test (approx. 20 minutes)]: Integrated average SKNA (aSKNA) and burst metrics measured via surface electrodes to assess sympathetic nerve firing

+Eligibility

Sex: All, ages: 18 Years to 30 Years, accepts healthy volunteers

Inclusion Criteria:

Healthy young adults aged 18-25 years

Body Mass Index (BMI) within the range of 18.5-23.9 kg/m 2

No history of systematic professional athletic training (for sedentary group) or confirmed training background (for athlete groups)

No exercise contraindications or history of cardiovascular, respiratory, or metabolic diseases

No family history of sudden cardiac death

Ability to understand the study protocol and sign the informed consent form

Exclusion Criteria:

History of limb sports injury within the past 6 months or unhealed fractures

Habits of smoking or chronic alcohol consumption

Presence of implanted electronic devices (e.g., pacemakers)

Clinical diagnosis of psychiatric disorders such as anxiety or depression

Recent use of medications affecting autonomic or cardiovascular function

Regular practice of meditation or ongoing psychotherapy

Irregular menstrual cycles (for female participants)

Peripheral neuropathy or other autonomic nervous system disorders