scholarly journals Heart rate variability, exercise capacity and levels of daily physical activity in children and adolescents with mild-to-moderate cystic fibrosis

2021 ◽  
pp. 1-10
Author(s):  
Pitiguara de Freitas Coelho ◽  
Roberta Ribeiro Batista Barbosa ◽  
Rodrigo dos Santos Lugao ◽  
Fernanda Mayrink Gonçalves Liberato ◽  
Pâmela Reis Vidal ◽  
...  

Background: Autonomic nervous system balance is altered in cystic fibrosis (CF), although its influence on physical fitness has been poorly explored. Objective: This study aimed to evaluate the association of heart rate variability (HRV) with exercise capacity and levels of daily physical activity in children and adolescents with mild-to-moderate CF. Methods: A cross-sectional study including individuals with CF aged 6–18 years, not under CFTR modulator therapy, was performed. Sociodemographic (age, sex) and clinical information (airway colonization, pancreatic insufficiency, and genotyping) were collected. In addition, exercise capacity (modified shuttle test — MST), lung function (spirometry), body composition (bioimpedance), levels of daily physical activity (5-day accelerometer), and HRV (both at rest and during the MST) were evaluated. Results: 30 individuals (20 females) aged [Formula: see text] years, mean FEV[Formula: see text]%, were included. A sympathovagal balance (LF/HF) increase ([Formula: see text]) during the MST was shown, indicating a predominance of sympathetic modulation. The standard deviation of all RR intervals (SDNN) and the high frequency (HF) index during exercise correlated significantly with FEV1 ([Formula: see text], [Formula: see text] and [Formula: see text], [Formula: see text]; respectively). MST distance also correlated positively and significantly with SDNN ([Formula: see text], [Formula: see text]), square root of the mean of the sums of squares of frequencies between RR intervals greater than 50[Formula: see text]ms — RMSSD ([Formula: see text], [Formula: see text]), low frequency — LF ([Formula: see text], [Formula: see text]), HF ([Formula: see text], [Formula: see text]), dispersion of points perpendicular to the short-term identity line — SD1 ([Formula: see text], [Formula: see text]) and negatively with LF/HF ([Formula: see text], [Formula: see text]). Regarding daily physical activity, SDNN at rest ([Formula: see text], [Formula: see text]) and exercise ([Formula: see text], [Formula: see text]) showed positive correlations with time in moderate-to-vigorous activities. When normalizing the SDNN and classifying individuals as normal or altered, those presenting altered SDNN showed poorest FEV1 ([Formula: see text]) and lower exercise capacity ([Formula: see text]). Conclusion: HRV correlates with lung function, exercise capacity and levels of daily physical activity in children and adolescents with CF. The study highlights the influence of CF on autonomic function and suggests HRV measurement as an easy tool to be used in clinical settings as an alternative marker to monitor CF individuals.

2020 ◽  
Vol 19 ◽  
pp. S37-S38
Author(s):  
F.M. Vendrusculo ◽  
N. Evangelista Campos ◽  
R. Ribeiro Batista Barbosa ◽  
P. de Freitas Coelho ◽  
P. dos Reis Vidal ◽  
...  

2009 ◽  
Vol 135 (2) ◽  
pp. 257-259 ◽  
Author(s):  
Lidiane Sousa ◽  
Manoel Otávio da Costa Rocha ◽  
Raquel Rodrigues Britto ◽  
Federico Lombardi ◽  
Antonio L. Ribeiro

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
David M. Hallman ◽  
Svend Erik Mathiassen ◽  
Eugene Lyskov

Background. We determined the extent to which heart rate variability (HRV) responses to daily physical activity differ between subjects with and without chronic neck pain.Method. Twenty-nine subjects (13 women) with chronic neck pain and 27 age- and gender-matched healthy controls participated. Physical activity (accelerometry), HRV (heart rate monitor), and spatial location (Global Positioning System (GPS)) were recorded for 74 hours. GPS data were combined with a diary to identify periods of work and of leisure at home and elsewhere. Time- and frequency-domain HRV indices were calculated and stratified by period and activity type (lying/sitting, standing, or walking). ANCOVAs with multiple adjustments were used to disclose possible group differences in HRV.Results. The pain group showed a reduced HRV response to physical activity compared with controls (p=.001), according to the sympathetic-baroreceptor HRV index (LF/HF, ratio between low- and high-frequency power), even after adjustment for leisure time physical activity, work stress, sleep quality, mental health, and aerobic capacity (p=.02). The parasympathetic response to physical activity did not differ between groups.Conclusions. Relying on long-term monitoring of physical behavior and heart rate variability, we found an aberrant sympathetic-baroreceptor response to daily physical activity among subjects with chronic neck pain.


1989 ◽  
Vol 26 (6) ◽  
pp. 497-502
Author(s):  
Katsumi MITA ◽  
Naotaka ISHIDA ◽  
Toshiaki MIYAGAWA ◽  
Kumi AKATAKI ◽  
Tamotsu FUKUTANI ◽  
...  

2004 ◽  
Vol 36 (4) ◽  
pp. 601-605 ◽  
Author(s):  
MARTIN BUCHHEIT ◽  
CHANTAL SIMON ◽  
ANTOINE URANIO VIOLA ◽  
STEPHANE DOUTRELEAU ◽  
FRANCOIS PIQUARD ◽  
...  

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Zachary C Pope ◽  
Kelley P Gabriel ◽  
Kara M Whitaker ◽  
Lin Y Chen ◽  
Pamela J Schreiner ◽  
...  

Introduction: We estimated cross-sectional associations between accelerometer-estimated light (LPA), moderate (MPA), and vigorous (VPA) intensity physical activity (PA) and heart rate variability (HRV), and tested mediation of these associations by glycemic control indices, blood lipids, and blood pressure. Hypothesis: PA is positively and independently associated with higher (improved) HRV. Glycemic measures are partial physiological mediators of these associations. Methods: Data were from 1,668 participants (X -age = 46 ± 4 yrs, 58% F, 40% black) in Year 20 (2005-06) of the Coronary Artery Risk Development in Young Adults (CARDIA) Fitness Study. The ActiGraph 7164 estimated participants’ mean min/d of LPA, MPA, and VPA over 7d. Three sequential 10-sec 12-lead ECG strips provided standard deviation of all normal RR intervals (SDNN) and root mean square of all successive RR intervals (rMSSD) HRV. Physiological mediators included fasting glucose and insulin as well as 2-hr oral glucose tolerance (OGTT), fasting triglycerides (TG), HDL-C, and systolic blood pressure (BP). Multiple linear regression, controlling for demographic and lifestyle confounders, assessed independent associations of PA with SDNN and rMSSD HRV per 1-SD. Mediation analyses computed the proportion of the PA-HRV associations attributable to physiological mediators. Results: Participants averaged 360.2 ± 83.8, 33.0 ± 22.0, and 2.7 ± 6.2 min/d of LPA, MPA, and VPA, respectively, with mean values for SDNN (32.6 ± 22.4 ms) and rMSSD (34.0 ± 24.8 ms) similar. VPA was associated with both HRV metrics (SDNN: std = .06 [.03, .10]; rMSSD: std = .08, [.05, .12]) and LPA with rMSSD only (std = .05, [.01, .08]). Fasting glucose and insulin mediated between 11.6%-20.7% of the association of VPA and LPA with HRV (Table). Triglycerides also mediated these associations (range: 9.6%-13.4%; Table). Conclusions: Accelerometer-estimated VPA and LPA were positively associated with higher HRV. These associations may be due most to glycemia and insulinemia.


2020 ◽  
Author(s):  
Marjane Cardoso ◽  
Caroline Jacoby Schmidt ◽  
Gabriela Motter ◽  
Gabrielle Costa Borba ◽  
Tatiana Helena Rech ◽  
...  

Abstract Background : people with Cystic Fibrosis (CF) have progressive limitation to physical exercise and reduced daily living activities. Regular physical activity (PA) and exercise contribute to the quality of live of people with CF. The objective of this study was to evaluate level of PA , lung function and functional capacity in children and adolescents diagnosed with CF and compare them with those of healthy children and adolescents. Methodology: the study had a cross-sectional design with a control group. Patients with CF were followed at the Children’s Pneumology Outpatient Clinic, and were matched for age and sex with healthy controls from a local public school. The evaluations included daily step count, the shuttle walk test and spirometry. Results: 70 children and adolescents were evaluated, 35 diagnosed with CF and 35 healthy controls. The overall mean age was 11.6±2.9 years. There was no significant difference in level of PA between the patient and control groups. Gender analysis revealed no significant difference in level of PA between the groups or within the CF group. The CF group values were significantly lower than the control group for BMI (p=0.04), percentage of predicted FEV 1 and FEV 1 Z-score (p=0.02 and p=0.010). Conclusion: In this sample, children and adolescents with CF had the same level of PA as their healthy peers. Boys and girls with CF had similar level of PA when stratified by sex, as well as when compared to healthy peers of the same gender. Differences were observed between BMI, FEV 1 and some functional capacity test variables between the groups.


2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Jose A. Adams ◽  
Shivam Patel ◽  
Jose R. Lopez ◽  
Marvin A. Sackner

Background. Heart rate variability (HRV) reflects neural balance between sympathetic and parasympathetic autonomic nervous systems (ANS). Reduced HRV occurs in several chronic diseases and physical inactivity. External addition of pulses to the circulation restores HRV. A new method to add pulses to the circulation can be accomplished with a passive simulated jogging device (JD). We hypothesized that application of JD might increase HRV in seated and supine postures in a heterogeneous group of volunteer subjects. Methods. Twenty ambulatory persons (age range 31-88) were recruited. The physical activity intervention (JD) moved the feet in a repetitive and alternating manner; upward movement of the pedal is followed by a downward movement of the forefoot tapping against a semirigid bumper to simulate tapping of feet against the ground during jogging. Each subject underwent four, 30 min sessions in seated and supine postures with the active JD and same with Sham. HRV was assessed at baseline (BL), and Recovery (REC) from analysis of an electrocardiogram. Time domain variables were computed, namely, standard deviation of all normal RR intervals (SDNN) and square root of the mean of the sum of the squares of differences between adjacent RR intervals (RMSSD). Frequency domain measures were determined using a standard Fast Fourier spectral analysis, as well as parameters of Poincaré plots. Results. Thirty minutes of JD significantly increased time domain measures and Poincaré parameters of HRV in both seated and supine postures. Frequency domain parameters showed no change. The effects of JD on HRV measures were not affected by age, gender, or posture. Conclusion. The passive simulated jogging device increased HRV in both seated and supine postures. This intervention that provided effortless physical activity is a novel method to harness the beneficial effects of increasing HRV.


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