Influence of Obesity on Heart Rate Variability in Nurses with Age and Shift Type as Moderators

Obesity is a risk factor of cardiovascular disease-related mortality and may be associated with changes in the autonomic nerve activity. Nurses working shifts and caring for patients are under great mental and physical pressure, and research has proven that these can negatively affect the body. The objective of this study was to examine the influence of obesity in nurses on their heart rate variability (HRV) and determine whether age or shift type moderates this influence. A questionnaire survey and HRV measurements were conducted on nurses at a hospital in Taiwan during a routine employee health checkup. HRV analysis was conducted using a noninvasive HRV monitor for five minutes. A total of 242 nurses with a mean age of 28.98 ± 6.56 years were enrolled in this study. An overly large waist circumference (WC) had a negative impact on high frequency (HF), low frequency (LF), and standard deviation of normal-to-normal interval (SDNN), while an overly high body mass index (BMI) had a negative impact on very low frequency (VLF) and SDNN. The interaction term “overly large WC × age” had a negative impact on HF ( β = − 0.21 , p = 0.010 ) and LF ( β = − 0.18 , p = 0.030 ), whereas the interaction term “overly high BMI×age” had a negative impact on HF ( β = − 0.27 , p = 0.001 ), LF ( β = − 0.19 , p = 0.023 ), and VLF ( β = − 0.17 , p = 0.045 ). The interaction terms “overly large WC × shift type” and “overly high BMI × shift type” did not influence any HRV parameters. As age increased, so did the degree to which the HF and LF of nurses with an overly large WC were lower than normal, and so did the degree to which the HF, LF, and VLF of nurses with an overly high BMI were lower than normal.

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Direct measurement of vagal tone in rats does not show correlation to HRV

Scientific Reports ◽

10.1038/s41598-020-79808-8 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Joseph T. Marmerstein ◽

Grant A. McCallum ◽

Dominique M. Durand

Keyword(s):

Heart Failure ◽

Heart Rate ◽

Heart Rate Variability ◽

Neural Activity ◽

Vagal Tone ◽

Neural Recording ◽

The Body ◽

Autonomic Nerve ◽

Vagal Activity ◽

Recording Technology

AbstractThe vagus nerve is the largest autonomic nerve, innervating nearly every organ in the body. “Vagal tone” is a clinical measure believed to indicate overall levels of vagal activity, but is measured indirectly through the heart rate variability (HRV). Abnormal HRV has been associated with many severe conditions such as diabetes, heart failure, and hypertension. However, vagal tone has never been directly measured, leading to disagreements in its interpretation and influencing the effectiveness of vagal therapies. Using custom carbon nanotube yarn electrodes, we were able to chronically record neural activity from the left cervical vagus in both anesthetized and non-anesthetized rats. Here we show that tonic vagal activity does not correlate with common HRV metrics with or without anesthesia. Although we found that average vagal activity is increased during inspiration compared to expiration, this respiratory-linked signal was not correlated with HRV either. These results represent a clear advance in neural recording technology but also point to the need for a re-interpretation of the link between HRV and “vagal tone”.

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Heart Rate Variability and Hemodynamic Change in the Superior Mesenteric Artery by Acupuncture Stimulation of Lower Limb Points: A Randomized Crossover Trial

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2013/315982 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 5

Author(s):

Soichiro Kaneko ◽

Masashi Watanabe ◽

Shin Takayama ◽

Takehiro Numata ◽

Takashi Seki ◽

...

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Superior Mesenteric Artery ◽

Lower Limb ◽

Mesenteric Artery ◽

Low Frequency ◽

Autonomic Nerve ◽

Nerve Activity ◽

Acupuncture Stimulation ◽

Stimulation Of

Objective. We investigated the relationship between superior mesenteric artery blood flow volume (SMA BFV) and autonomic nerve activity in acupuncture stimulation of lower limb points through heart rate variability (HRV) evaluations.Methods. Twenty-six healthy volunteers underwent crossover applications of bilateral manual acupuncture stimulation at ST36 or LR3 or no stimulation. Heart rate, blood pressure, cardiac index, systemic vascular resistance index, SMA BFV, and HRV at rest and 30 min after the intervention were analyzed.Results. SMA BFV showed a significant increase after ST36 stimulation (0% to 14.1% ± 23.4%,P=0.007); very low frequency (VLF), high frequency (HF), low frequency (LF), and LF/HF were significantly greater than those at rest (0% to 479.4% ± 1185.6%,P=0.045; 0% to 78.9% ± 197.6%,P=0.048; 0% to 123.9% ± 217.1%,P=0.006; 0% to 71.5% ± 171.1%,P=0.039). Changes in HF and LF also differed significantly from those resulting from LR3 stimulation (HF: 78.9% ± 197.6% versus −18.2% ± 35.8%,P=0.015; LF: 123.9% ± 217.1% versus 10.6% ± 70.6%,P=0.013).Conclusion. Increased vagus nerve activity after ST36 stimulation resulted in increased SMA BFV. This partly explains the mechanism of acupuncture-induced BFV changes.

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Assessment of Heart Rate Variability in Fibromyalgia after Micro-physiotherapy.

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2014.12.189 ◽

2014 ◽

Vol 12 ◽

pp. 189

Author(s):

Adriano Pinto Pereira ◽

Eluciene Maria dos Santos Carvalho ◽

Ivo Ilvan Kerppers ◽

Meiriélly Furmann ◽

Juliana Aparecida Wosch Pires ◽

...

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Low Frequency ◽

Treatment Method ◽

The Body ◽

Autonomous Nervous System ◽

Self Healing ◽

Non Invasive ◽

A Value ◽

Before And After

Introduction: Fibromyalgia syndrome is characterized by musculo-skeletal pain. Heart rate variability (HRV) is a versatile and promising non-invasive marker of the autonomous nervous system. Micro-physiotherapy involves manual physiotherapy that seeks to identify the primary cause of a disease or symptom and to stimulate self-healing, in which the body recognizes the aggressor (antigen) and begins the elimination process, through cellular and tissue reprogramming. Method: The sample was composed of 15 individuals, aged between 35 and 40 years, with fibromyalgia. The Nerve Express method was used to assess the variability of the heart rate. Two sessions of micro-physiotherapy were conducted using global methods, with an interval of 45 days between sessions. Results: Based on the HRV results, the high frequency band was confirmed at p=0.203, with the low frequency recording a statistically significant value of p=0.001, thereby demonstrating sympathetic activity. Upon comparison of the mean heartbeat before and after treatment, a value of p=0.0006 was obtained. A value of p=0.049 was recorded in the analysis of the median R-R interval values. Conclusion: The use of micro-physiotherapy as a treatment method for fibromyalgia effectively improved the lives of patients by promoting sympathicotonia.

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Heart rate variability in persons of Tajik nationality during adaptation

RUDN Journal of Medicine ◽

10.22363/2313-0245-2021-25-4-306-312 ◽

2021 ◽

Vol 25 (4) ◽

pp. 306-312

Author(s):

Sarvar S. Raufov ◽

Sergey N. Shilov

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Activity Index ◽

Statistical Significance ◽

Low Frequency ◽

The Body ◽

Regulatory Mechanisms ◽

Regulatory Systems ◽

Adaptive Capabilities ◽

The Impact

Relevance . Maintaining the health of migrants while adapting to the new climatic and geographical conditions of residence is an urgent task. The impact of non-specific factors on the body of migrants in new climatogeographic conditions leads to the strain of regulatory and adaptive mechanisms, and in extreme cases to their failure. Objective - to determine the features of heart rate variability in young Tajiks, depending on the type of temperament living in Krasnoyarsk for more than a year. Materials and Methods: A study of heart rate variability in 63 Tajiks aged 18-40 years with different types of temperament, living in Krasnoyarsk for more than a year, was conducted. The types of temperament were determined by indices in accordance with the method of identifying VP-types of temperament according to E.Yu. Petrosyan, Yu. I. Savchenkov. The following indicators of heart rate variability (HRV) were evaluated: heart rate, the power of the high-frequency, low-frequency and very low-frequency spectrum (BV, MV-2, MV-1) of the HRV component, the voltage index of regulatory systems (IN), the centralization index (CI) and the activity index of regulatory systems. To assess the statistical significance of the differences between the samples, the Students criteria were used. Results and Discussion. It was revealed that migrants with an intense type of temperament after moving to a new place of residence increased the indicators of heart rate, BV and IN. At the same time, in the studied groups with a calm and adequate type of temperament, the power of BV was significantly reduced, with an increase in heart rate and CI. The conclusion is made about the influence of typological features of temperament on HRV indicators, when adapting to new climatogeographic living conditions. Individuals with an adequate type of temperament demonstrate the normal functioning of the adaptive capabilities of the body. In individuals with the calm type, an increase in the tension of the regulatory mechanisms was revealed. Conclusion . Significant changes in HRV are demonstrated by migrants with an intense type of temperament, in particular, they are characterized by a high voltage of regulatory mechanisms.

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Effects of 2-Hz and 100-Hz Electroacupuncture Stimulation on Respiratory Function and Heart Rate Variability: A Randomized Crossover Study

Acupuncture & Electro-Therapeutics Research ◽

10.3727/036012921x16321477053890 ◽

2021 ◽

Author(s):

Kazufumi Takahashi ◽

Xiaoming Wang ◽

Daiyu Shginohara ◽

Kenji Imai

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

High Frequency ◽

Respiratory Function ◽

Low Frequency ◽

Frequency Component ◽

Autonomic Nerve ◽

High Frequency Component ◽

Respiratory Function Test ◽

Function Test

Background: Bronchial contraction and dilation is thought to be caused by non-adrenergic non-cholinergic nerves. Objective: To investigate the effects of low-frequency (1-5 Hz) and high frequency (50-100 Hz) electric acupuncture (EA) stimulation on bronchial dilation. Design: Prospective, single-center study. Setting: Teikyo Heisei University Subjects: Seventeen healthy male adults Randomization: We randomly assigned subjects to 2-Hz EA and 100-Hz EA groups in a crossover trial. The washout period was 2 weeks. Intervention: Both groups underwent a respiratory function test, followed by a 5-minute rest, followed a 5-minute rest or EA stimulation, followed by a 5- min rest. Heart rate variability was measured at rest, followed by another respiratory function test. Acupuncture was delivered near the cervical ganglia at the level of the sixth cervical vertebra on the left side. EA stimuli were set to 2-Hz or 100-Hz, and stimulation intensity was set to a level where no pain was felt. Main outcome measures: Spirometry (forced vital capacity, forced expiratory volume in 1 s, and maximum respiratory flow), autonomic nerve activity (low-frequency component, high-frequency component, and their ratio), and heart rate variability. Results: Heart rate variability analysis showed significant differences in heart rate between the 2-Hz EA and 100-Hz EA groups. The 2-Hz EA group showed a significant increase in HF. Conclusions: 2-Hz EA stimulation resulted in decreased heart rate and increased HF during stimulation. This may be more effective for regulation of the autonomic nerves of the cardiopulmonary system than 100-Hz EA stimulation. Future studies are required to confirm our findings.

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Effect of Sustained Isometric and Isotonic Exercises on Blood Pressure and Heart Rate Variability – A Comparative Study

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i47b33204 ◽

2021 ◽

pp. 908-915

Author(s):

S. Sneha Harshini ◽

G. Sridevi ◽

S. Preetha

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Heart Rate Variability ◽

Mean Arterial Pressure ◽

Arterial Pressure ◽

Diastolic Blood Pressure ◽

Negative Impact ◽

Isometric Exercise ◽

The Body ◽

Constant Weight

Introduction: Isometric exercises are contractions of a particular muscle which doesn’t noticeably change length and the affected joint doesn’t move [1]. Isotonic exercises involve contracting muscle shortens against a constant weight, as when lifting as weight [2,3]. These two different types of exercise have profound changes in the body affecting the respiratory and cardiovascular systems [4]. Studies comparing the effectiveness of isotonic and isometric exercises on blood pressure and heart rate variability (HRV) were scanty [5]. Objective: The present study planned to investigate and compare the efficacy of isometric as well as isotonic exercises on changes in blood pressure, heart rate and HRV. Materials and methods: 10 normal healthy subjects in the age group 17-20 years of both genders participated in the study. All the subjects were assessed under three different conditions: Resting state, After isotonic exercises (20 repetitions of straight leg raise) and After isometric exercises 2 mins of sustained abdominal exercises). After each procedure, blood pressure and heart rate variability were calculated. Results: Isometric exercises cause reduction of systolic and diastolic blood pressure, mean arterial pressure while pulse rate increases significantly. Isotonic exercises increase the systolic and diastolic blood pressure and mean arterial pressure significantly. The result is statistically significant with p<0.050. Conclusion: Thus it can be concluded an innovative finding that isometric exercise causes profound decline in blood pressure and increased heart rate variability thus showing a negative impact on cardiovascular health. So it can be concluded that isotonic exercise improves the circulation and supports the cardiovascular system and strengthens the muscle, improves bone density and boosts cardiac function

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Power spectral analysis of heart rate variability in Bangladeshi healthy male and female

Bangladesh Medical Journal ◽

10.3329/bmj.v43i3.26298 ◽

2016 ◽

Vol 43 (3) ◽

pp. 146-150

Author(s):

Qazi Farzana Akhter ◽

Qazi Shamima Akhter ◽

Farhana Rahman ◽

Sybilla Ferdousi ◽

Susmita Sinha

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Heart Rate Variability ◽

Spectral Analysis ◽

High Frequency ◽

Low Frequency ◽

Power Spectral Analysis ◽

Autonomic Nerve ◽

Age Group ◽

Power Spectral

Heart rate variability (HRV) has been considered as an indicator of autonomic nerve function status. We aimed to find out the reference values of heart rate variability by power spectral analysis in our healthy population of both sex. This cross sectional study was conducted in the Department of Physiology, Dhaka Medical College, Dhaka from the period of July 2012 to June 2013. For this, 180 subjects were selected with the age ranging from 15-60 years. All the study subjects were divided into 3 different groups according to age (Group A: 15-30 years; Group B: 31-45 years; Group C: 46-60 years). Each group contained 60 subjects of which 30 were male and 30 were female. Analysis of HRV parameters were done in Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Systolic blood pressure, diastolic blood pressure, low frequency normalized unit, low frequency / high frequency ratio were significantly higher in male than female. Again high frequency power, high frequency normalized unit were significantly higher in female than male of same age group. This study concludes that male showed higher cardiac sympathetic activities while female showed higher cardiac parasympathetic activities in different age groups.Bangladesh Med J. 2014 Sep; 43 (3): 146-150

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Heart Rate Variability, Emotions, and Music

Journal of Psychophysiology ◽

10.1027/0269-8803/a000021 ◽

2010 ◽

Vol 24 (2) ◽

pp. 112-119 ◽

Cited By ~ 9

Author(s):

F. Riganello ◽

A. Candelieri ◽

M. Quintieri ◽

G. Dolce

Keyword(s):

Data Mining ◽

Heart Rate ◽

Heart Rate Variability ◽

Vegetative State ◽

Low Frequency ◽

Emotional Reactions ◽

Heart Beat ◽

Healthy Controls ◽

Frequency Spectra ◽

Emotional Value

The purpose of the study was to identify significant changes in heart rate variability (an emerging descriptor of emotional conditions; HRV) concomitant to complex auditory stimuli with emotional value (music). In healthy controls, traumatic brain injured (TBI) patients, and subjects in the vegetative state (VS) the heart beat was continuously recorded while the subjects were passively listening to each of four music samples of different authorship. The heart rate (parametric and nonparametric) frequency spectra were computed and the spectra descriptors were processed by data-mining procedures. Data-mining sorted the nu_lf (normalized parameter unit of the spectrum low frequency range) as the significant descriptor by which the healthy controls, TBI patients, and VS subjects’ HRV responses to music could be clustered in classes matching those defined by the controls and TBI patients’ subjective reports. These findings promote the potential for HRV to reflect complex emotional stimuli and suggest that residual emotional reactions continue to occur in VS. HRV descriptors and data-mining appear applicable in brain function research in the absence of consciousness.

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