scholarly journals Spectral analysis of heart period variability in anorexia nervosa

2005 ◽  
Vol 62 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Mirjana Platisa ◽  
Vera Gal ◽  
Svetozar Damjanovic

The aim of this study was to investigate the response of autonomic cardiac control to postural change using spectral analysis, in patients with anorexia nervosa. Spectral components of total variability as well as of low and high frequencies were analyzed for 17 anorexic patients with mean body mass index (14.9 ? 1.9) kg/m2 and for 9 healthy age-matched women with body mass index (20.3 ? 1.7) kg/m2, in supine and standing postures. During standing posture, increased heart rate in all subjects was accompanied by the decrease in total variability and high frequency spectral powers. In supine posture, anorexic patients demonstrated the reduced low frequency spectral power. Compared to control women, during standing posture anorexic patients showed higher heart rate, reduced total variability and high frequency spectral powers. Statistically significant correlation was noticed between body mass index and spectral power of low frequency in both supine and standing posture. Alterations in autonomic cardiac control induced by anorexia nervosa could be estimated by spectral analysis of heart period variability.

PEDIATRICS ◽  
1990 ◽  
Vol 86 (3) ◽  
pp. 440-447 ◽  
Author(s):  
Laura K. Bachrach ◽  
David Guido ◽  
Debra Katzman ◽  
Iris F. Litt ◽  
Robert Marcus

Osteoporosis develops in women with chronic anorexia nervosa. To determine whether bone mass is reduced in younger patients as well, bone density was studied in a group of adolescent patients with anorexia nervosa. With single- and dual-photon absorptiometry, a comparison was made of bone mineral density of midradius, lumbar spine, and whole body in 18 girls (12 to 20 years of age) with anorexia nervosa and 25 healthy control subjects of comparable age. Patients had significantly lower lumbar vertebral bone density than did control subjects (0.830 ± 0.140 vs 1.054 ± 0.139 g/cm2) and significantly lower whole body bone mass (0.700 ± 0.130 vs 0.955 ± 0.130 g/cm2). Midradius bone density was not significantly reduced. Of 18 patients, 12 had bone density greater than 2 standard deviations less than normal values for age. The diagnosis of anorexia nervosa had been made less than 1 year earlier for half of these girls. Body mass index correlated significantly with bone mass in girls who were not anorexic (P < .05, .005, and .0001 for lumbar, radius, and whole body, respectively). Bone mineral correlated significantly with body mass index in patients with anorexia nervosa as well. In addition, age at onset and duration of anorexia nervosa, but not calcium intake, activity level, or duration of amenorrhea correlated significantly with bone mineral density. It was concluded that important deficits of bone mass occur as a frequent and often early complication of anorexia nervosa in adolescence. Whole body is considerably more sensitive than midradius bone density as a measure of cortical bone loss in this illness. Low body mass index is an important predictor of this reduction in bone mass.


2018 ◽  
Vol 27 (1) ◽  
pp. 86-96
Author(s):  
Kathleen De Cuyper ◽  
Dirk Hermans ◽  
Guido Pieters ◽  
Laurence Claes ◽  
Kristof Vansteelandt

1985 ◽  
Vol 58 (3) ◽  
pp. 830-833 ◽  
Author(s):  
S. T. Nugent ◽  
J. P. Finley

Periodic breathing occurs commonly in full-term and preterm infants. The mechanisms which switch breathing on and off within a cycle of periodic breathing are not certain. Since immature infants may experience diaphragmatic muscle fatigue, one potential switching mechanism is fatigue. Power spectra of the electromyogram, uncontaminated by the electrocardiograph artifact, were studied for evidence of diaphragmatic muscle fatigue during spontaneous periodic breathing in infants. A fall in the high-frequency (103–600 Hz) power and an increase in the low-frequency (23–47 Hz) power during periodic as compared with normal breathing would indicate fatigue. This effect was not observed in any of the infants studied. Hence, there is no evidence that periodic breathing is the result of diaphragmatic muscle fatigue. This finding suggests that the effect of drugs such as theophylline in eliminating periodic breathing may be unrelated to the fact that they also reduce fatigue.


2006 ◽  
Vol 65 (02) ◽  
pp. 264-274 ◽  
Author(s):  
Lora R. Stevens ◽  
Jeffery R. Stone ◽  
Josh Campbell ◽  
Sherilyn C. Fritz

AbstractA 2200-yr long, high-resolution (∼5 yr) record of drought variability in northwest Montana is inferred from diatoms and δ18O values of bio-induced carbonate preserved in a varved lacustrine core from Foy Lake. A previously developed model of the diatom response to lake-level fluctuations is used to constrain estimates of paleolake levels derived from the diatom data. High-frequency (decadal) fluctuations in the de-trended δ18O record mirror variations in wet/dry cycles inferred from Banff tree-rings, demonstrating the sensitivity of the oxygen-isotope values to changes in regional moisture balance. Low frequency (multi-centennial) isotopic changes may be associated with shifts in the seasonal distribution of precipitation. From 200 B.C. to A.D. 800, both diatom and isotope records indicate that climate was dry and lake level low, with poor diatom preservation and high organic carbon: nitrogen ratios. Subsequently, lake level rose slightly, although the climate was drier and more stable than modern conditions. At A.D. 1200, lake level increased to approximately 6 m below present elevation, after which the lake fluctuated between this elevation and full stage, with particularly cool and/or wetter conditions after 1700. The hydrologic balance of the lake shifted abruptly at 1894 because of the establishment of a lumber mill at the lake's outlet. Spectral analysis of the δ18O data indicates that severe droughts occurred with multi-decadal (50 to 70 yr) frequency.


Author(s):  
Darlène Antoine ◽  
Rosa-Maria Guéant-Rodriguez ◽  
Jean-Claude Chèvre ◽  
Sébastien Hergalant ◽  
Tanmay Sharma ◽  
...  

Abstract Context A recent study identified 14 low-frequency coding variants associated with body-mass-index (BMI) in 718,734 individuals predominantly of European ancestry. Objective and design The 14 low-frequency coding variants were genotyped or sequenced in 342 French adults with severe/morbid obesity and 574 French adult controls from the general population. We built risk and protective genetic scores (GS) based on 6 BMI-increasing and 5 BMI-decreasing low-frequency coding variants that were polymorphic in our study. We investigated the association of the two GS with i) the risk of severe/morbid obesity, ii) BMI variation before weight-loss intervention, iii) BMI change in response to an 18-month lifestyle/behavioral intervention program, and iv) BMI change up to 24 months after bariatric surgery. Results While the risk GS was not associated with severe/morbid obesity status, BMI-decreasing low-frequency coding variants were significantly less frequent in patients with severe/morbid obesity than in French adults from the general population. Neither the risk nor the protective GS was associated with BMI before intervention in patients with severe/morbid obesity, nor did they impact BMI change in response to a lifestyle/behavioral modification program. The protective GS was associated with a greater BMI decrease following bariatric surgery. The risk and protective GS were associated with a higher and lower risk of BMI regain after bariatric surgery. Conclusion Our data indicate that in populations of European descent, low-frequency coding variants associated with BMI in the general population also impact the outcomes of bariatric surgery in patients with severe/morbid obesity.


2016 ◽  
Vol 49 (11) ◽  
pp. 1002-1009 ◽  
Author(s):  
Staci A. Berkowitz ◽  
Ashley A. Witt ◽  
Christopher Gillberg ◽  
Maria Råstam ◽  
Elisabet Wentz ◽  
...  

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