scholarly journals Exercise induced changes in autonomic nerve function in patients with irritable bowel syndrome by power spectral analysis

2016 ◽  
Vol 8 (1) ◽  
pp. 14
Author(s):  
Karma Tenzin ◽  
Noorzahan Begum ◽  
Sultana Ferdousi

<p><strong>Background:</strong> Altered autonomic nerve function has been reported by various investigators in IBS and moderate to vigor­ous physical exercise causes autonomic nerve function improvement both in healthy and various clinical conditions.<strong> </strong></p><p><strong>Objective:</strong> To observe the effect of brisk walking on the autonomic nerve function by analysis of heart rate in patients with Irritable bowel syndrome.</p><p><strong>Methods:</strong> This prospective interventional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU) between January to December 2013. For this purpose 77 male patients aged 20-50 years with IBS were included in this study, they were enrolled from OPD, Gastroen­terology, BSMMU, Dhaka. For comparison, 28 apparently healthy male were also included as control. HRV measures were recorded once before exercise and also after 3 months of brisk walking. For assessing HRV, frequency domain measures such as total power, LF power, HF power, LF norm and HF norm were recorded by Polyrite D machine. ANOVA, Independent sample t-test and paired t-tests were performed for statistical analysis.</p><p><strong>Results:</strong> The pre-exercise values of HF power, HF norm and total power were significantly lower (p&lt;0.05) whereas values of LF power and LF norm were higher (p&lt;0.05) in all IBS patient compared to those of control. The post exercise data demonstrated signifi­cantly higher (p&lt;0.05) HF power, HF nu and total power in all IBS patients compared to their pre-exercise values.</p><p><strong>Conclu­sion:</strong> This study concluded that the frequency domain measures of HRV were decreased in IBS patients but all these parameters can be improved by regular moderate physical exercise.</p>

2012 ◽  
Vol 7 (1) ◽  
pp. 53-59
Author(s):  
Mohammad Nayem ◽  
Noorzahan Begum ◽  
Sultana Ferdousi

Background: Autonomic nerve function impairment is related to development of Irritable Bowel Syndrome (IBS). Heart rate variability (HRV) is a useful tool to measure autonomic nerve function activity and also sympatho-vagal balance.Objective: To assess autonomic nerve function activity by heart rate variability analysis in patients with Irritable Bowel Syndrome.Methods: This cross sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from 1st July 2010 to 30th June 2011. Ninety patients aged 20-50 years of both sexes with Irritable bowel syndrome were included in the study group. They were enrolled from the OPD of Gastroenterology in BSMMU. For comparison age and sex matched 30 apparently healthy subjects were also studied as control. The power spectral HRV parameters were recorded by a digital Polyrite. For statistical analysis ANOVA, independent sample t-test were performed.Results: Mean resting pulse rate, mean HR, SBP, DBP, LF, LF norm and LF/HF were significantly higher(P<0.001) and total power, HF, HF norm were significantly lower(P<0.001) in IBS group compared to those of control.Conclusion: This study concludes markedly lower parasympathetic with concomitant higher sympathetic activity and shifting of sympathovagal balance towards sympathetic predominance in patients of IBS. DOI: http://dx.doi.org/10.3329/jbsp.v7i1.11163 J Bangladesh Soc Physiol. 2012, June; 7(1): 53-59


2015 ◽  
Vol 9 (1) ◽  
pp. 17-21
Author(s):  
Karma Tenzina ◽  
Noorzahan Begum ◽  
Sultana Ferdousi

Background: Irritable bowel syndrome (IBS) may be associated with autonomic nerve dysfunction. However, moderate to vigorous physical exercise cause improvement of this nerve function. Objective: To observe the effect of moderate physical exercise on the autonomic nerve activity by analysis of HRV in patients with Irritable bowel syndrome. Methods: This prospective study was carried out in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka in 2013. For this purpose, 77 male patients aged 20-50 years with IBS were included in the study. They were subdivided into IBS-D (24 patients), IBS-C (26 patients) and IBS-A (27 patients) and were selected from the OPD, Gastroenterology, BSMMU. 28 apparently healthy male were studied as control. HRV parameters were recorded prior to onset of physical exercise and after completion of 3 months of brisk walking. For assessing autonomic nerve function, some time domain measures of HRV were recorded by Polyrite D. ANOVA, Independent sample t-test and paired t-tests were used for statistical analysis. Results: The pre-exercise values of mean R-R interval, Max/Min ratio, SDNN,RMSSD, NN50%, PNN50% were significantly(p<0.05) lower and mean heart rate was significantly (p<0.05) higher in all IBS patients compared to control. The post exercise data showed mean HR was significantly decreased in IBS-A and SDNN & RMSSD were significantly increased in IBS-C and IBS-A. Conclusion: This study concluded that parasympathetic activity decreased in patients with IBS, which was improved after regular moderate physical exercise of 3 months. DOI: http://dx.doi.org/10.3329/jbsp.v9i1.22790 Bangladesh Soc Physiol. 2014, June; 9(1): 17-21


2013 ◽  
Vol 7 (2) ◽  
pp. 60-65
Author(s):  
Mohammad Nayem ◽  
Noorzahan Begum ◽  
Sultana Ferdousi

Background: Autonomic nerve function impairment is related to development of Irritable Bowel Syndrome (IBS). Time domain measures of Heart rate variability (HRV) is a useful tool to measure autonomic nerve function activity. Objective: To assess autonomic nerve function activity by time domain measures of heart rate variability in patients with Irritable Bowel Syndrome. Methods: This cross sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka in 2011. Ninety patients aged 20-50 years of both sex with Irritable bowel syndrome were included in the study group. They were collected from the OPD of Gastroenterology in BSMMU. Age and sex matched 30 apparently healthy subjects served as control. For assessing HRV by time domain method, Mean heart rate Mean R-R interval, Max/Min R-R interval, SDNN, RMSSD, PNN50%, NN50% were recorded by a digital Polyrite. ANOVA, independent sample t-test and Pearson’s correlation coefficient tests were performed as applicable. Results: Mean heart rate were significantly higher and Mean R-R interval, Max/Min R-R interval, SDNN, RMSSD, PNN50%, NN50% were significantly lower in IBS groups compared to those of control. Correlation analysis showed negative correlations of SDNN, RMSSD, PNN50%, NN50% with duration of disease. Conclusion: This study concludes that parasympathetic activity was reduced in patients of IBS. In addition, decreased vagal modulation is inversely related to the duration IBS. DOI: http://dx.doi.org/10.3329/jbsp.v7i2.14451 J Bangladesh Soc Physiol. 2012, December; 7(2): 60-65


2020 ◽  
Vol 14 (2) ◽  
pp. 63-68
Author(s):  
Jenefer Yesmin ◽  
Noorzahan Begum ◽  
Sultana Ferdousi

Background: Reduced heart rate variability (HRV) with cardiac autonomic nerve dysfunction has been found in Type 2 Diabetes Mellitus (T2DM) patients. Yoga based slow breathing exercise (SBE) improved this autonomic functions in healthy subjects. Objectives: To assess the effect of SBE on cardiac autonomic nerve function(CANF) by power spectral analysis of HRV in patients with T2DM. Methods: This prospective interventional study was carried on 30 male diagnosed T2DM patients aged 45-55 years with disease duration 5-10 years enrolled from Out Patient Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka. They performed SBE for 30 minutes twice daily for 3 months. Thirty apparently healthy age, BMI matched male who did not undergo any type of exercise were included as control. To assess the cardiac autonomic nerve function, power spectral analysis of HRV of all patients were done before and after 3 months of SBE. HRV data were recorded by polyrite D (RMS India). For statistical analysis, independent sample and paired sample t-test were used. Results: The preintervention values of Low frequency (LF) normalized unit(nu) and Low frequency/High frequency( LF/HF) ratio were significantly (p<0.001) higher and the values of LF power, HF power, HF normalized unit (HF nu) were significantly (p<0.001) lower in all diabetic patients compared to control. The postintervention values of LF power, HF power, HF nu increased significantly (p<0.001) and the LF nu, LF/HF ratio decreased significantly (p<0.001)compared to their pre-intervention values in T2DM. There were no significant differences between the post intervention values of LF nu, HF nu and LF/HF ratio in T2DM and the control. Conclusion: Impaired cardiac autonomic nerve function was significantly improved by SBE in T2DM. J Bangladesh Soc Physiol. 2019, December; 14(2): 63-68


2015 ◽  
Vol 10 (1) ◽  
pp. 6-10
Author(s):  
Karma Tenzin ◽  
Noorzahan Begum ◽  
Sultana Ferdousi

Background: Altered autonomic balance has been noted in Irritable bowel syndrome Regular physical exercise may cause restoration of autonomic balance in health and disease.Objective: To assess the effect of brisk walking on the autonomic balance by analysis of heart rate variability in patients with Irritable bowel syndrome (IBS).Methods: This prospective study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU) in 2013.Seventy seven male IBS patients aged 20-50 years, were enrolled from Gastroenterology OPD, BSMMU, Dhaka. Twenty eight healthy sedentary male with similar age were control. HRV measures were recorded once prior to exercise and then after 3 months of brisk walking. For assessing autonomic balance, LF/HF ratio and Max/Min RR was evaluated by Polyrite D machine and software. ANOVA, Independent sample t-test and paired t-test were used for statistical analysis.Results: The pre-exercise mean values of LF/HF ratio were significantly higher (p<0.001) in all IBS patients compared to those of control. The post exercise LF/HF ratio were significantly lower (p<0.05) in all IBS patients compared to their pre-exercise values.Conclusion: This study concluded that the sympathovagal balance was towards sympathetic predominance in IBS and regular moderate physical exercise may shift the balance towards parasympathetic predominance in them.Bangladesh Soc Physiol. 2015, June; 10(1): 6-10


2016 ◽  
Vol 43 (3) ◽  
pp. 125-129
Author(s):  
Farhana Rahman ◽  
Qazi Shamima Akhter ◽  
Qazi Farzana Akhter ◽  
Syeda Tasfia Siddika

Iron deficiency anemia is considered as one of the major public health problem in Bangladesh. Cardiac autonomic nerve dysfunction may present in iron deficiency anemia which increases the risk and further complications of this disease. Assessment of heart rate variability (HRV) is a non-invasive technique to evaluate cardiac autonomic nerve function status. To assess the cardiac autonomic nerve function status by heart rate variability analysis, 100 female subjects with iron deficiency anemia aged 20-45 years were included in the study group. For comparison, age and sex matched 100 apparently healthy female were selected as control. The HRV parameters were recorded by a 4 active channels, Polyrite-D. Mean resting pulse rate, LF power, LF norm and LF/HF were significantly (p <0.0001) higher and total power, HF power, HF norm were significantly (p <0.0001) lower in subjects with iron deficiency anemia in comparison to those of control group. This study concludes that cardiac parasympathetic activity was reduced in female with iron deficiency anemia.Bangladesh Med J. 2014 Sep; 43 (3): 125-129


2015 ◽  
Vol 9 (1) ◽  
pp. 6-10
Author(s):  
Monzur E Fatema ◽  
Noorzahan Begum ◽  
Sultana Ferdousi

Background: Lower heart rate variability (HRV) in sedentary people is associated with higher risk of coronary heart diseases. Deep Relaxation Technique (DRT) generate higher HRV which reduces the risk of coronary heart disease. Objective: To assess HRV after practicing DRT to find out it’s effect on cardiac autonomic nerve function in sedentary subjects. Methods: This study with intervention by DRT was carried out in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University from July 2012 to June 2013 on 30 apparently healthy sedentary females aged 25-35 years practicing DRT for 3 months. 30 apparently healthy sedentary females who had no experience of relaxation technique constituted control. All subjects were sedentary housewives. The study subjects were participants in a private yoga center in Dhaka. HRV was assessed by RMS polynte D and frequency domain parameters were analysed. Statistical analysis was done by Independent Sample t-test. Results: Total power (p<0.001), HF power (p<0.01), HF norm (p<0.05) were significantly higher and LF power (p<0.001), LF norm (p<0.05), LF/HF (p<0.01) were significantly lower in the relaxation group than those of non relaxation group. Conclusion: Cardiac autonomic nerve function was improved by practice of DRT with parasympathetic dominance in sedentary females. DOI: http://dx.doi.org/10.3329/jbsp.v9i1.22787 Bangladesh Soc Physiol. 2014, June; 9(1): 6-10


Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 553-P
Author(s):  
GIDON J. BÖNHOF ◽  
ALEXANDER STROM ◽  
MARIA APOSTOLOPOULOU ◽  
DOMINIK PESTA ◽  
MICHAEL RODEN ◽  
...  

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