scholarly journals Dietary and Lifestyle Patterns are Associated with Heart Rate Variability

2020 ◽  
Vol 9 (4) ◽  
pp. 1121
Author(s):  
Elena Reginato ◽  
Danila Azzolina ◽  
Franco Folino ◽  
Romina Valentini ◽  
Camilla Bendinelli ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Dietary Patterns ◽  
Multivariable Analysis ◽  
Holter Monitoring ◽  
Additive Models ◽  
P Value ◽  
Inverse Association ◽  
Cross Sectional ◽  
Dietary Recall

Assessment of heart rate variability (HRV) and cardiac ectopic beats is a clinically relevant topic. The present exploratory observational study aimed to inspect the relationships of lifestyle, dietary patterns, and anthropometrics with HRV, premature ventricular complexes (PVCs), and supraventricular premature complexes (SVPCs). A cross-sectional study enrolling subjects undergoing Holter monitoring was performed. Sociodemographic and clinical characteristics, body composition (full-body bio-impedentiometry), dietary patterns (validated food frequency questionnaire and 24 h dietary recall), and quality of life were assessed. Generalized additive models were estimated to evaluate the relationships between outcomes of interest and variables collected. The study enrolled 121 consecutive patients undergoing 24 h Holter monitoring. Upon univariable analysis, HRV was found to have an inverse association with mass of body fat (MBF) (p-value 0.015), while doing physical activity was associated with a significantly higher HRV (p-value 0.036). Upon multivariable analysis, fruit consumption in the 24 h dietary recall was found to be directly associated with HRV (p-value 0.044). The present findings might be useful for improving the management of patients attending cardiac rhythm labs, and to tailor ad hoc prevention strategies (modification of lifestyle and eating habits) based on Holter parameters.

scholarly journals ARRHYTHMOGENESIS IN MITRAL VALVE PROLAPSE

2015 ◽  
Vol 22 (02) ◽  
pp. 227-234
Author(s):  
Muhammad Alamgir Khan ◽  
Syed Muhammad Imran Majeed ◽  
Faizania Shabbir ◽  
Tausif Ahmed Rajput
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
High Resolution ◽  
Mitral Valve ◽  
Mitral Valve Prolapse ◽  
Holter Monitoring ◽  
P Value ◽  
Late Potentials ◽  
Resting Heart Rate ◽  
Benign Condition

Mitral valve prolapse is generally considered a benign condition, however, asubset of patients remains at high risk of arrhythmogenesis which may lead to sudden cardiacdeath. Objective: To stratify risk of arrhythmogenesis in patients with mitral valve prolapseon the basis of high resolution ECG, Holter monitoring, resting heart rate and mitral leafletgeometry. Study Design: Cross sectional comparative study. Place of study: Armed ForcesInstitute of Cardiology (AFIC)/National Institute of Heart Diseases, Rawalpindi and Army MedicalCollege, Rawalpindi, Pakistan Methodology: Mitral leaflet displacement and thickness weremeasured on echocardiography in 37 patients with mitral valve prolapse. Resting heart rateand time domain indices of heart rate variability of each patient were recorded from 24 hoursHolter monitoring. High resolution ECG of all the patients was carried out to record ventricularlate potentials. Statistical analysis was performed using SPSS and the alpha value was set at<0.05 for significance. Results: The mean values for resting heart rate, leaflet displacement andleaflet thickness were 77.19±6.29 per minute, 3.64±0.92 mm and 4.96±0.79 mm respectively.Ventricular late potentials were present in 8 (21.62%) whereas heart rate variability was reducedin 5 (13.51%) patients. Leaflet thickness was significantly greater in patients with ventricularlate potentials as compared to those without (p-value 0.004). Patients with reduced heart ratevariability had significantly higher resting heart rate as compared to those with normal variability(p-value 0.02). One patient (2.7%) had ventricular late potentials, reduced heart rate variability,resting heat rate of 88 beats per minute and leaflet thickness over 5 mm. Conclusions:Combined effects of high resolution ECG, holter monitoring and leaflet geometry identified thehigh risk subset, comprising of 2.7% of the study population.

scholarly journals The Association of Adherence to Moringa, Plantains, Moringa-Plantain Combined Diets, and Other Plant-Based Dietary Patterns With Glycemic Control Among Persons With T2DM, a Hospital Based Cross Sectional Survey in Ghana

2021 ◽  
Author(s):  
Be-Ikuu Dominic Doglikuu ◽  
Abdulai Abubakari ◽  
Mehdi Yaseri ◽  
Elham Shakibazadeh ◽  
Abolghassem Djazayery ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factor ◽  
Glycemic Control ◽  
Dietary Patterns ◽  
Hdl Cholesterol ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dietary Recall

Abstract Diabetes mellitus (DM) is an independent risk-factor for cardiovascular diseases. Plant-based dietary-patterns have been shown to positively impact the effects this cardiovascular risk-factor. The purpose of this study is to investigate the association of adherence to moringa, plantains, moringa-plantain combined, and other plant based dietary-patterns with glycemic-control among persons with type-2-diabetes Mellitus (T2DM). Facility-based cross-sectional-study was conducted among 530 T2DM patients in Ghana. Structured-questionnaires were used to collect demographic, anthropometric, and clinical variables. Adherence to plant-based dietary-patterns were assessed with 24-hour dietary-recall questionnaire. SPSS version-22 was used in data analysis. BMI, HbA1c%, HDL-cholesterol and LDL-cholesterol were significantly correlated with adherence to plant-based dietary-patterns (p-value &lt; 0.05). After adjusting for confounders, adherence to: Plantain diets, standardized regression coefficient &beta; (95%CI): -0.098 (-0.321, -0.022), Yam, &beta; (95%CI): 0.148 (0.066, 0.496), Moringa diets &beta; (95%CI): -0.095 (-0.325,-0.011) and Bean-diets &beta; (95%CI): -0.112 (-0.577-.007) were significantly associated with glycemic control. Also adherence to: Plantain-moriga combined diets &beta; (95%CI): -0.406 (-0.413, -0.049) and Plantain-beans combined diets &beta; (95%CI): -0.128 (-0.188, -0.038) were significantly associated with glycemic control. Adherence to Plantain, Yam, Beans, Plantain-moriga combined diets, and Plantain-beans combined diets could be associated with glycemic control. Keywords: Diabetes mellitus, Adherence, Moringa, Plantain, Glycemic control, Ghana.

scholarly journals Heart Rate Variability and Long Chain n-3 Polyunsaturated Fatty Acids in Chronic Kidney Disease Patients on Haemodialysis: A Cross-Sectional Pilot Study

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2453
Author(s):  
Ana M Pinto ◽  
Helen L MacLaughlin ◽  
Wendy L Hall
Keyword(s):  
Chronic Kidney Disease ◽  
Fatty Acids ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Kidney Disease ◽  
Polyunsaturated Fatty Acids ◽  
Cardiac Death ◽  
Cross Sectional ◽  
Ckd Stage ◽  
Long Chain

Low heart rate variability (HRV) is independently associated with increased risk of sudden cardiac death (SCD) and all cardiac death in haemodialysis patients. Long chain n-3 polyunsaturated fatty acids (LC n-3 PUFA) may exert anti-arrhythmic effects. This study aimed to investigate relationships between dialysis, sleep and 24 h HRV and LC n-3 PUFA status in patients who have recently commenced haemodialysis. A cross-sectional study was conducted in adults aged 40–80 with chronic kidney disease (CKD) stage 5 (n = 45, mean age 58, SD 9, 20 females and 25 males, 39% with type 2 diabetes). Pre-dialysis blood samples were taken to measure erythrocyte and plasma fatty acid composition (wt % fatty acids). Mean erythrocyte omega-3 index was not associated with HRV following adjustment for age, BMI and use of β-blocker medication. Higher ratios of erythrocyte eicosapentaenoic acid (EPA) to docosahexaenoic acid (DHA) were associated with lower 24 h vagally-mediated beat-to-beat HRV parameters. Higher plasma EPA and docosapentaenoic acid (DPAn-3) were also associated with lower sleep-time and 24 h beat-to-beat variability. In contrast, higher plasma EPA was significantly related to higher overall and longer phase components of 24 h HRV. Further investigation is required to investigate whether patients commencing haemodialysis may have compromised conversion of EPA to DHA, which may impair vagally-mediated regulation of cardiac autonomic function, increasing risk of SCD.

scholarly journals Heart Rate Variability Monitoring during Interferential Current Application in the Lower Back Area: A Cross-Sectional Study

2021 ◽  
Vol 18 (7) ◽  
pp. 3394
Author(s):  
Blanca De-la-Cruz-Torres ◽  
Eva Martínez-Jiménez ◽  
Emmanuel Navarro-Flores ◽  
Patricia Palomo-López ◽  
Vanesa Abuín-Porras ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Placebo Group ◽  
Intervention Group ◽  
Lumbar Pain ◽  
Poincaré Plot ◽  
Current Application ◽  
Cross Sectional ◽  
Vasovagal Reactions ◽  
Interferential Current

Vasovagal reactions may occur occasionally during electrical stimulation using interferential current (IFC). The purpose of this study was to examine variations in autonomic activity during the application of IFC in asymptomatic participants by analysis of their heart rate variability (HRV). Seventy-three male volunteers were randomly assigned to a placebo group (n = 36; HRV was documented for 10 min, both at rest and during a placebo intervention) and an intervention group (n = 37; HRV was documented for 10 min in two conditions labelled as (1) rest and (2) application of IFC technique on the lumbar segment). The diameters of the Poincaré plot (SD1, SD2), stress score (SS), and the ratio between sympathetic and parasympathetic activity (S/PS) were measured. After interventions, differences amongst the placebo group and the IFC group were found in SD2 (p < 0.001), SS (p = 0.01) and S/PS ratio (p = 0.003). The IFC technique was associated with increased parasympathetic modulation, which could induce a vasovagal reaction. Monitorization of adverse reactions should be implemented during the application of IFC technique. HRV indicators might have a part in prevention of vasovagal reactions. Further studies in patients with lumbar pain are needed to explore possible differences in HRV responses due to the presence of chronic pain.

scholarly journals Heart rate variability and blood pressure among Japanese men and women: a community-based cross-sectional study

2014 ◽  
Vol 37 (8) ◽  
pp. 779-784 ◽  
Author(s):  
Hiromi Mori ◽  
Isao Saito ◽  
Eri Eguchi ◽  
Koutatsu Maruyama ◽  
Tadahiro Kato ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Japanese Men ◽  
Men And Women

249 Overnight heart rate variability depends on age, gender, and day of the week: a field observation using a smart bed platform

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A100-A101
Author(s):  
Shawn Barr ◽  
Kwanghyun Sohn ◽  
Gary Garcia
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Physiological Stress ◽  
Large Population ◽  
Population Level ◽  
Large Set ◽  
Sleep State ◽  
Cross Sectional ◽  
Day Of The Week ◽  
Broad Interest

Abstract Introduction Heart rate variability (HRV) is commonly used to assess the activity of the autonomic nervous system (ANS). ANS function changes, reflected in HRV, result from factors including lifestyle, aging, cardiorespiratory illnesses, sleep state, and physiological stress. Despite broad interest in HRV, few studies have established normative overnight HRV values for a large population. To better understand population level HRV changes, ecologically-valid, overnight sleep SDNN (standard deviation of all normal heartbeat intervals, lower HRV is reflected by lower SDNN) values have been analyzed for a large sample of Sleep Number 360 smart bed users. Methods Overnight SDNN values were obtained over the course of 18.2M sleep sessions from 379,225 sleepers (48 ± 14.7 sessions/user). 50.9 percent of sleepers were female. The age was normally distributed with mean ± SD of 52.8 ± 12.7 years (range 21 to 84). Heartbeat intervals used to compute SDNN were extracted from a ballistocardiogram (BCG). BCG-based HRV estimation during sleep has previously been validated against ECG-based HRV with an R-square of 0.5. Results Using a Generalized Linear Model, significant cross-sectional associations with SDNN were observed for three variables of interest: age, gender, and day-of-the-week. For sleepers under 50, SDNN declined at a rate of about 2.1 ms/year, then leveled off for sleepers aged 50-65, and increased slightly thereafter. Women under 50 displayed lower, more slowly declining, SDNN values than men, but this trend reversed for sleepers over 50. Throughout the week, SDNN values followed a U-shaped (women) or L-shaped (men) pattern, where values were highest during the weekend and lowest at mid-week. Conclusion Using a smart bed to unobtrusively measure overnight SDNN values for a large set of sleepers in an ecologically valid environment, reveals significant effects of age, gender, and day of the week on overnight SDNN. Support (if any):

Overnight call is associated with poor resting heart rate and heart rate variability in orthopaedic surgeons

2019 ◽  
Vol 4 (3) ◽  
pp. 123-126
Author(s):  
Kyle R Sochacki ◽  
David Dong ◽  
Leif Peterson ◽  
Patrick C McCulloch ◽  
Kevin Lisman ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Orthopaedic Surgery ◽  
Resting Heart Rate ◽  
Linear Regression Models ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Hours Worked ◽  
Significance Level ◽  
Orthopaedic Surgeons

ObjectivesThe purpose of this study was to determine orthopaedic surgery residents’ and attending surgeons’ resting heart rate (RHR) and heart rate variability (HRV) and if there is a correlation between subject-specific variables (age, attending surgeon, resident, postgraduate year (PGY) level, gender, number of calls, total hours worked, and total hours of sleep) and surgeon RHR and HRV.MethodsOrthopaedic surgery residents and attending surgeons at a single institution were prospectively enrolled and provided a validated wearable device to determine hours of sleep, RHR and HRV. Demographic information, hours worked and overnight calls were recorded. Bivariate correlations were determined using the Spearman rank correlation. Multiple linear regression models were constructed to determine the effect of relevant variables. All p values were reported, and a significance level of α=0.05 was used (p<0.05).ResultsTwenty-one of 26 enrolled subjects completed the 4-week study. The average RHR and HRV for orthopaedic surgeons was 61.8+10.0 bpm and 42.96+21.2ms, respectively. Residents had a significantly higher RHR (66.4+8.4 vs 55.6+8.9, p=0.011) compared with attending surgeons. Overnight calls had the strongest association with decreased HRV (r=−0.447; p=0.038), moderate positive correlation with RHR (r=0.593; p=0.005) and weak negative correlation with HRV (r=−0.469; p=0.032). There was no significant correlation between PGY level, gender, total hours worked and total hours of sleep with RHR or HRV.ConclusionOrthopaedic surgeons have poor RHR and HRV. Additionally, the number of overnight calls had the strongest correlation with worse RHR and HRV.Level of evidenceLevel II; diagnostic, individual cross-sectional study with a consistently applied reference standard.

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