THE RELATIONSHIP BETWEEN HEART-RATE-VARIABILITY AND MEASURES OF BODY HABITUS

被引:38
作者
FREEMAN, R
WEISS, ST
ROBERTS, M
ZBIKOWSKI, SM
SPARROW, D
机构
[1] DEACONESS HOSP, DIV NEUROL, BOSTON, MA 02215 USA
[2] BETH ISRAEL HOSP, DEPT NEUROL, BOSTON, MA 02215 USA
[3] SHADYSIDE HOSP, DEPT MED, PITTSBURGH, PA USA
[4] BRIGHAM & WOMENS HOSP, CHANNING LAB, DEPT MED, BOSTON, MA USA
[5] BETH ISRAEL HOSP, DIV PULM & CRIT CARE, DEPT MED, BOSTON, MA USA
[6] NORMAT AGING STUDY, DEPT VET AFFAIRS, OUTPATIENT CLIN, BOSTON, MA USA
[7] HARVARD UNIV, SCH MED, BOSTON, MA USA
[8] UNIV PITTSBURGH, PITTSBURGH, PA USA
关键词
OBESITY; BODY HABITUS; HEART RATE VARIABILITY;
D O I
10.1007/BF01818890
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
There is a well-recognized relationship between autonomic nervous system function and body habitus although few studies have addressed the role of the parasympathetic nervous system. A decrease in parasympathetic nervous-system-mediated heart rate variability in obesity may in part explain the mortality and morbidity that are associated with the obese state. We used multiple linear regression techniques to explore the relationship between measures of heart rate variability and anthropometric indices in 597 male participants in the Normative Aging Study. After adjustment for age and log,, heart race, weight and body mass index were significant predictors of both the expiratory to inspiratory ratio (E/I ratio) and the difference between maximum and minimum heart rate (HR(Max-Min)). The abdomen-to-hip ratio and percentage body fat were not significant predictors of measures of heart rate variability. A one standard deviation change in the anthropometric index (weight, body mass index) resulted in a decrease in the E/I ratio of 0.010-0.014 and a decrease in the HR(Max-Min) of 0.486-0.715 beats/min. A change in the anthropometric index across the distribution (5-95 percentile) resulted in a decrease in the E/I ratio of 0.032-0.037 and a decrease in the HR(Max-Min) of 1.56-2.39 beats/min. These results indicate that heart rate variability and overall body size are correlated. This association could in part explain the mortality and morbidity that is associated with the obese state.
引用
收藏
页码:261 / 266
页数:6
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