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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Geometric indexes of heart rate variability in obese and eutrophic children

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Author(s):
Marques Vanderlei, Luiz Carlos [1] ; Pastre, Carlos Marcelo [1] ; Freitas Junior, Ismael Forte [2] ; de Godoy, Moacir Fernandes [3]
Total Authors: 4
Affiliation:
[1] Univ Estadual Paulista, UNESP, Fac Ciencias & Tecnol, Dept Fisioterapia, BR-19060900 Presidente Prudente, SP - Brazil
[2] Univ Estadual Paulista, UNESP, Fac Ciencias & Tecnol, Dept Educ Fis, Sao Paulo - Brazil
[3] Fac Med Sao Jose Rio Preto, Dept Cardiol & Cirurgia Cardiovasc, Sao Paulo - Brazil
Total Affiliations: 3
Document type: Journal article
Source: Arquivos Brasileiros de Cardiologia; v. 95, n. 1, p. 35-40, JUL 10 2010.
Web of Science Citations: 29
Abstract

BACKGROUND: Obesity causes changes in cardiac autonomic modulation. OBJECTIVE: To investigate the autonomic modulation of eutrophic and obese children by means of indexes of heart rate variability (HRV) obtained through geometric methods. METHODS: We analyzed data from 133 children aged 8 to 13, divided into two groups: obese (n = 61) and eutrophic (n = 72) according to body mass index for age and sex. For the analysis of HRV, heart rate was recorded beat-to-beat. The RR intervals were transformed into geometric figures, and from them, we calculated the triangular index (RRtri), triangular interpolation of RR intervals (TINN), the indexes SD1, SD2 and SD1/SD2 ratio, obtained from the Poincaré plot. Visual analysis of the plot was also performed. Student's t test was performed for unpaired data and Mann-Whitney's test, with significance level of 5.0%, for data analysis. RESULTS: In obese children, RRtri indexes were proven to be reduced (0.0730 vs 0.1084 [median]), TINN (171.80 ± 55.08 vs 218.26 ± 51.12), SD1 (19.93 ± 9.10 vs 24.10 ± 8.03) and SD2 (51.63 ± 16.53 vs 69.78 ± 17.19). The SD1/SD2 ratio showed no significant differences (0.3781 ± 0.12 vs 0.3467 ± 0.08). Visual analysis of the plot, in obese children, revealed a smaller dispersion of RR intervals both beat-to-beat, and in the long term, indicating lower HRV. CONCLUSION: Obese children presented changes in the autonomic nervous system characterized by decreases in parasympathetic activity and overall variability. (AU)

FAPESP's process: 08/05414-0 - Analysis of heart rate variability indices in obese children
Grantee:Luiz Carlos Marques Vanderlei
Support Opportunities: Regular Research Grants