Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/25849
Title: Relationship between diabetes mellitus and heart rate variability in community-dwelling elders
Authors: Ribeiro, Ícaro Jose Santos
Pereira, Rafael
Valença Neto, Paulo da Fonseca
Freire, Ivna Vidal
Casotti, Cezar Augusto
Reis, Mitermayer Galvão dos
Affilliation: Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Biotecnologia em Saúde e Medicina Investigativa. Salvador, BA, Brasil / State University of Southwest Bahia. Nursing & Health Postgraduate Program. Jequie, BA, Brazil
State University of Southwest Bahia. Nursing & Health Postgraduate Program. Jequie, BA, Brazil / State University of Southwest Bahia. Department of Biological Sciences. Jequie, BA, Brazil
Federal University of Bahia. Collective Health Institute. Salvador, BA, Brazil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Biotecnologia em Saúde e Medicina Investigativa. Salvador, BA, Brasil
State University of Southwest Bahia. Nursing & Health Postgraduate Program. Jequie, BA, Brazil / State University of Southwest Bahia. Health Department. Jequie, BA, Brazil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Biotecnologia em Saúde e Medicina Investigativa. Salvador, BA, Brasil
Abstract: Diabetes mellitus is one of the most common non-communicable diseases (NCDs) and may influence the autonomic nervous system. This study aims to analyze the autonomic control, through heart rate variability (HRV), from community-dwelling elders with (DM+) and without diabetes mellitus (DM-). Materials and methods: This cross-sectional study, in which 205 elders (≥ 60 years old), from the urban area of Aiquara municipality gave their written consent to participate. HRV data was collected through a Polar RS800CX monitor with a 5-min initial record at rest, followed by the command to quickly stand up. Results: The mean age was 71 years (SD, 7.32). The population was mostly made up of women 121 (59%), with low or no schooling 123 (60%), and low income 166 (81%). HRV analysis in a frequency domain showed no difference when comparing the two groups of DM + and DM . Henceforth in a time domain, the rMSSD showed a median value of 16.09 (interquartile range, 9.91–30.68); pNN50 median of 0.79 (interquartile range, 0.00–6.62), with a statistical significance between the group of DM+ and DM . Conclusions: There is a difference between the studied groups principally in what concerns the time domain, which reflects the parasympathetic activity, suggesting that elders with diabetes mellitus may have a worse parasympathetic control.
Keywords: Autonomic nervous system
Heart rate
Cardiac electrophysiology
Diabetes mellitus
keywords: Sistema nervoso autônomo
Freqüência cardíaca
Eletrofisiologia cardíaca
Diabetes mellitus
Issue Date: 2017
Publisher: Elsevier
Citation: RIBEIRO, I. J. S. et al. Relationship between diabetes mellitus and heart rate variability in community-dwelling elders. Medicina, v. 53, p. 375–379, 2017.
DOI: 10.1016/j.medici.2017.12.001
ISSN: 1010-660X
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

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