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Lower heart rate variability is associated with higher serum high-sensitivity C-reactive protein concentration in
Fernando Araújo1, Ivana Antelmi, Alexandre C Pereira
1Heart Institute (InCor), University of São Paulo Medical School, General Outpatient Clinics, Av. Dr. Enéas de Carvalho Aguiar, 44 05403-000 São Paulo SP, Brazil. grafernando@incor.usp.br
Insights
In healthy older adults (aged 46+), reduced heart rate variability (HRV) is linked to higher C-reactive protein (CRP) levels, indicating a connection between autonomic function and inflammation.
Area of Science:
- Cardiology
- Autonomic Nervous System Function
- Inflammation Biomarkers
Background:
- Cardiac autonomic activity, assessed via heart rate variability (HRV), is hypothesized to associate with systemic inflammatory markers like C-reactive protein (CRP).
- Investigating the correlation between HRV indices and serum high-sensitivity C-reactive protein (hs-CRP) in a healthy Brazilian population.
- Understanding the interplay between autonomic function and inflammation in a diverse age group.
Purpose of the Study:
- To examine the association between heart rate variability (HRV) and high-sensitivity C-reactive protein (hs-CRP).
- To determine if HRV indices correlate with hs-CRP levels in a healthy Brazilian cohort.
- To explore age-related differences in the relationship between HRV and inflammation.
Main Methods:
- Study included 421 healthy individuals (184 men, 237 women) aged 15-82 years.
- Analysis involved log-transformed HRV indices and serum hs-CRP concentrations.
- Statistical methods included Spearman correlation and multiple linear regression, stratified by age tertile.
Main Results:
- Log standard deviation of normal RR intervals (SDNN) showed an independent inverse correlation with log hs-CRP in individuals aged 46 years and older (r = -0.801; p = 0.024).
- Body mass index (BMI) was independently correlated with hs-CRP across all age groups.
- Findings suggest a specific relationship between HRV and hs-CRP in older healthy adults.
Conclusions:
- Lower heart rate variability (HRV) is associated with higher hs-CRP concentrations in healthy individuals aged 46 and above.
- This suggests a link between diminished autonomic function and increased systemic inflammation in older adults.
- The study highlights the importance of considering age in the relationship between HRV and inflammatory markers.
Background:
To test the hypothesis of an association between cardiac autonomic activity evaluated by heart rate variability and systemic inflammatory markers such as C-reactive protein, we studied the correlation of the indices of heart rate variability relative to serum high-sensitivity C-reactive protein (hs-CRP) in a healthy Brazilian population.
Methods:
Four hundred twenty-one healthy individuals aged 15-82 years (mean 40.4 years), 184 men (43.7%) and 237 women (56.3%) were enrolled between July 1998 and July 2001. The relationship between the log-transformed indices of the heart rate variability and the serum concentration of hs-CRP were analyzed stratified by age tertile using the Spearman correlation coefficient and multiple linear regression.
Results:
The log standard deviation of all normal sinus RR intervals over 24 h (SDNN) (r = -0.801; p = 0.024) was independently correlated with log hs-CRP in the individuals with age in the oldest tertile (> or = 46 years). In addition, the body mass index (BMI) was independently correlated with hs-CRP in all of the age groups.
Conclusions:
In the healthy subjects aged 46 years or more the lower heart rate variability correlated with higher concentration of hs-CRP.
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