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Geometric indexes of heart rate variability in obese and eutrophic children
Luiz Carlos Marques Vanderlei1, Carlos Marcelo Pastre, Ismael Forte Freitas
1Faculdade de Ciências e Tecnologia, UNESP. lcmvanderlei@fct.unesp.br
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.
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