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The Relationship between Heart Rate Variability and Adiposity Differs for Central and Overall Adiposity
B Gwen Windham1, Stefano Fumagalli, Alessandro Ble
1Division of Geriatrics, Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Journal of Obesity
|June 1, 2012
Summary
Central adiposity, measured by waist circumference, is linked to reduced heart rate variability (HRV) and autonomic nervous system (ANS) function in younger adults. Body Mass Index (BMI) showed no association with HRV.
Area of Science:
- Physiology
- Cardiology
- Gerontology
Background:
- Obesity is linked to autonomic nervous system (ANS) dysfunction, but the relationship between Body Mass Index (BMI) and heart rate variability (HRV) is unclear.
- Visceral fat, indicated by waist circumference (WC), may have a greater impact on ANS function than subcutaneous fat.
Purpose of the Study:
- To investigate the association between central adiposity (WC) and HRV compared to overall adiposity (BMI).
- To determine if WC is a stronger predictor of HRV than BMI.
Main Methods:
- Utilized data from the Baltimore Longitudinal Study of Aging.
- Calculated time-domain HRV variables (SDNN, RMSSD) from 24-hour Holter recordings in 159 participants (aged 29-96).
- Compared the strength of association between HRV and WC versus HRV and BMI.
Main Results:
- Increasing WC was significantly associated with decreasing SDNN and RMSSD in younger participants.
- No significant association was found between WC and HRV in older participants.
- BMI was not associated with HRV in any age group.
- A significant interaction between WC and age was observed (P=0.003).
Conclusions:
- Central adiposity (WC) may contribute to declines in sympathetic and parasympathetic ANS function early in life.
- WC is a more sensitive indicator of ANS changes related to adiposity than BMI, particularly in younger individuals.
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