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Published on: June 5, 2019
Heart rate variability in children with type 1 diabetes mellitus
Camila Balsamo Gardim1, Bruno Affonso P de Oliveira2, Aline Fernanda B Bernardo1
1Faculdade de Ciências e Tecnologia, Unesp, Presidente Prudente, SP, Brasil.
Insights
Children with type 1 diabetes mellitus show reduced heart rate variability and vagal activity. Early intervention is crucial to prevent future complications in this pediatric group.
Area of Science:
- Pediatrics
- Cardiology
- Endocrinology
Background:
- Type 1 diabetes mellitus (T1DM) is a chronic condition affecting children.
- Cardiac autonomic dysfunction is a known complication of diabetes.
- Understanding these effects in children is vital for management.
Purpose of the Study:
- To review current literature on the impact of T1DM on cardiac autonomic behavior in children.
- To identify changes in heart rate variability and autonomic modulation in pediatric T1DM patients.
Main Methods:
- A systematic literature search was performed across multiple databases (PubMed, Medline, Cochrane, etc.).
- MeSH terms included "autonomic nervous system", "diabetes mellitus", "child", and "type 1 diabetes mellitus".
- Included studies focused on children aged 9-12 years with T1DM, published between 2003-2013.
Main Results:
- Four articles were included, focusing on heart rate variability (HRV).
- Children with T1DM generally exhibit decreased global HRV and reduced vagal activity.
- Physical activity was found to have beneficial effects on cardiac autonomic function in these children.
Conclusions:
- Pediatric patients with T1DM display altered autonomic modulation.
- Early detection and management of cardiac autonomic changes are necessary.
- Proactive care can help mitigate long-term complications associated with T1DM in children.
Objective:
To gather current information about the effects of type 1 diabetes mellitus on children's cardiac autonomic behavior.
Data Sources:
The search of articles was conducted on PubMed, Ibecs, Medline, Cochrane, Lilacs, SciELO and PEDro databases using the MeSH terms: "autonomic nervous system", "diabetes mellitus", "child", "type 1 diabetes mellitus", "sympathetic nervous system" and "parasympathetic nervous system", and their respective versions in Portuguese (DeCS). Articles published from January 2003 to February 2013 that enrolled children with 9-12 years old with type 1 diabetes mellitus were included in the review.
Data Synthesis:
The electronic search resulted in four articles that approached the heart rate variability in children with type 1 diabetes mellitus, showing that, in general, these children present decreased global heart rate variability and vagal activity. The practice of physical activity promoted benefits for these individuals.
Conclusions:
Children with type 1 diabetes mellitus present changes on autonomic modulation, indicating the need for early attention to avoid future complications in this group.
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