Higher blood glucose impairs cardiac autonomic modulation in fasting and after carbohydrate overload in adults

Caroline Maria Oliveira1, Ana Carolina Ghezzi2, Lucieli Teresa Cambri1,3

  • 1Graduate Program in Nutrition, Foods and Metabolism, Federal University of Mato Grosso, Cuiabá, MT 78060-900, Brazil.

Insights

Higher blood glucose levels, even within the normal range, impair cardiac autonomic modulation. This effect is evident both in a fasting state and after carbohydrate intake, impacting heart rate variability.

Area of Science:

  • Cardiology
  • Endocrinology
  • Autonomic Nervous System Function

Background:

  • Cardiac autonomic modulation is crucial for cardiovascular health.
  • Elevated blood glucose levels are associated with various health complications.
  • Understanding the impact of blood glucose on autonomic function is vital for preventative strategies.

Purpose of the Study:

  • To investigate the influence of blood glucose levels on cardiac autonomic modulation.
  • To compare autonomic function in individuals with lower versus higher fasting blood glucose.
  • To assess changes in autonomic modulation after carbohydrate overload in relation to blood glucose levels.

Main Methods:

  • 108 participants were categorized into lower and higher blood glucose groups based on median fasting glucose.
  • Heart rate variability (HRV) indices were measured under fasting and post-dextrose overload conditions.
  • Anthropometric and blood pressure measurements were recorded.

Main Results:

  • Higher blood glucose group exhibited increased body mass, abdominal circumference, and blood pressure.
  • Carbohydrate overload led to increased SD2, SDNN, LF indices, and LF/HF ratio, with decreased HF.
  • The higher blood glucose group showed lower HRV indices and impaired autonomic response to carbohydrate overload.
  • Post-dextrose glycemia correlated negatively with HRV indices.

Conclusions:

  • Higher fasting blood glucose impairs cardiac autonomic modulation.
  • Carbohydrate overload negatively impacts cardiac autonomic modulation.
  • Individuals with higher blood glucose, even within the normal range, demonstrate impaired cardiac autonomic function.

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