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.
Abstract:
This study aimed to assess whether the blood glucose levels influence cardiac autonomic modulation under fasting and after carbohydrate overload conditions. Participants (n = 108) were separated into lower blood glucose and higher blood glucose groups, based on the median (90.5 mg·dL-1) of fasting glucose assessed. The SD2, SDNN, LF indices, and LF/HF increased, and HF decreased after dextrose overload compared with fasting (p < 0.05). Body mass (78.9 vs 69.7 kg), abdominal circumference (90.2 vs 82.2 cm), systolic (113 vs 108 mm Hg) and diastolic (72 vs 67 mm Hg) blood pressure were higher (p < 0.05) in the higher blood glucose group. Heart rate variability (HRV) indices (SD1: 21.0 vs 26.5; SD2: 76.8: vs 86.1; RMSSD: 28.7 vs 37.5; SDNN: 56.1 vs 62.5 ms; pNN50: 10.6 vs 18.9%, HF: 328.4 vs 506.0; LF: 982.8 vs 1259.0 ms2), and the area under the curve of these indices after dextrose overload were lower in the higher blood glucose group (p < 0.05). Additionally, glycemia after dextrose overload was correlated with HRV indices (ρ = -0.216 to -0.273, p < 0.05). Individuals with higher blood glucose, even in the normality range, showed impairment in the cardiac autonomic modulation both at fasting and after carbohydrate overload. Novelty: Higher fasting blood glucose impairs cardiac autonomic modulation. Carbohydrate overload impairs cardiac autonomic modulation.
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