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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Association of Heart Rate Variability and NeuroCognitive Performance Among Metabolically Healthy Obese Adults:
Saksham Bansal1, Sakshi Chaaras1, Vanshita Garg1
1Department of Physiology, All India Institute of Medical Sciences, Bathinda, Punjab, India.
Heart rate variability (HRV) can predict cognitive decline in individuals with obesity. Lower HRV, specifically the high-frequency band, is linked to increased body mass index (BMI) and reduced brain-derived neurotrophic factor (BDNF).
Area of Science:
- Neuroscience
- Cardiology
- Metabolic Health
Background:
- Obesity is associated with autonomic nervous system dysfunction and cognitive impairment.
- Quantitative links between obesity, autonomic function, and cognition require further exploration.
Purpose of the Study:
- To quantify neurocognitive signatures and heart rate variability (HRV) parameters in relation to increasing body weight among metabolically healthy obese individuals.
- To identify analytical predictors for cognitive health in obesity.
Main Methods:
- Cross-sectional study with 101 participants (71 metabolically healthy obese/overweight, 30 controls).
- Assessed neurocognitive function (MMSE, MoCA), brain-derived neurotrophic factor (BDNF), and HRV.
- Analyzed associations between body mass index (BMI), HRV indices (HF band, SDNN), and BDNF levels.
Main Results:
- Metabolically healthy obese participants showed significant differences in neurocognitive performance and HRV compared to controls.
- Increased BMI was negatively associated with BDNF and high-frequency (HF) HRV.
- Higher BMI correlated with a decline in HF band (vagal tone) and showed associations with standard deviation of normal-to-normal intervals (SDNN).
Conclusions:
- Heart rate variability (HRV) serves as a potential early, non-invasive indicator for future cognitive decline in individuals with metabolically healthy obesity.
- Findings highlight the impact of obesity on autonomic function and neurotrophic factors, suggesting HRV as a valuable monitoring tool.
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