姿势对非虚弱和虚弱前个体心率变化的影响:一个横截面研究
Huiling Chen1, Mimi Mun Yee Tse2, Joanne Wai Yee Chung3
1School of Nursing and Health Studies, Hong Kong Metropolitan University, Sheung Shing Street, Ho Man Tin, Hong Kong, China. huilingc@qq.com.
在非脆弱的老年人中,心率变化 (HRV) 随着姿势的变化而变化,但在脆弱前的个体中却没有变化,这表明那些有脆弱风险的人可能有自主功能障碍.
科学领域:
- 老年学是指老年学的学科.
- 心脏病学 心脏病学
- 身体生理学 身体生理学
背景情况:
- 虚弱是一种显著的与衰老相关的综合征,与老年人死亡率的增加有关.
- 全球人口老龄化需要有效的脆弱性评估和预防策略.
- 心率变化 (HRV) 显示了脆弱性评估的潜力,但研究结果不一致.
研究的目的:
- 调查姿势变化对非脆弱和脆弱前的老年人HRV参数的影响.
- 探索HRV在区分基于自主反应的脆弱状态的实用性.
主要方法:
- 在50岁以上的46名参与者中,使用弗里德标准评估了脆弱性.
- 心率变化 (HRV) 被测量在站立,坐着和躺着的位置.
- 使用Kubios软件分析了关键HRV参数 (SDNN,RMSSD,LF,HF,LF/HF).
主要成果:
- 非脆弱的个体在不同的姿势中表现出显著的HRV参数变化 (p <0.05).
- 在身体脆弱之前的个体在姿势之间的HRV参数中没有显著差异 (p > 0.05).
- 在基于姿势的非脆弱参与者中,在RMSSD,HF,LF和LF/HF中发现了特定的差异.
结论:
- 在脆弱前的个体中,对HRV的形姿势影响表明心脏自主功能受损.
- 评估对HRV的姿势影响可能有助于脆弱性评估.
- 建议对更大的队列和各种HRV指标进行进一步的研究.
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