更新:影响心率变化的因素 - - 叙述性综述
Stefan Sammito1,2, Beatrice Thielmann2, Irina Böckelmann2
1German Air Force Centre of Aerospace Medicine, Cologne, Germany.
Frontiers in physiology
|August 21, 2024
概括
心率变化 (HRV) 是自主功能的一个关键指标. 年龄,疾病,生活方式和环境等因素显著影响HRV,影响其解释和临床相关性.
科学领域:
- 生理学 生理学 生理学
- 自主神经系统的自主神经系统
- 健康标志物 健康标志物
背景情况:
- 心率变化 (HRV) 作为评估自主生理调节途径的关键非侵入性标记.
- 减少HRV与增加的死亡率有关,突出其临床意义.
- HRV易受各种影响因素和疾病的影响.
研究的目的:
- 提供对影响HRV的因素的全面概述.
- 阐明这些因素对准确HRV解释的重要性.
- 巩固当前关于HRV调制的知识.
主要方法:
- 采用了叙事审查方法.
- 纳入标准侧重于到2021年发表的评论,元分析和队列研究.
- 鉴定的HRV混因子被系统地分为四组:不可影响的生理因素,疾病,可影响的生活方式因素和外部因素.
主要成果:
- 在不可影响的生理因素 (年龄,性别,种族) 中观察到HRV的减少.
- 许多急性和慢性疾病 (如精神疾病,心肌梗塞,心力衰竭) 与HRV降低有关.
- 可影响的生活方式因素 (滥用酒精,超重,体力活动) 和外部因素 (热量,噪音,轮班工作,危险物质) 也显示对HRV产生重大影响.
结论:
- 准确解释HRV需要考虑许多影响因素.
- 未来的诊断和工作场所HRV测量应考虑已识别的混因素,以减轻数据偏差.
- 将混者评估纳入健康促进战略可以提高HRV研究的质量和可靠性.
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