在心血管疾病患者的eHealth行为改变干预计划期间心率变化的变化
T Roovers1, M Habibovic1, P Lodder1,2
1Department of Medical and Clinical Psychology, Center of Research on Psychological Disorders and Somatic Diseases (CoRPS), Tilburg University, Tilburg, the Netherlands.
International journal of cardiology. Heart & vasculature
|December 9, 2024
概括
这项研究发现,尽管心血管疾病患者在eHealth干预期间的健康行为有所改善,但心率变化率 (HRV) 没有增加. 改善健康行为与偏交自主神经系统活动的变化没有关联.
科学领域:
- 心脏病学 心脏病学
- 自主神经系统研究 自主神经系统研究
- 数字健康干预措施 数字健康干预措施
背景情况:
- 心血管疾病 (CVD) 风险与身体不活动,饮食和吸烟等生活方式因素有关.
- 自主神经系统 (ANS) 在健康行为和心血管疾病之间的关系中起着至关重要的作用.
- 了解ANS活动如何随着行为干预而改变是CVD管理的关键.
研究的目的:
- 在电子健康行为干预期间调查基于心电图的自主神经系统 (ANS) 活动的变化.
- 为了确定健康行为的改善是否与增加的副交感性ANS活动相关.
- 分析心率变化 (HRV) 作为心血管疾病患者接受干预的ANS功能指数.
主要方法:
- 对心血管疾病患者的DoCHANGE-2电子健康干预研究 (NCT03178305) 数据的分析.
- 从基线,3个月和6个月的40秒家庭记录的心电图计算心率变化率 (RMSSD).
- 利用线性混合模型和一般线性模型来分析HRV和健康行为的变化.
主要成果:
- 在6个月的干预期内观察到RMSSD显著下降.
- 在干预的最初3个月内,健康行为显著改善.
- 较高的BMI和年龄较大与较低的RMSSD有关,但在健康行为变化和HRV变化之间没有发现一致的联系.
结论:
- 在电子健康干预期间心率变化 (HRV) 的变化与健康行为改善无关.
- 这项研究强调了心血管疾病患者的行为变化和ANS标志物之间的潜在分离.
- 为了验证这些发现,需要对更大规模的,经过良好控制的研究进行进一步的研究.
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