Article
Relationship between diabetes mellitus and heart rate variability in community-dwelling elders
Registro en:
RIBEIRO, I. J. S. et al. Relationship between diabetes mellitus and heart rate variability in community-dwelling elders. Medicina, v. 53, p. 375–379, 2017.
1010-660X
10.1016/j.medici.2017.12.001
Autor
Ribeiro, Ícaro Jose Santos
Pereira, Rafael
Valença Neto, Paulo da Fonseca
Freire, Ivna Vidal
Casotti, Cezar Augusto
Reis, Mitermayer Galvão dos
Resumen
State of Bahia by the granting of Master scholarship for student Icaro J.S. Ribeiro. The Coordination for the Improvement of Higher Education Diabetes mellitus is one of the most common non-communicable diseases (NCDs) and may influence the autonomic nervous system. This study aims to analyze the autonomic control, through heart rate variability (HRV), from community-dwelling elders with (DM+) and without diabetes mellitus (DM-). Materials and methods: This cross-sectional study, in which 205 elders (≥ 60 years old), from
the urban area of Aiquara municipality gave their written consent to participate. HRV data
was collected through a Polar RS800CX monitor with a 5-min initial record at rest, followed
by the command to quickly stand up.
Results: The mean age was 71 years (SD, 7.32). The population was mostly made up of
women 121 (59%), with low or no schooling 123 (60%), and low income 166 (81%). HRV
analysis in a frequency domain showed no difference when comparing the two groups of DM
+ and DM . Henceforth in a time domain, the rMSSD showed a median value of 16.09
(interquartile range, 9.91–30.68); pNN50 median of 0.79 (interquartile range, 0.00–6.62), with a
statistical significance between the group of DM+ and DM .
Conclusions: There is a difference between the studied groups principally in what concerns
the time domain, which reflects the parasympathetic activity, suggesting that elders with
diabetes mellitus may have a worse parasympathetic control.