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Ethnicity and long-term heart rate variability in children

机译:儿童的种族和长期心率变异性

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摘要

Background: Low heart rate variability (HRV) is associated with increased cardiovascular disease risk. South Asians are at increased risk of cardiovascular disease. Methods: This cross-sectional, observational study compared long-term HRV between South Asian and White European (EU) children. 155 children (92 White EU, 63 South Asian) aged 8±1 years wore a combined heart rate and activity monitor for 7 days. From 24-h beat-to-beat heart rate recordings, long-term HRV was calculated as the SD of the average RR intervals in each 5 min period (SDANN). Physical activity, daily energy expenditure, percentage body fat and maximal oxygen consumption (VO2max) were calculated using published or commercial algorithms. Results: SDANN was significantly lower during the 24-h period in South Asian compared with White EU children (113±27 vs 130±28 ms, p0.01, mean±SD) and during sleep (44±12 vs 54±16 ms, p0.01, mean±SD). Ethnic differences in HRV were associated with lower levels of physical activity, daily energy expenditure, VO2max, and higher percentage body fat and resting heart rate, in South Asian children. Ethnic differences in HRV persisted despite statistical adjustment for these factors. SDANN was significantly lower in girls, but sex differences were no longer apparent when VO2max, physical activity and energy expenditure were statistically controlled for. Conclusions: Our data confirm that South Asian children have lower HRV and reveal the novel information that the reduction is partially independent of physical activity and aerobic fitness.
机译:背景:低心率变异性(HRV)与心血管疾病风险增加相关。南亚人患心血管疾病的风险增加。方法:这项横断面的观察性研究比较了南亚和欧洲白人儿童的长期HRV。年龄为8±1岁的155名儿童(92名欧盟白人,南亚63名)佩戴了心律和活动监测仪,为期7天。从24小时的心跳频率记录中,将长期HRV计算为每5分钟内平均RR间隔的SD(SDANN)。运动强度,每日能量消耗,体脂百分比和最大耗氧量(VO2max)使用已发布的或商业的算法进行计算。结果:南亚地区24小时内SDANN显着低于白人EU儿童(113±27 vs 130±28 ms,p <0.01,平均值±SD)和睡眠期间(44±12 vs 54±16 ms) ,p <0.01,平均值±SD)。在南亚儿童中,HRV的种族差异与较低水平的体育活动,每日的能量消耗,最大摄氧量以及较高的体脂百分比和静息心率有关。尽管对这些因素进行了统计调整,但HRV的种族差异仍然存在。 SDANN在女孩中明显较低,但是当最大摄氧量,体力活动和能量消耗得到统计控制时,性别差异不再明显。结论:我们的数据证实了南亚儿童的HRV较低,并揭示了新的信息,即儿童的HRV降低部分与体育锻炼和有氧健身能力无关。

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