IJIMS.2019.107
Type of Article: Original Research
Volume 6; Issue 2: 2019
Page No.: 785-788
DOI: 10.16965/ijims.2019.107
A COMPARATIVE STUDY OF HEART RATE VARIABILITY IN MIDDLE AGED OBESE MALE AND NON OBESE MALE
Akhilesh Kumar Singh *.
Assistant Professor, Department of Physiology, Andaman & Nicobar Islands Institute of Medical Sciences, Port Blair, India.
Corresponding author: Akhilesh Kumar Singh, Assistant Professor, Department of Physiology, Andaman & Nicobar Islands Institute of Medical Sciences, Atlanta point, Port Blair, India.E-Mail: dr.akhi@yahoo.co.in.
ABSTRACT:
Objectives: Obesity is on the rise in our country once viewed as a sign of prosperity it is a contributing factor to diseases. The purpose of this study is to see whether obesity has an effect on the heart rate of the subject by comparing and possibly contrasting the heart rate variability in obese and non-obese males.
Materials and methods: Out of 100 participants, 50 healthy male obese (BMI >25kg/m2) individuals and 50 healthy male non-obese individuals (BMI <25kg/m2) of age group 35yrs-55yrs were taken from the general population. The ECG was recorded and HRV were derived from it. Results were compared by using independent ‘t’ test and Pearson’s correlation test was done for BMI and HRV. P < 0.05 was considered as significant.
Results: HRV parameters and heart rate between the two groups LF, HF and HFnu, was found to be significantly reduced and LFnu and LF/HF was found to be significantly higher in obese persons. The correlation of BMI with the parameters such as ratio of LF/HF, normalised units of LF and HF revealed a significantly negative relation with HFnu. A positive relationship was also observed between LFnu and LF/HF ratio. However, it was statistically not significant.
Conclusion: The middle aged obese males had reduced parasympathetic activity associated with elevated sympathovagal modulation. This altered balance of the autonomic nervous system increases the risk of cardiovascular disorders.
Key words: BMI, Heart rate variability (HRV), High frequency (HF) and Low frequency (LF).
REFERENCES
- John E Hall. Guyton and Hall Textbook of Medical Physiology 12 edition. Elsevier publication; chapter 60, The Autonomic Nervous System and Adrenal Medulla, 2012; pg729-41.
- Cyril A Keele, Eric Neil and Norman Joels. Samson Wrights Applied Physiology. 13 editions. Oxford Medical Publications;The Autonomic Nervous System; pg 404-21.
- Corey Foster, Neville F Mistry, Parvin F Peddi, Shivak Sharma. The Washington Manual of Therapeutics. 33 editions, Wolters Kluwer publication, Diabetes Mellitus and Related Disorders Pg 793-826.
- YP Munjal API text book of medicine 9 edition, volume 2, Jaypee Brothers Medical Publishers; pg 1275-8.
- S. Usha Rani, P. Manjunath, R.D. Desai M. Comparative Study of Heart Rate Variability, Heart Rate and Blood Pressure in Different Phases of Menstrual Cycle in Healthy Young Women Aged 18-22 Years. J Phys Pharm Adv. 2013;3:188-92.
- Misra A, Chowbey P, Makkar BM, Vikram NK, Wasir JS, Chadha D, et al. Consensus Statement for Diagnosis of Obesity, Abdominal Obesity and the Metabolic Syndrome for Asian Indians and Recommendations for Physical Activity, Medical and Surgical Management. JAPI. 2009;57:163-70.
- Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 1996; 93: 1043–65.
- Shenoy AR, Doreswamy V, Shenoy JP, Prakash VS. Impact of obesity on cardiac autonomic functions in middle aged males. Natl J Physiol Pharm Pharmacol. 2014;4:236-9.
- Sarıkaya S, Sahin S, Akyol L, Altunkas F, Karaman K. Assessment of autonomic function with heart rate turbulence and heart rate variability in young obese patients. Int J Med Sci Public Health. 2014;3:1110-4.
- Rajalakshmi R, Vijaya Vageesh Y, Nataraj SM, Muralidhar, Srinath CG. Heart rate variability in indian obese young adults. Pak J Physiol. 2012;8:39-44.
- Chethan HA, Niranjan Murthy, Basavaraju K. Comparative study of heart rate variability in normal and obese young adult males. Int J Biol Med Res. 2012;3: 1621-3.
- Simran Grewal, Vidushi Gupta. Effect of obesity on autonomic nervous system international journal current bio med sci. 2011;1:pg 15-18
- Archana Damodaran, Balasubramanian Kabali. Autonomic dysfunction in central obesity world journal of medical sciences. 2013;8:118-22.
- Chethan HA, Niranjan Murthy, Basavaraju K. Comparative study of heart rate variability in normal and obese young adult males International Journal of Biological & Medical Research. 2012;3(2):1621-3.
- Ramis Colak, Emir Donder, Aziz Kataoglu, Oguz Ayhan, Mehmet Yalniz. Obesity and the Activity of the Autonomic Nervous System. Turk Journal med sci. 2000;30:173-6.
- Task Force of the European Society of Cardiology and The North American Society of Pacing and Electrophysiology Standards of measurement, physiological interpretation, and Clinical use European Heart Journal. 1996; 17:354–8.
- Fu CC, Li YM, Pei D, Chen CL, Lo HM, Wu DA et al. Heart Rate Variability in Taiwanese Obese Children. Tzu Chi Med J. 2006;18:199-204.