scholarly journals Ethnic Differences on Cardiac Rhythms and Autonomic Nervous System Responses During a High-Altitude Trek: A Pilot Study Comparing Italian Trekkers to Nepalese Porters

2021 ◽  
Vol 12 ◽  
Author(s):  
Vittore Verratti ◽  
Alessandro Tonacci ◽  
Danilo Bondi ◽  
Annalisa Chiavaroli ◽  
Claudio Ferrante ◽  
...  

Altitude hypoxia exposure results in increased sympathetic activity and heart rate due to several mechanisms. Recent studies have contested the validity of heart rate variability (HRV) analysis on sympathetic activity measurement. But the plethora of HRV metrics may provide meaningful insights, particularly if linked with cardiovascular and autonomic nervous system parameters. However, the population-specific nature of HRV and cardiorespiratory response to altitude hypoxia are still missing. Six Italian trekkers and six Nepalese porters completed 300 km of a Himalayan trek. The ECG analysis was conducted at baseline, and before (bBC) and after (aBC) the high-altitude (HA) circuit. Urine was collected before and after the expedition in Italians, for assessing catecholamines. Heart rate increased with altitude significantly (p < 0.001) in the Italian group; systolic (p = 0.030) and diastolic (p = 0.012) blood pressure, and mean arterial pressure (p = 0.004) increased with altitude. Instead, pulse pressure did not change, although the Nepalese group showed lower baseline values than the Italians. As expected, peripheral oxygen saturation decreased with altitude (p < 0.001), independently of the ethnic groups. Nepalese had a higher respiratory rate (p = 0.007), independent of altitude. The cardiac vagal index increased at altitude, from baseline to bBC (p = 0.008). Higuchi fractal dimension (HFD) showed higher basal values in the Nepalese group (p = 0.041), and a tendency for the highest values at bBC. Regarding the urinary catecholamine response, exposure to HA increased urinary levels, particularly of norepinephrine (p = 0.005, d = 1.623). Our findings suggest a better cardiovascular resilience of the Nepalese group when compared with Italians, which might be due to an intrinsic adaptation to HA, resulting from their job.

2010 ◽  
Vol 38 (02) ◽  
pp. 231-239 ◽  
Author(s):  
Chi-Sen Chang ◽  
Chung-Wang Ko ◽  
Han-Chung Lien ◽  
Ming-Chih Chou

Electrical stimulation of St. 36 (Zusanli) has been shown to enhance the regularity of gastric myoelectrical activity in healthy subjects. However, the underlying mechanism by which acupuncture alters gastric myoelectrical activity is still not clear. To elucidate the possible role of the autonomic nervous system in mediating the effect of acupuncture, we monitored heart rate variability (HRV), a widely used index of vagal discharge at the sinoatrial node of the heart before, during and after electroacupuncture. In this study, we applied two different frequencies (2 Hz and 100 Hz) of electrical stimulation at St. 36 (Zusanli) and LI. 10 (Shousanli) in 15 healthy volunteers. Low frequency (LF, sympathetic activity), high frequency (HF, vagal activity) and LF/HF ratio (sympathovagal balance) were analyzed and compared at the two different frequencies. The results showed an increase in the LF/HF ratio (indicating greater sympathetic activity) during the post-acupuncture period using 2 Hz of electrical stimulation at St. 36 (Zusanli). However, the overall change was not statistically significant. In addition, the power of LF and HF did not change significantly with electroacupuncture at St. 36 (Zusanli) and LI. 10 (Shousanli). In conclusion, applying 2 Hz or 100 Hz electroacupuncture at St. 36 (Zusanli) or LI. 10 (Shousanli) did not affect cardiovagal activity in normal volunteers. This phenomenon might be due to a difference in presentation in the autonomic nervous system between cardiac and abdominal vagal activity.


2016 ◽  
Vol 17 (5) ◽  
pp. 498
Author(s):  
Alyssa Conte Da Silva ◽  
Juliana Falcão Padilha ◽  
Jefferson Luiz Brum Marques ◽  
Cláudia Mirian De Godoy Marques

Introdução: Existem poucos estudos que evidenciam a manipulação vertebral relacionada à modulação autonômica cardíaca. Objetivo: Revisar a literatura sobre os efeitos da manipulação vertebral sobre a modulação autonômica cardíaca. Métodos: Foi realizada uma busca bibliográfica nas bases de dados da saúde Medline, Pubmed e Cinahl, no período correspondido entre setembro e novembro de 2014. Foram utilizados os descritores em inglês Spinal Manipulation, Cardiac Autonomic Modulation, Autonomic Nervous System, Heart Rate Variability, além de associações entre eles. Resultados: Foram encontrados 190 artigos, sendo excluídos 39 por serem repetidos, restando 151. Destes, 124 não se encaixaram nos critérios de inclusão e após leitura crítica e análise dos materiais foram selecionados 7 artigos. Grande parte dos estudos revelou que a manipulação da coluna, independente do segmento, demonstra alterações autonômicas, tanto em nível simpático quanto parassimpático. Conclusão: Existem diferentes metodologias para avaliação da modulação autonômica cardíaca, sendo a Variabilidade da Frequência cardíaca através do eletrocardiograma a mais utilizada. A manipulação vertebral exerceu influência, na maioria dos artigos, sobre a modulação autonômica cardíaca.Palavras-chave: manipulação da coluna, sistema nervoso autônomo, variabilidade da frequência cardíaca. 


1993 ◽  
Vol 3 (4) ◽  
pp. 261-269 ◽  
Author(s):  
A. Baharav ◽  
M. Mimouni ◽  
T. Lehrman-Sagie ◽  
S. Izraeli ◽  
S. Akselrod

2014 ◽  
Vol 24 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Ugur Nadir Karakulak ◽  
Sercan Okutucu ◽  
Levent Şahiner ◽  
Naresh Maharjan ◽  
Elifcan Aladag ◽  
...  

2021 ◽  
Author(s):  
Garry Elvin ◽  
Paras Patel ◽  
Petia Sice ◽  
Chirine Riachy ◽  
Nigel Osborne ◽  
...  

BACKGROUND Heart rate variability (HRV), or the variation in the time interval between consecutive heartbeats, is a proven measure for assessing changes in autonomic activity. An increase in variability suggests an upregulation of the parasympathetic nervous system (PNS). Music was shown to have an effect on the limbic system, respiratory rate, and blood pressure. However, there have been relatively few empirical investigations on the effect of music on HRV compared to mean heart rate (HR). Also, the majority of studies have been experimental rather than interventional, reporting significant changes in HRV as a function of musical characteristics, such as tempo, genre, and valence. OBJECTIVE The aim of this pilot study is to evaluate the impact of short duration music listening on the autonomic nervous system response of healthy adults. METHODS Six participants (three males and three females) were tested to investigate the effect of listening to music on HR and HRV. Electrocardiographic (ECG) data was recorded at a sampling rate of 1000 Hz using an eMotion Faros 360 device produced by Bittium Biosignals. The data was collected while the participants listened to four pre-selected songs in a random order separated by a relaxation period of 5 minutes. Data was then cleaned and processed through Kubious HRV 2.0 software. Statistical analysis using Wilcoxon signed rank test was carried out for the time and frequency domains. RESULTS For all but one song that is shorter than 3 minutes (song 1), we observed a statistically significant increase in Standard Deviation of the RR intervals (SDRR) (song 1: P=.125, r=.333; song 2: P=.023, r=.575; song 3: P=.014, r=.635; song 4: P=.014, r=.635) and in the Low Frequency (LF) component of the cardiac spectrogram (song 1: P=.300, r=.151; song 2: P=.038, r=.514; song 3: P=.014, r=.635; song 4: P=.014, r=.635) with a large effect size r, indicating increased HRV. No significant change in mean HR was observed (song 1: P=.173 r=-.272; song 2: P=.058, r=-.454; song 3: P=.125, r=-.333; song 4: P=.232. r=-.212). CONCLUSIONS Listening to pre-selected songs of longer duration than 3 minutes 30 seconds is associated with significant increases in HRV measures, especially SDRR and LF. Music thus has the potential to overcome autonomic nervous system (ANS) dysregulation and thereby benefit health and wellbeing.


2015 ◽  
Vol 28 (3) ◽  
pp. 627-636 ◽  
Author(s):  
Gustavo Henrique de Oliveira Mondoni ◽  
Luiz Carlos Marques Vanderlei ◽  
Bruno Saraiva ◽  
Franciele Marques Vanderlei

AbstractIntroduction It is known that physical exercise is beneficial and precipitates adjustments to the autonomic nervous system. However, the effect of exercise on cardiac autonomic modulation in children, despite its importance, is poorly investigated.Objective To bring together current information about the effects of exercise on heart rate variability in healthy and obese children.Methods The literature update was performed through a search for articles in the following databases; PubMed, PEDro, SciELO and Lilacs, using the descriptors “exercise” and “child” in conjunction with the descriptors “autonomic nervous system”, “sympathetic nervous system”, “parasympathetic nervous system” and also with no descriptor, but the key word of this study, “heart rate variability”, from January 2005 to December 2012.Results After removal of items that did not fit the subject of the study, a total of 9 articles were selected, 5 with healthy and 4 with obese children.Conclusion The findings suggest that exercise can act in the normalization of existing alterations in the autonomic nervous system of obese children, as well as serve as a preventative factor in healthy children, enabling healthy development of the autonomic nervous system until the child reaches adulthood.


1999 ◽  
Vol 29 (6) ◽  
pp. 590 ◽  
Author(s):  
Hae Ok Jung ◽  
Ki Bae Seung ◽  
Hyo Young Lim ◽  
Dong Heon Kang ◽  
Ki Yuk Chang ◽  
...  

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