AUTONOMIC MODULATION AND FUNCTIONAL CAPACITY IN DIABETES MELLITUS TYPE 1 AND 2 SUBJECTS

Authors

  • Rafael Leite Alves Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
  • Flávio Mariz Freitas Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
  • Alline Sancha Nascimento Fernandes Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
  • Sabrina Campos Ferraz Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
  • Edson da Silva Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM),
  • Clynton Lourenço Corrêa Universidade Federal do Rio de Janeiro (UFRJ)
  • Luciana Duarte Novais Silva Universidade Federal do Triângulo Mineiro, Universidade Federal dos Vales do Jequitinhonha e Mucuri com fomento da FAPEMIG/PIBIc

DOI:

https://doi.org/10.7322/jhgd.46396

Keywords:

diabetes mellitus, autonomic nervous system, heart rate, functional capacity.

Abstract

 

Objectives: Evaluation of heart rate variability (HRV) during cardiovascular autonomic tests and functional capacity of patients with type 1 and type 2 DM.

Methods: Fifteen individuals with DM and twelve healthy ones were evaluated  during cardiovascular autonomic tests of maneuver enhancement of respiratory sinus arrhythmia (RSA), handgrip and Valsalva. In addition, the Paschoal test was applied to evaluate submaximal functional capacity. During the tests, autonomic heart rate variability (HRV) was collected by recording the RR intervals, considering the rates in the time domain (RMSSD and pNN50) and frequency domain, as low and high frequency (LF and HF) and the relationship between them (LF / HF). Besides the analysis of HRV and capillary glucose, the distance traveled during Paschoal test was also recorded. Results: The values related to blood glucose levels were significantly higher (p <0.05) in DM1 and DM2 groups compared to controls. PNN50 values for DM1 in all tests were lower compared to CDM1. No statistical difference was found when compared DM2 with CDM2. The distance of Paschoal test was similar between groups of individuals with diabetes and their respective controls. Conclusion:  The variable pNN50 was lower in individuals with DM1, suggesting reduced of the parasympathetic activity in these individuals, but no change in functional capacity, as measured by Paschoal test when compared to the control group.

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Author Biographies

  • Rafael Leite Alves, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
    Professor Substituto do Departamento de Ciências Básicas da Saúde da Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM
  • Flávio Mariz Freitas, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
    Fisioterapeuta graduado pela Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
  • Alline Sancha Nascimento Fernandes, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
    Fisioterapeuta graduado pela Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
  • Sabrina Campos Ferraz, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
    Fisioterapeuta graduado pela Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
  • Edson da Silva, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM),
    Professor Assistente do Departamento de Ciências Básicas da Saúde da Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM),
  • Clynton Lourenço Corrêa, Universidade Federal do Rio de Janeiro (UFRJ)
    Professor Adjunto do Curso de Fisioterapia da Universidade Federal do Rio de Janeiro (UFRJ)
  • Luciana Duarte Novais Silva, Universidade Federal do Triângulo Mineiro, Universidade Federal dos Vales do Jequitinhonha e Mucuri com fomento da FAPEMIG/PIBIc
    Professora Adjunta do Departamento de Fisioterapia Aplicada da Universidade Federal do Triângulo Mineiro, Trabalho Desenvolvido no Departamento de Fisioterapia da Universidade Federal dos Vales do Jequitinhonha e Mucuri com fomento da FAPEMIG/PIBIc

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Published

2012-10-31

Issue

Vol. 22 No. 3 (2012)

Section

Artigos Originais

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