HEART RATE VARIABILITY IN OBESE CHILDREN

Authors

  • Naiara Maria de Souza Faculdade de Ciências e Tecnologia – FCT/UNESP
  • Renata Claudino Rossi Faculdade Medicina do ABC – FMABC
  • Franciele Marques Vanderlei Universidade Federal de São Paulo – UNIFESP
  • Ana Laura Ricci Vitor Faculdade de Ciências e Tecnologia – FCT/UNESP
  • Aline Fernanda Barbosa Bernardo Faculdade de Ciências e Tecnologia – FCT/UNESP
  • Ana Clara Campagnolo Real Gonçalves Faculdade Medicina do ABC – FMABC
  • Lucas Lima Ferreira Faculdade de Ciências e Tecnologia – FCT/UNESP
  • Luiz Carlos Marques Vanderlei Faculdade de Ciências e Tecnologia – FCT/UNESP

DOI:

https://doi.org/10.7322/jhgd.46456

Keywords:

child, obesity, autonomic nervous system, parasympathetic autonomic nervous system, heart rate, review.

Abstract

Introduction:

in recent years, several studies have performed the behavior of ANS on obesity by the heart rate variability (HRV). The literature describes that obese adults have dysfunctions on ANS, nevertheless there is a few information with childhood obesity and the findings are still inconclusive. Objective: gathering studies that approach the analysis of the ANS by HRV in obese children to understand better the influence of obesity on this system and in this population and provide an update of the findings published in the last eleven years. Methods: the search of articles was conducted on Pubmed, Ibesc, Medline, Scielo, Cochrane and Lilacs databases using the keywords: heart rate, autonomic nervous system, obesity, child and sympathetic nervous system of health subject headings (MeSH). Results: the electronic search resulted in 11 articles and, in general, showed a decrease in activity of the parasympathetic branch of obese children and inconclusive results by the sympathetic branch. Moreover, interventions as diet and physical activity could increase the ANS function in these children. Conclusion: obese children have changes on ANS function and this presents the necessity of precocious attention aims at avoiding future complications.

Downloads

Author Biographies

  • Naiara Maria de Souza, Faculdade de Ciências e Tecnologia – FCT/UNESP
    Mestre em Fisioterapia. Faculdade de Ciências e Tecnologia – FCT/UNESP
  • Renata Claudino Rossi, Faculdade Medicina do ABC – FMABC
    Doutorado em Ciências da Saúde. Faculdade Medicina do ABC – FMABC
  • Franciele Marques Vanderlei, Universidade Federal de São Paulo – UNIFESP
    Doutorado em Medicina (Cardiologia). Universidade Federal de São Paulo – UNIFESP
  • Ana Laura Ricci Vitor, Faculdade de Ciências e Tecnologia – FCT/UNESP
    Mestre em Fisioterapia. Faculdade de Ciências e Tecnologia – FCT/UNESP
  • Aline Fernanda Barbosa Bernardo, Faculdade de Ciências e Tecnologia – FCT/UNESP
    Mestre em Fisioterapia. Faculdade de Ciências e Tecnologia – FCT/UNESP
  • Ana Clara Campagnolo Real Gonçalves, Faculdade Medicina do ABC – FMABC

    Doutorado em Ciências da Saúde. Faculdade Medicina do ABC – FMABC

  • Lucas Lima Ferreira, Faculdade de Ciências e Tecnologia – FCT/UNESP
    Mestre em Fisioterapia. Faculdade de Ciências e Tecnologia – FCT/UNESP
  • Luiz Carlos Marques Vanderlei, Faculdade de Ciências e Tecnologia – FCT/UNESP

    Departamento de Fisioterapia. Faculdade de Ciências e Tecnologia – FCT/UNESP,

References

Yakinci C, Mungen B, Karabiber H, Tayfun M, Evereklioglu C. Autonomic nervous system functions in obese children. Brain Dev. 2000;22(3):151-3.

Paschoal MA, Trevizan PF, Scodeler NF. Heart rate variability, blood lipids and physical capacity of obese and non-obese children. Arq Bras Cardiol. 2009;93(3):223-9.

Oliveira AMA, Cerqueira EMM, Souza JS, Oliveira AC. Sobrepeso e obesidade infantil: influência de fatores biológicos e ambientais em Feira de Santana, BA. Arq Bras Endocrinol Metab. 2003;47(2):144-50.

Low S, Chin CM, Deurenberg-Yap M. Review on epidemic of obesity. Ann Acad Med. 2009; 38: 57-65.

Enes CC, Slater B. Obesidade na adolescência e seus principais fatores determinantes. Rev Bras Epidemiol. 2010;13(1):163-71.

Yosipovitch G, DeVore A, Dawn A. Obesity and the skin: Skin physiology and skin manifestations of obesity. J Am Acad Dermatol. 2007;56(6):901-16.

Simon VGN, Souza JMP, Leone C, Souza SB. Prevalência de sobrepeso e obesidade em crianças de dois a seis anos matriculadas em escolas particulares no município de São Paulo. Rev Bras Crescimento Desenvolvimento Hum. 2009;19(2): 211-18.

Vanderlei LCM, Pastre CM, Júnior IFF, de Godoy MF. Fractal correlation of heart rate variability in obese children. Auton Neurosci. 2010;155(1-2): 125-9.

Rabbone I, Bobbio A, Rabbia F, Bertello M, Ignaccolo M, Saglio E, et al. Early cardiovascular autonomic dysfunction, b cell function and insulin resistance in obese adolescents. Acta Bio Medica. 2009;80:29-35.

Junior RDRL, Cardoso-Demartini AA, Ono AHA, Andrade GC. Prevalência de obesidade em crianças e adolescentes com diabetes melito tipo 1. Rev Paul Pediatr. 2008;26(2):142-5.

Brunetto ANF, Roseguini BT, Silva BM, Hirai DML, Guedes DP. Respostas autonômicas cardíacas à manobra de tilt em adolescentes obesos. Rev Assoc Med Bras. 2005; 51:256-60.

Rabbia F, Silke B, Conterno A, Grosso T, De Vito B, Rabbone I, et al. Assessment of cardiac autonomic modulation during adolescent obesity. Obes res. 2003;11(4):541-8.

Lazarova Z, Tonhajzerova I, Trunkvalterova Z, Brozmanova A, HonzíKová N, Javorka K, et al. Baroreflex sensitivity is reduced in obese normotensive children and adolescents. Can J Physiol Pharmacol. 2009;87(7): 565-71.

Tonhajzerova I, Javorka M, Trunkvalterova Z, Chroma O, Javorkova J, Lazarova Z, et al. Cardio-respiratory interaction and autonomic dysfunction in obesity. J Physiol Phamarcol. 2008;59(6):709-18.

Molfino A, Fiorentini A, Tubani L, Martuscelli M, Fanelli FR, Laviano A. Body mass index is related to autonomic nervous system activity as measured by heart rate variability. Eur J Clin Nutr. 2009;63(10):1263-5.

Ancona MC, Scodeler NF, Guidi RM, Paschoal MA. Variabilidade de frequência cardíaca em crianças eutróficas e obesas nas posições supina e bípede. Rev Cienc Med. 2009;18(2):69-79.

Wu JS, Lu FH, Yang YC, Lin TS, Huang YH, Wu CH, et al. Epidemiological evidence of altered cardiac autonomic function in overweight but not underweight subjects. Int J Obes. 2008;32(5):788-94.

Emdin M, Gastaldelli A, Muscelli E, Macerata A, Natali A, Camastra S, et al. Hyperinsulinemia and Autonomic Nervous System Dysfunction in Obesity : Effects of Weight Loss. Circulation. 2001;103(4):513-9.

Schmid K, Schönlebe J, Drexler H, Mueck-Weymann M. Associations between being overweight, variability in heart rate, and wellbeing in the young men. Cardiol Young. 2010;20(1):54-9.

Vanderlei LCM, Pastre CM, Hoshi RA, Carvalho TD, Godoy MF. Noções básicas de variabilidade da frequência cardíaca e sua aplicabilidade clínica. Rev Bras Cir Cardiovasc. 2009;24(2):205-17.

Manzano BM, Vanderlei LCM, Ramos EM, Ramos D. Efeitos Agudos do Tabagismo sobre a Modulação Autonômica: Análise por Meio do Plot de Poincaré. Arq Bras Cardiol. 2011;96(2):154-60.

Acharya RU, Kannathal N, Sing O, Ping L, Chua T. Heart rate analysis in normal subjects of various age groups. Biomed Eng Online. 2004;3:24.

Lambert GW, Straznicky NE, Lambert EA, Dixon JB, Schlaich MP. Sympathetic nervous activation in obesity and the metabolic syndrome - Causes, consequences and therapeutic implications. Pharmacol Ther. 2010;126(2): 159-72.

Masuo K, Lambert GW. Relationships of adrenoceptor polymorphisms with obesity. J Obes. 2011;1-10.

Avsar A, Acarturk G, Melek M, Kilit C, Celik A, Onrat E. cardiac autonomic function evaluated by the heart rate turbulence method was not changed in obese patients without comorbidities. J Korean Med Sci. 2007; 22:629-32.

Nagai N, Matsumoto T, Kita H, Moritani T. Autonomic nervous system activity and the state and development of obesity in Japanese school children. Obes Res. 2003;11(1):25-32.

Dipla K, Zafeiridis A, Koidou I, Geladas N, Vrabas IS. Altered hemodynamic regulation and reflex control during exercise and recovery in obese boys. Am J Physiol. 2010; 299(6): H2090-6.

Vanderlei LC, Pastre CM, Freitas Júnior IF, Godoy MF. Geometric indexes of heart rate variability in obese and eutrophic children. Arq Bras Cardiol. 2010;95(1):35-40.

Nagai N, Moritani T. Effect of physical activity on autonomic nervous system function in lean and obese children. Int J Obes Relat Metab Disord. 2004;28(1):27-33.

Vanderlei LC, Pastre CM, Freitas Júnior IF, Godoy MF. Analysis of cardiac autonomic modulation in obese and eutrophic children. Clinics. 2010;65(8):789-92.

Sekine M, Izumi I, Yamagami T, Kagamimori S. Obesity and cardiac autonomic nerve activity in healthy children: Results of the toyama birth cohort study. Environ Health Prev Med. 2001;6(3):149-53.

Kaufman CL, Kaiser DR, Steinberger J, Kelly AS, Dengel DR. Relationships of cardiac autonomic function with metabolic abnormalities in childhood obesity. Obesity. 2007;15(5):1164-71.

Kaufman C, Kaiser D, Kelly A, Dengel J, Steinberger J, Dengel D. Diet revision in overweight children: effect on autonomic and vascular function. Clin Auton Res. 2008; 18:105-8.

Ancona MC, Scodeler NF, Guidi RM, Paschoal MA. Variabilidade de frequência cardíaca em crianças eutróficas e obesas nas posições supina e bípede. Rev Cienc Med. 2009;18(2):69-79.

Krishnan B, Jeffery A, Metcalf B, Hosking J, Voss L, Wilkin T, et al. Gender differences in the relationship between heart rate control and adiposity in young children: a cross-sectional study (EarlyBird 33). Pediatric Diabetes. 2009;10(2):127-34.

Downloads

Published

2012-10-31

Issue

Vol. 22 No. 3 (2012)

Section

Artigos Originais

License

CODE OF CONDUCT FOR JOURNAL  PUBLISHERS

 

Publishers who are Committee on Publication Ethics members and who support COPE membership for journal editors should:

 

Publishers should:

 

  • Define the relationship between publisher, editor and other parties in a contract
  • Respect privacy (for example, for research participants, for authors, for peer reviewers)
  • Protect intellectual property and copyright
  • Foster editorial independence

 

Publishers should work with journal editors to:

 

  • Set journal policies appropriately and aim to meet those policies, particularly with respect to:

–         Editorial  independence

–         Research ethics, including confidentiality, consent, and the special requirements for human and animal research

–         Authorship

–         Transparency and integrity (for example, conflicts of interest, research funding, reporting standards

–         Peer review and the role of the editorial team beyond that of the journal editor

–         Appeals and complaints

  • Communicate journal policies (for example, to authors, readers, peer reviewers)
  • Review journal policies periodically, particularly with respect to new recommendations from the COPE
  • Code of Conduct for Editors and the COPE Best Practice Guidelines
  • Maintain the integrity of the academic record
  • Assist the parties (for example, institutions, grant funders, governing bodies) responsible for the investigation of suspected research and publication misconduct and, where possible, facilitate in the resolution of these cases
  • Publish corrections, clarifications, and retractions
  • Publish content on a timely basis