Title Relationship between diabetes mellitus and heart rate variability in community-dwelling elders.
Author Ribeiro, Icaro J S; Pereira, Rafael; Valenca Neto, Paulo F; Freire, Ivna V; Casotti, Cezar A; Reis, Mitermayer Galvao Dos
Journal Medicina (Kaunas) Publication Year/Month 2017
PMID 29428337 PMCID -N/A-
Affiliation + expend 1.Biotechnology in Health and Investigative Medicine Postgraduate Program, Goncalo Moniz Research Center, Candeal - Salvador, BA, Brazil; Nursing & Health Postgraduate Program, State University of Southwest Bahia (UESB), Jequie, BA, Brazil. Electronic address: icaro.ribeiro29@gmail.com.

BACKGROUND AND OBJECTIVE: Diabetes mellitus is one of the most common non-communicable diseases (NCDs) and may influence the autonomic nervous system. This study aims to analyze the autonomic control, through heart rate variability (HRV), from community-dwelling elders with (DM+) and without diabetes mellitus (DM-). MATERIALS AND METHODS: This cross-sectional study, in which 205 elders (>/= 60 years old), from the urban area of Aiquara municipality gave their written consent to participate. HRV data was collected through a Polar RS800CX monitor with a 5-min initial record at rest, followed by the command to quickly stand up. RESULTS: The mean age was 71 years (SD, 7.32). The population was mostly made up of women 121 (59%), with low or no schooling 123 (60%), and low income 166 (81%). HRV analysis in a frequency domain showed no difference when comparing the two groups of DM+ and DM-. Henceforth in a time domain, the rMSSD showed a median value of 16.09 (interquartile range, 9.91-30.68); pNN50 median of 0.79 (interquartile range, 0.00-6.62), with a statistical significance between the group of DM+ and DM-. CONCLUSIONS: There is a difference between the studied groups principally in what concerns the time domain, which reflects the parasympathetic activity, suggesting that elders with diabetes mellitus may have a worse parasympathetic control.

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