Abstract
Key autonomic functions are in continuous development during adolescence which can be assessed using the heart rate variability (HRV). However, the influence of different demographic and physiological factors on HRV indices has not been fully explored in adolescents. In this study we aimed to assess the effect of age, gender, and heart rate on HRV indices in two age groups of healthy adolescents (age ranges, 13–16 and 17–20 years) and two groups of healthy young adults (21–24 and 25–30 years). We addressed the issue using 5-min ECG recordings performed in the sitting position in 255 male and female participants. Time, frequency, and informational domains of HRV were calculated. Changes in HRV indices were assessed using a multiple linear regression model to adjust for the effects of heart rate, age, and gender. We found that heart rate produced more significant effects on HRV indices than age or gender. There was a progressive reduction in HRV with increasing age. Sympathetic influence increased with age and parasympathetic influence progressively decreased with age. The influence of gender was manifest only in younger adolescents and young adults. In conclusion, age, gender, and particularly heart rate have a substantial influence on HRV indices, which ought to be considered to avoid biases in the study of the autonomic nervous system development. The lack of the gender-related effects on HRV indices in late adolescence could be related to non-completely achieved maturity of the autonomic mechanisms, which deserves further exploration.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abhishekh HA, Nisarga P, Kisan R, Meghana A, Chandran S, Trichur R, Sathyaprabha TN (2013) Influence of age and gender on autonomic regulation of heart. J Clin Monit Comput 27:259–264
Almeida-Santos MA, Barreto-Filho JA, Oliveira JL, Reis FP, da Cunha Oliveira CC, Sousa AC (2016) Aging, heart rate variability and patterns of autonomic regulation of the heart. Arch Gerontol Geriatr 63:1–8
Antelmi I, de Paula RS, Shinzato AR, Peres CA, Mansur AJ, Grupi CJ (2004) Influence of age, gender, body mass index, and functional capacity on heart rate variability in a cohort of participants without heart disease. Am J Cardiol 93:381–385
Arnett JJ (2007) Emerging adulthood: what is it, and what is it good for? Child Dev Perspect 1:68–73
Bigger JT Jr, La Rovere MT, Steinman RC, Fleiss JL, Rottman JN, Rolnitzky LM, Schwartz PJ (1989) Comparison of baroreflex sensitivity and heart period variability after myocardial infarction. J Am Coll Cardiol 14:1511–1518
Bigger JT Jr, Fleiss JL, Steinman RC, Rolnitzky LM, Kleiger RE, Rottman JN (1992) Correlations among time and frequency domain measures of heart period variability two weeks after acute myocardial infarction. Am J Cardiol 69:891–898
Boettger MK, Schulz S, Berger S, Tancer M, Yeragani VK, Voss A, Bar KJ (2010) Influence of age on linear and nonlinear measures of autonomic cardiovascular modulation. Ann Noninvasive Electrocardiol 15:165–174
Bravi A, Longtin A, Seely AJ (2011) Review and classification of variability analysis techniques with clinical applications. Biomed Eng Online 10:90
Choi JB, Hong S, Nelesen R, Bardwell WA, Natarajan L, Schubert C, Dimsdale JE (2006) Age and ethnicity differences in short-term heart-rate variability. Psychosom Med 68:421–426
Christie D, Viner R (2005) Adolescent development. BMJ 330:301–304
Coumel P, Maison-Blanche P, Catuli D (1994) Heart rate and heart rate variability in normal young adults. J Cardiovasc Electrophysiol 5:899–911
Dogru MT, Basar MM, Yuvanc E, Simsek V, Sahin O (2010) The relationship between serum sex steroid levels and heart rate variability parameters in males and the effect of age. Turk Kardiyol Dern Ars 38(7):459–465
Estévez-Báez M, Machado C, Leisman G, Brown-Martínez M, Jas-García JD, Montes-Brown J, Machado-García A, Carricarte-Naranjo C (2015a) A procedure to correct the effect of heart rate on heart rate variability indices: description and assessment. Int J Disabil Hum Dev. https://doi.org/10.1515/ijdhd-2015-0014
Estévez-Báez M, Machado C, Leisman G, Estévez-Hernández T, Arias-Morales A, Machado A, Montes-Brown J (2015b) Spectral analysis of heart rate variability. Int J Disabil Hum Dev. https://doi.org/10.1515/ijdhd-2014-0025
Estévez-Báez M, Machado C, Montes-Brown J, Jas-García J, Leisman G, Schiavi A, Machado-García A, Carricarte-Naranjo C, Carmeli E (2018) Very high frequency oscillations of heart rate variability in healthy humans and in patients with cardiovascular autonomic neuropathy. Adv Exp Med Biol 1070:49–70
Evans BE, Stam J, Huizink AC, Willemen AM, Westenberg PM, Branje S, Meeus W, Koot HM, van Lier PA (2016) Neuroticism and extraversion in relation to physiological stress reactivity during adolescence. Biol Psychol 117:67–79
Fontani G, Lodi L, Felici A, Corradeschi F, Lupo C (2004) Attentional, emotional and hormonal data in participants of different ages. Eur J Appl Physiol 92:452–461
Goldberger JJ, Johnson NP, Haris Subacius H, Jason Ng J, Greenland P (2014) Comparison of the physiological and prognostic implications of the heart rate versus the RR interval. Heart Rhythm 11:1925–1933
Kuo TB, Lin T, Yang CC, Li CL, Chen CF, Chou P (1999) Effect of aging on gender differences in neural control of heart rate. Am J Phys 277:H2233–H2239
Kuusela T (2013) Methodological aspects of heart rate variability analysis. heart rate variability (HRV) signal analysis: clinical applications, vol I, 1st edn. CRC Press Taylor & Francis Group, Boca Raton/London/New York
Lange S, Van Leeuwen P, Geue D, Hatzmann W, Gronemeyer D (2005) Influence of gestational age, heart rate, gender and time of day on fetal heart rate variability. Med Biol Eng Comput 43:481–486
Lutfi MF, Sukkar MY (2011) The effect of gender on heart rate variability in asthmatic and normal healthy adults. Int J Health Sci 5:146–154
Machado C, Estevez M, Rodriguez R, Perez-Nellar J, Chinchilla M, DeFina P, Leisman G, Carrick FR, Melillo R, Schiavi A, Gutierrez J, Carballo M, Machado A, Olivares A, Perez-Cruz N (2014) Zolpidem arousing effect in persistent vegetative state patients: autonomic, EEG and behavioral assessment. Curr Pharm Des 20:4185–4202
Machado-Ferrer Y, Estevez M, Machado C, Hernandez-Cruz A, Carrick FR, Leisman G, Melillo R, Defina P, Chinchilla M, Machado Y (2013) Heart rate variability for assessing comatose patients with different Glasgow Coma Scale scores. Clin Neurophysiol 124:589–597
Mestanikova A, Ondrejka I, Mestanik M, Hrtanek I, Snircova E, Tonhajzerova I (2016) Electrodermal activity in adolescent depression. Adv Exp Med Biol 935:83–88
Michels N, Clays E, De Buyzere M, Huybrechts I, Marild S, Vanaelst B, De Henauw S, Sioen I (2013) Determinants and reference values of short-term heart rate variability in children. Eur J Appl Physiol 113:1477–1488
Migliaro ER, Contreras P, Bech S, Etxagibel A, Castro M, Ricca R, Vicente K (2001) Relative influence of age, resting heart rate and sedentary life style in short-term analysis of heart rate variability. Braz J Med Biol Res 34:493–500
Monfredi O, Lyashkov AE, Johnsen AB, Inada S, Schneider H, Wang R, Nirmalan M, Wisloff U, Maltsev VA, Lakatta EG, Zhang H, Boyett MR (2014) Biophysical characterization of the underappreciated and important relationship between heart rate variability and heart rate. Hypertension 64(6):1334–1343
Moodithaya S, Avadhany ST (2012) Gender differences in age-related changes in cardiac autonomic nervous function. J Aging Res 2012:679345
Nieminen T, Kahonen M, Koobi T, Nikus K, Viik J (2007) Heart rate variability is dependent on the level of heart rate. Am Heart J 154:e13
Pothineni NV, Shirazi LF, Mehta JL (2016) Gender differences in autonomic control of the cardiovascular system. Curr Pharm Des 22:3829–3834
Reimann M, Friedrich C, Gasch J, Reichmann H, Rudiger H, Ziemssen T (2010) Trigonometric regressive spectral analysis reliably maps dynamic changes in baroreflex sensitivity and autonomic tone: the effect of gender and age. PLoS One 5:e12187
Sacha J (2013) Why should one normalize heart rate variability with respect to average heart rate. Front Physiol 4:306
Sacha J (2014a) Interaction between heart rate and heart rate variability. Ann Noninvasive Electrocardiol 19(3):207–216
Sacha J (2014b) Interplay between heart rate and its variability: a prognostic game. Front Physiol 5:347
Sacha J, Pluta W (2008) Alterations of an average heart rate change heart rate variability due to mathematical reasons. Int J Cardiol 128:444–447
Sacha J, Barabach S, Statkiewicz-Barabach G, Sacha K, Muller A, Piskorski J, Barthel P, Schmidt G (2013) How to strengthen or weaken the HRV dependence on heart rate—description of the method and its perspectives. Int J Cardiol 168:1660–1663
Sassi R, Cerutti S, Lombardi F, Malik M, Huikuri HV, Peng CK, Schmidt G, Yamamoto Y, Document R, Gorenek B, Lip GY, Grassi G, Kudaiberdieva G, Fisher JP, Zabel M, Macfadyen R (2015) Advances in heart rate variability signal analysis: joint position statement by the e-Cardiology ESC Working Group and the European Heart Rhythm Association co-endorsed by the Asia Pacific Heart Rhythm Society. Europace 17:1341–1353
Sharma VK, Subramanian SK, Arunachalam V, Rajendran R (2015) Heart rate variability in adolescents - normative data stratified by sex and physical activity. J Clin Diagn Res 9:CC08–CC13
Sisk CL, Foster DL (2004) The neural basis of puberty and adolescence. Nat Neurosci 7:1040–1047
Sosnowski M (2011) Heart rate variability. In: Macfarlane PW, van Oosterom A, Pahlm O, Kligfield PM, Janse MJC (eds) Comprehensive electrocardiology. Springer-Verlag Limited, London
Stauss HM (2014) Heart rate variability: just a surrogate for mean heart rate? Hypertension 64(6):1184–1186
Task Force of ESC and NASPE (1996) 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. Eur Heart J 17:354–381
Tonhajzerova I, Visnovcova Z, Mestanikova A, Jurko A, Mestanik M (2016) Cardiac vagal control and depressive symptoms in response to negative emotional stress. Adv Exp Med Biol 934:23–30
Tsuji H, Venditti FJJ, Manders ES, Evans JC, Larson MG, Feldman CL, Levy D (1994) Reduced heart rate variability and mortality risk in an elderly cohort. The Framingham Heart Study. Circulation 90:878–883
Tsuji H, Larson MG, Venditti FJ Jr, Manders ES, Evans JC, Feldman CL, Levy D (1996) Impact of reduced heart rate variability on risk for cardiac events. The Framingham Heart Study. Circulation 94:2850–2855
van Roon AM, Snieder H, Lefrandt JD, de Geus EJ, Riese H (2016) Parsimonious correction of heart rate variability for its dependency on heart rate. Hypertension 68(5):e63–e65
Voss A, Schroeder R, Fischer C, Heitmann A, Peters A, Perz S (2013) Influence of age and gender on complexity measures for short term heart rate variability analysis in healthy participants. Conference proceedings: annual international conference of the IEEE engineering in medicine and biology society ieee engineering in medicine and biology society conference 2013, pp 5574–5577
Voss A, Schroeder R, Heitmann A, Peters A, Perz S (2015) Short-term heart rate variability--influence of gender and age in healthy participants. PLoS One 10:e0118308
Zhang J (2007) Effect of age and sex on heart rate variability in healthy participants. J Manip Physiol Ther 30:374–379
Conflicts of Interest
The authors declare no conflicts of interest in relation to this article.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee of the Institute of Neurology and Neurosurgery of the Ministry of Health in Havana, Cuba.
Informed Consent
Written informed consent was obtained from all individual participants included in the study.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Estévez-Báez, M. et al. (2018). Influence of Heart Rate, Age, and Gender on Heart Rate Variability in Adolescents and Young Adults. In: Pokorski, M. (eds) Advances in Medicine and Medical Research. Advances in Experimental Medicine and Biology(), vol 1133. Springer, Cham. https://doi.org/10.1007/5584_2018_292
Download citation
DOI: https://doi.org/10.1007/5584_2018_292
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-12922-4
Online ISBN: 978-3-030-12923-1
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)