Skip to main content
Log in

Assessment of Autonomic Nervous System in Children with Celiac Disease: A Heart Rate Variability Study

  • Research Paper
  • Published:
Indian Pediatrics Aims and scope Submit manuscript

Abstract

Objective

We evaluated the activity of autonomic nervous system in children with celiac disease by using heart rate variability (HRV) analysis.

Methods

HRV parameters of 37 children with celiac disease were compared to 36 age- and sex-matched healthy controls. None of the participants had a systemic, central or peripheral neurological disease.

Results

Statistically significant differences were present in two parameters; standard deviation of all RR intervals (SDNN) and standard deviation of 5-minute RR interval means (SDANN). Age was negatively correlated with mean, minimum and maximum heart rate. Duration of disease was positively correlated with low frequency power-high frequency power ratio. No correlation was found between anti-tissue transglutaminase IgA level and HRV parameters.

Conclusion

Celiac disease may affect autonomic nervous function in children even if there are no symptoms of dysautonomia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rubio-Tapia A, Murray JA. Celiac disease. Curr Opin Gastroenterol. 2010;26:116–22.

    Article  Google Scholar 

  2. Usai P, Usaý Satta P, Laý M, Corda MG, Pýras E, Calcara C, et al. Autonomic dysfunction and upper digestive functional disorders in untreated adult coeliac disease. Eur J Clin Invest. 1997;27:1009–15.

    Article  CAS  Google Scholar 

  3. Acharya, UR, Joseph KP, Kannathal N, Min LC, Suri JS. Heart rate variability. In:Advances in Cardiac Signal Processing; 2007: Springer.p.121–65.

  4. 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. Circulation. 1996; 93:1043–65.

  5. Malliani A, Pagani M, Lombardi F, Cerutti S. Cardiovascular neural regulation exploredin the frequency domain. Circulation. 1991;84:1482–92.

    Article  Google Scholar 

  6. Sztajzel J. Heart rate variability: A noninvasive electrocardiographic method to measure the autonomic nervous system. Swiss Medil Wkly. 2004;134:514–22.

    Google Scholar 

  7. Lerner A, Makhoul BF, Eliakim R. Neurological manifestations of celiac disease in children and adults. Eur Neurol J. 2012;4:15–20.

    Google Scholar 

  8. Briani C, Zara G, Aleadini A, Grassivaro F, Ruggero S, Toffain E, et al. Neurological complications of celiac disease and autoimmune mechanisms: A prospective study. J Nuroimmunol. 2008;195:171–5.

    Article  CAS  Google Scholar 

  9. Isikay S, Kocamaz H. The Neurological face of celiac disease. Arq Gastroenterol. 2015;52:167–70.

    Article  Google Scholar 

  10. Diaconu G, Rigore I, Anton DT, Trandofir LM. Celiac disease with neurologic manifestations in children. Rev Med Chir. 2013;17:88–94.

    Google Scholar 

  11. Przybylska-Felus M, Furgala A, Zwolinska-Wcislo M, Mazur M, Widera A, Thor P, et al. Disturbances of autonomic nervous system activity and diminished response to stress in patients with celiac disease. J Physiol Pharmacol. 2014;65:833–41.

    CAS  PubMed  Google Scholar 

  12. Barbato M, Curione M, Amato S, Carbone J, Briani C, Pannove V. Autonomic imbalance in celiac children. Minerva Pediatr. 2010;62:333–8.

    CAS  PubMed  Google Scholar 

  13. Setty M, Hormaza L, Guandalini S. Celiac disease: Risk assessment, diagnosis, and monitoring. Mol Diagn Ther. 2008;12:289–98.

    Article  Google Scholar 

  14. Tursi A, Giorgetti GM, Lani C, Arciprete F, Brandimarte G, Capria A, et al., Peripheral neurological disturbances, autonomic dysfunction, and antineuronal antibodies in adult celiac disease before and after a gluten-free diet. Dig Dis Sci. 2006;51:1869–74.

    Article  Google Scholar 

  15. Przybylska-Felus M, Zwolinska-Wcislo M, Piatek-Guziewicz A, Furgala A, Salapa K, Mach T, et al. Concentrations of antiganglioside M1 antibodies, neuron-specific enolase, and interleukin 10 as potential markers of autonomic nervous system impairment in celiac disease. Pol Arch Med Wewn. 2016;126: 763–71.

    PubMed  Google Scholar 

Download references

Funding

Funding: None

Author information

Authors and Affiliations

Authors

Contributions

Contributions: SK: idea, concept, design, control, supervision and critical review; SK,SS: data Collection and/or Processing, analysis and/or interpretation; literature review: writing the article, materials and references and finding.

Corresponding author

Correspondence to Seyma Kayali.

Ethics declarations

Ethical clearance: Local ethics committee of Health Sciences University, Kecioren Training and Research Hospital; No. 15/1864 dated March 03, 2019.

Competing interest: None stated.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kayali, S., Selbuz, S. Assessment of Autonomic Nervous System in Children with Celiac Disease: A Heart Rate Variability Study. Indian Pediatr 57, 719–722 (2020). https://doi.org/10.1007/s13312-020-1915-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13312-020-1915-6

Keywords

Navigation