Skip to main content
Log in

Postprandial Changes of Sympathovagal Balance Measured by Heart Rate Variability

  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

The aim of this study was to investigate thesympathovagal balance after meals by measuring thespectral analysis of heart rate variability (HRV). Ninehealthy volunteers were enrolled in this study. The electrocardiogram (ECG) was recorded for 30 minin a fasting state and 60 min after a 500-kcal testmeal. The HRV was derived from the ECG and was measuredby power spectral analysis using fast-Fourier transform algorithm. It reveals two dominantspectral components. The low-frequency (LF) bandreflects primarily sympathetic activity with someparasympathetic input. The high-frequency (HF) band isa reflection of parasympathetic (vagal) activity. TheLF-to-HF ratio is considered a marker of sympathovagalbalance. It was found that the postprandial LF-to-HFratio, compared with the fasting state, wassignificantly increased at both the first 30 min (2.50± 0.49 vs 1.78 ± 0.33, P < 0.05) andthe second 30 min (2.68 ± 0.55 vs 1.78 ±0.33, P < 0.05). The postprandial HF diminishedsignificantly at both the first (16.0 ± 0.5 vs 21.8 ±4.2, P < 0.05) and the second (13.8 ± 9.5 vs21.8 ± 4.2, P < 0.05) 30-min period. Inconclusion, the postprandial sympathovagal ratio showsa sustained elevation lasting 1 hr, mainly attributed to diminishedvagal activity.

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. Fagan TC, Sawyer PR, Gourley LA, Lee JT, Gaffney TE: Postprandial alternations in hemodynamics and blood pressure in normal subjects. Am J Cardiol 58:636-641, 1986

    Google Scholar 

  2. Muller AF, Fullwood L, Hawkins M, Coley AJ: The integrated response of the cardiovascular system to food. Digestion 52:184-193, 1992

    Google Scholar 

  3. Heseltine D, Potter J-F, Harley G, Macdonald IA, James OFW: Blood pressure. Clin Sci 79:517-522, 1990

    Google Scholar 

  4. Fagius J, Berne C: Increase in muscle nerve sympathetic activity in humans after food intake. Clin Sci 86:159-167, 1994

    Google Scholar 

  5. Cox HS, Kaye DM, Thompson JM, Turner AG, Jennings GL, Itsiopoulos C, Esler MD: Regional sympathetic nervous activation after alarge meal in humans. Clin Sci 89:145-154, 1995

    Google Scholar 

  6. Baselli G, Cerutti S, Civardi S, Malliani A, Pagani M: Cardiovascular variability signals-towards the identification of a closed-loop model of the neural control mechanisms. IEEE Trans Biomed Eng 35:1033-1046, 1988

    Google Scholar 

  7. Pagani M, Lombardi F, Guzzetti S, Rimoldi O, Furlan R, Pizzinelli P, Sandrone G, MaLFatto G, Dell'Orto S, Piccaluga E, Turiel M, Baselli G, Cerutti S, Malliani A: Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog. Circ Res 59:178-193, 1986

    Google Scholar 

  8. Lombardi F, Malliani A, Pagani M, Cerutti S: Heart rate variability and its sympatho-vagal modulation. Cardiovasc Res 32:208-216, 1996

    Google Scholar 

  9. Akselrod S, Gordon D, Ubel FA, Shannon DC, Barger AC, Cohen RJ: Power spectrum analysis of heart ratefluctuation: A quantitative probe of beat-to-beat cardiovascular control. Science 213:220-222, 1981

    Google Scholar 

  10. Malliani A, Pagani M, Lombardi F, Cerutti S: Cardiovascular neural regulation explored in the frequency domain. Circulation 84:482-492, 1991

    Google Scholar 

  11. Kaneco H, Sakakibara M, Mitsuma T, Morise K: Possibility of postprandial electrogastrography for evaluating vagal/nonvagal cholinergic activity in humans, through simultaneous analysis of postprandial heart rate variability and serum immunore active hormone levels. Am J Gastroenterol 90:603-609, 1995

    Google Scholar 

  12. Young JB, Rowe JW, Pallotta JA, Sparrow D, Landsberg L: Enhanced plasma norepinephrine response to upright posture and oral glucose administration in elderly human subjects. Metabolism 29:532-539, 1980

    Google Scholar 

  13. Jansen RW, Hoefnagels WH: Influence of oral and intravenous glucose loading on blood pressure in normotensive and hypertensive elderly subjects. J Hype rtens 5(suppl 5):S501-S503, 1987

    Google Scholar 

  14. Roberston D, Wade D, Roberstone W: Postprandial alterations in cardiovascular hemodynamics in autonomic dysfunctional states. Am J Cardiol 48:1048-1052, 1981

    Google Scholar 

  15. Westend M, Lenders JW, Thien T: The course of blood pressure after a meal: A difference between young and elderly subjects. J Hypertens 3(suppl 3):S417-S419, 1985

    Google Scholar 

  16. Acheson KJ, Ravussin E, Wahren J, Jequier E: The rmic effect of glucose in man. Obligatory and facultative thermoge nesis's. J Clin Invest 74:1572-1580, 1984

    Google Scholar 

  17. Schwarz RS, Jaegar LF, Veith RC: Effect of clonidine on the thermic effect of feeding in humans. Am J Physiol 254:R90-R94, 1988

    Google Scholar 

  18. Mathias CJ: Postprandial hypotension. Pathophysicological mechanisms and clinical implications in different disorders. Hypertension 18:694-704, 1991

    Google Scholar 

  19. Lipsitz LA, Ryan SM, Parker JA, Freeman R, Wei JY, Goldberger AL: Hemodynamic and autonomic nervous system responses to mixed meal ingestion in healthy young and old subjects and dysautonomic patients with postprandial hypotension. Circulation 87:391-400, 1993

    Google Scholar 

  20. Vaz M, Turner A, Kingwell B, Chin J, Koff E, Cox H, Jennings G, Esler M: Postprandial sympatho-adrenal activity: Its relation to metabolic and cardiovascular events and to changes in meal frequency. Clin Sci 89:349-357.

  21. Vaz M, Cox HS, Kaye DM, Turner AG, Jennings GL, Esler MD: Fallibility of plasma noradrenaline measurements in studying postprandial sympathetic nervous responses. J Auton Nerv Syst 56:97-104, 1995

    Google Scholar 

  22. Matsukawa K, Minutesomiya I: Change s in renal sympathetic nervous activity, heart rate and arterial blood pressure associated with eating in cats. J Physiol (London) 390:229-242, 1987

    Google Scholar 

  23. Bharucha AE, Camilleri M, Low PA, Zinsmeister AR: Autonomic dysfunction in gastrointestinal motility disorders. Gut 34:397-401, 1993

    Google Scholar 

  24. Smart HL, Atkinson M: Abnormal vagal function in irritable bowel syndrome. Lancet 2:475-478, 1987

    Google Scholar 

  25. Aggarwal A, Cutts TF, Abell TL, Cardoso S, Familoni B, Bremen J, Karat J: Predominant symptoms in imitable bowel syndrome correlate with specific autonomic nervous system abnormalities. Gastroenterology 106:945-950, 1994

    Google Scholar 

  26. Hyoscine T, Svebak S, Wilhelmsen I, Haug TT, Olafsen K, Pettersson E, Hveem K, Berstad A: Low vagal tone and antral dysmotility in patients with functional dyspepsia. Psychosom Med 55:12-22, 1993

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lu, CL., Zou, X., Orr, W.C. et al. Postprandial Changes of Sympathovagal Balance Measured by Heart Rate Variability. Dig Dis Sci 44, 857–861 (1999). https://doi.org/10.1023/A:1026698800742

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1026698800742

Navigation