Abstract
Physical activity is a protective factor for autonomic dysfunction. However, whether this occurs in adolescents with abdominal obesity is still unclear. Thus, the aim of this study was to analyze the association between physical activity and heart rate variability (HRV) in adolescents with and without abdominal obesity. This cross-sectional study included 1152 boys (age: 17 ± 1 years). HRV measures of time (root mean square of the squared differences between adjacent normal RR intervals—RMSSD and the percentage of adjacent intervals over 50 ms—PNN50) and frequency domains (balance sympathetic–vagal—LF/HF) were evaluated, as well as total physical activity, commuting physical activity, leisure-time physical activity, and abdominal obesity. All physical activity domains were associated with better RMSSD, PNN50, and LF/HF in normal weight adolescents (p < 0.05), whereas in adolescents with abdominal obesity only leisure-time physical activity was associated with better PNN50 (b = 0.174, p = 0.035) independent of age, period of the day, body mass index, and blood pressure. In conclusion, higher leisure-time physical activity, but not total and commuting physical activity levels, was associated with improved HRV in adolescents with abdominal obesity.
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References
Falkner B, Gidding SS, Portman R, Rosner B (2008) Blood pressure variability and classification of prehypertension and hypertension in adolescence. Pediatrics 122:238–242. https://doi.org/10.1542/peds.2007-2776
Fuentes RM, Notkola IL, Shemeikka S, Tuomilehto J, Nissinen A (2002) Tracking of systolic blood pressure during childhood: a 15-year follow-up population-based family study in eastern Finland. J Hypertens 20:195–202
DeBoer MD (2013) Obesity, systemic inflammation, and increased risk for cardiovascular disease and diabetes among adolescents: a need for screening tools to target interventions. Nutrition 29:379–386. https://doi.org/10.1016/j.nut.2012.07.003
Heart Rate Variability (1996) 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
Rabbia F, Silke B, Conterno A, Grosso T, De Vito B, Rabbone I, Chiandussi L, Veglio F (2003) Assessment of cardiac autonomic modulation during adolescent obesity. Obes Res 11:541–548. https://doi.org/10.1038/oby.2003.76
Lucini D, de Giacomi G, Tosi F, Malacarne M, Respizzi S, Pagani M (2013) Altered cardiovascular autonomic regulation in overweight children engaged in regular physical activity. Heart 99:376–381. https://doi.org/10.1136/heartjnl-2012-302616
Nagai N, Moritani T (2004) Effect of physical activity on autonomic nervous system function in lean and obese children. Int J Obes Relat Metab Disord 28:27–33. https://doi.org/10.1038/sj.ijo.0802470
Kaikkonen KM, Korpelainen RI, Tulppo MP, Kaikkonen HS, Vanhala ML, Kallio MA, Keinanen-Kiukaanniemi SM, Korpelainen JT (2014) Physical activity and aerobic fitness are positively associated with heart rate variability in obese adults. J Phys Act Health 11:1614–1621. https://doi.org/10.1123/jpah.2012-0405
Felber Dietrich D, Ackermann-Liebrich U, Schindler C, Barthelemy JC, Brandli O, Gold DR, Knopfli B, Probst-Hensch NM, Roche F, Tschopp JM et al (2008) Effect of physical activity on heart rate variability in normal weight, overweight and obese subjects: results from the SAPALDIA study. Eur J Appl Physiol 104:557–565. https://doi.org/10.1007/s00421-008-0800-0
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:Cc08–13. https://doi.org/10.7860/jcdr/2015/15373.6662
Henje Blom E, Olsson EM, Serlachius E, Ericson M, Ingvar M (2009) Heart rate variability is related to self-reported physical activity in a healthy adolescent population. Eur J Appl Physiol 106:877–883. https://doi.org/10.1007/s00421-009-1089-3
Farah BQ, do Prado WL, Tenorio TR, Ritti-Dias RM (2013) Heart rate variability and its relationship with central and general obesity in obese normotensive adolescents. Einstein 11:285–290
Farah BQ, Barros MV, Balagopal B, Ritti-Dias RM (2014) Heart rate variability and cardiovascular risk factors in adolescent boys. J Pediatr 165:945–950. https://doi.org/10.1016/j.jpeds.2014.06.065
Tenorio TR, Farah BQ, Ritti-Dias RM, Botero JP, Brito DC, Moura PM, Prado WL (2014) Relation between leukocyte count, adiposity, and cardiorespiratory fitness in pubertal adolescents. Einstein 12:420–424. https://doi.org/10.1590/S1679-45082014AO3214 (Sao Paulo)
Farah BQ, Christofaro DG, Balagopal PB, Cavalcante BR, de Barros MV, Ritti-Dias RM (2015) Association between resting heart rate and cardiovascular risk factors in adolescents. Eur J Pediatr 174:1621–1628. https://doi.org/10.1007/s00431-015-2580-y
Santos CM, Júnior W, de Souza R, Barros SS, Farias Júnior JC, Barros MV (2010) Prevalence of physical inactivity and associated factors among adolescents commuting to school. Cadernos de saude publica 26(7):1419–1430
Falkner B, Daniels SR (2004) Summary of the fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Hypertension 44:387–388. https://doi.org/10.1161/01.HYP.0000143545.54637.af
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320:1240–1243
Taylor RW, Jones IE, Williams SM, Goulding A (2000) Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fat mass, as measured by dual-energy X-ray absorptiometry, in children aged 3-19 y. Am J Clin Nutr 72:490–495
Vanderlei LC, Pastre CM, Freitas Junior IF, Godoy MF (2010) Analysis of cardiac autonomic modulation in obese and eutrophic children. Clinics 65:789–792
Vanderlei LC, Pastre CM, Freitas IF Jr, Godoy MF (2010) Geometric indexes of heart rate variability in obese and eutrophic children. Arq Bras Cardiol 95:35–40
Brydon L, O’Donnell K, Wright CE, Wawrzyniak AJ, Wardle J, Steptoe A (2008) Circulating leptin and stress-induced cardiovascular activity in humans. Obesity 16:2642–2647. https://doi.org/10.1038/oby.2008.415 (Silver Spring)
Eikelis N, Schlaich M, Aggarwal A, Kaye D, Esler M (2003) Interactions between leptin and the human sympathetic nervous system. Hypertension 41:1072–1079. https://doi.org/10.1161/01.HYP.0000066289.17754.49
Nagai N, Matsumoto T, Kita H, Moritani T (2003) Autonomic nervous system activity and the state and development of obesity in Japanese school children. Obes Res 11:25–32. https://doi.org/10.1038/oby.2003.6
Peterson HR, Rothschild M, Weinberg CR, Fell RD, McLeish KR, Pfeifer MA (1988) Body fat and the activity of the autonomic nervous system. N Engl J Med 318:1077–1083. https://doi.org/10.1056/NEJM198804283181701
Goncalves TR, Farinatti Pde T, Gurgel JL, da Silva Soares PP (2015) Correlation between cardiac autonomic modulation in response to orthostatic stress and indicators of quality of life, physical capacity, and physical activity in healthy individuals. J Strength Cond Res 29:1415–1421. https://doi.org/10.1519/JSC.0000000000000769
Ferrari M, Cuenca-Garcia M, Valtuena J, Moreno LA, Censi L, Gonzalez-Gross M, Androutsos O, Gilbert CC, Huybrechts I, Dallongeville J et al (2015) Inflammation profile in overweight/obese adolescents in Europe: an analysis in relation to iron status. Eur J Clin Nutr 69:247–255. https://doi.org/10.1038/ejcn.2014.154
Ghomari-Boukhatem H, Bouchouicha A, Mekki K, Chenni K, Belhadj M, Bouchenak M (2017) Blood pressure, dyslipidemia and inflammatory factors are related to body mass index in scholar adolescents. Arch Med Sci 13:46–52. https://doi.org/10.5114/aoms.2017.64713
Herder C, Schamarek I, Nowotny B, Carstensen-Kirberg M, Strassburger K, Nowotny P, Kannenberg JM, Strom A, Puttgen S, Mussig K et al (2017) Inflammatory markers are associated with cardiac autonomic dysfunction in recent-onset type 2 diabetes. Heart 103:63–70. https://doi.org/10.1136/heartjnl-2015-309181
Barth Z, Nomeland Witczak B, Schwartz T, Gjesdal K, Flato B, Koller A, Sanner H, Sjaastad I (2016) In juvenile dermatomyositis, heart rate variability is reduced, and associated with both cardiac dysfunction and markers of inflammation: a cross-sectional study median 13.5 years after symptom onset. Rheumatology 55:535–543. https://doi.org/10.1093/rheumatology/kev376 (Oxford)
Hamaad A, Sosin M, Blann AD, Patel J, Lip GY, MacFadyen RJ (2005) Markers of inflammation in acute coronary syndromes: association with increased heart rate and reductions in heart rate variability. Clin Cardiol 28:570–576
Aeschbacher S, Schoen T, Dorig L, Kreuzmann R, Neuhauser C, Schmidt-Trucksass A, Probst-Hensch NM, Risch M, Risch L, Conen D (2017) Heart rate, heart rate variability and inflammatory biomarkers among young and healthy adults. Ann Med 49:32–41. https://doi.org/10.1080/07853890.2016.1226512
Charles LE, Burchfiel CM, Sarkisian K, Li S, Miller DB, Gu JK, Fekedulegn D, Violanti JM, Andrew ME (2015) Leptin, adiponectin, and heart rate variability among police officers. Am J Hum Biol 27:184–191. https://doi.org/10.1002/ajhb.22636
Gutin B, Barbeau P, Litaker MS, Ferguson M, Owens S (2000) Heart rate variability in obese children: relations to total body and visceral adiposity, and changes with physical training and detraining. Obes Res 8:12–19. https://doi.org/10.1038/oby.2000.3
Farah BQ, Ritti-Dias RM, Balagopal PB, Hill JO, Prado WL (2014) Does exercise intensity affect blood pressure and heart rate in obese adolescents? A 6-month multidisciplinary randomized intervention study. Pediatr Obes 9:111–120. https://doi.org/10.1111/j.2047-6310.2012.00145.x
Funding
This work was supported by a Grant (Grant #481067/2010-8) from the Brazilian National Council for Scientific and Technological Development (CNPq). Additional support was provided by the following agency: the Brazilian Federal Agency for Support and Evaluation of Graduate Education (CAPES).
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BQF conceptualized and designed the study, collected data, carried out the analyses, and drafted the initial manuscript. AA-L contributed to the interpretation of the data, carried out the analyses, and reviewed the manuscript. AHGS collected data, contributed to the interpretation of the data, and reviewed the manuscript. DGDC conceptualized and designed the study, carried out the analyses, and reviewed the manuscript. MVGB designed the data collection instruments, coordinated and supervised data collection, and reviewed the manuscript. WLP contributed to the interpretation of the data and reviewed the manuscript. RMR-D designed the data collection instruments, coordinated and supervised data collection, conceptualized and designed the study, and reviewed the manuscript.
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The study has been approved by Ethics Committee of the University of Pernambuco in compliance with the Brazilian National Research Ethics System Guidelines.
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Legal tutors signed informed consent for all underage subjects participating in this study. All adolescents aged ≥ 18 years who enrolled in the study also signed the informed consent.
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Farah, B.Q., Andrade-Lima, A., Germano-Soares, A.H. et al. Physical Activity and Heart Rate Variability in Adolescents with Abdominal Obesity. Pediatr Cardiol 39, 466–472 (2018). https://doi.org/10.1007/s00246-017-1775-6
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DOI: https://doi.org/10.1007/s00246-017-1775-6