論文

査読有り 国際誌
2020年5月

Correlates of autonomic nervous system function in a general population with special reference to HbA1c: The Nagahama study.

Diabetes research and clinical practice
  • Naomi Takahashi
  • ,
  • Yoshimitsu Takahashi
  • ,
  • Yasuharu Tabara
  • ,
  • Takeshi Matsumoto
  • ,
  • Takahisa Kawaguchi
  • ,
  • Akira Kuriyama
  • ,
  • Kenji Ueshima
  • ,
  • Fumihiko Matsuda
  • ,
  • Kazuo Chin
  • ,
  • Takeo Nakayama

163
開始ページ
108126
終了ページ
108126
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.diabres.2020.108126

AIMS: As the glucose tolerance of patients with diabetes worsens, autonomic nervous system (ANS) function decreases. Only a few studies, using plasma glucose, have reported on this relationship in large general populations that include people with wide range of glycemia. This study aimed to examine correlates of ANS function with special reference to HbA1c which is more stable than plasma glucose among community residents. METHODS: Spectral analysis was performed to assess heart rate variability (HRV) using 1-minute electrocardiogram RR interval data recordings from 7690 residents aged 35-79 years in Nagahama City, Japan. HRV parameters were log-transformed. Multiple regression analysis was performed using potential correlates. RESULTS: lnLF decreased with age (regression coefficient, -0.025; P < 0.001), BMI (-0.010; P = 0.035), and HbA1c (-0.068; P = 0.036). lnHF decreased with age (-0.029; P < 0.001), BMI (-0.032; P < 0.001), and HbA1c (-0.173; P < 0.001). lnLF/HF increased with age (0.003; P = 0.002), BMI (0.023; P < 0.001), and HbA1c (0.105; P < 0.001). Women showed lower lnLF and lnLF/HF than men. Sleep quality assessed by the Pittsburgh Sleep Quality Index, smoking and drinking had almost no relation. CONCLUSIONS: Although the associations were weak, age, BMI and HbA1c were inversely correlated with parasympathetic activity, while positively correlated with sympathetic activity among general residents.

リンク情報
DOI
https://doi.org/10.1016/j.diabres.2020.108126
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32243903
ID情報
  • DOI : 10.1016/j.diabres.2020.108126
  • PubMed ID : 32243903

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