Korean J Obes.
2005 Dec;14(4):220-227.
Association between Metabolic Syndrome and Heart Rate Variability
- Affiliations
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- 1Department of Family Medicine, College of Medicine, Korea University, Korea. younseon@korea.ac.kr
- 2Department of Family Medicine, College of Medicine, Pusan University, Korea.
- 3Department of Medical Information System, Yongin Songdam University, Korea.
- 4Cheil Hospital and Women's Health Care Center, Korea.
Abstract
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BACKGROUND: Metabolic syndrome (MS) increases the risk of cardiovascular events. Heart rate variability (HRV) represents autonomic function and reduced HRV significantly increases cardiovascular mortality. In this study, we investigated whether each of the MS component is related to HRV indices.
METHODS
We analyzed 592 subjects who participated in routine health check up from February 2002 to October 2004. We measured their metabolic components and evaluated the relationships of MS and HRV indices.
RESULTS
Entire sample was divided into 5 group according to the number of metabolic compononets. All results were adjusted for gender, age and mean heart rate. As increasing the number of metabolic components, SDNN (standard deviation of all normal RR intervals) was decreased (P for linear trend = 0.03) and LF/HF (low frequency/high frequency)was increased (P for quadratic trend = 0.01). Paticularly in men, obese group has statistically higher LF/HF than non-obese group (P = 0.0002). In women, hyperTG (Triglycerides) group has lower SDNN comparing to normal TG group (P = 0.04).
CONCLUSIONS
Metabolic syndrome adversely affects cardiac autonomic control and a reduced cardiac autonomic control may contribute to the increased risk of subsequent cardiovascular events in individuals who exhibit metabolic syndrome.