Influence of fasting on heart rate variability in diabetic patients with different degrees of cardiovascular autonomic neuropathy

Diabetes, Nutrition and Metabolism - Clinical and Experimental

Volumn 10, Issue 6, 1997, Pages 288-295

  Howorka, K ^a,b   Pumprla, J ^a   Schabmann, A ^a  

^a UNIVERSITY OF VIENNA   (Austria)

^b UNIVERSITY OF VIENNA   (Austria)

Author keywords

Cardiovascular autonomic neuropathy; Fasting; Heart rate variability; Human diabetes mellitus

Indexed keywords

ADULT; ARTICLE; AUTONOMIC NEUROPATHY; BODY MASS; CONTROLLED STUDY; DIABETES MELLITUS; DIET RESTRICTION; FEMALE; HEART RATE VARIABILITY; HUMAN; MAJOR CLINICAL STUDY; MALE; MEAL; POSTPRANDIAL STATE; PRIORITY JOURNAL; SPECTROSCOPY; STANDARDIZATION; TIME; VAGUS TONE;

EID: 0031398799     PISSN: 03943402     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (29)

1. Ziegler D., Laux G., Dannehl K., Spüler M., Mühlen H., Mayer P., Gries F.A.: Assessment of cardiovascular autonomic function: age-related normal ranges and reproducibility of spectral analysis, vector analysis, and standard tests of heart rate variation and blood pressure responses. Diabet. Med. 9: 166-175, 1992.
2. Adamopoulos S., Piepoli M., McCance A., Bernardi L., Rocadaelli A., Ormerod O., Forfar C., Sleight P., Coats A.J.: Comparison of different methods for assessing sympathovagal balance in chronic congestive heart failure secondary to coronary artery disease. Am. J. Cardiol. 79: 1576-1582, 1992.
3. American College of Cardiology Cardiovascular Technology Assessment Committee: Heart rate variability for risk stratification of life-threatening arrhythmias. J. Am. Coll. Cardiol. 22: 948-950, 1993.
4. Malliani A., Lombardi F., Pagani M., Cerutti S.: Power spectral analysis of cardiovascular variability in patients at risk for sudden cardiac death. J. Cardiovasc. Electrophysiol. 5: 274-286, 1994.
5. Ewing D.J., Campbell I.W., Clarke B.F.: The natural history of diabetic autonomic neuropathy. Q. J. Med. 193: 95-108, 1980.
6. O'Brien I.A., McFadden J.P., Corrall R.J.M.: The influence of autonomic neuropathy on mortality in insulin-dependent diabetes. Q. J. Med. 79: 495-502, 1991.
7. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology: Heart rate variability - standards of measurement, physiological interpretation, and clinical use. Circulation 93: 1043-1065, 1996.
8. Freed L.A., Stein K.M., Gordon M., Urban M., Kligfield P.: Reproducibility of power spectral measures of heart rate variability obtained from short-term sampling periods. Am. J. Cardiol. 74: 972-973, 1994.
9. Bigger J.T. Jr., Fleiss J., Rolnitzky L., Steinman R.: The ability of several short-term measures of RR variability to predict mortality after myocardial infarction. Circulation 88: 927-934, 1993.
10. Bellavere F., Balzani I., DeMasi G., Carraro M., Carenza P., Cobelli C., Thomaseth K.: Power spectral analysis of heart rate variations improves assessment of diabetic cardiac autonomie neuropathy. Diabetes 41: 633-640, 1992.
11. American Diabetes Association: Diabetic Neuropathy. In: Clinical practice recommendations 1996. Diabetes Care 19 (Suppl.1): S67-S92, 1996.
12. Clabough D.L., Swanson C.R.: Heart rate spectral analysis of fasting-induced bradycardia of cattle. Am. J. Physiol. 257(6 Pt 2): R1303-R1306, 1989.
13. Young J.B., Landsberg L.: Suppression of sympathetic nervous system during fasting. Science 196: 1473-1475, 1977.
14. Einhorn D., Young J.B., Landsberg L.: Hypotensive effect of fasting: possible involvement of the sympathetic nervous system and endogenous opiates. Science 217: 727-729, 1982.
15. Wallbridge D.R., MacIntyre H.E., Gray C.E., Denvir M.A., Oldroyd K.G., Rae A.P., Cobbe S.M.: Increase in plasma beta endorphins precedes vasodepressor syncope. Br. Heart J. 71: 597-599, 1994.
16. Declaration of Helsinki. Recommendations guiding medical physicians in biomedical research involving human subjects. URL: http://www.sar.co.uk/helsinki.htm.
17. Howorka K., Pumprla J., Kletschka G., Thoma H.: ISO 9001 - conformity in research, graduate education and rehabilitation. Biomed Technik (in press)
18. Howorka K.: Functional Insulin Treatment. Principles, Teaching Approach and Practice. Springer, Berlin, 1996.
19. Ewing D.J., Martyn C.N., Young R.J., Clarke B.F.: The value of cardiovascular autonomic function tests: 10 years experience in diabetes. Diabetes Care 8: 491-498, 1985.
20. Salinger J., Vychodil R., Novotny J., Pumprla J., Opavsky J., Stejskal P., Vaverka F., Bula J.: Telemetric, computer-aided system for non-invasive examination of heart rate variability, type VariaPulse TF3. IEEE Proc. Comput. Cardiol. 437-440, 1995.
21. Howorka K., Pumprla J., Haber P., Koller-Strametz J., Mondrzyk J., Schabmann A.: Effects of physical training on heart rate variability in diabetic patients with various degrees of cardiovascular autonomic neuropathy. Cardiovasc. Res. 34: 206-214, 1997.
22. Yamamoto Y., Hughson R.L.: Coarse-graining spectral analysis: new method for studying heart rate variability. J. Appl. Physiol. 71: 1143-1150, 1991.
23. Hayano J., Sakakibara Y., Yamada A., Yamada M., Mukai S., Fujinami T., Yokoyama K., Watanabe Y., Takata K.: Accuracy of assessment of cardiac vagal tone by heart rate variability in normal subjects. Am. J. Cardiol. 67: 199-204, 1991.
24. Lombardi F., Malliani A., Pagani M., Cerutti S.: Heart rate variability and its sympatho-vagal modulation. Cardiovasc. Res. 32: 208-216, 1996.
25. Undeland T., Hausken T., Svebak S., Aanderud S., Berstad A.: Wide gastric antrum and low vagal tone in patients with diabetes mellitus type 1 compared to patients with functional dyspepsia and healthy individuals. Digest. Dis. Sci. 41: 9-16, 1996.
26. Haber P., Höniger B., Klicpera M., Niederberger M.: Effects in elderly people 67-76 years of age of three-month endurance training on a bicycle ergometer. Eur. Heart J. 5 (Suppl.) E: 37-39, 1984.
27. Bellavere F., Cacciatori V., Moghetti P., Gemma M.L., Dellera A., Tosi F., Negri C., Thomaseth K., Muggeo M.: Acute effect of insulin on autonomic regulation of the cardiovascular system: a study by heart rate spectral analysis. Diabet. Med. 13: 709-714, 1996.
28. Valensi P., Thi B.N., Lormeau B., Paries J., Attali J.R.: Cardiac autonomic function in obese patients. Int. J. Obes. Relat. Metab. Disord. 19: 113-118, 1995.
29. Molgaard H., Hermansen K., Bjerregaard P.: Spectral components of short-term RR interval variability in healthy subjects and effects of risk factors. Eur. Heart J. 15: 1174-1183, 1994.