Can body mass index identify cardiac autonomic dysfunction in women who are apparently healthy?

Soares, Fabiano Henrique Rodrigues; Furstenberger, Alexandra Braga; Carvalho, Layssa Carolinne de Sousa; Melo, Melissa Yolanda Soares; Lima, Josivan Gomes; Sousa, Maria Bernardete Cordeiro de

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Campo DC	Valor	Idioma
dc.contributor.author	Soares, Fabiano Henrique Rodrigues	-
dc.contributor.author	Furstenberger, Alexandra Braga	-
dc.contributor.author	Carvalho, Layssa Carolinne de Sousa	-
dc.contributor.author	Melo, Melissa Yolanda Soares	-
dc.contributor.author	Lima, Josivan Gomes	-
dc.contributor.author	Sousa, Maria Bernardete Cordeiro de	-
dc.date.accessioned	2019-05-23T16:10:27Z	-
dc.date.available	2019-05-23T16:10:27Z	-
dc.date.issued	2019-05	-
dc.identifier.citation	SOARES, F. H. R. et al. Can body mass index identify cardiac autonomic dysfunction in women who are apparently healthy? Women Health, p. 1-11, maio 2019. doi: 10.1080/03630242.2019.1613472	pt_BR
dc.identifier.uri	https://repositorio.ufrn.br/handle/123456789/27098	-
dc.language	en	pt_BR
dc.subject	Body Mass Index (BMI)	pt_BR
dc.subject	Heart Rate Variability (HRV)	pt_BR
dc.subject	cardiac dysfunction	pt_BR
dc.subject	obesity	pt_BR
dc.title	Can body mass index identify cardiac autonomic dysfunction in women who are apparently healthy?	pt_BR
dc.type	article	pt_BR
dc.identifier.doi	10.1080/03630242.2019.1613472	-
dc.description.resumo	We investigated the extent to which obesity could identify autonomic dysfunction of heart control in a cross-sectional study with 65 women (aged 18-45 years), categorized as eutrophic, overweight or obese. We collected anthropometric measures and measures of heart rate variability (HRV) between March 2015 and March 2017. Low frequency in normalized units (LF(nu)) over 46 was considered a marker of autonomic imbalance and high frequency in normalized units (HF(nu)) below 38 a marker of depressed vagal modulation. Overweight (mean difference MΔHF(nu) = -13.11 [95% confidence interval (CI) of difference, -25.88, -0.34], Hedges's g = 0.65, common language effect size (CL) = 68.1%) and obese (MΔHF(nu) = -21.22 [95% CI, -31.89, -10.55], Hedges's g = 1.17, CL = 79.2%) women presented depressed vagal modulation compared to eutrophic women. Autonomic imbalance increased as body mass index increased (eutrophic-to-overweight MΔLF(nu) = 13.06 [95% CI, 1.65, 24.47], g = 0.65, CL = 67.9%, and overweight-to-obese MΔLF(nu) = 21.07 [95% CI, 10.32, 31.82], g = 1.15, CL 78.9%). The odds ratio for depressed HF(nu) among overweight women was 2.36 (95% CI 0.77, 7.29) and 2.18 among obese women (95% CI 0.79, 5.99), as well as 9.17 (95% CI 2.62, 32.04) and 17.39 for increased LF(nu) (95% CI 2.13, 141.76), respectively. The parasympathetic activity is diminished and autonomic imbalance of the cardiac control increased with increasing BMI categories.	pt_BR
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