Effects of general obesity on heart rate variability in Thai people with physical inactivity

Authors

  • Jantakan Saechee Faculty of Allied Health Sciences, Naresuan University, Pitsanulok, Thailand
  • Kanita Wannasamai Faculty of Allied Health Sciences, Naresuan University, Pitsanulok, Thailand
  • Pattharaporn Jaimanee Faculty of Allied Health Sciences, Naresuan University, Pitsanulok, Thailand
  • Decha Pinkeaw Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand
  • Kroekkiat Chinda Faculty of Medical Sciences, Naresuan University, Pitsanulok, Thailand
  • Tharnwimol Inthachai Faculty of Allied Health Sciences, Naresuan University, Pitsanulok, Thailand

Keywords:

Obesity, heart rate variability, maximum oxygen consumption, pulmonary function, cardiovascular disease

Abstract

Background: Obesity is an important risk factor of cardiovascular diseases. Heart rate variability (HRV), and maximum oxygen consumption (VO2max) are parameters of cardiorespiratory function for determining aerobic capacity. However, the studies that investigated the effects of obesity on HRV, pulmonary function and VO2 max in male participants aged 40 and 50 years, have been limited.

Objectives: This study aimed to compare HRV, pulmonary function and VO2max in male participants with normal body mass index (BMI) (18.5 – 22.9 kg/m2, n = 10), and Class I obesity (25 - 29.9 kg/m2, n = 10) and also to use HRV to assess cardiopulmonary function in obese subjects.

Methods: In all, there were twenty healthy subjects, aged 40 - 50 years. Each subject was measured for their body composition, heart rate variability, pulmonary function and VO2max by cycle ergometer. The data were compared for significant differences between groups by using unpaired t-tests.

Results: The time domain parameters of HRV in the obese group were lower, low frequency and the ratio of low and high frequency (LF/HF ratio) were also higher when compared with participants with normal BMI. Pulmonary function and maximum oxygen consumption were not significantly different between the groups (P > 0.05).

Conclusion: Autonomic balance was diminished in obese participants. Therefore, the assessment of HRV may be applied as a basic screening test before development of cardiovascular diseases.

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References

Somrongthong R, Wongchalee S, Ramakrishnan C, Hongthong D, Yodmai K, Wongtongkam N. Influence of socioeconomic factors on daily life activities and quality of life of Thai elderly. J Public Health Res 2017;6:862. https://doi.org/10.4081/jphr.2017.862

Kachur S, Lavie CJ, de Schutter A, Milani RV, Ventura HO. Obesity and cardiovascular diseases. Minerva Med 2017;108:212-28. https://doi.org/10.23736/S0026-4806.17.05022-4

Verrier RL, Tan A. Heart rate, autonomic markers, and cardiac mortality. Heart Rhythm 2009;6(Suppl):S68-75. https://doi.org/10.1016/j.hrthm.2009.07.017

Chintala KK, Krishna BH, N MR. Heart rate variability in overweight health care students: correlation with visceral fat. J Clin Diagn Res 2015;9:CC06-8. https://doi.org/10.7860/JCDR/2015/12145.5434

Yadav RL, Yadav PK, Yadav LK, Agrawal K, Sah SK, Islam MN. Association between obesity and heart rate variability indices: an intuition toward cardiac autonomic alteration - a risk of CVD. Diabetes Metab Syndr Obes 2017;10:57-64. https://doi.org/10.2147/DMSO.S123935

Habibi E, Dehghan H, Moghiseh M, Hasanzadeh A. Study of the relationship between the aerobic capacity (VO2 max) and the rating of perceived exertion based on the measurement of heart beat in the metal industries Esfahan. J Educ Health Promot 2014;3:55.

Shazia SM, Badaam KM, Deore DN. Assessment of aerobic capacity in overweight young females: A cross-sectional study. Int J Appl Basic Med Res 2015;5:18-20. https://doi.org/10.4103/2229-516X.149224

Crump C, Sundquist J, Winkleby MA, Sundquist K. Aerobic fitness, muscular strength and obesity in relation to risk of heart failure. Heart 2017;103:1780-7. https://doi.org/10.1136/heartjnl-2016-310716

Mongkol S. The effect of obesity on respiratory and cardiovascular system. J Assoc Med Sci 2012;45:10-6.

Araujo AB, Wittert GA. Endocrinology of the aging male. Best Pract Res Clin Endocrinol Metab 2011;25:303-19. https://doi.org/10.1016/j.beem.2010.11.004

Leyk D, Ruther T, Wunderlich M, Sievert A, Essfeld D, Witzki A, et al. Physical performance in middle age and old age: good news for our sedentary and aging society. Dtsch Arztebl Int 2010;107:809-16.

https://doi.org/10.3238/arztebl.2010.0809

Suppapitiporn S, Udompanyavit J, Suppapitiporn S. Overweight and obesity and the associated lifestyle factors in Thai adult individuals who came for service at King Chulalongkorn Memorial Hospital during August - September 2004. Chula Med J 2006;50:623-9.

Ramachandran A, Snehalatha C. Rising burden of obesity in Asia. J Obes 2010;2010.

https://doi.org/10.1155/2010/868573

Stegenga H, Haines A, Jones K, Wilding J, Identification, assessment, and management of overweight and obesity: summary of updated NICE guidance. BMJ 2014;349:g6608.

https://doi.org/10.1136/bmj.g6608

Samahito S. Assessment and the standard physical fitness for Thai people aged 19-59 years. Bangkok Sampachanya; 2013.

Bennett JA, Winters-Stone K, Nail LM, Scherer J. Definitions of sedentary in physical-activityintervention trials: a summary of the literature. J Aging Phys Act 2006;14:456-77.

https://doi.org/10.1123/japa.14.4.456

Myers J, Forman DE, Balady GJ, Franklin BA, Nelson-Worel J, Martin BJ, et al. Supervision of exercise testing by nonphysicians: a scientific statement from the American Heart Association. Circulation 2014;130:1014-27. https://doi.org/10.1161/CIR.0000000000000101

Pereira C, Silva RAD, de Oliveira MR, Souza RDN,Borges RJ, Vieira ER. Effect of body mass index and fat mass on balance force platform measurements during a one-legged stance in older adults. Aging Clin Exp Res 2018;30:441-7. https://doi.org/10.1007/s40520-017-0796-6

Oshima Y, Shiga T, Namba H, Kuno S. Estimation of whole-body skeletal muscle mass by bioelectrical impedance analysis in the standing position. Obes Res Clin Pract 2010;4:e1-e82.

https://doi.org/10.1016/j.orcp.2009.06.001

American Thoracic Society/European Respiratory Society. ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med 2002;166:518-624. https://doi.org/10.1164/rccm.166.4.518

Cink RE, Thomas TR. Validity of the Astrand-Ryhming nomogram for predicting maximal oxygen intake. Br J Sports Med 1981;15:182-5. https://doi.org/10.1136/bjsm.15.3.182

Triggiani AI, Valenzano A, Ciliberti MA, Moscatelli F, Villani S, Monda M, et al. Heart rate variability is reduced in underweight and overweight healthy adult women. Clin Physiol Funct Imaging 2017;37:162-7.

https://doi.org/10.1111/cpf.12281

Shaffer F, Ginsberg JP. An overview of heart rate variability metrics and norms. Front Public Health 2017;5:258. https://doi.org/10.3389/fpubh.2017.00258

Manimmanakorn N, Manimmanakorn A, Vichiansiri R, Saengsuwan J, Naruemon L. Heart rate variability assessment and clinical uses. J Thai Rehabil Med 2018;28:32-6.

Guarino D, Nannipieri M, Iervasi G, Taddei S, Bruno RM. The role of the autonomic nervous system in the pathophysiology of obesity. Front Physiol 2017;8:665. https://doi.org/10.3389/fphys.2017.00665

Hautala AJ, Kiviniemi AM, Tulppo MP. Individual responses to aerobic exercise: the role of the autonomic nervous system. Neurosci Biobehav Rev 2009;33:107-15.

https://doi.org/10.1016/j.neubiorev.2008.04.009

Littleton SW. Impact of obesity on respiratory function. Respirology 2012;17:43-9.

https://doi.org/10.1111/j.1440-1843.2011.02096.x

Mondal H, Mishra SP. Effect of BMI, body fat percentage and fat free mass on maximal oxygen consumption in healthy young adults. J Clin Diagn Res 2017;11:CC17-CC20.

https://doi.org/10.7860/JCDR/2017/25465.10039

Oja P, Titze S. Physical activity recommendations for public health: development and policy context. EPMA J 2011;2:253-9. https://doi.org/10.1007/s13167-011-0090-1

Teisala T, Mutikainen S, Tolvanen A, Rottensteiner M, Leskinen T, Kaprio J, et al. Associations of physical activity, fitness, and body composition with heart rate variability-based indicators of stress and recovery on workdays: a cross-sectional study. J Occup Med Toxicol 2014;9:16.

https://doi.org/10.1186/1745-6673-9-16

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Published

2023-08-15

How to Cite

1.
Saechee J, Wannasamai K, Jaimanee P, Pinkeaw D, Chinda K, Inthachai T. Effects of general obesity on heart rate variability in Thai people with physical inactivity. Chula Med J [Internet]. 2023 Aug. 15 [cited 2024 Oct. 12];63(3). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/299