Antenatal origins of individual differences in heart rate

DiPietro, Janet A.; Costigan, Kathleen A.; Pressman, Eva; Doussard-Roosevelt, Jane A.

doi:10.1002/1098-2302(2000)37:4<221::aid-dev2>3.0.co;2-a

Cited by 65 publications

(44 citation statements)

References 30 publications

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“…By using a fetal heart rate monitor over a 24-h period, Lunshof et al [30] found that 73% of 15 fetuses had a diurnal heart rate rhythm, which was very similar to that of their mother. In a larger study, DiPietro et al [15] reported an association between maternal and fetal HR and higher fetal HR was associated with lower HRV at 1 year of age. If the increased HR and decreased HRV in the Depressed subjects during pregnancy translates to similar changes in the fetus, the development of the fetal ANS may be compromised.…”

Section: Discussionmentioning

confidence: 99%

“…Similar studies have not been completed to our knowledge in women experiencing prenatal depression alone, but the results presented here may provide some clues to the underlying pathophysiology. Changes in the maternal cardiovascular system during pregnancy can affect fetal heart rate [15,30]. By using a fetal heart rate monitor over a 24-h period, Lunshof et al [30] found that 73% of 15 fetuses had a diurnal heart rate rhythm, which was very similar to that of their mother.…”

Section: Discussionmentioning

confidence: 99%

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The effect of depression on heart rate variability during pregnancy

et al. 2008

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Depression during pregnancy has been associated with a number of adverse outcomes, but the underlying physiological mechanisms involved remain unclear. The purpose of this study was to examine the effects of maternal depression during pregnancy on the autonomic modulation of heart rate, in a naturalistic setting. Eighty-one pregnant women were studied between 25 and 31 weeks of gestation and were identified as either Depressed (n = 46), or healthy, Control (n = 35), based on depression scores and lifetime psychiatric history. Subjects wore a 24-h Holter recorder to measure time-domain and frequency-domain of heart rate variability (HRV). Pregnant women in the Depressed Group had significantly reduced time-domain measures: standard deviation of all 24-h NN intervals (SDNN) and the standard deviation of the averages of NN intervals in all 5-min segments of the entire recording (SDANN) (P = 0.013, 0.016, respectively), as well as higher heart rates while asleep (P = 0.028), compared to Controls, after controlling for age, smoking, and antidepressant (AD) medication. The low frequency/high frequency (LF/HF) ratio during the sleeping hours was associated with higher depression scores (R = 0.24; P = 0.041). HRV measures improved in women taking AD medication. The autonomic nervous system may be affected in women experiencing depression during pregnancy, indicating a possible decreased parasympathetic (vagal) influence. Women taking AD medication showed some improvement in HRV measures. These data suggest that psychophysiological changes occur in women experiencing depression during pregnancy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effect of depression on heart rate variability during pregnancy

et al. 2008

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“…27 The maternal environment exerts a significant influence on the fetal autonomic nervous system. 28 From these findings and the fact that the level of CRH was significantly higher in the high trait anxiety group in the present study, it is concluded that STAI trait anxiety may be a useful tool to evaluate chronic maternal stress. Stress and anxiety during pregnancy are linked to differences in FHR and fetal movement, and may have implications for future emotional development.…”

Section: Discussionmentioning

confidence: 99%

Effect of Maternal Stress on Fetal Heart Rate Assessed by Vibroacoustic Stimulation

Makino

Matsuda²,

Yoneyama³

et al. 2009

J Int Med Res

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This study was designed to determine whether maternal stress levels, state and trait anxiety levels, and stress hormones affect fetal heart rate (FHR) patterns after vibroacoustic stimulation (VAS) at 30 weeks of gestation. A total of 24 healthy pregnant women with a single fetus pregnancy were enrolled. Corticotropin releasing hormone (CRH) and adrenocorticotropic hormone in maternal plasma and cortisol, and chromogranin A in saliva were measured. The FHR patterns after VAS were divided into three types: type I, a long period of acceleration or one acceleration lasting > 1 min or at least two accelerations lasting > 15 s; type II, a biphasic response with acceleration followed by deceleration; and type III, no response or prolonged deceleration. In the high trait anxiety group, CRH levels were significantly higher than in the low trait anxiety group, and FHR patterns after VAS showed mostly a type II response pattern. These findings suggest that stress in pregnant women with high trait anxiety may influence FHR patterns after VAS.

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“…FHR and HRV represent primary and stable measures of maturation of the cardiac system and ANS during the fetal period [24]. Higher average levels of fetal HRV predict higher infant HRV [28], as well as better cognitive development at 2 and 2.5 years of age [29]. In pregnant women with zinc deficiency, fetuses of those who received zinc supplementation had lower FHR and higher HRV, as early as 28 weeks [30,31].…”

Section: Introductionmentioning

confidence: 99%

Deficient maternal zinc intake—but not folate—is associated with lower fetal heart rate variability

Spann

Smerling

Gustafsson

et al. 2015

Early Human Development

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Objective Few studies of maternal prenatal diet and child development examine micronutrient status in relation to fetal assessment. Methods Twenty-four-hour dietary recall of zinc and folate and 20min of fetal heart rate were collected from 3rd trimester pregnant adolescents. Results Deficient zinc was associated with less fetal heart rate variability. Deficient folate had no associations with HRV. Neither deficient zinc nor deficient folate was related to fetal heart rate. Conclusions These findings, from naturalistic observation, are consistent with emerging data on prenatal zinc supplementation using a randomized control design. Practical Implication Taken together, the findings suggest that maternal prenatal zinc intake is an important and novel factor for understanding child ANS development.

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Antenatal origins of individual differences in heart rate

Cited by 65 publications

References 30 publications

The effect of depression on heart rate variability during pregnancy

The effect of depression on heart rate variability during pregnancy

Effect of Maternal Stress on Fetal Heart Rate Assessed by Vibroacoustic Stimulation

Deficient maternal zinc intake—but not folate—is associated with lower fetal heart rate variability

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