Application of Heart Rate Variability in Diagnosis and Prognosis of Individuals with Diabetes Mellitus: Systematic Review

Silva, Anne Kastelianne França da; Barbosa, Marianne Penachini da Costa de Rezende; Vanderlei, Franciele Marques; Christófaro, Diego Giuliano Destro; Vanderlei, Luiz Carlos Marques

doi:10.1111/anec.12372

Cited by 29 publications

(9 citation statements)

References 42 publications

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“…Secondly, this finding may be considered as another support for a recently proposed hypothesis that trial-to-trial variability of MEP amplitudes may be by itself an informative measurement of the neuronal state ( Conforto et al, 2012 ). Such hypothesis is in agreement with a well-known role of the variability in the biological systems from the widely used heart rate variability ( Chouchou and Desseilles, 2014 ; França da Silva et al, 2016 ) to the firing rate variability serving an important role in action preparation ( Churchland et al, 2010 ; Klein-Flügge et al, 2013 ). A presence of the correlation between central and peripheral variabilities only for ICF condition could be explained by the fact that ICF phenomenon is likely to be based on multiple synaptic connections ( Di Lazzaro and Ziemann, 2013 ; Ziemann et al, 2015 ).…”

Section: Discussionsupporting

confidence: 89%

Pre-stimulus Alpha Oscillations and Inter-subject Variability of Motor Evoked Potentials in Single- and Paired-Pulse TMS Paradigms

İşcan

Nazarova

Fedele

et al. 2016

Front. Hum. Neurosci.

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Inter- and intra-subject variability of the motor evoked potentials (MEPs) to TMS is a well-known phenomenon. Although a possible link between this variability and ongoing brain oscillations was demonstrated, the results of the studies are not consistent with each other. Exploring this topic further is important since the modulation of MEPs provides unique possibility to relate oscillatory cortical phenomena to the state of the motor cortex probed with TMS. Given that alpha oscillations were shown to reflect cortical excitability, we hypothesized that their power and variability might explain the modulation of subject-specific MEPs to single- and paired-pulse TMS (spTMS, ppTMS, respectively). Neuronal activity was recorded with multichannel electroencephalogram. We used spTMS and two ppTMS conditions: intracortical facilitation (ICF) and short-interval intracortical inhibition (SICI). Spearman correlations were calculated within and across subjects between MEPs and the pre-stimulus power of alpha oscillations in low (8–10 Hz) and high (10–12 Hz) frequency bands. Coefficient of quartile variation was used to measure variability. Across-subject analysis revealed no difference in the pre-stimulus alpha power among the TMS conditions. However, the variability of high-alpha power in spTMS condition was larger than in the SICI condition. In ICF condition pre-stimulus high-alpha power variability correlated positively with MEP amplitude variability. No correlation has been observed between the pre-stimulus alpha power and MEP responses in any of the conditions. Our results show that the variability of the alpha oscillations can be more predictive of TMS effects than the commonly used power of oscillations and we provide further support for the dissociation of high and low-alpha bands in predicting responses produced by the stimulation of the motor cortex.

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Section: Discussionsupporting

confidence: 89%

Pre-stimulus Alpha Oscillations and Inter-subject Variability of Motor Evoked Potentials in Single- and Paired-Pulse TMS Paradigms

İşcan

Nazarova

Fedele

et al. 2016

Front. Hum. Neurosci.

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“…Examples of clinical conditions in which HRV is predictive of patient survival include diabetes, ( 33 ) cancer, ( 34 ) heart failure, ( 35 ) acute myocardial infarction, ( 36 ) stroke, ( 37 ) epilepsy, ( 38 ) Parkinson's disease ( 39 ) and kidney failure, ( 40 ) among others.…”

Section: Discussionmentioning

confidence: 99%

Autonomic nervous system monitoring in intensive care as a prognostic tool. Systematic review

Bento

Fonseca-Pinto

Póvoa

2017

Revista Brasileira De Terapia Intensiva

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ObjectiveTo present a systematic review of the use of autonomic nervous system monitoring as a prognostic tool in intensive care units by assessing heart rate variability.MethodsLiterature review of studies published until July 2016 listed in PubMed/Medline and conducted in intensive care units, on autonomic nervous system monitoring, via analysis of heart rate variability as a prognostic tool (mortality study). The following English terms were entered in the search field: ("autonomic nervous system" OR "heart rate variability") AND ("intensive care" OR "critical care" OR "emergency care" OR "ICU") AND ("prognosis" OR "prognoses" OR "mortality").ResultsThere was an increased likelihood of death in patients who had a decrease in heart rate variability as analyzed via heart rate variance, cardiac uncoupling, heart rate volatility, integer heart rate variability, standard deviation of NN intervals, root mean square of successive differences, total power, low frequency, very low frequency, low frequency/high frequency ratio, ratio of short-term to long-term fractal exponents, Shannon entropy, multiscale entropy and approximate entropy.ConclusionIn patients admitted to intensive care units, regardless of the pathology, heart rate variability varies inversely with clinical severity and prognosis.

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“…The autonomic nervous system modulates the cardiovascular system to cope with physical and physiological challenges through the activities of the sympathetic and parasympathetic nervous systems [ 51 ]. Depressed HRV is a strong and independent predictor of a number of health conditions, including diabetes, metabolic syndrome, and cardiovascular diseases, as well as increased risk of cardiovascular event and all-cause mortality in patients with chronic diseases and healthy populations [ 52 , 53 ]. HRV decreases with aging, and it can also provide important information about the cardiac health of older adults, as abnormalities are also strong predictors of death in this population [ 54 ].…”

Section: Monitoring Cardiac Function and Cardiovascular Healthmentioning

confidence: 99%

Wearable Devices for Physical Activity and Healthcare Monitoring in Elderly People: A Critical Review

et al. 2021

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The availability of wearable devices (WDs) to collect biometric information and their use during activities of daily living is significantly increasing in the general population. These small electronic devices, which record fitness and health-related outcomes, have been broadly utilized in industries such as medicine, healthcare, and fitness. Since they are simple to use and progressively cheaper, they have also been used for numerous research purposes. However, despite their increasing popularity, most of these WDs do not accurately measure the proclaimed outcomes. In fact, research is equivocal about whether they are valid and reliable methods to specifically evaluate physical activity and health-related outcomes in older adults, since they are mostly designed and produced considering younger subjects’ physical and mental characteristics. Additionally, their constant evolution through continuous upgrades and redesigned versions, suggests the need for constant up-to-date reviews and research. Accordingly, this article aims to scrutinize the state-of-the-art scientific evidence about the usefulness of WDs, specifically on older adults, to monitor physical activity and health-related outcomes. This critical review not only aims to inform older consumers but also aid researchers in study design when selecting physical activity and healthcare monitoring devices for elderly people.

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Application of Heart Rate Variability in Diagnosis and Prognosis of Individuals with Diabetes Mellitus: Systematic Review

Cited by 29 publications

References 42 publications

Pre-stimulus Alpha Oscillations and Inter-subject Variability of Motor Evoked Potentials in Single- and Paired-Pulse TMS Paradigms

Pre-stimulus Alpha Oscillations and Inter-subject Variability of Motor Evoked Potentials in Single- and Paired-Pulse TMS Paradigms

Autonomic nervous system monitoring in intensive care as a prognostic tool. Systematic review

Wearable Devices for Physical Activity and Healthcare Monitoring in Elderly People: A Critical Review

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