Heart rate variability during the first month of smoking cessation

Yotsukura, Masayuki; Koide, Yuji; Fujii, Kenichi; Tomono, Yasuhide; Katayama, Atsuo; Ando, Hiromi; Suzuki, Jun–ichi; Ishikawa, Kinya

doi:10.1016/s0002-8703(98)70065-1

Cited by 49 publications

(37 citation statements)

References 27 publications

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“…While several studies have documented differences in heart rate variability between younger and older adults, we found an inverse association between age and RSA within a cohort of older adults. Our finding of a negative association between RSA and cigarette use is consistent with previous research which has shown that smoking is associated with decreased heart rate variability (Hayano et al, 1990;Nabors-Oberg et al, 2002) while smoking cessation is associated with increased heart rate variability (Minami et al, 1999;Yotsukura et al, 1998). We did not assess the causal nature of the relationship between diabetes and lower RSA but our results are consistent with previous studies which have shown that elevated glucose and insulin can be toxic to peripheral nerves and lead to autonomic neuropathy (Greene et al, 1999;Zochadne, 1999).…”

Section: Discussionsupporting

confidence: 91%

Respiratory sinus arrhythmia and diseases of aging: Obesity, diabetes mellitus, and hypertension

Masi

Hawkley

Rickett

et al. 2007

Biological Psychology

106

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Associations between respiratory sinus arrhythmia (RSA) and several chronic diseases, including obesity, diabetes mellitus, and hypertension, have been documented in recent years. Although most evidence suggests reduced RSA is the result of chronic disease rather than the cause, some studies have documented reduced RSA among at-risk individuals prior to disease onset. These results raise the possibility that decreased vagal tone may play a role in the pathogenesis of certain chronic diseases. Presented here is a brief overview of studies which examine the relationship between vagal tone, as measured by RSA and baroreflex gain, and diseases of aging, including obesity, diabetes mellitus, and hypertension. Mechanisms by which vagal tone may be related to disease processes are discussed. In addition, we present results from a population-based study of RSA and hypertension in older adults. Consistent with previous studies, we found an inverse relationship between RSA and age, cigarette use, and diabetes. In logistic regression models which control for age, cigarette use, and diabetes, we found RSA was a significant negative predictor of hypertension. We conclude that the relationship between RSA and hypertension is somewhat independent of the age-related decline in parasympathetic activity.

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Section: Discussionsupporting

confidence: 91%

Respiratory sinus arrhythmia and diseases of aging: Obesity, diabetes mellitus, and hypertension

Masi

Hawkley

Rickett

et al. 2007

Biological Psychology

106

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“…While the decreasing tendency of HF did not reach a significant level, these findings are consistent with the results of previous studies suggesting either acute sympathetic activation or parasympathetic withdrawal or both as a result of smoking (26)(27)(28). These acute effects of smoking have also been reported in smoking cessation intervention (28,29), with a rapid increase in heart rate variability appearing as quickly as 1 day after smoking cessation. As it is well established Table 3.…”

Section: Discussionsupporting

confidence: 90%

“…The mean age was 49.0 (range 42-55) years, and their mean taxi driving experience was 16.7 (range 4-32) years. The participants had smoked a mean of 35.7 (range 10-60) cigarettes per day for 29.3 (range [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] years. We analyzed the data recorded between 0800 and 0159 because all of the participants were awake and working during this period.…”

Section: Study Population and Methodsmentioning

confidence: 99%

Acute effects of cigarette smoking on the heart rate variability of taxi drivers during work

Kobayashi

Watanabe²,

Akamatsu³

et al. 2005

Scand J Work Environ Health

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“…Although the exposures and effects for active cigarette smoking are much larger, cigarette smoking has been associated with a spectrum of cardiopulmonary diseases similar to those associated with fine PM. Interestingly, a decrease in HR and an increase in HRV have also been observed following smoking cessation (195). Clearly, the answer to the question of who is susceptible is not simple but is dependent on the health effects being evaluated and the level and length ofexposure.…”

Section: Stylizd Summary Ofeffectsmentioning

confidence: 99%

Epidemiology of Fine Particulate Air Pollution and Human Health: Biologic Mechanisms and Who's at Risk?

Pope¹

2000

Environmental Health Perspectives

421

108

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This article briefly summarizes the epidemiology of the health effects of fine particulate air pollution, provides an early, somewhat speculative, discussion of the contribution of epidemiology to evaluating biologic mechanisms, and evaluates who's at risk or is susceptible to adverse health effects. Based on preliminary epidemiologic evidence, it is speculated that a systemic response to fine particle-induced pulmonary inflammation, including cytokine release and altered cardiac autonomic function, may be part of the pathophysiologic mechanisms or pathways linking particulate pollution with cardiopulmonary disease. The elderly, infants, and persons with chronic cardiopulmonary disease, influenza, or asthma are most susceptible to mortality and serious morbidity effects from short-term acutely elevated exposures. Others are susceptible to less serious health effects such as transient increases in respiratory symptoms, decreased lung function, or other physiologic changes. Chronic exposure studies suggest relatively broad susceptibility to cumulative effects of long-term repeated exposure to fine particulate pollution, resulting in substantive estimates of population average loss of life expectancy in highly polluted environments. Additional knowledge is needed about the specific pollutants or mix of pollutants responsible for the adverse health effects and the biologic mechanisms involved. Key words: air pollution, cardiopulmonary disease, health effects, life expectancy, particulate pollution, review.-Environ Health Perspect 1 08(suppl 4): 713-723 (2000).

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Heart rate variability during the first month of smoking cessation

Cited by 49 publications

References 27 publications

Respiratory sinus arrhythmia and diseases of aging: Obesity, diabetes mellitus, and hypertension

Respiratory sinus arrhythmia and diseases of aging: Obesity, diabetes mellitus, and hypertension

Acute effects of cigarette smoking on the heart rate variability of taxi drivers during work

Epidemiology of Fine Particulate Air Pollution and Human Health: Biologic Mechanisms and Who's at Risk?

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