Background
Heart rate variability (HRV) differs markedly by race, yet few studies have evaluated these relationships in women. Moreover, none have evaluated HRV during sleep, despite sleep's importance to cardiovascular health.
Methods
We addressed these gaps by examining HRV during sleep in African American, Chinese and white women (mean age 51.2 ± 2.2). Sleep and HRV during sleep (sHRV) were measured concurrently.
Results
Heart rate variability during stage 2 non-rapid eye movement (NREM) and rapid eye movement (REM) sleep differed significantly by race after adjusting for possible confounders. Normalized high frequency HRV was significantly lower in white compared to African American and Chinese participants (white NREM=0.35 ±.01, REM=0.23 ± .01; African American NREM=0.43 ± 0.02, REM=0.29 ± 0.02; Chinese NREM=0.47 ± 0.03, REM=0.33 ± 0.02; p’s<.001). The inverse was seen for low frequency power, with higher values in white compared to African American and Chinese participants (white NREM=0.66 ± .01, REM=0.77 ± .01; African American=NREM 0.58 ± 0.02, REM=0.71 ± 0.02; Chinese=0.53 ± 0.03, REM=0.68 ± 0.02; p’s<.010). Whites also exhibited higher low-to-high frequency HRV ratios during sleep compared to African American and Chinese women (white NREM=2.42 ± 1.07, REM=5.05 ± 1.07; African American NREM=1.69 ± 1.09, REM=3.51 ± 1.09; Chinese NREM=.35 ± 1.07, REM=2.88 ± 1.13; p’s<.001).
Conclusions
Race was robustly related to HRV during sleep. Compared to African American and Chinese women, whites exhibited decreased vagally-mediated control of the heart during sleep. Rresearch is needed to evaluate whether sHRV, including race differences, is prospectively associated with cardiovascular disease.