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The Characters of Autonomic Nervous System in Heart Weak Children through Analysis of Heart Rate Variability

심박변이도 분석을 통한 심계 허약아의 자율신경계 특성

  • Lee, Hye Lim (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Han, Jae Kyung (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Kim, Yun Hee (Department of Pediatrics, College of Korean Medicine, Daejeon University)
  • 이혜림 (대전대학교 한의과대학 소아과학교실) ;
  • 한재경 (대전대학교 한의과대학 소아과학교실) ;
  • 김윤희 (대전대학교 한의과대학 소아과학교실)
  • Received : 2013.07.26
  • Accepted : 2013.08.14
  • Published : 2013.08.31

Abstract

Objectives The purpose of this study is to evaluate the characteristics of autonomic nervous system in heart-weakened children via analyzing heart rate variability (HRV) compare to healthy children. Methods Among the children who have visited the department of pediatrics at OO oriental medicine hospital, the subjects were composed of 62 elementary school students without cardiac disorder, who have yet develop secondary sexual characteristics. Results 1. Mean HRT and SDNN of the heart-weakened group of children were lower than the healthy group, but with no statistical significance. 2. Heart-weakened children had higher LF norm and LF/HF ratio, but lower HF norm than healthy children. The rest of the Frequency Domain Index have no significant differences. 3. Heart-weak score showed a positive correlation with Mean HRT and LF/HF ratio. Conclusions Heart-weakened children had an imbalance in autonomic nervous system due to increase of sympathetic nerve activity and decrease of parasympathetic nerve activity.

Keywords

References

  1. Jung WJ, Youn JH. A Validity Study of an Instrument for Children's Stress Coping Behavior. J Korean Home Manag Assoc. 1997;15(3):95-106.
  2. Choi OS. The Analysis of difference between the factor of stress and the response way of stress to elementary students as their learning styles. Master's degree Dissertation. Inst Korea Natl Univ Educ. 2004.
  3. Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ, Baek JH, Yu SA, Lee SY, Lee JY, Lee HJ, Chang GT, Chai JW, Han YJ, Han JK. Padiatrics of Korean Medicine Seoul: Ui Sung Dang Publishing Co, 2010:173-5.
  4. Gok SY, Lyu SA, Lee SY. The Correlation Study between Interference Test with the Weak Children (虛弱兒) Symptoms. J Pediatr Korean Med. 2009;23(3):71-88.
  5. Kim SY, Lee MS, Yang JW, Jung IK. Heart Rate Variability and Parenting Stress Index in Children with Attention-Deficit/Hyperactivity Disorder. J Psychosomatic Med. 2011;19(2):74-82.
  6. Rajendra Acharya U, Paul Joseph K, Kannathal N, Lim CM, Suri JS. Heart rate variability. a review. Med Biol Eng Comput. 2006;44(12):1031-51. https://doi.org/10.1007/s11517-006-0119-0
  7. Kim SH. Review on current status of use and measurement condition of heart rate variability in clinical study of Korean Medicine. J Korean Acupunct Moxibustion. 2012;29(5):127-37.
  8. Chae YB, Park HJ, Koo ST, Lee HJ. Review on acupuncture and autonomic nervous system: Heart rate variability analysis in humans. J Meridian Acupoint. 2007;24(4):25-36.
  9. Jung SK, Yu SA, Lee SY. The Correlation Study between Developmental Disability and Weak Symptoms. J Pediatr Korean Med. 2012;26(2):25-34. https://doi.org/10.7778/jpkm.2012.26.2.025
  10. Seo YM, Chang GT, Kim JH. The clinical study of the Growth stature on Weak children. J Pediatr Korean Med. 2004;18(1):77-91.
  11. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. 2002 Patient Survey. published number 11-1460000-000858-12.
  12. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. 2011 Patient Survey. published number 11-1352000-000071-10.
  13. Go GB. Stress & psychosomatic medicine. Seoul: Iljogak, 2010:18-33.
  14. Kent LK., Shapiro PA. Depression and related psychological factors in heart disease. Harvard Review of Psychiatry. 2009;17:377-88. https://doi.org/10.3109/10673220903463333
  15. Min HY, Yu AJ. Development of Daily Hassles Coping Scale for Children. J Korean Home Manag Assoc. 1998;36(7):83-96.
  16. Jeong MJ, Lim JH, Hwang BM, Yun YJ, Kim KB. Set the cut off values for diagnosing Heart Weak Children; by using K-CBCL total behavior problems score. J Pediatr Korean Med. 2010;24(3):58-67.
  17. Task Force of the European society of cardiology the North American society of Pacing Electrophysiology, Heart Rate Variability: Standards of measurement, physiological interpretation, and clinical use. European Heart J. 1996;17(3):354-81. https://doi.org/10.1093/oxfordjournals.eurheartj.a014868
  18. Carney RM, Freedland KE. Depression and heart rate variability in patients with coronary heart disease. Cleve Clin J Med. 2009;76 Suppl 2:S13-7. https://doi.org/10.3949/ccjm.76.s2.03
  19. Taylor CB. Depression, heart rate related variables and cardiovascular disease. Int J Psychophysiol. 2010;78(1):80-8. https://doi.org/10.1016/j.ijpsycho.2010.04.006
  20. Cohen H, Benjamin J. Power spectrum analysis and cardiovascular morbidity in anxiety disorders. Auton Neurosci. 2006;128(1-2):1-8. https://doi.org/10.1016/j.autneu.2005.06.007
  21. Lane RD, McRae K, Reiman EM, Chen K, Ahern GL, Thayer JF. Neural correlates of heart rate variability during emotion. Neuroimage. 2009;44(1):213-22. https://doi.org/10.1016/j.neuroimage.2008.07.056
  22. Hawkins MA, Stewart JC, Fitzgerald GJ, Kim S. Combined effect of depressive symptoms and hostility on autonomic nervous system function. Int J Psychophysiol. 2011;81(3):317-23. https://doi.org/10.1016/j.ijpsycho.2011.07.018
  23. Friedman BH. An autonomic flexibility neurovisceral integration model of anxiety and cardiac vagal tone. Bio Psychol. 2007;74(2):185-99. https://doi.org/10.1016/j.biopsycho.2005.08.009
  24. Lee HL, Han JK, Kim YH. A Study on Relations between Skeletal Maturity and Heart Rate Variability. J Pediatr Korean Med. 2012;26(3):1-11. https://doi.org/10.7778/jpkm.2012.26.3.001
  25. Malik M. Heart rate variability standards of measurement, physiological interpretation and clinical use. Eur Heart J. 1996;17:354-81. https://doi.org/10.1093/oxfordjournals.eurheartj.a014868
  26. Kim IH, Kim JT, Lee SH, Kim SJ, Kim YS, Choi JB. The Relation between autonomic nervous system activity and lower urinary tract symptoms. Korean J Urol. 2009;50:475-9. https://doi.org/10.4111/kju.2009.50.5.475
  27. Task Force of the European society of cardiology and the north American society of pacing and electrophysiology, Heart rate variability: Standards of measurement, physiological interpretation and clinical use. circulation 1996;93:1043-65. https://doi.org/10.1161/01.CIR.93.5.1043
  28. Jo MS, Lee Nh, Han JK. The effect of balneotherapy on children autonomic nervous system function and body composition. J Pediatr Korean Med. 2011;25(3):77-84. https://doi.org/10.7778/jpkm.2011.25.3.077
  29. Shin KS. The Study on Power Spectral Analysis of Heart Rate Variability for Assessment of Autonomic Function in Cardiovascular Control. Ph. D Dissertation. Inst Biomed Engineering Keio Univ. Japan. 1995.
  30. Woo JM, Kim ES, Yoon HY, Choi YH. The Relation between Heart Rate Variability and Pharmacotherapy in Patients with Panic Disorder. J Korean Neuropsychiatr Assoc. 2005;44:342-9.
  31. Kim SY, Seo HW, Kim JW, Chung SY. Relationship between Heart Rate Variability(HRV) and BDI, STAI and STAXI. J Orient Neuropsychiatr. 2011;22(4): 87-100.
  32. Lee J, Oh DS, Lee HJ, Choi SM, Kim JY. Assessment of covariate-effect of sleeping behavior on heart rate variability during a clinical trial. J Korean Orient Med. 2007;13(3):97-103.

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