DOI QR코드

DOI QR Code

원발성 월경통 환자의 월경기 HRV 특성에 대한 문헌고찰 및 메타분석

Heart Rate Variability (HRV) Characteristics of Patients with Primary Dysmenorrhea at the Menstrual Phase: A Literature Review and Meta-Analysis

  • 조시윤 (대전대학교 한의과대학 한방부인과교실) ;
  • 이지연 (대전대학교 한의과대학 한방부인과교실)
  • Cho, Si-Yoon (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Daejeon University) ;
  • Lee, Ji-Yeon (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Daejeon University)
  • 투고 : 2022.07.15
  • 심사 : 2022.08.26
  • 발행 : 2022.08.26

초록

Objectives: The aim of this study is to investigate Heart Rate Variability (HRV) characteristics of patients with primary dysmenorrhea at the menstrual phase. Methods: 7 databases (Pubmed, Cochrane library, CNKI, RISS, KISS, OASIS, ScienceON) were searched for eligible studies published before 2021 December. The studies comparing HRV between patients with primary dysmenorrhea and controls were included. A random-effects model was used to evaluate differences of HRV parameters between patients with primary dysmenorrhea and controls. Results: 4 articles were included in this review based on inclusion and exclusion criteria. SDNN (Standard deviation of NN intervals), RMSSD (Square root of the mean squared difference of successive NN intervals), mean PR (Mean of pulse rate), LF (Low frequency), HF (High frequency), was the most frequently used as HRV parameters. RMSSD was significantly lower in patients with primary dysmenorrhea than controls. There was no statistically significant difference of other HRV parameters between patients with primary dysmenorrhea and controls. Conclusions: This study suggests that parasympathetic activity and overall functions of autonomic nervous system might be decreased in patients with primary dysmenorrhea at the menstrual phase. In the future, well-designed clinical studies using HRV and additional meta-analysis should be conducted to obtain a wealth of information about HRV characteristics of patients with primary dysmenorrhea.

키워드

참고문헌

  1. Campbell MA, McGrath PJ. Use of medication by adolescents for the management of menstrual discomfort. Arch Pediatr Adolesc Med. 1997;151(9): 905-13. https://doi.org/10.1001/archpedi.1997.02170460043007
  2. Polat A, et al. Prevalence of primary dysmenorrhea in young adult female university students. Arch Gynecol Obstet. 2009;279(4):527-32. https://doi.org/10.1007/s00404-008-0750-0
  3. Korean society of obstetrics and gynecology. Gynecology. 5th rev. ed. Seoul:Korea Medical Book Publishing Co. 2015: 129-32.
  4. Lim KT, et al. A study on patterns of menarches and menstrual disorders in urban middle school girls. Korean J Obstet Gynecol. 1994;37(4):663-72.
  5. Kim HO, et al. Premenstrual syndrome and dysmenorrhea in Korean adolescent girls. Korean J Obstet Gynecol. 2008; 51(11):1322-9.
  6. Jeon EM. A study on menstrual symptoms, coping and relief of symptoms in female college students. Korean J Women Health Nurs. 2003;9(2):161-9. https://doi.org/10.4069/kjwhn.2003.9.2.161
  7. Kim YH, Lee IS. A study on the dysmenorrhea in college female students. Korean J Women Health Nurs. 2002; 8(1):85-95. https://doi.org/10.4069/kjwhn.2002.8.1.85
  8. Wong LP, Khoo EM. Dysmenorrhea in a multiethnic population of adolescent Asian girls. Int J Gynecol Obstet. 2010; 108(2):139-42. https://doi.org/10.1016/j.ijgo.2009.09.018
  9. Kim JS, et al. The menstruation discomfort and quality of life of female university students. Journal of the Nursing Academic Association of Ewha Womans University. 2011;45(1):13-28.
  10. NurAzurah A, et al. The quality of life of adolescents with menstrual problems. J Pediatr Adolesc Gynecol. 2013;26(2):102-8. https://doi.org/10.1016/j.jpag.2012.11.004
  11. The society of Korean medicine obstetrics and gynecology. Korean medicine obstetrics & gynecology (2nd vol). 4th rev. ed. Seoul:Euiseongdnag. 2021:106-13.
  12. Son SM. Essential prescriptions worth a thousand in gold for every emergency. Beijing:Renmin Weisheng Book Publishing Co. 1982:16.
  13. Ryu HY, Lee SY. The effect of moving up and down stressor (seven modes of emotions) on the function of five jang organs. J Orient Neuropsychiatry. 1990;1(1):49-60.
  14. Kasper D, et al. Harrison's principles of internal medicine. 16th rev. ed. NewYork:McGrew-Hill. 2006:131-2, 2654-60.
  15. 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(5):1043-65. https://doi.org/10.1161/01.CIR.93.5.1043
  16. Rajendra Acharya U, et al. Heart rate variability: a review. Med Biol Eng Comput. 2006;44(12):1031-5. https://doi.org/10.1007/s11517-006-0119-0
  17. Kim SH. Review on current status of use and measurement condition of heart rate variability in clinical study of Korean Medicine. J Korean Acupunct & Mox Med Sci. 2012;29(5):127-37.
  18. Lee JY, et al. Analysis on the heart rate variability of dysmenorrhoea patients. J Korean Obstet Gynecol. 2007;20(3): 164-77.
  19. Lee JY, et al. Analysis on the stress response inventory and heart rate variability of dysmenorrhoea patients. J Korean Obstet Gynecol. 2008;21(1): 216-30.
  20. Kim ES, et al. Effects of menstrual cycle on heart rate variability in dysmenorrhea patients. J Korean Obstet Gynecol. 2010;23(2):124-30. https://doi.org/10.15204/JKOBGY.2010.23.2.124
  21. Lee SJ, et al. Comparative analysis of the heart rate variability, body composition, digital infrared thermal imaging and electro pulse graph between primary dysmenorrhea patients and secondary dysmenorrhea patients. J Korean Obstet Gynecol. 2019;32(4): 25-38.
  22. Kim GC, Kim YS. Change of heart rate variability on menstruation in women at college. J Physiol & Pathol Korean Med. 2012;26(5):745-52.
  23. Singh K, et al. Cardiac autonomic activity in young females with primary dysmenorrhea. Indian J Physiol Pharmacol. 2013;57(3):246-54.
  24. Wang YJ, Wang YZ, Yeh ML. A prospective comparison study of heart rate variability during menses in young women with dysmenorrhea. Biol Res Nurs. 2016;18(4):465-72. https://doi.org/10.1177/1099800416640875
  25. Jayamala AK, et al. Comparative analysis of heart rate variability during different phases of menstrual cycle in eumenorrhea & dysmenorrhea subjects. Experimental and clinical physiology and biochemistry. 2017;77(1):12-7. https://doi.org/10.25040/ecpb2017.01.012
  26. Choi YD. Clinical gynecology. 2nd rev. ed. Seoul:Korea Medical Book Publishing Co. 2001:145-7.
  27. The society of Korean medicine obstetrics and gynecology. Korean medicine obstetrics & gynecology (1st vol). 4th rev. ed. Seoul:Euiseongdnag. 2021:44-6.
  28. Park MK, Watanuki S. Specific physiological responses in women with severe primary dysmenorrhea during the menstrual cycle. J Physiol Anthropol Appl Human Sci. 2005;24(6):601-9. https://doi.org/10.2114/jpa.24.601
  29. Kim ES, et al. Effect of acupuncture on heart rate variability in primary dysmenorrheic women. Am J Chin Med. 2011;39(2):243-9. https://doi.org/10.1142/S0192415X11008786
  30. Park SG, et al. The effect of sacroiliac joint manual therapy on heart rate variability in women with primary dysmenorrhea. Phys Ther Rehabil Sci. 2020;9(4):252-60. https://doi.org/10.14474/ptrs.2020.9.4.252
  31. Zhang JY. Complete compendium of Zhang Jingyue. Seoul:Hanmi Medical Publishing Co. 2006:103, 160, 1732.
  32. Woo JM. The concept and clinical application for the measurement of heart rate variability. Korean J Psychosom Med. 2004;12(1):3-14.
  33. Cho MK, et al. The change of heart rate variability in anxiety disorder after given physical or psychological stress. Sleep Med Psychophysiol. 2014;21(2) :69-73. https://doi.org/10.14401/KASMED.2014.21.2.69
  34. Park KJ, Jeong HJ. Assessing methods of heart rate variability. Korean J Community Nutr. 2014;16(2):49-54.
  35. Nam EY, Yoo SJ, Kim HJ. A study on the correlation of heart rate variability and coldness of hands. J Korean Obstet Gynecol. 2015;28(4): 46-56. https://doi.org/10.15204/JKOBGY.2015.28.4.046
  36. Jang EH, Kim AY, Yu HY. Relationships of psychological factors to stress and heart rate variability as stress responses induced by cognitive stressors. Sci Emot Sensib. 2018;21(1):71-82. https://doi.org/10.14695/KJSOS.2018.21.1.71
  37. Kleiger RE, et al. Time domain measurements of heart rate variability. Cardiol Clin. 1992;10(3):487-98. https://doi.org/10.1016/s0733-8651(18)30230-3
  38. Kollipaka R, Arounassalame B, Lakshminarayanan S. Does psychosocial stress influence menstrual abnormalities in medical students? J Obstet Gynaecol. 2013;33(5):489-93. https://doi.org/10.3109/01443615.2013.782272
  39. Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev. 2014;36(1):104-13. https://doi.org/10.1093/epirev/mxt009
  40. Kim JS. Factors affecting dysmenorrhea in undergraduate students. J Korean Acad Soc Nurs Educ. 2014;20(2):350-7. https://doi.org/10.5977/JKASNE.2014.20.2.350
  41. Cain KC, et al. Heart rate variability is related to pain severity and predominant bowel pattern in women with irritable bowel syndrome. Neurogastroenterol Motil. 2007;19(2):110-8. https://doi.org/10.1111/j.1365-2982.2006.00877.x
  42. Cho DS, et al. Heart rate variability in assessment of autonomic dysfunction in patients with chronic prostatitis/chronic pelvic pain syndrome. Urology. 2011;78(6):1369-72. https://doi.org/10.1016/j.urology.2011.07.1379
  43. Hallman DM, Lyskov E. Autonomic regulation, physical activity and perceived stress in subjects with musculoskeletal pain: 24-hour ambulatory monitoring. Int J Psychophysiol. 2012;86(3):276-82. https://doi.org/10.1016/j.ijpsycho.2012.09.017