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http://dx.doi.org/10.15204/jkobgy.2016.29.3.010

A Study of the Characteristics of the HRV of the Girl Showing a Precocious Puberty  

Yang, Seung-Jeong (Dept. of Oriental Gynecology, College of Oriental Medicine, Dong-Shin University)
Park, Kyung-Mi (Dept. of Oriental Gynecology, College of Oriental Medicine, Dong-Shin University)
Cho, Seong-Hee (Dept. of Oriental Gynecology, College of Oriental Medicine, Dong-Shin University)
Publication Information
The Journal of Korean Obstetrics and Gynecology / v.29, no.3, 2016 , pp. 10-22 More about this Journal
Abstract
Objectives: The aim of the study was to investigate the characteristics of the autonomic innervation of the heart in Precocious Puberty (PP) Girls.Methods: We studied 87 girls visiting Dongshin University Suncheon Oriental Medicine hospital from first Januarty 2013 to 31th December 2015. Among the 87 girls who were selected 14 people under the age of 8. The subjects were categorized in two groups, 2 PP girls and 12 healthy controls. We studied the difference of Heart rate variability (HRV) between two groups by Independent samples T-test using SPSS for windows (version 22.0).Results: The Standard deviation of all normal R-R intervals (SDNN), The spuare root of the sum of the spuare of difference between adjacent normal R-R intervals (RMS-SD) of PP group was non-significantly lower than non-PP group. Total power (TP), Very low frequency power (VLF), High frequency power (HF), Low frequency power (LF) of PP group was non-significantly lower than non-PP group, LF/HF ratio of PP group was significantly higher than non-PP group. Normalized high frequency power (HF norm) of PP group was non-significantly lower than non-PP group. Normalized low frequency power (LF norm) of PP was non-signficantly higher than non-PP group.Conclusion: The results suggest that imbalance of sympathetic and parasympathetic nervous system from girls of precocious puberty can be seen.
Keywords
Precocious Puberty; Heart Rate Variability; Autonomic Nervous System;
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Times Cited By KSCI : 10  (Citation Analysis)
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1 Liu HL, Liu J. From the Liver and Kidney girls precocious puberty. Beijing Traditional Chinese Medicine. 2006; 25(2):90-1.
2 Gao H, Liu YP. Yunpeng treatment of idiopathic precocious puberty girls experience. Hubei Journal of Traditional Chinese Medicine. 2004;26(12):13-4.
3 Wang Y, Sheng KS, Chen Q. Advances in medical treatment of precocious puberty. Jilin Journal of Traditional Chinese Medicine. 2007;27(6):64-5.
4 Lin YY, et al. A quantification model of Traditional Chinese Medicine syndromes in children with idiopathic precocious puberty and early puberty. J Tradit Chin Med. 2013;15;33(5):630-6.   DOI
5 Park MJ, et al. The timing of sexual maturation and secular trends of menarchial age in Korean adolescents. Korean Journal of Pediatrics. 2006;49:610-6.   DOI
6 Lee HL, Kyung HJ, Kim YH. The Characters of Autonomic Nervous System in Heart Weak Children through Analysis of Heart Rate Variability. Journal Pediatrics Korean Medicine. 2013;27(3):1-11.
7 Yoo ES, et al. A Study on HRV(Heart Rate Variability) Characteristics of Women Visited to Herbal Treatment after Missed Abortion. The Journal of Oriental Obstetrics and Gynecology. 2015;28(3):30-9.   DOI
8 Ahn JY, et al. A Study on Heart Rate Variability(HRV) of Women with Fibroadenoma. The Journal of Oriental Obstetrics and Gynecology. 2012;25(4):56-65.
9 Hwang JH, Yoon YJ. Basic Studies on Correlations between Postpartum Edema and Heart Rate Variability. The Journal of Oriental Obstetrics and Gynecology. 2011;24(4):186-93.
10 Park JK, et al. A Study on the Relation between Qi Deficiency Condition and CBC, HRV in Some Postpartum Women. The Journal of Oriental Obstetrics and Gynecology. 2008;21(1):231-41.
11 Ranke MB, et al. Diagnostics of endocrine function in children and adolescents. Kager:Basel. 2003:356-71.
12 Textbook compilation committee of The Korean Association of Obstetricians and Gynecologists. Gynecology. 5th. ed. Seoul:Korea medical book publisher. 2015:1050-63.
13 Bar A, et al. Bayley-Pinneau method of height prediction in girls with central precocious puberty: correlation with adult height. The Journal of Pediatrics. 1995;126:955-8.   DOI
14 Carel JC, Léger JL. Precocious puberty. The New England journal of medicine. 2008;358(22):2366-77.   DOI
15 Xhrouet-Heinrichs D, et al. Longitudinal study of behavioral and affective patterns in girls with central precocious puberty during long-acting triptorelin therapy. Acta Paediatrica Nurturing The Child. 1997;86:808-15.
16 Carel JC, et al. Consensus statement on the use of gonadotropinreleasing hormone analogs in children. Pediatrics. 2009;123:752-62.   DOI
17 Carel JC, et al. Precocious puberty and statural growth. Human Reproduction Update. 2004;10:135-47.   DOI
18 Mul D, Hughes IA. The use of GnRH agonists in precocious puberty. European Journal of Endocrinology. 2008;159:3-8.   DOI
19 Tonini G, Lazzerini M. Side Effects of GnRH Analogue Treatment in Childhood. Journal of Pediatric Endocrinology and Metabolism. 2000;13:795-803.
20 Klein KO, et al. Increased final height in precocious puberty after long-term treatment with LHRH agonists: the National Institutes of Health experience. The Journal of Clinical Endocrinology and Metabolisom. 2001;86:4711-6.   DOI
21 Oriental obstetrics & Gynecology. Korean obstetrics & Gynecology(Ha). Seoul: EuiSeongDang publishing company. 2015:162.
22 Lee MJ, et al. The Study for Precocious Puberty in Recent Journals of Traditional Chinese Medicine. The Journal of Korean Oriental Pediatrics. 2008;22(1):163-87.
23 Kim JY, et al. A Report on the Effect of Jowisengchung-tang in 2 Cases of Precocious Puberty. The Journal of Oriental Obstetrics and Gynecology. 2013;26(2):178-87.   DOI
24 Lim YK, et al. A Case Report of Precocious Puberty in a Female Patient: Significant Improvement in Controlling the Sex Hormone Levels. The Journal of Pediatric Korean Medicine. 2014;28(4):64-70.   DOI
25 Sun Y, et al. Effect of nourishing " Yin" -removing " Fire" Chinese herbal mixture on hypothalamic kisspeptin expression in female precocious rats. J Ethnopharmacol. 2010;127(2):274-9.   DOI
26 Yu CH, et al. Traditional Chinese medicine for idiopathicprecocious puberty: A hospital-basedretrospective observational study. Complementary Therapies in Medicine. 2014;22:258-65.   DOI
27 Naoto SM, et al. Assessment of Measurement of Children's Bone Age Ultrasonically with Sunlight BonAge. Clinical Pediatric Endocrinology. 2005;14:17-20.   DOI
28 Hong CH, et al. The sexual maturity rating of adolescent boys and girls in Korea. Korean Journal of Pediatrics. 1994;37:193-8.
29 Rollin M, Alan W. Autonomic assessment report: a comprehensive heart rate variability analysis–interpretation guide and instructions. Institue of HeartMath. 1996:1-42.
30 Kim MY, et al. Analysis of DITI, HRV about the Effect of Far Infrared Radiation Applied to Whole Body(‘ On-tong Therapy’). The Journal of Oriental Obstetrics and Gynecology. 2013;26(4):94-106.   DOI
31 Aylin YD, et al. Heart Rate Variability in Young Women with Polycystic Ovary Syndrome. Annals of Noninvasive Electrocardiology. 2006;11(4):306-12.   DOI
32 Monica BB, et al. Heart rate variability in adolescents with functional hypothalamic amenorrhea and anorexia nervosa. Psychiatry Research. 2014;215(2):406-9.   DOI
33 Berberoğlu M. Precocious puberty and normal variant puberty: definition, etiology, diagnosis and current management. Journal of Clinical Research in Pediatric Endocrinology. 2009;1:164-74.   DOI
34 The Korean Society of Gynecologic Endocrinology. Gynecologic Endocrinology. Seoul:Koonja publisher. 2012:211-25.
35 Kim SL, et al. Clinical and Laboratory Characteristics of Precocious Puberty in Girls. Journal of reproductive endocrinology. 2009;1:31-40.
36 Tremblay L, Frigon JY. Precocious puberty in adolescent girls: a biomarker of later psychosocial adjustment problems. Child Psychiatry and Human Development. 2005;36(1):73-94.   DOI
37 Health Insurance Review & Assessment Service. Precocious puberty(cited July 14, 2016), Available from:http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041000000& cmsurl=/cms/inform/02/1205871_27116.html.
38 Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in girls. Archives of Disease Childhood. 1969;44:291-303.   DOI
39 The Korean Society of Pediatric Endocrinolgy. The Korean Society of Pediatric Endocrinolgy's C'linical Guidelines. Seoul:UihakMunhwasa. 2011:1-23.