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Association between metabolic syndrome components and cardiac autonomic modulation in southern Indian adults with pre-metabolic syndrome: hyperglycemia is the major contributing factor

  • Endukuru Chiranjeevi Kumar;Girwar Singh Gaur;Dhanalakshmi Yerrabelli;Jayaprakash Sahoo;Balasubramaniyan Vairappan;Alladi Charanraj Goud
    • The Korean Journal of Physiology and Pharmacology
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    • v.27 no.1
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    • pp.49-59
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    • 2023
  • Metabolic syndrome (MetS) involves multi-factorial conditions linked to an elevated risk of type 2 diabetes mellitus and cardiovascular disease. Pre-metabolic syndrome (pre-MetS) possesses two MetS components but does not meet the MetS diagnostic criteria. Although cardiac autonomic derangements are evident in MetS, there is little information on their status in pre-MetS subjects. In this study, we sought to examine cardiac autonomic functions in pre-MetS and to determine which MetS component is more responsible for impaired cardiac autonomic functions. A total of 182 subjects were recruited and divided into healthy controls (n=89) and pre-MetS subjects (n=93) based on inclusion and exclusion criteria. We performed biochemical profiles on fasting blood samples to detect pre-MetS. Using standardized protocols, we evaluated anthropometric data, body composition, baroreflex sensitivity (BRS), heart rate variability (HRV), and autonomic function tests (AFTs). We further examined these parameters in pre-MetS subjects for each MetS component. Compared to healthy controls, we observed a significant cardiac autonomic dysfunction (CAD) through reduced BRS, lower overall HRV, and altered AFT parameters in pre-MetS subjects, accompanied by markedly varied anthropometric, clinical and biochemical parameters. Furthermore, all examined BRS, HRV, and AFT parameters exhibited an abnormal trend and significant correlation toward hyperglycemia. This study demonstrates CAD in pre-MetS subjects with reduced BRS, lower overall HRV, and altered AFT parameters. Hyperglycemia was considered an independent determinant of alterations in all the examined BRS, HRV, and AFT parameters. Thus, hyperglycemia may contribute to CAD in pre-MetS subjects before progressing to MetS.

A Study on the Relations between Yangseng Level and Stress in Industrial Workers (근로자(勤勞者)의 양생수준(養生水準)과 스트레스와의 관계(關係))

  • Ahn, Hun-Mo;Kim, Sung-Sam;Kim, Wan-Gyeom;Yu, Ho-Dal;Chong, Myong-Soo;Lee, Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.11 no.1
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    • pp.109-129
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    • 2007
  • This study aims at grasping the relativity between laborers' yangseng level and stress so as to present the groundwork for preventive oriental medicine approach in industrial health. The researcher prepared the questionnaire on general character, health-related yangseng level and chose 632 people to execute Autonomic balance test through heartbeat change. The collected material was analyzed by SPSS and tested by T-test, ANOVA. The general yangseng level average is 3.27, morality yangseng 3.91, sleep yangseng 3.39, mind yangseng 3.32, sex life yangseng 3.29, exercise yangseng 3.14, activities and rest yangseng 3.07, diet yangseng 2.95, seasonal yangseng 2.84. The highest is morality yangseng and seasonal yangseng is the lowest. In the aspect of yangseng level : Having a spouse, Non-smoking, Non-drinking, Regular exercising, Sufficient sleeping have higher yanseng levels. In Autonomic balance test, age from 35 to 40 has the highest autonomic activity and job period from 5 years to 10 years has the highest stress resistance. Non-smokers have high autonomic activity and stress resistance. Further, have low autonomic balance, stress index and fatigue strength. In the case of regular exercising person, he/she has high autonomic activity and stress resistance with low stress index. Regarding sleeping time, autonomic balance is the highest when he/she sleeps less than 6 hours. Stress resistance is the highest when he/she sleeps 7 hours and stress index is the highest when he/she sleeps 6 hours. After comparing the relativity between yangseng level autonomic balance test, only exercise yangseng has plus factor on autonomic activity and stress resistance and minus factor on stress ind ex and fatigue strength. Yangseng level has been affected by individual character and daily habits. Also stress is more influenced by daily habits than by individual character. We can find the relativity of exercise yangseng between yangseng and stress which suggests that we need to take measures to win over stress in individual health in the near future.

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A Study on the Relations between Yangseng Level and Stress in Industrial Workers (근로자(勤勞者)의 양생수준(養生水準)과 스트레스와의 관계(關係))

  • Ahn, Hun Mo;Kim, Sung Sam;Kim, Wan Gyeom;Yu, Ho Dal;Chong, Myong Soo;Lee, Ki Nam
    • Journal of Korean Medical Ki-Gong Academy
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    • v.10 no.1
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    • pp.100-129
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    • 2007
  • This study aims at grasping the relativity between laborers' yangseng level and stress so as to present the groundwork for preventive oriental medicine approach in industrial health. The researcher prepared the questionnaire on general character, - health-related yangseng level and chose 632 people to execute Autonomic balance test through heartbeat change. The collected material was analyzed by SPSS and tested by T-test, ANOVA The general yangseng level average is 3.27, morality yangseng 3.91, sleep yangseng 3.39, mind yangseng 3.32, sex life yangseng 3.29, exercise yangseng 3.14, activities and rest yangseng 3.07, diet yangseng 2.95, seasonal yangseng 2.84. The highest is morality yangseng and seasonal yangseng is the lowest. In the aspect of yangseng level: Having a spouse, Non-smoking, Non-drinking, Regular exercising, Sufficient sleeping have higher yangseng levels. In Autonomic balance test, age from 35 to 40 has the highest autonomic activity and job period from 5 years to 10 years has the highest stress resistance. Non-smokers have high autonomic activity and stress resistance. Further, have low autonomic balance, stress index and fatigue strength. In the case of regular exercising person, he/she has high autonomic activity and stress resistance with low stress index. Regarding sleeping time, autonomic balance is the highest when he/she sleeps less than 6 hours. Stress resistance is the highest when he/she sleeps 7 hours and stress index is the highest when he/she sleeps 6 hours. After comparing the relativity between yangseng level autonomic balance test, only exercise yangseng has plus factor on autonomic activity and stress resistance and minus factor on stress index and fatigue strength. Yangseng level has been affected by individual character and daily habits. Also stress is more influenced by daily habits than by individual character. We can find the relativity of exercise yangseng between yangseng and stress which suggests that we need to take measures to win over stresses in individual health in the near future.

A Review of the Latest Research Trends in Rosacea and Recommendations for More Effective Oriental Medicine Treatments - Focusing on Autonomic Nervous System Regulation - (주사피부염의 최신 연구 동향 및 더욱 효과적인 한방치료를 위한 제언 - 자율신경 기능조절을 중심으로 -)

  • EunKyung Lee;Byunghyun Kim;YeEun Hong;Heejae Lee;Kyuseok Kim;Haejeong Nam;YoonBum Kim
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.37 no.3
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    • pp.17-28
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    • 2024
  • Objectives : The aim of this study is to explore the potential of oriental medicine in managing rosacea through the regulation of the autonomic nervous system. Methods : We reviewed studies on the pathophysiology and medical treatment (both western and oriental medicine) of rosacea, as well as the relationship between rosacea and the autonomic nervous system, using four databases: PubMed, OASIS, RISS, and NDSL. Results : Rosacea is a chronic recurrent inflammatory disease characterized by symptoms such as facial flushing, inflammatory papules, and pustules. In Western medicine, symptomatic treatments like vasoconstrictors, doxycycline, and anti-inflammatory drugs are primarily used. According to the pathophysiological mechanisms of rosacea, the autonomic nervous system is closely related, particularly with sympathetic overactivity causing vasodilation and local inflammation in rosacea patients. Additionally, recent studies report that rosacea patients frequently exhibit neuropsychiatric symptoms such as anxiety, depression, and insomnia, which are closely linked to autonomic dysfunction and contribute to the worsening of skin symptoms. However, current studies on the use of oriental medicine for rosacea focus mainly on anti-inflammatory effects at the local level, similar to conventional treatments. Conclusions : Based on the close involvement of the autonomic nervous system in the pathophysiological mechanisms of rosacea and numerous studies showing that oriental medicine can effectively regulate autonomic function, applying such treatments to rosacea patients may improve not only skin symptoms but also the frequently associated neuropsychiatric symptoms like anxiety, depression and insomnia.

The Effects of Aromatherapy on Autonomic Nerve System and Physical Resistance of a Stress (아로마 요법이 뇌졸중환자의 자율신경계와 스트레스에 대한 신체 저항도에 미치는 효과)

  • Shin, Yoo-Sun;Cho, Young-Suk;Jung, Yu-Jin
    • Journal of Korean Biological Nursing Science
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    • v.6 no.2
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    • pp.5-17
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    • 2004
  • Purpose: The purpose of this study is to determine effects of aromatherapy on the activity and balance of autonomic nervous system and on physical resistance to stress. Methods: This research is a primitive experimental design which attempts to analyze aromatherapy EKG monitoring on real-time basis. Lavender & Chamomile, each 30 drops, were blended with 100ml Sweet Almond oil. Subjects was laid relaxed, and had insides of his wrists and ankles attached with electrodes for EKG. Right after applied with essential oil onto his philtrum and parotid, started on EKG monitoring. Results: The activities of parasympathetic and sympathetic nerve were changed as time elapsed, with significant differences(p=.000). In multiple comparison, the value was significantly different(p<.05).The balance of autonomic nerve was changed, becoming close to the normal level in accord with applicable international standards(1.5)(p=.011). In multiple comparison, the value showed a significant difference(p<.05). Physical resistance to stress increased with the passage of time, but not statistically significant. Conclusions: This suggests that aromatherapy can be used as a nursing intervention which aims at alleviating symptoms related to the imbalance of autonomic nerve system such as headache, hot flashes, irregular heartbeat, nervousness, depression and anxiety.

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Analysis about Autonomic Nervous Activity and Balance of Workers (근로자들의 자율신경 활성 및 균형도에 대한 분석)

  • Jang, Woo-Seok
    • Korean Journal of Oriental Medicine
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    • v.18 no.2
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    • pp.47-54
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    • 2012
  • Objective : This study was designed to analyze the results of autonomic nervous activity(ANA) and autonomic nervous balance(ANB) by heart rate variability test. The subjects were workers in the automobile manufacturing company. Method : The subjects consisted of 32,049 workers who had answered about questionnaires of a job position, age, smoking, drinking, exercise history and sex. The ANA and ANB were examined by SA3000P. I analyzed the differences of ANA and ANB according to job positions, ages, the state of smoking, drinking, exercise and sex by T-test or ANOVA with SPSS ver. 17.0. Results : Regarding the differences of ANA among job positions, the ANA was lowest in sales positions, highest in production workers. Among ages, the ANA was highest in 50s, lowest in 30s. In smoking, the ANA was higher in non-smoking group. In drinking, the ANA was higher in non-drinking group. In exercise, the ANA was higher in exercise group. In sex, there was no significant difference. The case of ANB, there were no significant differences except for ages. Among ages, the ANB was highest in 20s, the lowest in 40s. Conclusion : According to these results, we should establish the methods of controlling ANA and ANB from the perspective of Korean traditional medicine.

Posture Change Affects Indices of Pupil Size - Korean Males in Their Twenties

  • Lee, Jeung-Chan;Kim, Ji-Eun;Park, Kyung-Mo
    • Journal of Biomedical Engineering Research
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    • v.28 no.1
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    • pp.1-7
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    • 2007
  • To determine the effect of posture change on autonomic activity and to investigate valid parameters to reflex the autonomic activity from time-series pupil size data, a posture-related experiment was performed with 15 subjects, which involved measuring their electrocardiograms and pupil sizes. The experimental procedure consisted of three-sequence postures-supine, sitting and upright-for 5 minutes each, with rest sessions between postures. The subjects were notified of the entire experimental procedure. The parameters of the subjects' heart rate variability showed significant differences between the postures (heart rate: 63-70-80 beat, normalized low frequency power: 28-50-75, normalized high frequency power: 72-49-25 and ratio: 0.5-1.2-4.4 in supine-sitting-upright position respectively) as did the parameters of their mean pupil sizes (41300-53900-53700 pixels respectively) and the major frequencies (the third trend: 0.23-0.2-0.18 Hz respectively) of their pupil size variability according to changes in their autonomic activities induced by posture change. The experiment thus proved that posture change affects autonomic activity and that such activity can be estimated by the parameters of pupil size as similar as heart rate variability.

Effects of Qi Hand Reflexology on Autonomic Nervous System Activity and Physical Resistance to Stress in Inpatients (기 손 반사요법이 입원환자의 자율신경계 활성도와 스트레스 저항도에 미치는 영향)

  • Oh, Sei-Young;Park, Ok-Soon;Woo, Myung-Yi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.4
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    • pp.531-538
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    • 2010
  • Purpose: This study was done to identify the effects of Qi hand reflexology on autonomic nerve activity in patients admitted to hospital. Method: A non-equivalent control group and quasi-experimental research with pre/post test design were used and 59 patients on a medical ward were assigned to either the experimental group (32) or the control group (27). The study variables included vital signs, autonomic nerve activities (ALF (absolute low frequency), AHF (absolute high frequency), nLF (normalized low frequency), nHF (normalized high frequency), SDNN (standard deviation of all normal-normal intervals)) and were evaluated using the QECG-3 system. The experimental group was treated with Qi hand reflexology for 10 minutes per day, for 3days. Results: Skin temperature and systolic blood pressure in the experimental decreased with treatment. ALF, AHF and SDNN for the experimental group increased with regulating proportion (nLF: nHF=6:4) and a significant difference between the groups was observed. Conclusion: The results indicated that application of Qi hand reflexology for patients in the hospital is effective in regulating the autonomic nervous system activation. Implication of finding should be useful for future research.

Emotional and autonomic responses to IAPS-based stimulation : Effects of 1/f music and white noise on electrodermal and cardiorespiratory variables during the post-stress recovery (국제정서사진체계 ( IAPS ) 를 이용한 정서 및 자율신경계 반응 연구 : 1/f 음악 및 white noise가 스트레스 회복단계에서의 피부전기반응 및 심박호흡계 반응에 미치는 영향)

  • ;Estate Sokhadze
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 1997.11a
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    • pp.228-232
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    • 1997
  • The special interest should be paid to the analysis of the influences of positive emotions in terms of their possible effects on the dyanmics of autonomic. recovery after the negative affective stimualtion. Taking into account emotion-specific autonomic response patterning and dissociation of parameters of autonomic arousal during experience of both positive and negative emotional states, this problem seems a challenging one. In present study several autonomic parameters were analyzed altogether, namely inedices of electrodermal activity, heart rate and respitation rate during consecutive combination or both IAPS-based visual affective and auditory stimulation. The aim of the study was analysis of patterns of electrodermal and cardiorespiratory responses during emotional states evoked by negative affective visual stimulation followed by positive or neutral auditory one with intention to identify if the latter is able to facilitate post-stress recovery and enhance restoration of pre-arousal levels. The main orientation was dirdcted towards the further application of experimentally induced comfort emotions for dampening the negative consequences of exposure to stressful stimuli.

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AUTONOMIC MECHANISMS OF AN ACUTE STRESS RESPONSE DURING WORD RECOGNITION TASK PERFORMANCE WITH INTENSE NOISE BACKGROUND (백색소음하의 단어재인검사 수행에 따른 자율신경계 스트레스 반응)

  • ;;;Estate Sokhadze
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 1999.03a
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    • pp.127-132
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    • 1999
  • Cardiovascular, respiratory and electrodermal responses to acute stress episodes modeled by combined presentation of intense white noise and performance of word recognition task with noise background were studied in 15 college students. Experimental procedure consisted in sessions with white noise, word recognition task presentation with noise background and test with noise background. Recorded physiological variables were analyzed in terms of their sensitivity to detect activation of sympathetic and parasympathetic branches of autonomic nervous system and thus reflect autonomic arousal level during shout-term stress-inducing experimental manipulations. It was shown that performance of effortful mental task with noise background elicited significant physiological responses typical for active coping behavior, namely electrodermal arousal and increased cardiovascular activity. this response profile was more profound as compared to white noise only or attending task in noise background. However, all physiological responses were mostly phasic, without long-term tonic changes, since almost all variables recovered to their initial baseline levels, suggesting that dominant autonomic mechanisms in transient acute stress episodes were of parasympathetic nature (withdrawal in stress with subsequent activation in restoration period), while sympathetic contribution was not long-lasting. Nevertheless, increased number of stressors and their longer exposure may result in higher profile of tonic sympathetic arousal and reduced functional role of vagal mechanisms in autonomic balance regulation.

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