Central markers of obesity affect heart rate variability independent of physical activity in young adults

Introduction: Obesity is considered to be a risk factor for a variety of cardiovascular conditions. Various markers for obesity are used to evaluate effect of obesity on cardiovascular autonomic activity. In light of conflicting reports on effect of obesity on heart rate variability (HRV), use of ob...

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Main Authors: Anushna Banerjee, Nikhilesh Singh, Aruna Raju, Richa Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2521;epage=2525;aulast=Banerjee
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author Anushna Banerjee
Nikhilesh Singh
Aruna Raju
Richa Gupta
author_facet Anushna Banerjee
Nikhilesh Singh
Aruna Raju
Richa Gupta
author_sort Anushna Banerjee
collection DOAJ
description Introduction: Obesity is considered to be a risk factor for a variety of cardiovascular conditions. Various markers for obesity are used to evaluate effect of obesity on cardiovascular autonomic activity. In light of conflicting reports on effect of obesity on heart rate variability (HRV), use of obesity indices, and the effect of physical activity on HRV, we evaluated autonomic activity in young Indian obese adults using revised Indian and World Health Organization (WHO) body mass index (BMI) guidelines for obesity, waist circumference (WC), and waist–hip ratio (WHR) taking into consideration the level of physical activity. Methods: The study was conducted on 91 young healthy adults. Height, weight, waist, and hip circumference were recorded to determine BMI and WHR. Five-minute electrocardiogram (ECG) was recorded for assessment of HRV. Physical activity was assessed by the WHO Global Physical Activity Questionnaire (GPAQ). Results: Waist circumference showed a negative correlation with the time domain parameters of HRV and high frequency normalized units (HFnu) while a positive correlation with low frequency normalized units (LFnu). In multiple linear regression analysis, time domain indices, HFnu and total power decreased while LFnu increased with an increase in WC. The result was supported by the similar effect of waist–hip ratio categories on HRV in analysis of covariance (ANCOVA). Physical activity had no effect on HRV. Conclusion: Central obesity parameters are better predictors of effect of obesity on HRV independent of the effect of physical activity.
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spelling doaj.art-730dd9650f694be0acd2dde3eb06cb7b2022-12-22T00:42:54ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011162521252510.4103/jfmpc.jfmpc_1970_21Central markers of obesity affect heart rate variability independent of physical activity in young adultsAnushna BanerjeeNikhilesh SinghAruna RajuRicha GuptaIntroduction: Obesity is considered to be a risk factor for a variety of cardiovascular conditions. Various markers for obesity are used to evaluate effect of obesity on cardiovascular autonomic activity. In light of conflicting reports on effect of obesity on heart rate variability (HRV), use of obesity indices, and the effect of physical activity on HRV, we evaluated autonomic activity in young Indian obese adults using revised Indian and World Health Organization (WHO) body mass index (BMI) guidelines for obesity, waist circumference (WC), and waist–hip ratio (WHR) taking into consideration the level of physical activity. Methods: The study was conducted on 91 young healthy adults. Height, weight, waist, and hip circumference were recorded to determine BMI and WHR. Five-minute electrocardiogram (ECG) was recorded for assessment of HRV. Physical activity was assessed by the WHO Global Physical Activity Questionnaire (GPAQ). Results: Waist circumference showed a negative correlation with the time domain parameters of HRV and high frequency normalized units (HFnu) while a positive correlation with low frequency normalized units (LFnu). In multiple linear regression analysis, time domain indices, HFnu and total power decreased while LFnu increased with an increase in WC. The result was supported by the similar effect of waist–hip ratio categories on HRV in analysis of covariance (ANCOVA). Physical activity had no effect on HRV. Conclusion: Central obesity parameters are better predictors of effect of obesity on HRV independent of the effect of physical activity.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2521;epage=2525;aulast=Banerjeebody mass indexheart rate variabilitywaist circumferencewaist–hip ratio
spellingShingle Anushna Banerjee
Nikhilesh Singh
Aruna Raju
Richa Gupta
Central markers of obesity affect heart rate variability independent of physical activity in young adults
Journal of Family Medicine and Primary Care
body mass index
heart rate variability
waist circumference
waist–hip ratio
title Central markers of obesity affect heart rate variability independent of physical activity in young adults
title_full Central markers of obesity affect heart rate variability independent of physical activity in young adults
title_fullStr Central markers of obesity affect heart rate variability independent of physical activity in young adults
title_full_unstemmed Central markers of obesity affect heart rate variability independent of physical activity in young adults
title_short Central markers of obesity affect heart rate variability independent of physical activity in young adults
title_sort central markers of obesity affect heart rate variability independent of physical activity in young adults
topic body mass index
heart rate variability
waist circumference
waist–hip ratio
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2521;epage=2525;aulast=Banerjee
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