Effects of Stimulus Frequency, Intensity, and Sex on the Autonomic Response to Transcutaneous Vagus Nerve Stimulation

This study aimed to determine how transcutaneous vagus nerve stimulation (tVNS) alters autonomic nervous activity by comparing the effects of different tVNS frequencies and current intensities. We also investigated the sex-dependent autonomic response to tVNS. Thirty-five healthy adult participants...

Full description

Bibliographic Details
Main Authors: Hirotake Yokota, Mutsuaki Edama, Ryo Hirabayashi, Chie Sekine, Naofumi Otsuru, Kei Saito, Sho Kojima, Shota Miyaguchi, Hideaki Onishi
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/8/1038
_version_ 1797439160889376768
author Hirotake Yokota
Mutsuaki Edama
Ryo Hirabayashi
Chie Sekine
Naofumi Otsuru
Kei Saito
Sho Kojima
Shota Miyaguchi
Hideaki Onishi
author_facet Hirotake Yokota
Mutsuaki Edama
Ryo Hirabayashi
Chie Sekine
Naofumi Otsuru
Kei Saito
Sho Kojima
Shota Miyaguchi
Hideaki Onishi
author_sort Hirotake Yokota
collection DOAJ
description This study aimed to determine how transcutaneous vagus nerve stimulation (tVNS) alters autonomic nervous activity by comparing the effects of different tVNS frequencies and current intensities. We also investigated the sex-dependent autonomic response to tVNS. Thirty-five healthy adult participants were stimulated using a tVNS stimulator at the left cymba conchae while sitting on a reclining chair; tVNS-induced waveform changes were then recorded for different stimulus frequencies (Experiment 1: 3.0 mA at 100 Hz, 25 Hz, 10 Hz, 1 Hz, and 0 Hz (no stimulation)) and current intensities (Experiment 2: 100 Hz at 3.0 mA, 1.0 mA, 0.2 mA (below sensory threshold), and 0 mA (no stimulation)) using an electrocardiogram. Pulse widths were set at 250 µs in both experiment 1 and 2. Changes in heart rate (HR), root-mean-square of the difference between two successive R waves (RMSSD), and the ratio between low-frequency (LF) (0.04–0.15 Hz) and high-frequency (HF) (0.15–0.40 Hz) bands (LF/HF) in spectral analysis, which indicates sympathetic and parasympathetic activity, respectively, in heart rate variability (HRV), were recorded for analysis. Although stimulation at all frequencies significantly reduced HR (<i>p</i> = 0.001), stimulation at 100 Hz had the most pronounced effect (<i>p</i> = 0.001) in Experiment 1 and was revealed to be required to deliver at 3.0 mA in Experiment 2 (<i>p</i> = 0.003). Additionally, participants with higher baseline sympathetic activity experienced higher parasympathetic response during stimulation, and sex differences may exist in the autonomic responses by the application of tVNS. Therefore, our findings suggest that optimal autonomic changes induced by tVNS to the left cymba conchae vary depending on stimulating parameters and sex.
first_indexed 2024-03-09T11:48:42Z
format Article
id doaj.art-b0456ac3748d495e826a6fa3f181da37
institution Directory Open Access Journal
issn 2076-3425
language English
last_indexed 2024-03-09T11:48:42Z
publishDate 2022-08-01
publisher MDPI AG
record_format Article
series Brain Sciences
spelling doaj.art-b0456ac3748d495e826a6fa3f181da372023-11-30T23:18:10ZengMDPI AGBrain Sciences2076-34252022-08-01128103810.3390/brainsci12081038Effects of Stimulus Frequency, Intensity, and Sex on the Autonomic Response to Transcutaneous Vagus Nerve StimulationHirotake Yokota0Mutsuaki Edama1Ryo Hirabayashi2Chie Sekine3Naofumi Otsuru4Kei Saito5Sho Kojima6Shota Miyaguchi7Hideaki Onishi8Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata 950-3198, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata 950-3198, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata 950-3198, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata 950-3198, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata 950-3198, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata 950-3198, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata 950-3198, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata 950-3198, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata 950-3198, JapanThis study aimed to determine how transcutaneous vagus nerve stimulation (tVNS) alters autonomic nervous activity by comparing the effects of different tVNS frequencies and current intensities. We also investigated the sex-dependent autonomic response to tVNS. Thirty-five healthy adult participants were stimulated using a tVNS stimulator at the left cymba conchae while sitting on a reclining chair; tVNS-induced waveform changes were then recorded for different stimulus frequencies (Experiment 1: 3.0 mA at 100 Hz, 25 Hz, 10 Hz, 1 Hz, and 0 Hz (no stimulation)) and current intensities (Experiment 2: 100 Hz at 3.0 mA, 1.0 mA, 0.2 mA (below sensory threshold), and 0 mA (no stimulation)) using an electrocardiogram. Pulse widths were set at 250 µs in both experiment 1 and 2. Changes in heart rate (HR), root-mean-square of the difference between two successive R waves (RMSSD), and the ratio between low-frequency (LF) (0.04–0.15 Hz) and high-frequency (HF) (0.15–0.40 Hz) bands (LF/HF) in spectral analysis, which indicates sympathetic and parasympathetic activity, respectively, in heart rate variability (HRV), were recorded for analysis. Although stimulation at all frequencies significantly reduced HR (<i>p</i> = 0.001), stimulation at 100 Hz had the most pronounced effect (<i>p</i> = 0.001) in Experiment 1 and was revealed to be required to deliver at 3.0 mA in Experiment 2 (<i>p</i> = 0.003). Additionally, participants with higher baseline sympathetic activity experienced higher parasympathetic response during stimulation, and sex differences may exist in the autonomic responses by the application of tVNS. Therefore, our findings suggest that optimal autonomic changes induced by tVNS to the left cymba conchae vary depending on stimulating parameters and sex.https://www.mdpi.com/2076-3425/12/8/1038transcutaneous vagus nerve stimulation (tVNS)heart rate variabilitystimulus frequencystimulus intensitysex differencesparasympathetic nervous activity
spellingShingle Hirotake Yokota
Mutsuaki Edama
Ryo Hirabayashi
Chie Sekine
Naofumi Otsuru
Kei Saito
Sho Kojima
Shota Miyaguchi
Hideaki Onishi
Effects of Stimulus Frequency, Intensity, and Sex on the Autonomic Response to Transcutaneous Vagus Nerve Stimulation
Brain Sciences
transcutaneous vagus nerve stimulation (tVNS)
heart rate variability
stimulus frequency
stimulus intensity
sex differences
parasympathetic nervous activity
title Effects of Stimulus Frequency, Intensity, and Sex on the Autonomic Response to Transcutaneous Vagus Nerve Stimulation
title_full Effects of Stimulus Frequency, Intensity, and Sex on the Autonomic Response to Transcutaneous Vagus Nerve Stimulation
title_fullStr Effects of Stimulus Frequency, Intensity, and Sex on the Autonomic Response to Transcutaneous Vagus Nerve Stimulation
title_full_unstemmed Effects of Stimulus Frequency, Intensity, and Sex on the Autonomic Response to Transcutaneous Vagus Nerve Stimulation
title_short Effects of Stimulus Frequency, Intensity, and Sex on the Autonomic Response to Transcutaneous Vagus Nerve Stimulation
title_sort effects of stimulus frequency intensity and sex on the autonomic response to transcutaneous vagus nerve stimulation
topic transcutaneous vagus nerve stimulation (tVNS)
heart rate variability
stimulus frequency
stimulus intensity
sex differences
parasympathetic nervous activity
url https://www.mdpi.com/2076-3425/12/8/1038
work_keys_str_mv AT hirotakeyokota effectsofstimulusfrequencyintensityandsexontheautonomicresponsetotranscutaneousvagusnervestimulation
AT mutsuakiedama effectsofstimulusfrequencyintensityandsexontheautonomicresponsetotranscutaneousvagusnervestimulation
AT ryohirabayashi effectsofstimulusfrequencyintensityandsexontheautonomicresponsetotranscutaneousvagusnervestimulation
AT chiesekine effectsofstimulusfrequencyintensityandsexontheautonomicresponsetotranscutaneousvagusnervestimulation
AT naofumiotsuru effectsofstimulusfrequencyintensityandsexontheautonomicresponsetotranscutaneousvagusnervestimulation
AT keisaito effectsofstimulusfrequencyintensityandsexontheautonomicresponsetotranscutaneousvagusnervestimulation
AT shokojima effectsofstimulusfrequencyintensityandsexontheautonomicresponsetotranscutaneousvagusnervestimulation
AT shotamiyaguchi effectsofstimulusfrequencyintensityandsexontheautonomicresponsetotranscutaneousvagusnervestimulation
AT hideakionishi effectsofstimulusfrequencyintensityandsexontheautonomicresponsetotranscutaneousvagusnervestimulation