Doncheva Nadezhda I, Nikolova Rouja I, Danev Svetoslav G
Lipid Laboratory, Medical Institute-Ministry of Interior, Sofia, Bulgaria.
Folia Med (Plovdiv). 2003;45(1):8-12.
Chronic stress could be a risk factor triggering, aggravating or causing overweight, dyslipoproteinemia and coronary artery disease.
The purpose of this study was to determine the association between stress assessed by heart rate variability measures, dyslipoproteinemia, and overweight.
Total cholesterol, high and low density lipoproteins cholesterol and triglycerides were analyzed by enzyme methods; heart rate variability was evaluated using a computer program for analysis of cardiointervals in 47 individuals with dyslipoproteinemia.
Positive correlations were found between heart rate and low density lipoprotein cholesterol, between mental stress and total cholesterol/high density lipoprotein cholesterol, between physical stress and total cholesterol, low density lipoproteins cholesterol, triglycerides and body mass index, and between functional age and health risk, and total cholesterol and low density lipoprotein cholesterol. The total cholesterol and low density lipoprotein cholesterol were negatively correlated with the time- and frequency-domain heart rate variability measures. A chronically increased health risk (> 65%) was observed in 15 individuals with dyslipoproteinemia, 11 of them with body mass index exceeding 25.0 kg/m2.
Heart rate variability measures decrease in individuals with dyslipoproteinemia. Decreasing of heart rate variability is induced by the increased activity of the sympathetic branch of the autonomic nervous system under chronic stress effect. Results of our study revealed a significant association between physical stress, serum lipids and overweight and risk of coronary artery disease.
慢性应激可能是引发、加重或导致超重、血脂异常和冠状动脉疾病的危险因素。
本研究旨在确定通过心率变异性测量评估的应激与血脂异常和超重之间的关联。
采用酶法分析总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇和甘油三酯;使用计算机程序对47例血脂异常患者的心动间期进行分析,评估心率变异性。
心率与低密度脂蛋白胆固醇之间、精神应激与总胆固醇/高密度脂蛋白胆固醇之间、身体应激与总胆固醇、低密度脂蛋白胆固醇、甘油三酯和体重指数之间、功能年龄与健康风险以及总胆固醇与低密度脂蛋白胆固醇之间均存在正相关。总胆固醇和低密度脂蛋白胆固醇与时域和频域心率变异性测量值呈负相关。在15例血脂异常患者中观察到慢性健康风险增加(>65%),其中11例体重指数超过25.0kg/m²。
血脂异常患者的心率变异性测量值降低。在慢性应激作用下,自主神经系统交感神经分支活动增加导致心率变异性降低。我们的研究结果揭示了身体应激、血脂、超重与冠状动脉疾病风险之间的显著关联。