Nakao Mutsuhiro, Nomura Kyoko, Karita Kanae, Nishikitani Mariko, Yano Eiji
Department of Hygiene and Public Health, Teikyo University School of Medicine, Kaga, Tokyo, Japan.
Hypertens Res. 2004 Dec;27(12):925-31. doi: 10.1291/hypres.27.925.
This study examined the relationship between arterial stiffness and autonomic nervous function in a young population. A cross-sectional study was conducted on 382 Japanese males, aged 24 to 39 years, who worked at the same information service company. Brachial-ankle pulse wave velocity (baPWV) was measured using an automatic waveform analyzer, and the spectral power of heart rate variability in the low frequency (LF: 0.04-0.15 Hz) and the high frequency (HF: 0.15-0.40 Hz) band was evaluated by the maximum entropy method. LF/HF and HF were used as the indicators of sympathetic and parasympathetic nervous activity, respectively. Psycho-hormonal responses were examined by the Profile of Mood State (tension-anxiety and anger-hostility scales) and Hamilton's Depression Scale with serum cortisol and catecholamine levels. In a univariate analysis, baPWV was positively associated with the following variables (all p <0.05): LF/HF, age, body mass index, systolic and diastolic blood pressures, heart rate, serum total cholesterol and triglycerides, blood glucose, and plasma cortisol and noradrenaline. Multiple regression analysis indicated that LF/HF was an independent predictor of baPWV (p <0.05), after controlling for significant effects of age, systolic blood pressure, and plasma noradrenaline levels. There was no significant effect of HF on baPWV in this multivariate analysis. Neither mood state nor health-related lifestyle factors such as smoking were significant. It was suggested that baPWV is closely associated with sympathetic nervous activity in young men.
本研究调查了年轻人群中动脉僵硬度与自主神经功能之间的关系。对在同一家信息服务公司工作的382名24至39岁的日本男性进行了一项横断面研究。使用自动波形分析仪测量肱踝脉搏波速度(baPWV),并通过最大熵法评估低频(LF:0.04 - 0.15Hz)和高频(HF:0.15 - 0.40Hz)频段心率变异性的频谱功率。LF/HF和HF分别用作交感神经和副交感神经活动的指标。通过情绪状态量表(紧张焦虑和愤怒敌意量表)以及汉密尔顿抑郁量表,并结合血清皮质醇和儿茶酚胺水平来检测心理 - 激素反应。在单因素分析中,baPWV与以下变量呈正相关(所有p <0.05):LF/HF、年龄、体重指数、收缩压和舒张压、心率、血清总胆固醇和甘油三酯、血糖以及血浆皮质醇和去甲肾上腺素。多元回归分析表明,在控制了年龄、收缩压和血浆去甲肾上腺素水平的显著影响后,LF/HF是baPWV的独立预测因子(p <0.05)。在该多变量分析中,HF对baPWV没有显著影响。情绪状态以及吸烟等与健康相关的生活方式因素均无显著影响。研究表明,baPWV与年轻男性的交感神经活动密切相关。