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健康人群中的衰老与非线性心率控制

Aging and nonlinear heart rate control in a healthy population.

作者信息

Beckers Frank, Verheyden Bart, Aubert André E

机构信息

Laboratory of Experimental Cardiology, School of Medicine, Katholieke Universiteit Leuven, UZ Gasthuisberg O-N, Herestraat 49, B-3000 Leuven, Belgium.

出版信息

Am J Physiol Heart Circ Physiol. 2006 Jun;290(6):H2560-70. doi: 10.1152/ajpheart.00903.2005. Epub 2005 Dec 22.

Abstract

In recent years more studies are using nonlinear dynamics to describe cardiovascular control. Because of the large dispersion of physiological data, it is important to have large studies with both male and female participants to establish a range of physiological healthy values. This study investigated the effect of gender and age on nonlinear indexes. Nonlinear scaling properties were studied by using 1/f slope (where f is frequency), fractal dimension, and detrended fluctuation analysis short- and long-term correlations (DFAalpha(1) and DFAalpha(2), respectively). Nonlinear complexity was described with correlation dimension (CD), Lyapunov exponent (LE), and approximate entropy (ApEn). The population consisted of 135 women and 141 men (age, 18-71 yr). Twenty-four hour ECG recordings were obtained by using Holter monitoring. The recordings were split into daytime (8 AM-9 PM) and nighttime (11 PM-6 AM). A day-night variation was present in all nonlinear heart rate variability (HRV) indexes, except for the CD in the female population. During the night the percentage of CD values of surrogate data files differing from the CD value of the original data increased. All nonlinear indexes were significantly correlated with age. Deeper analysis per age category of 10 yr showed a stabilization in the age decline of the fractal dimension and ApEn at the age of > or =40 yr. The vagal pathways seemed to be more involved in the generation of nonlinear fluctuations. Higher nonlinear behavior was evident during the night. No clear difference between men and women was found in the nonlinear indexes. Nonlinear indexes decline with age. This can be related to the concept of decreasing autonomic modulation with advancing age.

摘要

近年来,越来越多的研究使用非线性动力学来描述心血管控制。由于生理数据的离散性较大,开展包含男性和女性参与者的大型研究以确定一系列生理健康值很重要。本研究调查了性别和年龄对非线性指标的影响。通过使用1/f斜率(其中f为频率)、分形维数以及去趋势波动分析的短期和长期相关性(分别为DFAα(1)和DFAα(2))来研究非线性标度特性。用关联维数(CD)、李雅普诺夫指数(LE)和近似熵(ApEn)来描述非线性复杂度。研究对象包括135名女性和141名男性(年龄18 - 71岁)。通过动态心电图监测获取24小时心电图记录。记录被分为白天(上午8点至晚上9点)和夜间(晚上11点至上午6点)。除女性群体中的CD外,所有非线性心率变异性(HRV)指标均存在昼夜变化。夜间,替代数据文件的CD值与原始数据的CD值不同的百分比增加。所有非线性指标均与年龄显著相关。对每10岁年龄组的深入分析表明,分形维数和ApEn在年龄≥40岁时,其随年龄下降的趋势趋于稳定。迷走神经通路似乎更多地参与了非线性波动的产生。夜间的非线性行为更为明显。在非线性指标方面未发现男性和女性之间有明显差异。非线性指标随年龄下降。这可能与随着年龄增长自主神经调节能力下降的概念有关。

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