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[男女之间心脏自主神经调节的差异]

[Differences in cardiac autonomic modulation between women and men].

作者信息

Lerma Claudia, Vallejo Maite, Urias Karla, Hermosillo Antonio G, Cárdenas Manuel

机构信息

Departamento de Instrumentación, Instituto Nacional de Cardiología, Ignacio Chavez, México, DF.

出版信息

Arch Cardiol Mex. 2006 Jul-Sep;76(3):277-82.

Abstract

Gender differences in cardiac autonomic modulation are a controversial topic in several studies. The aim of this study, was to describe and compare the heart rate variability in 30 women and 20 men, Mexicans, between 21 to 36 years of age. A 20 to 24 hours Holter monitoring was performed in all of them. Analysis of time (SDNNN and rMSSD), and frequency domains (HF, LF and LF/HF in absolute values and normalized units) were used. SDNN[IBM1] was significantly higher in men. When adjusted for age, there was a negative correlation in parasympathetic activity indexes (rMSSD and HF) in women. Physical training increased SDNN in men and HF in women. The increased parasympathetic activity found in women with physical training diminishes with age. These results demonstrate differences in cardiovascular autonomic modulation between women and men.

摘要

心脏自主神经调节中的性别差异在多项研究中是一个有争议的话题。本研究的目的是描述和比较30名年龄在21至36岁之间的墨西哥女性和20名墨西哥男性的心率变异性。对所有受试者进行了20至24小时的动态心电图监测。采用了时域分析(SDNNN和rMSSD)以及频域分析(绝对值和标准化单位下的HF、LF和LF/HF)。男性的SDNN显著更高。在调整年龄后,女性的副交感神经活动指标(rMSSD和HF)呈负相关。体育锻炼使男性的SDNN增加,女性的HF增加。体育锻炼的女性中发现的副交感神经活动增加会随着年龄增长而减弱。这些结果表明了男性和女性在心血管自主神经调节方面的差异。

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