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正常韩国人群中心率变异性的决定因素。

Determinants for heart rate variability in a normal Korean population.

机构信息

Department of Psychiatry, Haeundae Paik Hospital, Inje University School of Medicine, Busan, Korea.

出版信息

J Korean Med Sci. 2011 Oct;26(10):1293-8. doi: 10.3346/jkms.2011.26.10.1293. Epub 2011 Oct 1.

Abstract

This study examined the normal ranges and the determinants for various parameters of the short-term heart rate variability (HRV) measurements in a large Korean sample of healthy people. HRV measurements were obtained in 2,748 healthy men and 735 healthy women 18-65 yr of age. The mean total power (TP), low frequency (LF), high frequency (HF), and LF/HF ratio were 1,358.9 ± 1,840.8 ms(2), 417.3 ± 807.6 ms(2), 254.1 ± 414.1 ms(2), and 2.4 ± 20.9 ms(2) in the frequency-domain spectral analysis. The mean standard deviation of the normal-to-normal (NN) interval (SDNN) and the square root of the mean squared differences of successive NN intervals (RMSSD) were 39.6 ± 22.1 ms and 29.7 ± 18.1 ms in the time-domain analysis. The female subjects had significantly higher SDNN, RMSSD, and HF values than the male subjects. After controlling for age, there was no statistically significant difference in the SDNN. Quantile regression analysis showed that age and mean heart rate had a significant impact on short-term HRV measurement. Given that both clinicians and researchers are increasingly relying on short-term HRV assessment in measuring stress, our work suggests that age and gender should be considered as independent determinants for HRV.

摘要

这项研究旨在探讨大样本韩国健康人群中短期心率变异性(HRV)测量的各项参数的正常范围及其决定因素。该研究纳入了 18-65 岁的 2748 名健康男性和 735 名健康女性,对其进行 HRV 测量。频域分析中,总功率(TP)、低频(LF)、高频(HF)和 LF/HF 比值的平均值分别为 1358.9±1840.8 ms(2)、417.3±807.6 ms(2)、254.1±414.1 ms(2)和 2.4±20.9 ms(2)。时域分析中,正常窦性心搏间期标准差(SDNN)和相邻 NN 间期均方根差的平方根(RMSSD)的平均值分别为 39.6±22.1 ms 和 29.7±18.1 ms。女性 SDNN、RMSSD 和 HF 值均显著高于男性。校正年龄后,SDNN 无统计学差异。分位数回归分析显示,年龄和平均心率对短期 HRV 测量有显著影响。鉴于临床医生和研究人员越来越依赖短期 HRV 评估来测量压力,我们的工作表明,年龄和性别应被视为 HRV 的独立决定因素。

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