Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Sci Total Environ. 2022 Sep 15;839:156235. doi: 10.1016/j.scitotenv.2022.156235. Epub 2022 May 26.
Solar and geomagnetic activity (GA) have been linked to increased cardiovascular (CVD) events. We hypothesize that heart rate variability (HRV) may be the biological mechanism between increased CVD risk and intense geomagnetic disturbances (GMD).
To evaluate the impact of GA and intense GMD on HRV in 809 elderly men [age mean 74.5 (SD = 6.8)] enrolled in the Normative Aging Study (Greater Boston Area), we performed repeated-measures using mixed-effects regression models. We evaluated two HRV outcomes: the square root of the mean squared differences of successive normal-to-normal intervals (r-MSSD) and the standard deviation of normal-to-normal heartbeat intervals (SDNN) in milliseconds (ms). We also compared the associations between K and HRV in patients with and without comorbidities such as diabetes and coronary heart diseases (CHD). We used data on global planetary K-Index (K) from middle latitudes as a GA and GMD (>75th K) parameters from the National Oceanic and Atmospheric Agency's Space Weather Prediction Center.
We found a near immediate effect of continuous and higher K on reduced HRV for exposures up to 24 h prior to electrocardiogram recording. A 75th percentile increase in 15-hour K prior the examination was associated with a -14.7 ms change in r-MSSD (95 CI: -23.1, -6.3, p-value = 0.0007) and a -8.2 ms change in SDNN (95 CI: -13.9, -2.5, p-value = 0.006). The associations remained similar after adjusting the models for air pollutants over the exposure window prior to the event. In periods of intense GMD, the associations were stronger in patients with CHD and non-diabetes.
This is the first study to demonstrate the potential adverse effects of geomagnetic activity on reduced heart rate variability in a large epidemiologic cohort over an extended period, which may have important clinical implications among different populations.
太阳和地磁活动(GA)与心血管疾病(CVD)事件的增加有关。我们假设心率变异性(HRV)可能是增加的 CVD 风险和强烈地磁干扰(GMD)之间的生物学机制。
为了评估 GA 和强烈 GMD 对 809 名老年男性(平均年龄 74.5(SD=6.8))的 HRV 的影响,我们在参加正常老化研究(大波士顿地区)的患者中使用混合效应回归模型进行了重复测量。我们评估了两种 HRV 结果:窦性心律正常间期的均方根差(r-MSSD)和窦性心律正常间期标准差(SDNN)的平方根(以毫秒(ms)为单位)。我们还比较了伴有和不伴有合并症(如糖尿病和冠心病(CHD))的患者中 K 与 HRV 之间的关联。我们使用了来自中纬度的全球行星 K-指数(K)的数据作为 GA 和 GMD(>75%的 K)参数来自美国国家海洋和大气管理局的空间天气预测中心。
我们发现,在进行心电图记录之前长达 24 小时的持续暴露于更高的 K 值会导致 HRV 几乎立即降低。在检查前 15 小时 K 值的 75%分位数增加与 r-MSSD 减少 14.7ms(95%CI:-23.1,-6.3,p 值=0.0007)和 SDNN 减少 8.2ms(95%CI:-13.9,-2.5,p 值=0.006)相关。在调整了暴露窗口期之前的空气污染物模型后,这些关联仍然相似。在强烈 GMD 期间,患有 CHD 和非糖尿病的患者的关联更强。
这是第一项在大型流行病学队列中研究 GA 对延长时间内降低心率变异性的潜在不良影响的研究,这可能对不同人群具有重要的临床意义。