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从新生儿期到成年期心率变异性的年龄相关变化。

Age-Related Changes in Heart Rate Variability from the Neonatal Period to Adulthood.

作者信息

Grinevich A A, Chemeris N K

机构信息

Institute of Cell Biophysics, Russian Academy of Sciences, Pushchino, Moscow oblast, Russia.

出版信息

Dokl Biochem Biophys. 2024 Dec;519(1):477-481. doi: 10.1134/S1607672924600829. Epub 2024 Oct 11.

Abstract

The aim of the study was to reveal the patterns of the age-related dynamics of the frequency-dependent regulation of heart rate variability (HRV) based on the analysis of Holter ECG recordings from healthy subjects of four age groups: neonates, one-year-old infants, adolescents, and adults. A wide spectral composition of HRV is shown, consisting of nine Hilbert-Huang modes in the frequency range from 0.0001 to 2 Hz. A decrease in the central frequencies of all modes is shown in the postnatal period with a plateau in adolescence. A rapid progression of systemic humoral regulation of HRV, characterized by a consolidated increase in the amplitudes of the corresponding modes with a plateau in adolescence, is demonstrated. The dome-shaped character of age-related changes in amplitude of modes associated with autonomic control with a maximum in adolescence is shown. The results obtained quantitatively demonstrate age-related consolidated changes in HRV parameters from neonates to adulthood.

摘要

本研究的目的是通过分析四个年龄组健康受试者(新生儿、一岁婴儿、青少年和成年人)的动态心电图记录,揭示心率变异性(HRV)频率依赖性调节的年龄相关动态模式。结果显示,HRV具有广泛的频谱组成,在0.0001至2Hz频率范围内由九种希尔伯特-黄模式组成。所有模式的中心频率在出生后时期下降,并在青春期趋于平稳。结果表明,HRV的全身体液调节快速发展,其特征是相应模式的振幅持续增加,并在青春期趋于平稳。结果还显示,与自主控制相关的模式振幅随年龄变化呈穹顶状,在青春期达到最大值。所得结果定量地证明了从新生儿到成年期HRV参数的年龄相关的综合变化。

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