Santos-de-Araújo Aldair Darlan, Bassi-Dibai Daniela, Marinho Renan Shida, Dourado Izadora Moraes, de Almeida Lucivalda Viegas, de Sousa Dos Santos Sigrid, Phillips Shane A, Borghi-Silva Audrey
Cardiopulmonary Physiotherapy Laboratory, Physical Therapy Department, Universidade Federal de São Carlos, Rodovia Washington Luiz, São Carlos, SP, 13565-905, Brazil.
Department of Dentistry, Universidade CEUMA, São Luís, MA, Brazil.
Sci Rep. 2024 Dec 28;14(1):31099. doi: 10.1038/s41598-024-82411-w.
This study investigated the impact of mild COVID-19 on HRV in groups stratified by time after infection and to compare to a healthy group of the same age without previous virus infection and without need of hospitalization. This is a cross-sectional study. We divided the sample into four groups: control group (CG) (n = 31), group 1 (G1): ≤6 weeks (n = 34), group 2 (G2): 2-6 months (n = 30), group 3 (G3): 7-12 months (n = 35) after infection. For HRV analysis, we used the indices of linear (time and frequency domain) and non-linear analysis. For comparisons between groups, ANOVA one way test or Kruskal-Wallis was used according to the data distribution. The effect size was calculated based on Cohen's d or η. Simple and multiple linear regressions were performed to investigate the interaction between clinical outcomes and HRV parameters. A total of 130 individuals were included. Groups G1 and G2 showed less parasympathetic modulation when compared to CG (p < 0.05), while G3 showed an increase in parasympathetic modulation when compared to G1 (p < 0.05). Moderate to large effect sizes were found according to Cohen d or η. The multiple linear regression models identified age and infection duration as significant predictors for RMSSD (adjusted R = 0.227) and SD1 (adjusted R = 0.242), while age was significant for SDNN (adjusted R = 0.213). BMI, hypertension, and dyslipidemia were non-significant in all models. For HF (n.u.), infection duration was consistently significant, with stress emerging as a predictor in Model 2 (adjusted R = 0.143). The recovery time since diagnosis and age influences recovery from HRV, suggesting a transient effect of the disease on the autonomic nervous system.
本研究调查了轻度新型冠状病毒肺炎(COVID-19)对感染后不同时间分层的各组心率变异性(HRV)的影响,并与年龄相同、无既往病毒感染且无需住院的健康组进行比较。这是一项横断面研究。我们将样本分为四组:对照组(CG)(n = 31),第1组(G1):感染后≤6周(n = 34),第2组(G2):感染后2 - 6个月(n = 30),第3组(G3):感染后7 - 12个月(n = 35)。对于HRV分析,我们使用了线性(时域和频域)和非线性分析指标。对于组间比较,根据数据分布使用单因素方差分析或Kruskal-Wallis检验。效应量基于Cohen's d或η进行计算。进行简单和多元线性回归以研究临床结局与HRV参数之间的相互作用。共纳入130名个体。与CG相比,G1组和G2组显示出较低的副交感神经调节(p < 0.05),而与G1组相比,G3组显示出副交感神经调节增加(p <