Affiliation:
1. Laboratory of Pediatric Physical Activity, Infant Center, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) Porto Alegre Brazil
2. Department of Physiotherapy, Facultad de Medicina y Ciencias de la Salud Universitat Internacional de Catalunya (UIC) Barcelona Spain
Abstract
AbstractPurposeAsthma is associated with abnormal autonomic function, and heart rate variability is considered a simple, accurate, and noninvasive tool for monitoring the autonomic system. Thus, the aim of this study was to investigate the impact of asthma on heart rate variability in children and adolescents.MethodsThis systematic review of observational studies and clinical trials evaluated heart rate variability in children and adolescents with asthma compared to healthy controls. The data were extracted independently by two reviewers. The quality of the selected articles was assessed using Agency for Health Care Research and Quality indicators. Random effects meta‐analysis was performed for each outcome, with the effect size reported as standardized mean difference.ResultsFifteen studies were included, of which five were classified as having high methodological quality. In the meta‐analysis, long‐term recording of the standard deviation of all normal‐to‐normal sinus R‐R intervals differed significantly between groups (standardized mean difference [SMD] = −0.46 [95% confidence interval {CI}: −0.79 to −0.14], p < 0.005, I2 = 0%). Moreover, R‐R intervals (long‐term) were significantly shorter in asthmatic children than controls (SMD = −0.47 [95% CI: −0.68 to −0.25], p < 0.0001, I2 = 0). There were no significant differences between adjacent normal R‐R intervals that exceed 50 ms (long‐term) and the root mean square of successive differences between normal sinus R‐R intervals (short‐term). Regarding frequency‐domain variables, long‐term low frequency measurements differed significantly between groups (SMD = −0.34 [95% CI: −0.58 to −0.10], p < 0.005, I2 = 15%). There were no differences in high frequency measurements or in the ratio between low/high frequency powers (short‐ or long‐term) between groups.ConclusionThe results confirm the impact of asthma on heart rate variability in children and adolescents, indicating lower heart rate variability and sympathetic modulation.
Funder
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Subject
Pulmonary and Respiratory Medicine,Pediatrics, Perinatology and Child Health
Cited by
5 articles.
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