Influence of diabetes on autonomic function in children: analysis through the geometr ic indices

Authors

  • Thais Roque Giacon Programa de Pós Graduação em Fisioterapia. Faculdade de Ciências e Tecnologia (FCT/UNESP) - Presidente Prudente (SP), Brazil
  • Franciele Marques Vanderlei Professor Doutor do Departamento de Fisioterapia. Faculdade de Ciências e Tecnologia (FCT/UNESPS) - Presidente Prudente (SP), Brazil.
  • Anne Kastelianne França da Silva Programa de Pós Graduação em Fisioterapia. Faculdade de Ciências e Tecnologia (FCT/UNESP) - Presidente Prudente (SP), Brazil
  • Natália Turri da Silva Programa de Pós Graduação em Fisioterapia. Faculdade de Ciências e Tecnologia (FCT/UNESP) - Presidente Prudente (SP), Brazil
  • Vitor Engrácia Valenti Professor Doutor do Departamento de Fonoaudiologia. Faculdade de Filosofi a e Ciências (FFC/UNESP) - Marília (SP), Brazil.
  • Luiz Carlos Marques Vanderlei Professor Doutor do Departamento de Fisioterapia. Faculdade de Ciências e Tecnologia (FCT/UNESPS) - Presidente Prudente (SP), Brazil.

DOI:

https://doi.org/10.7322/jhgd.113728

Keywords:

Diabetes Mellitus Type 1. Child. Autonomic Nervous System.

Abstract

Introduction: Diabetes mellitus type 1 has been established as one of the most common noncommunicable diseases among children, diabetic autonomic dysfunction presenting as one of its most frequent complications, however, few studies have evaluated autonomic modulation through heart rate variability in diabetic children. Objective: To analyze the autonomic modulation in children with diabetes mellitus type 1. Methods: Data from 36 children of both sexes were analyzed, who were divided into two groups: Diabetes mellitus type 1, n = 13 (11.62 ± 2.18) with a diagnosis of Diabetes mellitus type 1 and control, n = 23 (11.04 ± 1.02) without the disease. Initially personal data, weight, height, heart rate and blood pressure were collected. Subsequently, for the analysis of autonomic modulation, the heart rate beatto-beat was captured using a heart rate monitor in the supine position for 30 minutes. The geometric indices (RRtri, TINN, Poincaré plot) were calculated to analyze autonomic modulation. The Student t test for parametric data or the Mann-Whitney test for nonparametric data, with a 5% signifi cance level, were used for comparison between groups. Results: The results demonstrated a reduction in RRtri, TINN, SD1 and SD2 in diabetic children. The SD1/SD2 ratio was similar between groups. In the qualitative analysis of the Poincaré plot, the children with Diabetes mellitus type 1 presented a fi gure with less dispersion of the points when compared to the control children. Conclusion: Children with diabetes mellitus type 1 have reduced overall variability and parasympathetic modulation.

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Published

2016-04-28

Issue

Vol. 26 No. 1 (2016)

Section

Artigos Originais

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