Heart Rate Variability and Chronic Kidney Disease in Patients with Type 2 Diabetes

To evaluate whether heart rate variability (HRV) as a measure of cardiac autonomic neuropathy (CAN) is associated with chronic kidney disease (CKD) in Chinese adults with type 2 diabetes mellitus (T2DM) in China. 392 individuals of T2DM were entered in this study, all these subjects undertook the Ho...

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Main Authors: Wei Shi, Jing Zhang, Dan Chen, Xiaolei Chen, Wei Duan, Hongmei Zhang
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Applied Bionics and Biomechanics
Online Access:http://dx.doi.org/10.1155/2022/2475750
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author Wei Shi
Jing Zhang
Dan Chen
Xiaolei Chen
Wei Duan
Hongmei Zhang
author_facet Wei Shi
Jing Zhang
Dan Chen
Xiaolei Chen
Wei Duan
Hongmei Zhang
author_sort Wei Shi
collection DOAJ
description To evaluate whether heart rate variability (HRV) as a measure of cardiac autonomic neuropathy (CAN) is associated with chronic kidney disease (CKD) in Chinese adults with type 2 diabetes mellitus (T2DM) in China. 392 individuals of T2DM were entered in this study, all these subjects undertook the Holter electrocardiogram for 24 hours to get the HRV parameters. Of these T2DM patients, 126 (37.3%) had CKD, and most of the HRV parameters were lower in this group than in those without CKD. Decreased HRV parameters were strongly related with CKD in Spearman’s correlation analysis. After adjustments for variables, the logistic regression showed that standard deviation of the averaged normal RR intervals for all 5-minute segments (SDANN) was independently associated with decreased estimated glomerular filtration rate (eGFR<60 mL/min/1.73 m2) (OR=0.988; 95% CI, 0.978-0.998; P=0.015) and increased urine albumin : creatinine ratio UACR≥30 mg/g Cr (OR=0.992; 95% CI, 0.985-0.998; P=0.015). A decreased 24-hour time domain HRV parameter, SDANN, was strongly associated with both eGFR and UACR among Chinese T2DM.
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spelling doaj-art-9f96645e8229454dbaa5b652b0e1ba4d2025-02-03T01:08:45ZengWileyApplied Bionics and Biomechanics1754-21032022-01-01202210.1155/2022/2475750Heart Rate Variability and Chronic Kidney Disease in Patients with Type 2 DiabetesWei Shi0Jing Zhang1Dan Chen2Xiaolei Chen3Wei Duan4Hongmei Zhang5Department of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyTo evaluate whether heart rate variability (HRV) as a measure of cardiac autonomic neuropathy (CAN) is associated with chronic kidney disease (CKD) in Chinese adults with type 2 diabetes mellitus (T2DM) in China. 392 individuals of T2DM were entered in this study, all these subjects undertook the Holter electrocardiogram for 24 hours to get the HRV parameters. Of these T2DM patients, 126 (37.3%) had CKD, and most of the HRV parameters were lower in this group than in those without CKD. Decreased HRV parameters were strongly related with CKD in Spearman’s correlation analysis. After adjustments for variables, the logistic regression showed that standard deviation of the averaged normal RR intervals for all 5-minute segments (SDANN) was independently associated with decreased estimated glomerular filtration rate (eGFR<60 mL/min/1.73 m2) (OR=0.988; 95% CI, 0.978-0.998; P=0.015) and increased urine albumin : creatinine ratio UACR≥30 mg/g Cr (OR=0.992; 95% CI, 0.985-0.998; P=0.015). A decreased 24-hour time domain HRV parameter, SDANN, was strongly associated with both eGFR and UACR among Chinese T2DM.http://dx.doi.org/10.1155/2022/2475750
spellingShingle Wei Shi
Jing Zhang
Dan Chen
Xiaolei Chen
Wei Duan
Hongmei Zhang
Heart Rate Variability and Chronic Kidney Disease in Patients with Type 2 Diabetes
Applied Bionics and Biomechanics
title Heart Rate Variability and Chronic Kidney Disease in Patients with Type 2 Diabetes
title_full Heart Rate Variability and Chronic Kidney Disease in Patients with Type 2 Diabetes
title_fullStr Heart Rate Variability and Chronic Kidney Disease in Patients with Type 2 Diabetes
title_full_unstemmed Heart Rate Variability and Chronic Kidney Disease in Patients with Type 2 Diabetes
title_short Heart Rate Variability and Chronic Kidney Disease in Patients with Type 2 Diabetes
title_sort heart rate variability and chronic kidney disease in patients with type 2 diabetes
url http://dx.doi.org/10.1155/2022/2475750
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