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...
Saved in:
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2022-01-01
|
Series: | Applied Bionics and Biomechanics |
Online Access: | http://dx.doi.org/10.1155/2022/2475750 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832565320461582336 |
---|---|
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. |
format | Article |
id | doaj-art-9f96645e8229454dbaa5b652b0e1ba4d |
institution | Kabale University |
issn | 1754-2103 |
language | English |
publishDate | 2022-01-01 |
publisher | Wiley |
record_format | Article |
series | Applied Bionics and Biomechanics |
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 |
work_keys_str_mv | AT weishi heartratevariabilityandchronickidneydiseaseinpatientswithtype2diabetes AT jingzhang heartratevariabilityandchronickidneydiseaseinpatientswithtype2diabetes AT danchen heartratevariabilityandchronickidneydiseaseinpatientswithtype2diabetes AT xiaoleichen heartratevariabilityandchronickidneydiseaseinpatientswithtype2diabetes AT weiduan heartratevariabilityandchronickidneydiseaseinpatientswithtype2diabetes AT hongmeizhang heartratevariabilityandchronickidneydiseaseinpatientswithtype2diabetes |