Comparison of Heart Rate Variability in Thai Older Adults with Hypertension, Pre-Hypertension, and Normotension

Objectives. This study aims to compare HRV variables across three cohorts: normotensive (NT), prehypertensive (pre-HT), and hypertensive (HT) and to assess the relationship between the blood pressure (BP) and HRV parameters. Methods. Employing a cross-sectional design, 64 older participants were cat...

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Main Authors: Ruchada Sri-Amad, Nawiya Huipao, Porraporn Sriwannawit, Piyapong Prasertsri, Thapanee Roengrit
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2024/9631390
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author Ruchada Sri-Amad
Nawiya Huipao
Porraporn Sriwannawit
Piyapong Prasertsri
Thapanee Roengrit
author_facet Ruchada Sri-Amad
Nawiya Huipao
Porraporn Sriwannawit
Piyapong Prasertsri
Thapanee Roengrit
author_sort Ruchada Sri-Amad
collection DOAJ
description Objectives. This study aims to compare HRV variables across three cohorts: normotensive (NT), prehypertensive (pre-HT), and hypertensive (HT) and to assess the relationship between the blood pressure (BP) and HRV parameters. Methods. Employing a cross-sectional design, 64 older participants were categorized based on the Joint National Committee’s criteria into NT (n = 10), pre-HT (n = 33), and HT (n = 21) groups. Anthropometric data, lipid profiles, and HRV indices were evaluated. HRV data were obtained from the Polar V800 chest strap device using HRV Kubios software for data analysis of short-term recordings lasting 10 minutes. This analysis encompasses both time and frequency domain assessments. The time domain includes the standard deviation of NN intervals (SDNN), the root mean square of successive RR interval differences (RMSSD), and the percentage of successive RR intervals differing by over 50 ms (pNN50). The frequency domain includes low frequency (LF), high frequency (HF), and the ratio of LF-to-HF power (LF/HF). Data were statistically analyzed via one-way analysis of variance (ANOVA) and Pearson correlation. Results. The HT group exhibited significantly lower values in SDNN, pNN50, LF power, and HF power in comparison to the NT group (P<0.05). Moreover, the HT group had a significantly lower SDNN value compared to the pre-HT group (P<0.05). Inverse associations were uncovered between systolic and diastolic blood pressure and SDNN, pNN50, and HF power (P<0.05). Multiple regression further highlighted the significance of systolic and pulse pressure concerning HF power (P<0.05). Conclusions. HRV indices are reduced in Thai older adults with HT compared with those with NT. Monitoring HRV in older adults can provide valuable insights into autonomic function and cardiovascular disease risk.
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spelling doaj-art-ecbf8ca9d0d14633bff2ffa873b7c9bd2025-08-20T03:21:26ZengWileyThe Scientific World Journal1537-744X2024-01-01202410.1155/2024/9631390Comparison of Heart Rate Variability in Thai Older Adults with Hypertension, Pre-Hypertension, and NormotensionRuchada Sri-Amad0Nawiya Huipao1Porraporn Sriwannawit2Piyapong Prasertsri3Thapanee Roengrit4Department of Physical TherapyDivision of Health and Applied SciencesDepartment of Physical TherapyFaculty of Allied Health SciencesDepartment of Basic Medical ScienceObjectives. This study aims to compare HRV variables across three cohorts: normotensive (NT), prehypertensive (pre-HT), and hypertensive (HT) and to assess the relationship between the blood pressure (BP) and HRV parameters. Methods. Employing a cross-sectional design, 64 older participants were categorized based on the Joint National Committee’s criteria into NT (n = 10), pre-HT (n = 33), and HT (n = 21) groups. Anthropometric data, lipid profiles, and HRV indices were evaluated. HRV data were obtained from the Polar V800 chest strap device using HRV Kubios software for data analysis of short-term recordings lasting 10 minutes. This analysis encompasses both time and frequency domain assessments. The time domain includes the standard deviation of NN intervals (SDNN), the root mean square of successive RR interval differences (RMSSD), and the percentage of successive RR intervals differing by over 50 ms (pNN50). The frequency domain includes low frequency (LF), high frequency (HF), and the ratio of LF-to-HF power (LF/HF). Data were statistically analyzed via one-way analysis of variance (ANOVA) and Pearson correlation. Results. The HT group exhibited significantly lower values in SDNN, pNN50, LF power, and HF power in comparison to the NT group (P<0.05). Moreover, the HT group had a significantly lower SDNN value compared to the pre-HT group (P<0.05). Inverse associations were uncovered between systolic and diastolic blood pressure and SDNN, pNN50, and HF power (P<0.05). Multiple regression further highlighted the significance of systolic and pulse pressure concerning HF power (P<0.05). Conclusions. HRV indices are reduced in Thai older adults with HT compared with those with NT. Monitoring HRV in older adults can provide valuable insights into autonomic function and cardiovascular disease risk.http://dx.doi.org/10.1155/2024/9631390
spellingShingle Ruchada Sri-Amad
Nawiya Huipao
Porraporn Sriwannawit
Piyapong Prasertsri
Thapanee Roengrit
Comparison of Heart Rate Variability in Thai Older Adults with Hypertension, Pre-Hypertension, and Normotension
The Scientific World Journal
title Comparison of Heart Rate Variability in Thai Older Adults with Hypertension, Pre-Hypertension, and Normotension
title_full Comparison of Heart Rate Variability in Thai Older Adults with Hypertension, Pre-Hypertension, and Normotension
title_fullStr Comparison of Heart Rate Variability in Thai Older Adults with Hypertension, Pre-Hypertension, and Normotension
title_full_unstemmed Comparison of Heart Rate Variability in Thai Older Adults with Hypertension, Pre-Hypertension, and Normotension
title_short Comparison of Heart Rate Variability in Thai Older Adults with Hypertension, Pre-Hypertension, and Normotension
title_sort comparison of heart rate variability in thai older adults with hypertension pre hypertension and normotension
url http://dx.doi.org/10.1155/2024/9631390
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