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Published in: European Journal of Applied Physiology 6/2013

01-06-2013 | Original Article

Determinants and reference values of short-term heart rate variability in children

Authors: Nathalie Michels, Els Clays, Marc De Buyzere, Inge Huybrechts, Staffan Marild, Barbara Vanaelst, Stefaan De Henauw, Isabelle Sioen

Published in: European Journal of Applied Physiology | Issue 6/2013

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Abstract

This paper provides age- and sex-specific reference values for short-term heart rate variability (HRV) data in children by time domain and frequency domain methods. Furthermore, HRV determinants will be determined. In 460 children (5–10 years), 5-minute HRV measurements in supine position were undertaken with Polar chest belts. The data were manually edited and processed with time and frequency domain methods. Age, time point, physical activity (accelerometry), physical fitness (cardiopulmonary fitness, upper and lower limb muscular fitness) and body composition (body mass index, fat%, fat and fat-free mass) were analysed as determinants using multiple regression analysis stratified by sex. Sex- and age-specific reference values were produced. Overall, girls had lower HRV. Age-related parasympathetic increases and sympathetic decreases were seen with sometimes age-related year-to-year wave-like changes in boys. The time point of recording had limited influence on HRV. Of the lifestyle related factors, fatness (only 7 % overweight) was not associated with HRV but fat-free mass, physical activity and in particular physical fitness (over and above activity) had a favourable association by increased parasympathetic activity. Future HRV studies in children should consider age, sex and physical fitness.
Literature
go back to reference Bosch NM, Riese H, Dietrich A, Ormel J, Verhulst FC, Oldehinkel AJ (2009) Preadolescents’ somatic and cognitive-affective depressive symptoms are differentially related to cardiac autonomic function and cortisol: the TRAILS study. Psychosom Med 71(9):944–950PubMedCrossRef Bosch NM, Riese H, Dietrich A, Ormel J, Verhulst FC, Oldehinkel AJ (2009) Preadolescents’ somatic and cognitive-affective depressive symptoms are differentially related to cardiac autonomic function and cortisol: the TRAILS study. Psychosom Med 71(9):944–950PubMedCrossRef
go back to reference Bouchard C, Rankinen T (2001) Individual differences in response to regular physical activity. Med Sci Sports Exerc 33(6 Suppl):S446–S451 discussion S452–453PubMed Bouchard C, Rankinen T (2001) Individual differences in response to regular physical activity. Med Sci Sports Exerc 33(6 Suppl):S446–S451 discussion S452–453PubMed
go back to reference Brown TE, Beightol LA, Koh J, Eckberg DL (1993) Important influence of respiration on human R–R interval power spectra is largely ignored. J Appl Physiol 75(5):2310–2317PubMed Brown TE, Beightol LA, Koh J, Eckberg DL (1993) Important influence of respiration on human R–R interval power spectra is largely ignored. J Appl Physiol 75(5):2310–2317PubMed
go back to reference Brunetto AF, Roseguini BT, Silva BM, Hirai DM, Guedes DP (2005) Effects of gender and aerobic fitness on cardiac autonomic responses to head-up tilt in healthy adolescents. Pediatr Cardiol 26(4):418–424PubMedCrossRef Brunetto AF, Roseguini BT, Silva BM, Hirai DM, Guedes DP (2005) Effects of gender and aerobic fitness on cardiac autonomic responses to head-up tilt in healthy adolescents. Pediatr Cardiol 26(4):418–424PubMedCrossRef
go back to reference Buchheit M, Platat C, Oujaa M, Simon C (2007) Habitual physical activity, physical fitness and heart rate variability in preadolescents. Int J Sports Med 28(3):204–210PubMedCrossRef Buchheit M, Platat C, Oujaa M, Simon C (2007) Habitual physical activity, physical fitness and heart rate variability in preadolescents. Int J Sports Med 28(3):204–210PubMedCrossRef
go back to reference Chandola T, Heraclides A, Kumari M (2010) Psychophysiological biomarkers of workplace stressors. Neurosci Biobehav Rev 35(1):51–57PubMedCrossRef Chandola T, Heraclides A, Kumari M (2010) Psychophysiological biomarkers of workplace stressors. Neurosci Biobehav Rev 35(1):51–57PubMedCrossRef
go back to reference Cole TJ, Green PJ (1992) Smoothing reference centile curves: the LMS method and penalized likelihood. Stat Med 11(10):1305–1319PubMedCrossRef Cole TJ, Green PJ (1992) Smoothing reference centile curves: the LMS method and penalized likelihood. Stat Med 11(10):1305–1319PubMedCrossRef
go back to reference Council of Europe (1988) Eurofit. Handbook for the EUROFIT tests of physical fitness. Council of Europe, Committee for the Development of Sport, Rome Council of Europe (1988) Eurofit. Handbook for the EUROFIT tests of physical fitness. Council of Europe, Committee for the Development of Sport, Rome
go back to reference Dencker M, Andersen LB (2011) Accelerometer-measured daily physical activity related to aerobic fitness in children and adolescents. J Sports Sci 29(9):887–895PubMedCrossRef Dencker M, Andersen LB (2011) Accelerometer-measured daily physical activity related to aerobic fitness in children and adolescents. J Sports Sci 29(9):887–895PubMedCrossRef
go back to reference Dietrich A, Rosmalen JGM, Althaus M, van Roon AM, Mulder LJM, Minderaa RB, Oldehinkel AJ, Riese H (2010) Reproducibility of heart rate variability and baroreflex sensitivity measurements in children. Biol Psychol 85(1):71–78PubMedCrossRef Dietrich A, Rosmalen JGM, Althaus M, van Roon AM, Mulder LJM, Minderaa RB, Oldehinkel AJ, Riese H (2010) Reproducibility of heart rate variability and baroreflex sensitivity measurements in children. Biol Psychol 85(1):71–78PubMedCrossRef
go back to reference Faulkner MS, Hathaway D, Tolley B (2003) Cardiovascular autonomic function in healthy adolescents. Heart Lung 32(1):10–22PubMedCrossRef Faulkner MS, Hathaway D, Tolley B (2003) Cardiovascular autonomic function in healthy adolescents. Heart Lung 32(1):10–22PubMedCrossRef
go back to reference Finley JP, Nugent ST (1995) Heart-rate-variability in infants, children and young-adults. J Auton Nerv Syst 51(2):103–108PubMedCrossRef Finley JP, Nugent ST (1995) Heart-rate-variability in infants, children and young-adults. J Auton Nerv Syst 51(2):103–108PubMedCrossRef
go back to reference Fukuba Y, Sato H, Sakiyama T, Yamaoka Endo M, Yamada M, Ueoka H, Miura A, Koga S et al (2009) Autonomic nervous activities assessed by heart rate variability in pre- and post-adolescent Japanese. J Physiol Anthropol 28(6):269–273PubMedCrossRef Fukuba Y, Sato H, Sakiyama T, Yamaoka Endo M, Yamada M, Ueoka H, Miura A, Koga S et al (2009) Autonomic nervous activities assessed by heart rate variability in pre- and post-adolescent Japanese. J Physiol Anthropol 28(6):269–273PubMedCrossRef
go back to reference Galeev AR, Igisheva LN, Kazin EM (2002) Heart rate variability in healthy six- to sixteen-year-old children. Hum Physiol 28(4):428–432CrossRef Galeev AR, Igisheva LN, Kazin EM (2002) Heart rate variability in healthy six- to sixteen-year-old children. Hum Physiol 28(4):428–432CrossRef
go back to reference Gamelin FX, Baquet G, Berthoin S, Bosquet L (2008) Validity of the polar S810 to measure R–R intervals in children. Int J Sports Med 29(2):134–138PubMedCrossRef Gamelin FX, Baquet G, Berthoin S, Bosquet L (2008) Validity of the polar S810 to measure R–R intervals in children. Int J Sports Med 29(2):134–138PubMedCrossRef
go back to reference Goto M, Nagashima M, Baba R, Nagano Y, Yokota M, Nishibata K, Tsuji A (1997) Analysis of heart rate variability demonstrates effects of development on vagal modulation of heart rate in healthy children. J Pediatr 130(5):725–729PubMedCrossRef Goto M, Nagashima M, Baba R, Nagano Y, Yokota M, Nishibata K, Tsuji A (1997) Analysis of heart rate variability demonstrates effects of development on vagal modulation of heart rate in healthy children. J Pediatr 130(5):725–729PubMedCrossRef
go back to reference Gutin B, Howe C, Johnson MH, Humphries MC, Snieder H, Barbeau P (2005) Heart rate variability in adolescents: relations to physical activity, fitness, and adiposity. Med Sci Sports Exerc 37(11):1856–1863PubMedCrossRef Gutin B, Howe C, Johnson MH, Humphries MC, Snieder H, Barbeau P (2005) Heart rate variability in adolescents: relations to physical activity, fitness, and adiposity. Med Sci Sports Exerc 37(11):1856–1863PubMedCrossRef
go back to reference Hurtig-Wennlof A, Ruiz JR, Harro M, Sjostrom M (2007) Cardiorespiratory fitness relates more strongly than physical activity to cardiovascular disease risk factors in healthy children and adolescents: the European Youth Heart Study. Eur J Cardiovasc Prev Rehabil 14(4):575–581PubMedCrossRef Hurtig-Wennlof A, Ruiz JR, Harro M, Sjostrom M (2007) Cardiorespiratory fitness relates more strongly than physical activity to cardiovascular disease risk factors in healthy children and adolescents: the European Youth Heart Study. Eur J Cardiovasc Prev Rehabil 14(4):575–581PubMedCrossRef
go back to reference Kaufman CL, Kaiser DR, Steinberger J, Kelly AS, Dengel DR (2007) Relationships of cardiac autonomic function with metabolic abnormalities in childhood obesity. Obesity 15(5):1164–1171PubMedCrossRef Kaufman CL, Kaiser DR, Steinberger J, Kelly AS, Dengel DR (2007) Relationships of cardiac autonomic function with metabolic abnormalities in childhood obesity. Obesity 15(5):1164–1171PubMedCrossRef
go back to reference Krishnan B, Jeffery A, Metcalf B, Hosking J, Voss L, Wilkin T, Flanagan DE (2009) Gender differences in the relationship between heart rate control and adiposity in young children: a cross-sectional study (EarlyBird 33). Pediatr Diabetes 10(2):127–134PubMedCrossRef Krishnan B, Jeffery A, Metcalf B, Hosking J, Voss L, Wilkin T, Flanagan DE (2009) Gender differences in the relationship between heart rate control and adiposity in young children: a cross-sectional study (EarlyBird 33). Pediatr Diabetes 10(2):127–134PubMedCrossRef
go back to reference Lenard Z, Studinger P, Mersich B, Kocsis L, Kollai M (2004) Maturation of cardiovagal autonomic function from childhood to young adult age. Circulation 110(16):2307–2312PubMedCrossRef Lenard Z, Studinger P, Mersich B, Kocsis L, Kollai M (2004) Maturation of cardiovagal autonomic function from childhood to young adult age. Circulation 110(16):2307–2312PubMedCrossRef
go back to reference Longin E, Dimitriadis C, Shazi S, Gerstner T, Lenz T, Konig S (2009) Autonomic nervous system function in infants and adolescents: impact of autonomic tests on heart rate variability. Pediatr Cardiol 30(3):311–324PubMedCrossRef Longin E, Dimitriadis C, Shazi S, Gerstner T, Lenz T, Konig S (2009) Autonomic nervous system function in infants and adolescents: impact of autonomic tests on heart rate variability. Pediatr Cardiol 30(3):311–324PubMedCrossRef
go back to reference Magagnin V, Bassani T, Bari V, Turiel M, Maestri R, Pinna GD, Porta A (2011) Non-stationarities significantly distort short-term spectral, symbolic and entropy heart rate variability indices. Physiol Meas 32(11):1775–1786PubMedCrossRef Magagnin V, Bassani T, Bari V, Turiel M, Maestri R, Pinna GD, Porta A (2011) Non-stationarities significantly distort short-term spectral, symbolic and entropy heart rate variability indices. Physiol Meas 32(11):1775–1786PubMedCrossRef
go back to reference Massin M, vonBernuth G (1997) Normal ranges of heart rate variability during infancy and childhood. Pediatr Cardiol 18(4):297–302PubMedCrossRef Massin M, vonBernuth G (1997) Normal ranges of heart rate variability during infancy and childhood. Pediatr Cardiol 18(4):297–302PubMedCrossRef
go back to reference Massin M, Maeyns K, Withofs N, Ravet F, Gerard P (2000) Circadian rhythm of heart rate and heart rate variability. Arch Dis Child 83(2):179–182PubMedCrossRef Massin M, Maeyns K, Withofs N, Ravet F, Gerard P (2000) Circadian rhythm of heart rate and heart rate variability. Arch Dis Child 83(2):179–182PubMedCrossRef
go back to reference Michels N, Vanaelst B, Vyncke K, Sioen I, Huybrechts I, De Vriendt T, De Henauw S (2012) Children’s body composition and stress—the ChiBS study: aims, design, methods, population and participation characteristics. Arch Public Health 70(1):17PubMedCrossRef Michels N, Vanaelst B, Vyncke K, Sioen I, Huybrechts I, De Vriendt T, De Henauw S (2012) Children’s body composition and stress—the ChiBS study: aims, design, methods, population and participation characteristics. Arch Public Health 70(1):17PubMedCrossRef
go back to reference Nagai N, Moritani T (2004) Effect of physical activity on autonomic nervous system function in lean and obese children. Int J Obes Relat Metab Disord 28(1):27–33PubMedCrossRef Nagai N, Moritani T (2004) Effect of physical activity on autonomic nervous system function in lean and obese children. Int J Obes Relat Metab Disord 28(1):27–33PubMedCrossRef
go back to reference Niskanen JP, Tarvainen MP, Ranta-Aho PO, Karjalainen PA (2004) Software for advanced HRV analysis. Comput Methods Programs Biomed 76(1):73–81PubMedCrossRef Niskanen JP, Tarvainen MP, Ranta-Aho PO, Karjalainen PA (2004) Software for advanced HRV analysis. Comput Methods Programs Biomed 76(1):73–81PubMedCrossRef
go back to reference Ortega FB, Artero EG, Ruiz JR, Vicente-Rodriguez G, Bergman P, Hagstromer M, Ottevaere C, Nagy E, Konsta O, Rey-Lopez JP, Polito A, Dietrich S, Plada M, Beghin L, Manios Y, Sjostrom M, Castillo MJ, Group HS et al (2008) Reliability of health-related physical fitness tests in European adolescents. The HELENA Study. Int J Obes 32(Suppl 5):S49–S57CrossRef Ortega FB, Artero EG, Ruiz JR, Vicente-Rodriguez G, Bergman P, Hagstromer M, Ottevaere C, Nagy E, Konsta O, Rey-Lopez JP, Polito A, Dietrich S, Plada M, Beghin L, Manios Y, Sjostrom M, Castillo MJ, Group HS et al (2008) Reliability of health-related physical fitness tests in European adolescents. The HELENA Study. Int J Obes 32(Suppl 5):S49–S57CrossRef
go back to reference Penttila J, Helminen A, Jartti T, Kuusela T, Huikuri HV, Tulppo MP, Coffeng R, Scheinin H (2001) Time domain, geometrical and frequency domain analysis of cardiac vagal outflow: effects of various respiratory patterns. Clin Physiol 21(3):365–376PubMedCrossRef Penttila J, Helminen A, Jartti T, Kuusela T, Huikuri HV, Tulppo MP, Coffeng R, Scheinin H (2001) Time domain, geometrical and frequency domain analysis of cardiac vagal outflow: effects of various respiratory patterns. Clin Physiol 21(3):365–376PubMedCrossRef
go back to reference Porta A, Baselli G, Guzzetti S, Pagani M, Malliani A, Cerutti S (2000) Prediction of short cardiovascular variability signals based on conditional distribution. IEEE Trans Biomed Eng 47(12):1555–1564PubMedCrossRef Porta A, Baselli G, Guzzetti S, Pagani M, Malliani A, Cerutti S (2000) Prediction of short cardiovascular variability signals based on conditional distribution. IEEE Trans Biomed Eng 47(12):1555–1564PubMedCrossRef
go back to reference Rabbia F, Silke B, Conterno A, Grosso T, De Vito B, Rabbone I, Chiandussi L, Veglio F (2003) Assessment of cardiac autonomic modulation during adolescent obesity. Obes Res 11(4):541–548PubMedCrossRef Rabbia F, Silke B, Conterno A, Grosso T, De Vito B, Rabbone I, Chiandussi L, Veglio F (2003) Assessment of cardiac autonomic modulation during adolescent obesity. Obes Res 11(4):541–548PubMedCrossRef
go back to reference Silvetti MS, Drago F, Ragonese P (2001) Heart rate variability in healthy children and adolescents is partially related to age and gender. Int J Cardiol 81(2–3):169–174PubMedCrossRef Silvetti MS, Drago F, Ragonese P (2001) Heart rate variability in healthy children and adolescents is partially related to age and gender. Int J Cardiol 81(2–3):169–174PubMedCrossRef
go back to reference Task Force of ESC/NASPE (1996) Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 93(5):1043–1065CrossRef Task Force of ESC/NASPE (1996) Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 93(5):1043–1065CrossRef
go back to reference Thayer JF, Yamamoto SS, Brosschot JF (2010) The relationship of autonomic imbalance, heart rate variability and cardiovascular disease risk factors. Int J Cardiol 141(2):122–131PubMedCrossRef Thayer JF, Yamamoto SS, Brosschot JF (2010) The relationship of autonomic imbalance, heart rate variability and cardiovascular disease risk factors. Int J Cardiol 141(2):122–131PubMedCrossRef
go back to reference Trost SG, Loprinzi PD, Moore R, Pfeiffer KA (2011) Comparison of accelerometer cut points for predicting activity intensity in youth. Med Sci Sports Exerc 43(7):1360–1368PubMedCrossRef Trost SG, Loprinzi PD, Moore R, Pfeiffer KA (2011) Comparison of accelerometer cut points for predicting activity intensity in youth. Med Sci Sports Exerc 43(7):1360–1368PubMedCrossRef
go back to reference Umetani K, Singer DH, McCraty R, Atkinson M (1998) Twenty-four hour time domain heart rate variability and heart rate: relations to age and gender over nine decades. J Am Coll Cardiol 31(3):593–601PubMedCrossRef Umetani K, Singer DH, McCraty R, Atkinson M (1998) Twenty-four hour time domain heart rate variability and heart rate: relations to age and gender over nine decades. J Am Coll Cardiol 31(3):593–601PubMedCrossRef
go back to reference Wallis LA, Healy M, Undy MB, Maconochie I (2005) Age related reference ranges for respiration rate and heart rate from 4 to 16 years. Arch Dis Child 90(11):1117–1121PubMedCrossRef Wallis LA, Healy M, Undy MB, Maconochie I (2005) Age related reference ranges for respiration rate and heart rate from 4 to 16 years. Arch Dis Child 90(11):1117–1121PubMedCrossRef
go back to reference Wells JC, Williams JE, Chomtho S, Darch T, Grijalva-Eternod C, Kennedy K, Haroun D, Wilson C, Cole TJ, Fewtrell MS (2010) Pediatric reference data for lean tissue properties: density and hydration from age 5 to 20 y. Am J Clin Nutr 91(3):610–618PubMedCrossRef Wells JC, Williams JE, Chomtho S, Darch T, Grijalva-Eternod C, Kennedy K, Haroun D, Wilson C, Cole TJ, Fewtrell MS (2010) Pediatric reference data for lean tissue properties: density and hydration from age 5 to 20 y. Am J Clin Nutr 91(3):610–618PubMedCrossRef
Metadata
Title
Determinants and reference values of short-term heart rate variability in children
Authors
Nathalie Michels
Els Clays
Marc De Buyzere
Inge Huybrechts
Staffan Marild
Barbara Vanaelst
Stefaan De Henauw
Isabelle Sioen
Publication date
01-06-2013
Publisher
Springer-Verlag
Published in
European Journal of Applied Physiology / Issue 6/2013
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-012-2572-9

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