Skip to main content

12.05.2024 | Original article

Impact of Obesity on Cardiac Autonomic System Functioning in Military Police Officers

verfasst von: Thabata Chaves Pereira Lima, Igor Rezende Trevisan, Fernanda Monma, Leonardo Thomaz da Costa, Julio Cesar Tinti, Luciana Takahashi Carvalho Ribeiro, Tânia Cristina Pithon-Curi, Sandro Massao Hirabara, Rui Curi, Kátia De Angelis, Diego Ribeiro De Souza, Fernando Alves Santa-Rosa

Erschienen in: High Blood Pressure & Cardiovascular Prevention

Einloggen, um Zugang zu erhalten

Abstract

Introduction

Cardiac autonomic system functioning may be altered by obesity leading to cardiovascular diseases and associated complications. Military police officers are exposed to traditional and occupational risk factors for the development of CVD, however data on the cardiovascular health in this population is still scarce.

Aim

In this cross-sectional study, we investigated the impact of obesity on cardiac autonomic modulation and the hemodynamic profile in male active-duty military police officers.

Methods

The body composition of the volunteers was assessed by octapolar electrical bioimpedance. Participants were classified as non-obese or obese in accordance with their body fat, with further subgroups as physically active obese or insufficiently active obese using International Physical Activity Questionnaire (IPAQ). Cardiac autonomic modulation was assessed by heart rate variability and the automatic oscillometric method allowed us to assess hemodynamic features.

Results

102 military police officers from the state of São Paulo participated in the study. Cardiac autonomic modulation revealed significant impairment in time and frequency domains and non-linear methods in the obese group compared to the non-obese (p < 0.05). A higher physical activity level did not alter these results in the obese group. However, no significant differences in the hemodynamic profile were observed between groups (p > 0.05).

Conclusion

These findings suggest a negative association between obesity and cardiac autonomic modulation in military police officers, unaffected by increased physical activity.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. J Am Coll Cardiol. 2020;76:2982–3021.CrossRefPubMedPubMedCentral Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. J Am Coll Cardiol. 2020;76:2982–3021.CrossRefPubMedPubMedCentral
2.
3.
Zurück zum Zitat Jamali HK, Waqar F, Gerson MC. Cardiac autonomic innervation. J Nucl Cardiol. 2017;24:1558–70.CrossRefPubMed Jamali HK, Waqar F, Gerson MC. Cardiac autonomic innervation. J Nucl Cardiol. 2017;24:1558–70.CrossRefPubMed
4.
Zurück zum Zitat Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–81.CrossRefPubMedPubMedCentral Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–81.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Kaufman CL, Kaiser DR, Steinberger J, Kelly AS, Dengel DR. Relationships of cardiac autonomic function with metabolic abnormalities in childhood obesity. Obesity (Silver Spring). 2007;15:1164–71.CrossRefPubMed Kaufman CL, Kaiser DR, Steinberger J, Kelly AS, Dengel DR. Relationships of cardiac autonomic function with metabolic abnormalities in childhood obesity. Obesity (Silver Spring). 2007;15:1164–71.CrossRefPubMed
6.
Zurück zum Zitat Trivedi G, Saboo B, Singh R, Maheshwari A, Sharma K, Verma N. Can decreased heart rate variability be a marker of autonomic dysfunction, metabolic syndrome and diabetes? J Diabetol. 2019;10:48–56.CrossRef Trivedi G, Saboo B, Singh R, Maheshwari A, Sharma K, Verma N. Can decreased heart rate variability be a marker of autonomic dysfunction, metabolic syndrome and diabetes? J Diabetol. 2019;10:48–56.CrossRef
7.
Zurück zum Zitat Lavie CJ, Ozemek C, Carbone S, Katzmarzyk SPT, Blair SN. Sedentary behavior, exercise, and cardiovascular health. Circ Res. 2019;124:799–815.CrossRefPubMed Lavie CJ, Ozemek C, Carbone S, Katzmarzyk SPT, Blair SN. Sedentary behavior, exercise, and cardiovascular health. Circ Res. 2019;124:799–815.CrossRefPubMed
8.
Zurück zum Zitat Valenzuela PL, Carrera-Bastos P, Gálvez BG, Ruiz-Hurtado G, Ordovas JM, Ruilope LM, et al. Lifestyle interventions for the prevention and treatment of hypertension. Nat Rev Cardiol. 2021;18:251–75.CrossRefPubMed Valenzuela PL, Carrera-Bastos P, Gálvez BG, Ruiz-Hurtado G, Ordovas JM, Ruilope LM, et al. Lifestyle interventions for the prevention and treatment of hypertension. Nat Rev Cardiol. 2021;18:251–75.CrossRefPubMed
9.
Zurück zum Zitat Magnavita N, Capitanelli I, Garbarino S, Pira E. Work-related stress as a cardiovascular risk factor in police officers: a systematic review of evidence. Int Arch Occup Environ Health. 2018;91:377–89.CrossRefPubMed Magnavita N, Capitanelli I, Garbarino S, Pira E. Work-related stress as a cardiovascular risk factor in police officers: a systematic review of evidence. Int Arch Occup Environ Health. 2018;91:377–89.CrossRefPubMed
10.
Zurück zum Zitat Wise SR, Trigg SSD. Optimizing health, wellness, and performance of the tactical athlete. Curr Sports Med Rep. 2020;19:70–5.CrossRefPubMed Wise SR, Trigg SSD. Optimizing health, wellness, and performance of the tactical athlete. Curr Sports Med Rep. 2020;19:70–5.CrossRefPubMed
11.
Zurück zum Zitat Zimmerman FH. Cardiovascular disease and risk factors in law enforcement personnel: a comprehensive review. Cardiol Rev. 2012;20:159–66.CrossRefPubMed Zimmerman FH. Cardiovascular disease and risk factors in law enforcement personnel: a comprehensive review. Cardiol Rev. 2012;20:159–66.CrossRefPubMed
12.
Zurück zum Zitat Souza DR, Silva EN, Santos LP, Oliveira LCS, Augusto TD, Silva EB, et al. Prevalence of metabolic syndrome in military police officers of São Paulo City: the health promotion in military police (HPMP) study. Research, Society and Development. 2021;10:p. e61101421142. Souza DR, Silva EN, Santos LP, Oliveira LCS, Augusto TD, Silva EB, et al. Prevalence of metabolic syndrome in military police officers of São Paulo City: the health promotion in military police (HPMP) study. Research, Society and Development. 2021;10:p. e61101421142.
15.
Zurück zum Zitat Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa ADM, et al. Brazilian Guidelines of Hypertension—2020. Arq Bras Cardiol. 2021;116:516-658. Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa ADM, et al. Brazilian Guidelines of Hypertension—2020. Arq Bras Cardiol. 2021;116:516-658.
16.
Zurück zum Zitat Matsudo S, Araújo T, Marsudo V, Andrade D, Andrade E, Oliveira LC, et al. Questionário internacional de atividade física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Brasil Atividade Física & Saúde. 2001;6:5–18. Matsudo S, Araújo T, Marsudo V, Andrade D, Andrade E, Oliveira LC, et al. Questionário internacional de atividade física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Brasil Atividade Física & Saúde. 2001;6:5–18.
17.
Zurück zum Zitat Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–95.CrossRefPubMed Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–95.CrossRefPubMed
19.
Zurück zum Zitat Lobman TG, Houtkooper L, Going SB. Body fat measurement goes high-tech: not all are created equal. ACSMs Health Fit J. 1997;1:30. Lobman TG, Houtkooper L, Going SB. Body fat measurement goes high-tech: not all are created equal. ACSMs Health Fit J. 1997;1:30.
20.
Zurück zum Zitat Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. Eur Heart J. 1996;17:354-81. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. Eur Heart J. 1996;17:354-81.
22.
Zurück zum Zitat Cohen J. Statistical power analysis for the behavioral sciences, 2nd ed. Hillsdale, N.J: L. Erlbaum Associates, 1988. Cohen J. Statistical power analysis for the behavioral sciences, 2nd ed. Hillsdale, N.J: L. Erlbaum Associates, 1988.
23.
Zurück zum Zitat Fritz CO, Morris PE, Richler JJ. Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen. 2012;141:2–18.CrossRefPubMed Fritz CO, Morris PE, Richler JJ. Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen. 2012;141:2–18.CrossRefPubMed
24.
Zurück zum Zitat Jarczok MN, Weimer K, Braun C, Williams DP, Thayer JF, Gündel HO, et al. Heart rate variability in the prediction of mortality: A systematic review and meta-analysis of healthy and patient populations. Neurosci Biobehav Rev. 2022;143:104907. Jarczok MN, Weimer K, Braun C, Williams DP, Thayer JF, Gündel HO, et al. Heart rate variability in the prediction of mortality: A systematic review and meta-analysis of healthy and patient populations. Neurosci Biobehav Rev. 2022;143:104907.
25.
Zurück zum Zitat Nunan D, Sandercock GRH, Brodie DA. A quantitative systematic review of normal values for short-term heart rate variability in healthy adults. Pacing Clin Electrophysiol. 2010;33:1407–17.CrossRefPubMed Nunan D, Sandercock GRH, Brodie DA. A quantitative systematic review of normal values for short-term heart rate variability in healthy adults. Pacing Clin Electrophysiol. 2010;33:1407–17.CrossRefPubMed
26.
Zurück zum Zitat Dantas EM, Kemp AH, Andreão RV, Silva VJD, BrunoniAR, Hoshi RA, et al. Reference values for short-term resting-state heart rate variability in healthy adults: Results from the Brazilian Longitudinal Study of Adult Health-ELSA-Brasil study. Psychophysiology. 2018;55:p e13052. Dantas EM, Kemp AH, Andreão RV, Silva VJD, BrunoniAR, Hoshi RA, et al. Reference values for short-term resting-state heart rate variability in healthy adults: Results from the Brazilian Longitudinal Study of Adult Health-ELSA-Brasil study. Psychophysiology. 2018;55:p e13052.
27.
Zurück zum Zitat Köchli S, Schutte AE, Kruger R. Adiposity and physical activity are related to heart rate variability: the African-PREDICT study. Eur J Clin Invest. 2020;50:e13330.CrossRefPubMed Köchli S, Schutte AE, Kruger R. Adiposity and physical activity are related to heart rate variability: the African-PREDICT study. Eur J Clin Invest. 2020;50:e13330.CrossRefPubMed
28.
Zurück zum Zitat Yadav RL, Yadav PK, Yadav LK, Agrawal K, Sah SK, Islam MN. Association between obesity and heart rate variability indices: an intuition toward cardiac autonomic alteration—a risk of CVD. Diabetes Metab Syndr Obes. 2017;10:57–64.CrossRefPubMedPubMedCentral Yadav RL, Yadav PK, Yadav LK, Agrawal K, Sah SK, Islam MN. Association between obesity and heart rate variability indices: an intuition toward cardiac autonomic alteration—a risk of CVD. Diabetes Metab Syndr Obes. 2017;10:57–64.CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Tebar WR, Ritti-Dias R, Mota J, Saraiva BTC, Damato TM, Delfino LD, et al. Relationship of cardiac autonomic modulation with cardiovascular parameters in adults, according to body mass index and physical activity. J Cardiovasc Transl Res. 2021;14:975–83.CrossRefPubMed Tebar WR, Ritti-Dias R, Mota J, Saraiva BTC, Damato TM, Delfino LD, et al. Relationship of cardiac autonomic modulation with cardiovascular parameters in adults, according to body mass index and physical activity. J Cardiovasc Transl Res. 2021;14:975–83.CrossRefPubMed
30.
Zurück zum Zitat Wu JS, Lu FH, Yang YC, Lin TS, Huang YH, Wu CH, et al. Epidemiological evidence of altered cardiac autonomic function in overweight but not underweight subjects. Int J Obes (Lond). 2008;32:788–94.CrossRefPubMed Wu JS, Lu FH, Yang YC, Lin TS, Huang YH, Wu CH, et al. Epidemiological evidence of altered cardiac autonomic function in overweight but not underweight subjects. Int J Obes (Lond). 2008;32:788–94.CrossRefPubMed
31.
Zurück zum Zitat Santa-Rosa FA, Shimojo GL, Dias DS, Viana A, Lanza FC, Irigoyen MC, et al. Impact of an active lifestyle on heart rate variability and oxidative stress markers in offspring of hypertensives. Sci Rep. 2020;10:12439. Santa-Rosa FA, Shimojo GL, Dias DS, Viana A, Lanza FC, Irigoyen MC, et al. Impact of an active lifestyle on heart rate variability and oxidative stress markers in offspring of hypertensives. Sci Rep. 2020;10:12439.
32.
Zurück zum Zitat Seravalle G, Mancia G, Grassi G. Role of the sympathetic nervous system in hypertension and hypertension-related cardiovascular disease. High Blood Press Cardiovasc Prev. 2014;2:89–105.CrossRef Seravalle G, Mancia G, Grassi G. Role of the sympathetic nervous system in hypertension and hypertension-related cardiovascular disease. High Blood Press Cardiovasc Prev. 2014;2:89–105.CrossRef
33.
Zurück zum Zitat Ittermann T, Werner N, Lieb W, Merz B, Nöthlings U, Kluttig A, et al. Changes in fat mass and fat-free-mass are associated with incident hypertension in four population-based studies from Germany. Int J Cardiol. 2019;274:372–7.CrossRefPubMed Ittermann T, Werner N, Lieb W, Merz B, Nöthlings U, Kluttig A, et al. Changes in fat mass and fat-free-mass are associated with incident hypertension in four population-based studies from Germany. Int J Cardiol. 2019;274:372–7.CrossRefPubMed
34.
Zurück zum Zitat Oliveira CM, Ulbrich AZ, Neves FS, Dias FAL, Horimoto ARVR, Krieger JE, et al. Association between anthropometric indicators of adiposity and hypertension in a Brazilian population: Baependi Heart Study. PLoS ONE. 2017;12:e0185225.CrossRefPubMedPubMedCentral Oliveira CM, Ulbrich AZ, Neves FS, Dias FAL, Horimoto ARVR, Krieger JE, et al. Association between anthropometric indicators of adiposity and hypertension in a Brazilian population: Baependi Heart Study. PLoS ONE. 2017;12:e0185225.CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat Leskinen T, Stenholm S, Heinonen OJ, Pulakka A, Aalto V, Kivimäki M, et al. Change in physical activity and accumulation of cardiometabolic risk factors. Prev Med. 2018;112:31–7.CrossRefPubMed Leskinen T, Stenholm S, Heinonen OJ, Pulakka A, Aalto V, Kivimäki M, et al. Change in physical activity and accumulation of cardiometabolic risk factors. Prev Med. 2018;112:31–7.CrossRefPubMed
36.
Zurück zum Zitat Tebar WR, Ritti-Dias R, Mota J, Farah BQ, Saraiva BTC, Damato TMM, et al. Relationship between domains of physical activity and cardiac autonomic modulation in adults: a cross-sectional study. Sci Rep. 2020;10:15510.CrossRefPubMedPubMedCentral Tebar WR, Ritti-Dias R, Mota J, Farah BQ, Saraiva BTC, Damato TMM, et al. Relationship between domains of physical activity and cardiac autonomic modulation in adults: a cross-sectional study. Sci Rep. 2020;10:15510.CrossRefPubMedPubMedCentral
38.
Zurück zum Zitat Erdogan D, Gonul E, Icli A, Yucel H, Arslan A, Akcay S, et al. Effects of normal blood pressure, prehypertension, and hypertension on autonomic nervous system function. Int J Cardiol. 2011;151:50–3.CrossRefPubMed Erdogan D, Gonul E, Icli A, Yucel H, Arslan A, Akcay S, et al. Effects of normal blood pressure, prehypertension, and hypertension on autonomic nervous system function. Int J Cardiol. 2011;151:50–3.CrossRefPubMed
Metadaten
Titel
Impact of Obesity on Cardiac Autonomic System Functioning in Military Police Officers
verfasst von
Thabata Chaves Pereira Lima
Igor Rezende Trevisan
Fernanda Monma
Leonardo Thomaz da Costa
Julio Cesar Tinti
Luciana Takahashi Carvalho Ribeiro
Tânia Cristina Pithon-Curi
Sandro Massao Hirabara
Rui Curi
Kátia De Angelis
Diego Ribeiro De Souza
Fernando Alves Santa-Rosa
Publikationsdatum
12.05.2024
Verlag
Springer International Publishing
Erschienen in
High Blood Pressure & Cardiovascular Prevention
Print ISSN: 1120-9879
Elektronische ISSN: 1179-1985
DOI
https://doi.org/10.1007/s40292-024-00647-z

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

Erhöhtes Risiko fürs Herz unter Checkpointhemmer-Therapie

28.05.2024 Nebenwirkungen der Krebstherapie Nachrichten

Kardiotoxische Nebenwirkungen einer Therapie mit Immuncheckpointhemmern mögen selten sein – wenn sie aber auftreten, wird es für Patienten oft lebensgefährlich. Voruntersuchung und Monitoring sind daher obligat.

GLP-1-Agonisten können Fortschreiten diabetischer Retinopathie begünstigen

24.05.2024 Diabetische Retinopathie Nachrichten

Möglicherweise hängt es von der Art der Diabetesmedikamente ab, wie hoch das Risiko der Betroffenen ist, dass sich sehkraftgefährdende Komplikationen verschlimmern.

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

21.05.2024 TAVI Nachrichten

Bei schwerer Aortenstenose und obstruktiver KHK empfehlen die Leitlinien derzeit eine chirurgische Kombi-Behandlung aus Klappenersatz plus Bypass-OP. Diese Empfehlung wird allerdings jetzt durch eine aktuelle Studie infrage gestellt – mit überraschender Deutlichkeit.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.