Skip to main content
Erschienen in: Clinical Autonomic Research 1/2016

01.02.2016 | Research Article

Is heart rate variability associated with frequency and intensity of vasomotor symptoms among healthy perimenopausal and postmenopausal women?

verfasst von: Salene M. W. Jones, Katherine A. Guthrie, Andrea Z. LaCroix, Barbara Sternfeld, Carol A. Landis, Susan D. Reed, Andrea Dunn, Bette Caan, Lee S. Cohen, Julie Hunt, Katherine M. Newton

Erschienen in: Clinical Autonomic Research | Ausgabe 1/2016

Einloggen, um Zugang zu erhalten

Abstract

Objective

Research has suggested that the autonomic nervous system (ANS) is involved in the experience of vasomotor symptoms (VMS) during menopause. We examined the relationship of VMS intensity and heart rate variability (HRV), a measure of ANS function.

Methods

Women (n = 282) were recruited from three American states for a clinical trial of yoga, exercise, and omega-3 fatty acid supplements for VMS. To be eligible, women had to report at least 14 VMS per week, with some being moderate to severe. Sitting electrocardiograms were recorded for 15 min using Holter monitors at both baseline and 12-week follow-up. Time and frequency domain HRV measures were calculated. Women completed daily diary measures of VMS frequency and intensity for 2 weeks at baseline and for 1 week at the follow-up assessment 12 weeks later. Multivariable linear regression was used to assess the relationship between VMS and baseline HRV measures and to compare change in HRV with change in VMS over the 12 weeks.

Results

Baseline HRV was not associated with either VMS frequency or intensity at baseline. Change in HRV was not associated with change in VMS frequency or intensity across the follow-up.

Interpretation

Heart rate variability (HRV) was not associated with basal VMS frequency or intensity in perimenopausal and postmenopausal women experiencing high levels of VMS. Autonomic function may be associated with the onset or presence of VMS, but not with the number or intensity of these symptoms.
Literatur
1.
Zurück zum Zitat Deecher DC, Dorries K (2007) Understanding the pathophysiology of vasomotor symptoms (hot flushes and night sweats) that occur in perimenopause, menopause, and postmenopause life stages. Arch Womens Ment Health 10(6):247–257CrossRefPubMed Deecher DC, Dorries K (2007) Understanding the pathophysiology of vasomotor symptoms (hot flushes and night sweats) that occur in perimenopause, menopause, and postmenopause life stages. Arch Womens Ment Health 10(6):247–257CrossRefPubMed
2.
Zurück zum Zitat Thayer JF et al (2012) A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health. Neurosci Biobehav Rev 36(2):747–756CrossRefPubMed Thayer JF et al (2012) A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health. Neurosci Biobehav Rev 36(2):747–756CrossRefPubMed
3.
Zurück zum Zitat Thayer JF, Lane RD (2009) Claude Bernard and the heart-brain connection: further elaboration of a model of neurovisceral integration. Neurosci Biobehav Rev 33(2):81–88CrossRefPubMed Thayer JF, Lane RD (2009) Claude Bernard and the heart-brain connection: further elaboration of a model of neurovisceral integration. Neurosci Biobehav Rev 33(2):81–88CrossRefPubMed
4.
Zurück zum Zitat Sternfeld B et al (2013) Design and methods of a multi-site, multi-behavioral treatment trial for menopausal symptoms: the MsFLASH experience. Contemp Clin Trials 35(1):25–34PubMedCentralCrossRefPubMed Sternfeld B et al (2013) Design and methods of a multi-site, multi-behavioral treatment trial for menopausal symptoms: the MsFLASH experience. Contemp Clin Trials 35(1):25–34PubMedCentralCrossRefPubMed
5.
6.
Zurück zum Zitat Thurston RC, Christie IC, Matthews KA (2010) Hot flashes and cardiac vagal control: A link to cardiovascular risk? Menopause 17(3):456–461PubMedCentralPubMed Thurston RC, Christie IC, Matthews KA (2010) Hot flashes and cardiac vagal control: A link to cardiovascular risk? Menopause 17(3):456–461PubMedCentralPubMed
7.
Zurück zum Zitat de Zambotti M et al (2013) Vagal withdrawal during hot flashes occurring in undisturbed sleep. Menopause 20(11):1147–1153CrossRefPubMed de Zambotti M et al (2013) Vagal withdrawal during hot flashes occurring in undisturbed sleep. Menopause 20(11):1147–1153CrossRefPubMed
9.
Zurück zum Zitat Hoikkala H et al (2010) Association between vasomotor hot flashes and heart rate variability in recently postmenopausal women. Menopause 17(2):315–320CrossRefPubMed Hoikkala H et al (2010) Association between vasomotor hot flashes and heart rate variability in recently postmenopausal women. Menopause 17(2):315–320CrossRefPubMed
10.
Zurück zum Zitat Hautamaki H et al (2011) Cardiovascular autonomic responsiveness in postmenopausal women with and without hot flushes. Maturitas 68(4):368–373CrossRefPubMed Hautamaki H et al (2011) Cardiovascular autonomic responsiveness in postmenopausal women with and without hot flushes. Maturitas 68(4):368–373CrossRefPubMed
11.
Zurück zum Zitat Akiyoshi M et al (2011) Relationship between estrogen, vasomotor symptoms, and heart rate variability in climacteric women. J Med Dent Sci 58(2):49–59PubMed Akiyoshi M et al (2011) Relationship between estrogen, vasomotor symptoms, and heart rate variability in climacteric women. J Med Dent Sci 58(2):49–59PubMed
12.
Zurück zum Zitat Lee JO et al (2011) The relationship between menopausal symptoms and heart rate variability in middle aged women. Korean J Fam Med 32(5):299–305PubMedCentralCrossRefPubMed Lee JO et al (2011) The relationship between menopausal symptoms and heart rate variability in middle aged women. Korean J Fam Med 32(5):299–305PubMedCentralCrossRefPubMed
13.
Zurück zum Zitat Reed SD et al (2014) Menopausal quality of life: RCT of yoga, exercise, and omega-3 supplements. Am J Obstet Gynecol 210(3):244 e1–244 e11CrossRefPubMed Reed SD et al (2014) Menopausal quality of life: RCT of yoga, exercise, and omega-3 supplements. Am J Obstet Gynecol 210(3):244 e1–244 e11CrossRefPubMed
14.
Zurück zum Zitat Newton KM et al (2014) Methods for the design of vasomotor symptom trials: the menopausal strategies: finding lasting answers to symptoms and health network. Menopause 21(1):45–58CrossRefPubMed Newton KM et al (2014) Methods for the design of vasomotor symptom trials: the menopausal strategies: finding lasting answers to symptoms and health network. Menopause 21(1):45–58CrossRefPubMed
15.
Zurück zum Zitat Sternfeld B et al (2014) Efficacy of exercise for menopausal symptoms: a randomized controlled trial. Menopause 21(4):330–338PubMedCentralPubMed Sternfeld B et al (2014) Efficacy of exercise for menopausal symptoms: a randomized controlled trial. Menopause 21(4):330–338PubMedCentralPubMed
16.
Zurück zum Zitat Cohen LS et al (2014) Efficacy of omega-3 for vasomotor symptoms treatment: a randomized controlled trial. Menopause 21(4):347–354PubMedCentralPubMed Cohen LS et al (2014) Efficacy of omega-3 for vasomotor symptoms treatment: a randomized controlled trial. Menopause 21(4):347–354PubMedCentralPubMed
17.
Zurück zum Zitat Bilchick KC, Berger RD (2006) Heart rate variability. J Cardiovasc Electrophysiol 17(6):691–694CrossRefPubMed Bilchick KC, Berger RD (2006) Heart rate variability. J Cardiovasc Electrophysiol 17(6):691–694CrossRefPubMed
18.
Zurück zum Zitat Appelhans BM, Luecken L (2006) Heart rate variability as an index of regulated emotional responding. Rev Gen Psychol 10(3):229–240CrossRef Appelhans BM, Luecken L (2006) Heart rate variability as an index of regulated emotional responding. Rev Gen Psychol 10(3):229–240CrossRef
19.
Zurück zum Zitat Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24(4):385–396CrossRefPubMed Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24(4):385–396CrossRefPubMed
20.
Zurück zum Zitat Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J Roy Stat Soc: Ser B (Methodol) 57(1):289–300 Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J Roy Stat Soc: Ser B (Methodol) 57(1):289–300
21.
Zurück zum Zitat Thissen D, Steinberg L, Kuang D (2002) Quick and easy implementation of the Benjamini–Hochberg procedure for controlling the false positive rate in multiple comparisons. J Educ Behav Stat 27(1):77–83CrossRef Thissen D, Steinberg L, Kuang D (2002) Quick and easy implementation of the Benjamini–Hochberg procedure for controlling the false positive rate in multiple comparisons. J Educ Behav Stat 27(1):77–83CrossRef
22.
Zurück zum Zitat Rickards CA, Ryan KL, Convertino VA (2010) Characterization of common measures of heart period variability in healthy human subjects: implications for patient monitoring. J Clin Monit Comput 24(1):61–70CrossRefPubMed Rickards CA, Ryan KL, Convertino VA (2010) Characterization of common measures of heart period variability in healthy human subjects: implications for patient monitoring. J Clin Monit Comput 24(1):61–70CrossRefPubMed
23.
Zurück zum Zitat Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 93(5):1043–1065CrossRef Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 93(5):1043–1065CrossRef
Metadaten
Titel
Is heart rate variability associated with frequency and intensity of vasomotor symptoms among healthy perimenopausal and postmenopausal women?
verfasst von
Salene M. W. Jones
Katherine A. Guthrie
Andrea Z. LaCroix
Barbara Sternfeld
Carol A. Landis
Susan D. Reed
Andrea Dunn
Bette Caan
Lee S. Cohen
Julie Hunt
Katherine M. Newton
Publikationsdatum
01.02.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Autonomic Research / Ausgabe 1/2016
Print ISSN: 0959-9851
Elektronische ISSN: 1619-1560
DOI
https://doi.org/10.1007/s10286-015-0322-x

Weitere Artikel der Ausgabe 1/2016

Clinical Autonomic Research 1/2016 Zur Ausgabe

Neu in den Fachgebieten Neurologie und Psychiatrie

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.