Autonomic modulation of heart rate of young and postmenopausal women undergoing estrogen therapy



Document title: Autonomic modulation of heart rate of young and postmenopausal women undergoing estrogen therapy
Journal: Brazilian journal of medical and biological research
Database: PERIÓDICA
System number: 000349883
ISSN: 0100-879X
Authors: 1
2
2
1
3
2
4
1
Institutions: 1Universidade Federal de Sao Carlos, Nucleo de Pesquisa em Exercicio Fisico, Sao Carlos, Sao Paulo. Brasil
2Universidade de Sao Paulo, Faculdade de Medicina de Ribeirao Preto, Ribeirao Preto, Sao Paulo. Brasil
3Universidade Estadual de Campinas, Faculdade de Educacao Fisica, Campinas, Sao Paulo. Brasil
4Universidade Metodista de Piracicaba, Faculdade de Ciencias da Saude, Piracicaba, Sao Paulo. Brasil
Year:
Season: Abr
Volumen: 40
Number: 4
Pages: 491-499
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Experimental, aplicado
English abstract The aim of the present study was to determine whether estrogen therapy (ET) reduces alterations of the autonomic control of heart rate (HR) due to hypoestrogenism and aging. Thirteen young (24 ± 2.6 years), 10 postmenopausal (53 ± 4.6 years) undergoing ET (PM-ET), and 14 postmenopausal (56 ± 2.6 years) women not undergoing ET (PM) were studied. ET consisted of 0.625 mg/day conjugated equine estrogen. HR was recorded continuously for 8 min at rest in the supine and sitting positions. HR variability (HRV) was analyzed by time (SDNN and rMSSD indices) and frequency domain methods. Power spectral components are reported as normalized units (nu) at low (LF) and high (HF) frequencies, and as LF/HF ratio. Intergroup comparisons: SDNN index was higher in young (median: supine, 47 ms; sitting, 42 ms) than in PM-ET (33; 29 ms) and PM (31; 29 ms) women (P < 0.05). PM showed lower HFnu, higher LFnu and higher LF/HF ratio (supine: 44, 56, 1.29; sitting: 38, 62, 1.60) than the young group in the supine position (61, 39, 0.63) and the PM-ET group in the sitting position (57, 43, 0.75; P < 0.05). Intragroup comparisons: HR was lower in the supine than in the sitting position for all groups (P < 0.05). The HRV decrease from the supine to the sitting position was significant only in the young group. These results suggest that HRV decreases during aging. ET seems to attenuate this process, promoting a reduction in sympathetic activity on the heart and contributing to the cardioprotective effect of estrogen hormones
Disciplines: Medicina
Keyword: Endocrinología,
Sistema cardiovascular,
Ginecología,
Menopausia,
Terapia hormonal,
Estrógenos,
Ritmo cardiaco
Keyword: Medicine,
Cardiovascular system,
Endocrinology,
Gynecology,
Menopause,
Hormonal therapy,
Estrogens,
Heart rate
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