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CC BY-NC-ND 4.0 · Sleep Sci 2023; 16(04): e462-e467
DOI: 10.1055/s-0043-1776750
DOI: 10.1055/s-0043-1776750
Original Article
Association between Sleep Quality and Cardiac Autonomic Modulation in Adolescents: A Cross Sectional Study
Source of Funding The present work was supported by a grant (grant #481067/2010-8) from the Brazilian National Council for Scientific and Technological Development (CNPq, in the Portuguese acronym). Additional support was provided by the following agencies: the Brazilian Federal Agency for Support and Evaluation of Graduate Education (CAPES, in the Portuguese acronym).
Abstract
Objective To analyze the impact of sleep quality/duration on cardiac autonomic modulation on physically active adolescents with obesity.
Materials and Methods The present cross-sectional study included 1,150 boys with a mean age of 16.6 ± 1.2 years. The assessment of cardiac functions included the frequency domain of heart rate variability (HRV; low frequency – LF; high frequency – HF; and the ratio between these bands –LF/HF –, defined as the sympathovagal balance), and each parameter was categorized as low/high. Physical activity levels and sleep quality/duration were obtained by questionnaires. Abdominal obesity was assessed and defined as waist circumference > 80th percentile.
Results Poor sleep quality resulted in lower HF (odds ratio [OR]: 1.8; 95% confidence interval [95%CI]: 1.01–3.21]) regardless of physical activity and abdominal obesity. Moreover, the study found no association between sleep duration and HRV parameters in adolescents.
Conclusion Sleep quality, not sleep duration, reduces parasympathetic cardiac modulation apart from other factors such as physical activity and abdominal obesity in adolescents.
Publication History
Received: 01 September 2022
Accepted: 06 April 2023
Article published online:
22 November 2023
© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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