성인 남성의 안정시 심박수와 비만 지표 및 동맥경직도 간의 연관성
Association between Resting Heart Rate, and Obesity Index, Arterial Stiffness in Adults.
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[PURPOSE] The purpose of this study was to association between resting heart rate, and obesity index arterial stiffness in adults. [METHODS] The subjects were 1,606 males between 30~60 years who visited national fitness center from 2012 to 2015. Participants were stratified into five heart rate groups(>60bpm, 60~69bpm, 70~79bpm, 80~ 89bpm, and 90bpm≤). Resting heat rate was assessed from ECG. Arterial stiffness was assessed by brachial ankle pulse wave velocity(baPWV). [RESULTS] Resting heart rate was related to body mass index(r=0.78, p<.01), waist circumference(r=.124, p<.001), %body fat(r=.126, p<.001), and baPWV(r=.217, p<.001). The odds ratios of obesity was not significant difference with resting heart rate. But compared to those with a resting heart rate of >60bpm, the odds ratios of arterial stiffness increased in those with resting heart rate of 60-69bpm, 70-79bpm, 80-89bpm, and 90bpm≤ by 1.86(95% confidence interval [CI] 1.29-2.67), 2.20(95% CI, 1.48-3.27), 2.32(95% CI, 1.42-3.78), and 3.21(95% CI, 1.68-6.30), respectively. [CONCLUSIONS] Resting heart rate is associated with the body mass index, waist circumference, %body fat, and arterial stiffness in adults.
Abstract
[PURPOSE] The purpose of this study was to association between resting heart rate, and obesity index arterial stiffness in adults. [METHODS] The subjects were 1,606 males between 30~60 years who visited national fitness center from 2012 to 2015. Participants were stratified into five heart rate groups(>60bpm, 60~69bpm, 70~79bpm, 80~ 89bpm, and 90bpm≤). Resting heat rate was assessed from ECG. Arterial stiffness was assessed by brachial ankle pulse wave velocity(baPWV). [RESULTS] Resting heart rate was related to body mass index(r=0.78, p<.01), waist circumference(r=.124, p<.001), %body fat(r=.126, p<.001), and baPWV(r=.217, p<.001). The odds ratios of obesity was not significant difference with resting heart rate. But compared to those with a resting heart rate of >60bpm, the odds ratios of arterial stiffness increased in those with resting heart rate of 60-69bpm, 70-79bpm, 80-89bpm, and 90bpm≤ by 1.86(95% confidence interval [CI] 1.29-2.67), 2.20(95% CI, 1.48-3.27), 2.32(95% CI, 1.42-3.78), and 3.21(95% CI, 1.68-6.30), respectively. [CONCLUSIONS] Resting heart rate is associated with the body mass index, waist circumference, %body fat, and arterial stiffness in adults.
참고문헌 (36)
- Alvarez, G. E., "Sympathetic neural activation in visceral obesity", Circulation, 106, pp.2533~2536 (2002)
- Asmar, R., "Assessment of arterial distensibility by automatic pulse wave velocity measurement. Validation and clinical application studies", Hypertension, 26, pp.485~490 (1995)
- Curtis, B. M., "Autonomic tone as a cardiovascular risk factor: the dangers of chronic fight or flight", Mayo Clinic Proceedings, 77, pp.45~54 (2002)
- Failla, M., "Sympathetic tone restrains arterial distensibility of healthy and atherosclerotic subjects", Journal of Hypertension, 17, pp.1117~1123 (1999)
- Fox, K., "Heart Rate Working Group. Resting heart rate in cardiovascular disease", Journal of American College Cardiology, 50, pp.823~830 (2007)
- Gillum, R. F., "Pulse rate, coronary heart disease, and death: the NHANES I Epidemiologic Follow-up Study", American Heart Journal, 121, pp.172~177 (1999)
- Goldsmith, R. L., "Exercise and autonomic function", Coronary Artery Disease, 11, pp.129~135 (2000)
- Grassi, G., "Participation of the Hypothalamus-Hypophysis Axis in the sympathetic activation of human obesity", Hypertension, 38, pp.1316~1320 (2001)
- Hamilton, P. K., "Arterial stiffness: Clinical relevance, measurement and treatment", Clinical Science, 113, pp.157~170 (2007)
- Huxley, R., "Body mass index, waist circumference and waist: hip ratio as predictors of cardiovascular risk-a review of the literature", European journal of clinical nutrition, 64(1), pp.16~22 (2009)
- Itagi, A. B. C., "Relationship of resting heart rate with body composition and obesity among young adults in India", National Journal of Physiology, Pharmacy and Pharmacology, 4(2), pp.143~148 (2014)
- Jensen, M. T., "Elevated resting heart rate, physical fitness and all-cause mortality: A 16-year follow-up in the Copenhagen Male Study", Heart, 99, pp.882~887 (2013)
- Laurent, S., "Aortic stiff ness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients", Hypertension, 37, pp.1236~1241 (2001)
- Lee, S. Y., "Appropriate waist circumference cutoff points for central obesity in Korean adults", Diabetes Research Clinical Practice, 75, pp.72~80 (2007)
- Levine, H. J., "Rest heart rate and life expectancy", Journal of American College Cardiology, 30(4), pp.1104~1106 (1997)
- London, G. M., "Arterial stiffness: pathophysiology and clinical impact", Clinical Experimental Hypertension, 26, pp.689~699 (2004)
- Low, P. A., "Clinical decision making. Autonomic function and dysfunction", Continuum, 4(2), pp.21~25 (1988)
- McLeod, A. L., "Non-invasive measures of pulse wave velocity correlate with coronary arterial plaque load in humans", Journal of Hypertension, 22, pp.363~368 (2004)
- Mensink, G. B. M., "The relationship between resting heart rate and all-cause, cardiovascular and cancer mortality", European Heart Journal, 18, pp.1404~1410 (1997)
- Oliver, J. J., "Noninvasive assessment of arterial stiffness and risk of atherosclerotic events", Arteriosclerosis, Thrombosis, and Vascular Biology, 23(4), pp.554~566 (2003)
- Palatini, P., "Elevated heart rate: a major risk factor for cardiovascular disease", Clinical Experimental Hypertension, 26, pp.637~644 (2004)
- Park, B. J., "Association between resting heart rate and arterial stiffness in Korean adults", Archives of Cardiovascular Disease, 103, pp.246~252 (2010)
- 박현아, "한국 성인의 안정 시 심박수와 대사증후군 및 제2형 당뇨병 유병률의 관계: 제5기 국민건강영양조사(2012년)", Journal of Obesity & Metabolic Syndrome, 24(3), pp.166~174 (2015), 대한비만학회
- Perski, A., "Heart rate correlates with severity of coronary atherosclerosis in young post infarction patients", American Heart Journal, 116, pp.1369~1373 (1998)
- Quan, H. L., "Resting heart rate and the association of physical fitness with carotid artery stiffness", American Journal of Hypertension, 27(1), pp.65~71 (2014)
- Romero-Corral, A., "Association of bodyweight with total mortality and with cardiovascular events in coronary artery disease: a systematic review of cohort studies", Lancet, 368(9536), pp.666~678 (2006)
- Sa Cunha, R., "Association between high heart rate and high arterial rigidity in normotensive and hypertensive subjects", Journal of Hypertensin, 15, pp.1423~1430 (1997)
- Shigetoh, Y., "Higher heart rate may predispose to obesity and diabetes mellitus: 20-year prospective study in a general population", American Journal of Hypertension, 22(2), pp.151~155 (2009)
- 신경아, "한국 성인남성의 안정시 심박수와 대사증후군 위험요인의 연관성", 한국웰니스학회, 10(4), pp.305~316 (2015), 한국웰니스학회
- Tomiyama, H., "Brachial-ankle pulse wave velocity is a simple and independent predictor of prognosis in patients with acute coronary syndrome", Circulation Journal, 69, pp.815~822 (2005)
- van Popele, N. M., "Arterial stiffness as underlying mechanism of disagreement between an oscillometric blood pressure monitor and a sphygmomanometer", Hypertension, 36, pp.484~488 (2000)
- Vaseghi, M., "The role of the autonomic nervous system in sudden cardiac death", Progress Cardiovascular Disease, 50, pp.404~419 (2008)
- Whelton, S. P., "Association of resting heart rate with carotid and aortic arterial stiffness: Multi-Ethnic Study of Atherosclerosis", Hypertension, 62(3), pp.477~484 (2013)
- World Health Organization, "WHO West Pacific Region. The asia-pacific perspective: redefining obesity and its treatment", IOTF, ~ (2000)
- Yamshin, A., "Brachial-Ankle pulse wave velocity as a marker of atherosclerotic vascular damage and cardiovascular risk", Hypertension Research, 26, pp.615~622 (2003)
- Zhang, G. Q., "Heart rate, lifespan, and mortality risk", Ageing Research Review, 8, pp.52~60 (2009)
