Parkinson's disease effect on autonomic modulation: an analysis using geometric indices

Abstract: Background: Parkinson's disease (PD) produces autonomic changes, indicating lower parasympathetic modulation and global variability, but these changes need further studying regarding geometric methods. Objective: To investigate the autonomic modulation in individuals with PD using heart rate variability (HRV) indices obtained through geometric methods. Methods: This is a cross-sectional study that assessed 50 individuals, split into two groups: PD group (PDG; n=26; 75.36±5.21 years) and control group (CG; n=24; 75.36±5.21 years). We evaluated the autonomic modulation by measuring the heart rate beat-to-beat for 30 min with the individual in supine rest using a heart rate monitor and assessed geometric indices (RRtri, TINN, SD1, SD2, SD1/SD2 ratio, and qualitative analysis of the Poincaré plot). Results: Significant reductions were found in RRtri, TINN, SD1, and SD2 indices among PDG compared to CG. Regarding the SD1/SD2 ratio, no significant changes were detected between the groups. The Poincaré plot demonstrated that individuals with PD had lower beat-to-beat dispersion in RR intervals, in addition to greater long-term dispersion of RR intervals compared to CG. Conclusions: The results suggest a reduction in the parasympathetic autonomic modulation and global variability in individuals with PD compared to controls, regardless of sex, age, and body mass index.

Alternative title
Efeito da doença de Parkinson na modulação autonômica: análise por meio de índices geométricos
Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Parkinson's disease effect on autonomic modulation: an analysis using geometric indices ; volume:79 ; number:02 ; year:2021 ; pages:114-121
Arquivos de neuro-psiquiatria ; 79, Heft 02 (2021), 114-121

Contributor
Stoco-Oliveira, Mileide Cristina
Ricci-Vitor, Ana Laura
Vanzella, Laís Manata
Valente, Heloisa Balotari
Silva, Vitor Eduardo dos Santos
André, Larissa Borba
Carvalho, Augusto Cesinando de
Garner, David Matthew
Vanderlei, Luiz Carlos Marques

DOI
10.1590/0004-282X-anp-2020-0088
URN
urn:nbn:de:101:1-2023081711105587315847
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:50 AM CEST

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Associated

  • Stoco-Oliveira, Mileide Cristina
  • Ricci-Vitor, Ana Laura
  • Vanzella, Laís Manata
  • Valente, Heloisa Balotari
  • Silva, Vitor Eduardo dos Santos
  • André, Larissa Borba
  • Carvalho, Augusto Cesinando de
  • Garner, David Matthew
  • Vanderlei, Luiz Carlos Marques

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