DOI QR코드

DOI QR Code

A Study on Relations between Skeletal Maturity and Heart Rate Variability

골성숙도와 심박 변이도의 상관성에 대한 연구

  • Lee, Hye-Lim (Department of Pediatrics, College of Oriental Medicine, Daejeon University) ;
  • Han, Jae-Kyung (Department of Pediatrics, College of Oriental Medicine, Daejeon University) ;
  • Kim, Yun-Hee (Department of Pediatrics, College of Oriental Medicine, Daejeon University)
  • 이혜림 (대전대학교 한의과대학 소아과학교실) ;
  • 한재경 (대전대학교 한의과대학 소아과학교실) ;
  • 김윤희 (대전대학교 한의과대학 소아과학교실)
  • Received : 2012.07.13
  • Accepted : 2012.08.18
  • Published : 2012.08.31

Abstract

Objectives The purpose of this study is to examine the relationship between skeletal maturity and heart rate variability (HRV) based on the bone age and HRV parameters. Methods 103 children from 6 years to 17 years of age, who do not have any disease-related symptom, and visited ${\bigcirc}{\bigcirc}$ oriental medicine hospital, are measured based on their bone age and short-term spectral analysis of HRV. Results 1. Skeletal maturity was significantly correlated with HRV indices: mean HRT and SDNN. As the skeletal maturity increases, the mean HRT was decreased and the SDNN was increased. 2. When classifying according to the skeletal maturity score, the mean HRT was higher in the 'below -0.4' group compare to '-0.3~0.7' group and '0.8~1.9' group. SDNN was higher in the '0.8~1.9' group compare to '-0.3~0.7' group, 'below -0.4' group 3. When classifying according to the sex, age and secondary sexual characteristics, as the skeletal maturity was increased, the mean HRT was significantly decreased and the SDNN was significantly increased only in the boys who did not develop secondary sexual characteristics. Conclusions Skeletal maturity could be statistically significant with HRV indices, especially to the boys and the children than the girls and the teenagers.

Keywords

References

  1. Cho HJ, Jung SM, Kim DG, Lee JY. The Effect of Herbal Medicine Treatment on the Growth of Children. J Korean Orient Pediatr. 2004;18(2):119-26.
  2. Yoon HJ, Kim DG, Lee JY. A Study for the Parent's Recognition of the Oriental Medical Treatment and the Expectation of Children's Growth. J Korean Orient Pediatr. 2011;25(1):119-27. https://doi.org/10.7778/jpkm.2011.25.1.119
  3. Hong CE. Textbook of pediatrics, 9th ed. Seoul: Korea Textbook Publishing Co, 2008:20-1.
  4. Choi MH, Kim DG, Lee JY. Effect of Genetic and Environmental Factors on Growth. J Korean Orient Pediatr. 2010;24(3):138-49.
  5. Hwang YS. A Study on the Factors of Children's Daily Hassles and Relationship with their Coping Behaviors. Department of Home Management. Grad School Cheju Natl Univ. 2007.
  6. McCraty R, Atkinson M, Tiller WA, Rein G, Watkins AD. The Effects of Emotions on Short-term Power Spectrum Analysis of Heart Rate Variability. Am J Cardiol. 1995;76:1089-93. https://doi.org/10.1016/S0002-9149(99)80309-9
  7. Rajendra Acharya U, Paul Joseph K, Kannathal N, Lim CM, Suri JS. Heart Rate Variability: a Review. Med Biol Eng Comput. 2006;44(12):1031-51. https://doi.org/10.1007/s11517-006-0119-0
  8. Kim SY, Lee MS, Yang JW, Jung IK. Heart Rate Variability and Parenting Stress Index in Children with Attention- Deficit/Hyperactivity Disorder. J Psychosom Med. 2011; 19(2):74-82.
  9. Kim SY, Seo HW, Kim JW, Chung SY. Relationship between Heart Rate Variability (HRV) and BDI, STAI and STAXI. J Orient Neuropsychiatry. 2011;22(4):87- 100.
  10. Rosenfeld RG. Disorders of Growth Hormone and Insulin-like Growth Factor Secretion and Action. In: Sperling MA ed. Pediatric Endocrinology. Philadelphia: WB Saunders Co, 2002:116-69.
  11. Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ, Baek JH, Yu SA, Lee SY, Lee JY, Lee HJ, Chang GT, Chai JW, Han YJ, Han JK. Hanbangsoacheongsonyeonuihak. Seoul: Ui Sung Dang Publishing Co, 2010:830-2.
  12. Greuclich WW, Pyle SI. Radiographic atlas of skeletal development of the hand wrist. Stanford: Stanford University Press, 1950.
  13. Tanner JM, Healy MJR, Goldstein H, Cameron N. Assessment of skeletal maturity and prediction of adult height: TW3 method, 3rd ed. London: WB Saunders, 2001.
  14. Lee YM, Kim KW, Yoon YJ. Correlations between Dental and Skeletal Maturity. J Orthod. 2000;30(2): 143-57.
  15. Liebman M. Neuroanatomy made easy and understandable. Baltimore: University Park Press. 1979.
  16. LeDoux JE, Iwata J, Cicchetti P, Reis DJ. Different Projections of the Central Amygdaloid Nucleus Mediate Autonomic and Behavioral Correlates of Conditioned Fear. J Neurosci. 1988;8:2517-29.
  17. Price JL, Amaral DG. An Autoradiographic Study of the Projections of the Central Nucleus of the Monkey Amygdala. J Neurosci. 1981;1:1242-59.
  18. Task Force of the European society of cardiology and the north American society of pacing and electrophysiology. Heart Rate Variability: Standards of Measurement, Physiological Interpretation, and Clinical Use. Circ. 1996;93:1043-65. https://doi.org/10.1161/01.CIR.93.5.1043
  19. Pomeranz B, Macaulay R, Caudill M, Kutz I, Adam D, Gordon D, Kilborn KM, Barger AC, Shannon DC, Cohen RJ, Benson H. Assessment of Autonomic Function in Humans by Heart Rate Spectral Analysis. Am J Physiol. 1985;248:151-3.
  20. Shin KS. The Study on Power Spectral Analysis of Heart Rate Variability for Assessment of Autonomic Function in Cardiovascular Control. Ph. D Dis Inst Biomed Eng Keio Univ (Japan), 1995.
  21. Kim WM, Woo JM, Chae JH. Heart Rate Variability in Psychiatry. J Korean Neuropsychiatry Assoc. 2005;44: 176-84.
  22. Malik M. Heart Rate Variability Standards of Measurement, Physiological Interpretation and Clinical Use. Eur Heart J. 1996;17:354-81. https://doi.org/10.1093/oxfordjournals.eurheartj.a014868
  23. Jo MS, Lee Nh, Han JK. The Effect of Balneotherapy on Children Autonomic Nervous System Function and Body Composition. J Korean Orient Pediatr. 2011;25(3): 77-84. https://doi.org/10.7778/jpkm.2011.25.3.077
  24. Woo JM, Kim ES, Yoon HY, Choi YH. The Relation between Heart Rate Variability and Pharmacotherapy in Patients with Panic Disorder. J Korean Neuropsychiatry Assoc. 2005;44:342-49.
  25. Akselrod S, Gordon D, Ubel FA, Shannon DC, Barger AC, Cohen RJ. Power Spectral Analysis of Heart Rate Fluctuation: a Quantitative Probe of Beat-to-beat Cardiovascular Control. Science. 1981;213:220-2. https://doi.org/10.1126/science.6166045
  26. Middlekauff HR, Hui K, Yu JL, Hamilton MA, Fonarow GC, Moriguchi J, Maclellan WR, Hage A. Acupuncture Inhibits Sympathetic Activation during Mental Stress in Advanced Heart Failure Patients. J Card Fail. 2002;8(6):399-406. https://doi.org/10.1054/jcaf.2002.129656
  27. Carney RM, Freedland KE. Depression and Heart Rate Variability in Patients with Coronary Heart Disease. Cleve Clin J Med. 2009;76 Suppl 2:S13-7. https://doi.org/10.3949/ccjm.76.s2.03
  28. Taylor CB. Depression, Heart Rate Related Variables and Cardiovascular Disease. Int J Psychophysiol. 2010;78(1):80-8. https://doi.org/10.1016/j.ijpsycho.2010.04.006
  29. Cohen H, Benjamin J. Power Spectrum Analysis and Cardiovascular Morbidity in Anxiety Disorders. Auton Neurosci. 2006;128(1-2):1-8. https://doi.org/10.1016/j.autneu.2005.06.007
  30. Kim IH, Kim JT, Lee SH, Kim SJ, Kim YS, Choi JB. The Relation between Autonomic Nervous System Activity and Lower Urinary Tract Symptoms. Korean J Urol. 2009;50:475-79. https://doi.org/10.4111/kju.2009.50.5.475
  31. Jeong KS. The Design of Autonomic Function Analysis System by Using Heart Rate Variability Signal. Dep Electr Eng, Grad School Yonsei Univ, 1997.
  32. Seo HY, Han JK, Kim YH. A Study on Relations between Obesity and Skeletal Maturity. J Korean Orient Pediatr. 2008;22(2):19-35.

Cited by

  1. The Characters of Autonomic Nervous System in Heart Weak Children through Analysis of Heart Rate Variability vol.27, pp.3, 2013, https://doi.org/10.7778/jpkm.2013.27.3.001
  2. 성장기 소아청소년들의 이차성징에 따른 진맥시 맥박변화와 골연령, 역연령, 키, 체중 등의 상관성 연구 vol.35, pp.1, 2012, https://doi.org/10.13048/jkm.14009