Heart Rate Variability in Women with Systemic Lupus Erythematosus: Association with Health-Related Parameters and Effects of Aerobic Exercise

Elena Martínez-Rosales, Sergio Sola-Rodríguez, José Antonio Vargas-Hitos, Blanca Gavilán-Carrera, Antonio Rosales-Castillo, Alba Hernández-Martínez, Enrique G. Artero, José Mario Sabio and Alberto Soriano-Maldonado
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Elena Martínez-Rosales: Department of Education, Faculty of Education Sciences, University of Almería, 04120 Almería, Spain
Sergio Sola-Rodríguez: Department of Education, Faculty of Education Sciences, University of Almería, 04120 Almería, Spain
José Antonio Vargas-Hitos: Systemic Autoimmune Diseases Unit, Department of Internal Medicine, Virgen de las Nieves University Hospital, 18014 Granada, Spain
Blanca Gavilán-Carrera: Physical Activity for Health Promotion Research Group (PAHELP), Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain
Antonio Rosales-Castillo: Systemic Autoimmune Diseases Unit, Department of Internal Medicine, Virgen de las Nieves University Hospital, 18014 Granada, Spain
Alba Hernández-Martínez: Department of Education, Faculty of Education Sciences, University of Almería, 04120 Almería, Spain
Enrique G. Artero: Department of Education, Faculty of Education Sciences, University of Almería, 04120 Almería, Spain
José Mario Sabio: Systemic Autoimmune Diseases Unit, Department of Internal Medicine, Virgen de las Nieves University Hospital, 18014 Granada, Spain
Alberto Soriano-Maldonado: Department of Education, Faculty of Education Sciences, University of Almería, 04120 Almería, Spain

IJERPH, 2020, vol. 17, issue 24, 1-14

Abstract: Abnormal heart rate variability (HRV) has been observed in patients with systemic lupus erythematosus (SLE). In a combined cross-sectional and interventional study approach, we investigated the association of HRV with inflammation and oxidative stress markers, patient-reported outcomes, and the effect of 12 weeks of aerobic exercise in HRV. Fifty-five women with SLE (mean age 43.5 ± 14.0 years) were assigned to either aerobic exercise ( n = 26) or usual care ( n = 29) in a non-randomized trial. HRV was assessed using a heart rate monitor during 10 min, inflammatory and oxidative stress markers were obtained, psychological stress (Perceived Stress Scale), sleep quality (Pittsburg Sleep Quality Index), fatigue (Multidimensional Fatigue Inventory), depressive symptoms (Beck Depression Inventory), and quality of life (36-item Short-Form Health Survey) were also assessed. Low frequency to high frequency power (LFHF) ratio was associated with physical fatigue ( p = 0.019). Sample entropy was inversely associated with high-sensitivity C-reactive protein ( p = 0.014) and myeloperoxidase ( p = 0.007). There were no significant between-group differences in the changes in HRV derived parameters after the exercise intervention. High-sensitivity C-reactive protein and myeloperoxidase were negatively related to sample entropy and physical fatigue was positively related to LFHF ratio. However, an exercise intervention of 12 weeks of aerobic training did not produce any changes in HRV derived parameters in women with SLE in comparison to a control group.

Keywords: autonomic nervous system; exercise; inflammation; fatigue; rheumatic disease (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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