Changes of Autonomic Nervous System in Disorders of Food Intake (Mental Anorexia)
Authors:
I. Tonhajzerová
; K. Javorka
Authors place of work:
Ústav fyziológie, Jesseniova lekárska fakulta, Univerzita Komenského, Martin
vedúci ústavu prof. MUDr. K. Javorka, DrSc.
Published in the journal:
Čes-slov Pediat 2008; 63 (5): 266-271.
Category:
Review
Summary
Disorders of food intake belong to serious medical diseases at the child and adolescent age. The most prominent symptom is changed body mass – obesity or malnutrition (e.g. in mental anorexia), which influence almost all physiological functions of the organism including activity of autonomic nervous system. At the present time there are few papers dealing with the problem of mental anorexia and changes in autonomic nervous system. Bradycardia with increased parasympathetic activity is a typical finding in mental anorexia and may decrease significantly or even abnormally after some time. The conclusions concerning the evaluation of sympathetic activity are not unambiguous.
The determination of changes in the activity of sympathetic and parasympathetic part of autonomic nervous system presently employs linear and nonlinear methods for analysis of variability in heart rate and blood pressure as well as the examination by cardiovascular tests. It is also for the increasing rate and severity of food intake disorders at the child and adolescent age that monitoring of the changes in autonomic nervous activity should be continued and the effects of therapy and therapeutic procedures should be investigated.
Key words:
autonomic nervous system, mental anorexia, heart rate variability, blood pressure variability, cardiovascular system reactivity
Zdroje
1. Tonhajzerová I. Autonómny nervový systém (ANS) a možnosti stanovovania aktivity ANS pri obezite. Čes.-slov. Pediat. 2005;60(4): 228–234.
2. Krch FD, Beumont P, van Deth R, et al. Poruchy příjmu potravy. 2. vyd. Praha: Grada Publishing, 2005: 255.
3. Koutek J. Poruchy příjmu potravy. In Hort M, Hrdlička J, Kocourková J, et al.: Dětská a adolescentní psychiatrie. 1. vyd. Praha: Portál s.r.o., 2000: 263–285.
4. Erermis S, Cetin N, Tamar M, et al. Is obesity a risk factor for psychopathology among adolescents? Pediatr. Int. 2004;46(3): 296–301.
5. Kollai M, Bonyhay I, Jokkel G, Szonyi L. Cardiac vagal hyperactivity in adolescent anorexia nervosa. Eur. Heart J. 1994;15: 1113–1118.
6. Kreipe RE, Goldstein B, DeKing DE, et al. Heart rate power spectrum analysis of autonomic dysfunction in adolescents with anorexia nervosa. Int. J. Eat. Disord. 1994;16(2): 159–165.
7. Galetta F, Franzoni F, Prattichizzo F, et al. Heart rate variability and left ventricular diastolic function in anorexia nervosa. J. Adolesc. Health 2003;32(6): 416–421.
8. Cong ND, Saikawa T, Ogawa R., et al. Reduced 24-hour ambulatory blood pressure and abnormal heart rate variability in patients with dysorexia nervosa. Heart 2004;90: 563–564.
9. Melanson EL, Donahoo WT, Krantz MJ, et al. Resting and ambulatory heart rate variability in chronic anorexia nervosa. Am. J. Cardiol. 2004;94: 1217–1220.
10. Platisa MM, Nestorovic Z, Damjanovic S, Gal V. Linear and non-linear heart rate variability measures in chronic and acute phase of anorexia nervosa. Clin. Physiol. Funct. Imaging 2006;26(1): 54–60.
11. Mokrý J, Remeňová T, Javorka K. Changes in respiratory rate, blood pressure and heart rate variability in rabbits during orthostasis. Acta Vet. Brno 2006;75(1):3–12.
12. Mokrý J, Remeňová T, Javorka K. Heart rate variability during hypertensive reaction in spontaneously breathing and artificially ventilated rabbits. Acta Med. Mart. 2006;6(2): 10–15.
13. Havlíčeková Z, Jurko Jr A. Heart rate variability changes in children after cardiac transplantation. Bratisl. lek. Listy 2005;106(4–5): 168–170.
14. Pavlíková J, Chromá O, Javorka K, Buchanec J. Zmeny telesnej teploty, kvs a variability srdcovej frekvencie počas autogénneho tréningu. In Bánovčin P, Zibolen M (zostavovatelia): Aktuality v pediatrii II. Martin: JLF UK, 2001: 129–135.
15. Pavlíková J, Antonyová M, Havlíčeková Z, et al. Prínos vyšetrenia variability frekvencie srdca u detí s primárnou nočnou enurézou. In Bánovčin P, Dragula M, et al. Diagnostika a terapia v pediatrii. Martin: Univerzita Komenského, Jesseniova lekárska fakulta, 2005: 175–177.
16. Pincus SM, Goldberger AL. Physiological time-series analysis: what does regularity quantify? Am. J. Physiol. 1994;266 (Heart Circ. Physiol. 35): H1643–H1656.
17. Javorka K. Metódy a prínosy vyšetrenia regulácie frekvencie akcie srdca u detí. Čes.-slov. Pediat. 1996;51(8): 462–468.
18. Tonhajzerová I, Javorka K. Hodnotenie variability frekvencie srdca a jeho prínos. Čs. Fyziol. 2000;49(2): 51–60.
19. Javorka K. Autonómny nervový systém a hypertenzia. Čs. Fyziol. 2001;50(2): 71–80.
20. Javorka M. Approximate entropy – parameter kvantifikujúci komplexitu regulácie. Čs. Fyziol. 2002;51(1): 21–27.
21. Javorka M. Analýza variability fyziologických parametrov pomocou sekvenčného plotu. Čs. Fyziol. 2003;52(3): 103–106.
22. Javorka M, Žila I, Balhárek T, Javorka K. Heart rate recovery after exercise: relations to heart rate variability and complexity. Braz. J. Med. Biol. Res. 2002;35(8): 991–1000.
23. Javorka M, Javorková J, Tonhajzerová I, Javorka K. Parasympathetic versus sympathetic control of the cardiovascular system in young patients with type 1 diabetes mellitus. Clin. Physiol. Funct. Imaging 2005;25(5): 270–274.
24. Javorka M, Javorková J, Tonhajzerová I, et al. Heart rate variability in young patients with diabetes mellitus and healthy subjects explored by Poincaré and sequence plots. Clin. Physiol. Funct. Imaging 2005;25(2): 119–127.
25. Trunkvalterová Z, Javorka M. Symbolická dynamika v analýze variability kardiovaskulárnych parametrov. Čs. Fyziol. 2006;55: 39–44..
26. Tonhajzerová I, Javorka M, Chromá O, et al. Comparison of two methods for evaluation of the heart rate control in obese children. Acta Med. Mart. 2006;6:16–21.
27. Honzíková, N. Spectral analysis of circulatory rhythms. Brno: Masarykova univerzita, 1992: 125.
28. Honzíková N, Krtička A, Nováková Z, Závodná E. A dampening effect of pulse interval variability on blood pressure variations with respect to primary variability in blood pressure during exercise. Physiol. Res. 2003; 52: 299–309.
29. Borger N, van der Meere J, Ronner A, et al. Heart rate variability and sustained attention in ADHD children. J. Abnorm. Child. Psychol. 1999;27(1): 25–33.
30. Opavský J. Autonomní nervový systém a diabetická autonomní neuropatie. Klinické aspekty a diagnostika. Praha: Galén, 2002: 293.
31. Krantz MJ, Mehler PS. Resting tachycardia, a warning sign in anorexia nervosa: case report. BMC Cardiovasc. Disord. 2004;4: 10–12.
32. Freeman CP. Zdravotní komplikace mentální anorexie a bulímie a jejich léčba. In Krch FD, Beumont P, van Deth R, et al. Poruchy příjmu potravy. 2. vyd. Praha: Grada Publishing, 2005: 93–102.
33. Petretta M, Bonaduce D, Scalfi L, et al. Heart rate variability as a measure of autonomic nervous system function in anorexia nervosa. Clin. Cardiol. 1997;20: 219–224.
34. Akselrod S, Gordon D, Ubel FA. Power spectrum analysis of heart fluctuation: A quantitative probe of beat-to-beat cardiovascular control. Science 1981;213: 220–222.
35. Pomeranz D, Macaulay RJB, Caudill MA, et al. Assessment of autonomic function in humans by heart rate spectral analysis. Am. J. Physiol. 1985;248 (Heart Circ. Physiol. 17): H151–H153.
36. Kleiger RE, Miller JP, Bigger JT, Moss AJ. Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. Am. J. Cardiol. 1987;59: 256–262.
37. Rottman JN, Kleiger RE, Stein PK. Heart rate variability. Cardiol. Rev. 1996;4(2): 101–111.
38. Haluzík M. Poruchy výživy a leptin. Praha: Grada Publishing, 2002: 184.
39. Emans SJ. Eating disorders in adolescent girls. Pediatr. Int. 2000;42: 1–7.
40. Takabatake N, Nakamura H, Minamihaba O, et al. A novel pathophysiologic phenomenon in cachexic patients with chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 2001;163: 1314–1319.
41. Casu M, Patrone V, Gianelli MV. Spectral analysis of R-R interval variability by short-term recording in anorexia nervosa. Eat Weight Disord. 2002;7(3): 239–243.
42. Shimizu T, Satoh Y, Kaneko N, et al. Factors involved in the regulation of plasma leptin levels in children and adolescents with anorexia nervosa. Pediatr. Int. 2005;47: 154–158.
43. Stein PK, Kleiger RE. Insights from the study of heart rate variability. Ann. Rev. Med. 1999;50: 249–261.
44. Honzíková N, Semrád B, Fišer B, Lábrová R. Baroreflex sensitivity determined by spectral method and heart rate variability, and two-years mortality in patients after myocardial infarction. Physiol. Res. 2000;49: 643–650.
Štítky
Neonatology Paediatrics General practitioner for children and adolescentsČlánok vyšiel v časopise
Czech-Slovak Pediatrics
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