title: Neurovegetative disturbances in workers exposed to 50 Hz electromagnetic fields.
abstract: OBJECTIVE
  Since the circulatory and nervous systems are composed of electrically excitable tissues, it is plausible that they can be stimulated by electromagnetic fields (EMF). No clinical studies have as yet been carried out to explain whether and how occupational exposure to 50 Hz EMF can influence the neurovegetative regulation of the cardiovascular function. The present project was undertaken to assess the autonomic function in workers occupationally exposed to 50 Hz EMF, by analyzing the heart rate variability.
  
  
  METHODS
  The study group comprised 63 workers of switchyard substations, aged 22-67 years (39.2 +/- 10.0 years), and the control group 42 workers of radio link stations, aged 20-68 years (40.7 +/- 9.2 years), employed at workposts free from EMF exposure. The age range and employment duration in both groups did not differ significantly. To assess the neurovegetative regulation of the cardiac function, heart rate variability (HRV) analysis was made based on 512 normal heart beats recorded at rest. The analysis, performed using fast Fourier transformation, concerned the time- and frequency-domain HRV parameters. Power spectrum in the very low (VLF), low (LF) and high (HF) frequency bands was determined.
  
  
  RESULTS
  The relative risk of decreased HRV (STD R-R < 27 ms), calculated with use of a logistic regression model, was significantly higher in the exposed group than in controls (OR = 2.8). The VLF power spectrum was significantly higher in the exposed group and correlated with the exposure level. The percentage of subjects with dominant sympathetic function (LF/HF > 1) was significantly higher in the study group than in controls (65% vs. 47%).
  
  
  CONCLUSIONS
  It was concluded that occupational exposure to 50 Hz EMF could influence the neurovegetative regulation of the cardiovascular system.
authors.affiliation: Department of Work Physiology and Ergonomics, Nofer Institute of Occupational Medicine, Lódź, Poland. alab@sunlib.p.lodz.pl
authors.forename: Alicja
authors.initials: A
authors.lastname: Bortkiewicz
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Gadzicka
authors.forename: Marek
authors.initials: M
authors.lastname: Zmyślony
authors.forename: Wiesław
authors.initials: W
authors.lastname: Szymczak
mesh_terms: D000328:Adult; D000368:Aged; D001341:Autonomic Nervous System; D002319:Cardiovascular System / Q000294:innervation*; D004574:Electromagnetic Fields / Q000009:adverse effects*; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure; D011044:Poland; D011846:Radio Waves