title: Relationships between QT interval and heart rate variability at rest and the covariates in healthy young adults.
abstract: To clarify the links between ECG QT-related parameters and heart rate variability (HRV) and the covariates possibly distorting them, the averaged RR and QT intervals in a single lead ECG were measured for 64 male and 86 female subjects aged 18-26. The QT index, defined by Rautaharju et al., in the young adults was not significantly related to any HRV parameters nor heart rate, but the Bazett's corrected QT (QTc) interval was associated negatively with the parasympathetic activity and positively with heart rate. No significant differences in the QTc interval, QT index or heart rate were seen between the men and women, but they significantly differed between both sexes after adjustment for possible covariates such as age and body mass index (BMI). Significant sex differences in parasympathetic parameters of the HRV were unchanged before and after the adjustment, but significant differences observed in the unadjusted sympathetic parameters disappeared after adjusting for covariates. Age, BMI and body fat percentage also were significant covariates affecting these ECG parameters. Consequently, QT index, unaffected by heart rate and HRV parameters, appears to be a more useful indicator than the QTc interval. Instead, the QT index and HRV parameters are recommended to be simultaneously measured in epidemiological research because they are probably complementary in assessing autonomic nervous function. Also, these parameters should be analyzed in men and women separately.
authors.affiliation: Department of Environmental Health Sciences, Akita University Graduate School of Medicine, Akita, Japan.
authors.forename: Kaori
authors.initials: K
authors.lastname: Arai
authors.forename: Yui
authors.initials: Y
authors.lastname: Nakagawa
authors.forename: Toyoto
authors.initials: T
authors.lastname: Iwata
authors.forename: Hyogo
authors.initials: H
authors.lastname: Horiguchi
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Murata
mesh_terms: D050154:Adiposity; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D015992:Body Mass Index; D017097:Electric Impedance; D004562:Electrocardiography; D015444:Exercise; D005260:Female; D006321:Heart / Q000254:growth & development / Q000294:innervation* / Q000502:physiology; D006339:Heart Rate; D006801:Humans; D007564:Japan; D008297:Male; D010275:Parasympathetic Nervous System / Q000254:growth & development / Q000502:physiology*; D015203:Reproducibility of Results; D012146:Rest; D012727:Sex Characteristics; D013564:Sympathetic Nervous System / Q000254:growth & development / Q000502:physiology*; D055815:Young Adult