Correlation between heart rate variability indexes and aerobic physiological variables in patients with COPD.
OBJECTIVE
Previous studies have shown a relationship between the level of physical fitness and autonomic variables. However, these relationships have not been investigated in patients with chronic obstructive pulmonary disease (COPD). The objective of this study was to correlate the resting heart rate variability (HRV) indexes with aerobic physiological variables obtained at a maximal exercise test in patients with COPD.


METHODS
Thirty-seven patients with COPD (63 (59-70) years; 46 (35.4-63.7) forced expiratory volume in 1 s (FEV1)%) underwent assessment of autonomic modulation at rest for 20 min to determine the HRV indexes in time and frequency domains. Soon after that, the patients performed an incremental exercise test to determine the anaerobic threshold (GET), the peak oxygen uptake (VO 2PEAK) and the velocity corresponding to VO 2PEAK (vVO 2PEAK).


RESULTS
The indexes that express parasympathetic component as RMSSD (11.4 [7.5-23.8], HF (ms(2)) (35 [17-195] and SD1 (8.1 [5.3-16.8]), correlated with GET (r = 0.39; r = 0.43; r = 0.39 respectively). The indexes that represent the overall variability, SDNN (19.5 [13.9-28.8]), LF (ms(2)) (111 [38-229]), and SD2 (26.8 [18.6-35.4]) correlated with vVO 2PEAK (r = 0.37; r = 0.38; r = 0.37; r = 0.44; r = 0.43; r = 0.46 respectively). Likewise, the indexes LF (ms(2)), LF (nu) (63.2 [46-77,9]), HF (nu) (36.8 [22.1-54]), and LF/HF (1.7 [0.9-3.5]) correlated with VO 2PEAK (r = 0.35; r = 0.35; r = -0.35; r = 0.40 respectively).


CONCLUSIONS
This study demonstrated that HRV indexes at rest may become a predictive tool for aerobic capacity in COPD patients after the development of more consistent methods.
Department of Physiotherapy, São Paulo State University (UNESP), Presidente Prudente, Brazil.
Marceli R
MR
Leite
Ercy Mara C
EM
Ramos
Carlos A
CA
Kalva-Filho
Fernanda Maria M
FM
Rodrigues
Ana Paula C F
AP
Freire
Guilherme Y
GY
Tacao
Alessandra C
AC
de Toledo
Michel J
MJ
Cecílio
Luiz Carlos M
LC
Vanderlei
Dionei
D
Ramos
D000368:Aged; D000369:Aged, 80 and over; D015308:Anaerobic Threshold; D001341:Autonomic Nervous System; D003430:Cross-Sectional Studies; D005080:Exercise Test; D017079:Exercise Tolerance / Q000502:physiology*; D005260:Female; D005541:Forced Expiratory Volume; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010101:Oxygen Consumption; D011237:Predictive Value of Tests; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology*; D012146:Rest / Q000502:physiology
aerobic treatment; autonomic nervous system; parasympathetic nervous system; physical fitness; pulmonary disease