Cardiac vagal tone, a non-invasive measure of parasympathetic tone, is a clinically relevant tool in Type 1 diabetes mellitus

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Cardiac vagal tone, a non-invasive measure of parasympathetic tone, is a clinically relevant tool in Type 1 diabetes mellitus. / Brock, C; Jessen, N; Brock, B; Jakobsen, P E; Hansen, T K; Rantanen, J M; Riahi, S; Dimitrova, Y K; Dons-Jensen, A; Aziz, Q; Drewes, A M; Farmer, A D.

In: Diabetic Medicine, Vol. 34, No. 10, 10.2017, p. 1428-1434.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Brock, C, Jessen, N, Brock, B, Jakobsen, PE, Hansen, TK, Rantanen, JM, Riahi, S, Dimitrova, YK, Dons-Jensen, A, Aziz, Q, Drewes, AM & Farmer, AD 2017, 'Cardiac vagal tone, a non-invasive measure of parasympathetic tone, is a clinically relevant tool in Type 1 diabetes mellitus', Diabetic Medicine, vol. 34, no. 10, pp. 1428-1434. https://doi.org/10.1111/dme.13421

APA

Brock, C., Jessen, N., Brock, B., Jakobsen, P. E., Hansen, T. K., Rantanen, J. M., ... Farmer, A. D. (2017). Cardiac vagal tone, a non-invasive measure of parasympathetic tone, is a clinically relevant tool in Type 1 diabetes mellitus. Diabetic Medicine, 34(10), 1428-1434. https://doi.org/10.1111/dme.13421

Vancouver

Brock C, Jessen N, Brock B, Jakobsen PE, Hansen TK, Rantanen JM et al. Cardiac vagal tone, a non-invasive measure of parasympathetic tone, is a clinically relevant tool in Type 1 diabetes mellitus. Diabetic Medicine. 2017 Oct;34(10):1428-1434. https://doi.org/10.1111/dme.13421

Author

Brock, C ; Jessen, N ; Brock, B ; Jakobsen, P E ; Hansen, T K ; Rantanen, J M ; Riahi, S ; Dimitrova, Y K ; Dons-Jensen, A ; Aziz, Q ; Drewes, A M ; Farmer, A D. / Cardiac vagal tone, a non-invasive measure of parasympathetic tone, is a clinically relevant tool in Type 1 diabetes mellitus. In: Diabetic Medicine. 2017 ; Vol. 34, No. 10. pp. 1428-1434.

Bibtex

@article{f5d846fba3734f94b4300e411bcd0d4a,
title = "Cardiac vagal tone, a non-invasive measure of parasympathetic tone, is a clinically relevant tool in Type 1 diabetes mellitus",
abstract = "AIMS: To compare a novel index of parasympathetic tone, cardiac vagal tone, with established autonomic variables and to test the hypotheses that (1) cardiac vagal tone would be associated with established time and frequency domain measures of heart rate and (2) cardiac vagal tone would be lower in people with Type 1 diabetes than in a matched healthy cohort and lower still in people with established neuropathy.METHODS: Cardiac vagal tone is a validated cardiometrically derived index of parasympathetic tone. It is measured using a standard three-lead electrocardiogram which connects, via Bluetooth, to a smartphone application. A 5-min resting recording of cardiac vagal tone was undertaken and observational comparisons were made between 42 people with Type 1 diabetes and peripheral neuropathy and 23 without peripheral neuropathy and 65 healthy people. In those with neuropathy, 24-h heart rate variability values were compared with cardiac vagal tone. Correlations between cardiac vagal tone and clinical variables were also made.RESULTS: Cardiac vagal tone was lower in people with established neuropathy and Type 1 diabetes in comparison with healthy participants [median (interquartile range) linear vagal scale 3.4 (1.6-5.5 vs 7.0 (5.5-9.6); P < 0.0001]. Cardiac vagal tone was positively associated with time (r = 0.8, P < 0.0001) and frequency domain markers of heart rate variability (r = 0.75, P < 0.0001), representing established measures of parasympathetic function. Cardiac vagal tone was negatively associated with age (r=-0.32, P = 0.003), disease duration (r=-0.43, P < 0.0001) and cardiovascular risk score (r=-0.32, P = 0.006).CONCLUSIONS: Cardiac vagal tone represents a convenient, clinically relevant method of assessing parasympathetic nervous system tone, potentially facilitating the earlier identification of people with Type 1 diabetes who should undergo formal autonomic function testing.",
keywords = "Journal Article",
author = "C Brock and N Jessen and B Brock and Jakobsen, {P E} and Hansen, {T K} and Rantanen, {J M} and S Riahi and Dimitrova, {Y K} and A Dons-Jensen and Q Aziz and Drewes, {A M} and Farmer, {A D}",
note = "{\circledC} 2017 Diabetes UK.",
year = "2017",
month = "10",
doi = "10.1111/dme.13421",
language = "English",
volume = "34",
pages = "1428--1434",
journal = "Diabetic Medicine",
issn = "0742-3071",
publisher = "Wiley-Blackwell",
number = "10",

}

RIS

TY - JOUR

T1 - Cardiac vagal tone, a non-invasive measure of parasympathetic tone, is a clinically relevant tool in Type 1 diabetes mellitus

AU - Brock, C

AU - Jessen, N

AU - Brock, B

AU - Jakobsen, P E

AU - Hansen, T K

AU - Rantanen, J M

AU - Riahi, S

AU - Dimitrova, Y K

AU - Dons-Jensen, A

AU - Aziz, Q

AU - Drewes, A M

AU - Farmer, A D

N1 - © 2017 Diabetes UK.

PY - 2017/10

Y1 - 2017/10

N2 - AIMS: To compare a novel index of parasympathetic tone, cardiac vagal tone, with established autonomic variables and to test the hypotheses that (1) cardiac vagal tone would be associated with established time and frequency domain measures of heart rate and (2) cardiac vagal tone would be lower in people with Type 1 diabetes than in a matched healthy cohort and lower still in people with established neuropathy.METHODS: Cardiac vagal tone is a validated cardiometrically derived index of parasympathetic tone. It is measured using a standard three-lead electrocardiogram which connects, via Bluetooth, to a smartphone application. A 5-min resting recording of cardiac vagal tone was undertaken and observational comparisons were made between 42 people with Type 1 diabetes and peripheral neuropathy and 23 without peripheral neuropathy and 65 healthy people. In those with neuropathy, 24-h heart rate variability values were compared with cardiac vagal tone. Correlations between cardiac vagal tone and clinical variables were also made.RESULTS: Cardiac vagal tone was lower in people with established neuropathy and Type 1 diabetes in comparison with healthy participants [median (interquartile range) linear vagal scale 3.4 (1.6-5.5 vs 7.0 (5.5-9.6); P < 0.0001]. Cardiac vagal tone was positively associated with time (r = 0.8, P < 0.0001) and frequency domain markers of heart rate variability (r = 0.75, P < 0.0001), representing established measures of parasympathetic function. Cardiac vagal tone was negatively associated with age (r=-0.32, P = 0.003), disease duration (r=-0.43, P < 0.0001) and cardiovascular risk score (r=-0.32, P = 0.006).CONCLUSIONS: Cardiac vagal tone represents a convenient, clinically relevant method of assessing parasympathetic nervous system tone, potentially facilitating the earlier identification of people with Type 1 diabetes who should undergo formal autonomic function testing.

AB - AIMS: To compare a novel index of parasympathetic tone, cardiac vagal tone, with established autonomic variables and to test the hypotheses that (1) cardiac vagal tone would be associated with established time and frequency domain measures of heart rate and (2) cardiac vagal tone would be lower in people with Type 1 diabetes than in a matched healthy cohort and lower still in people with established neuropathy.METHODS: Cardiac vagal tone is a validated cardiometrically derived index of parasympathetic tone. It is measured using a standard three-lead electrocardiogram which connects, via Bluetooth, to a smartphone application. A 5-min resting recording of cardiac vagal tone was undertaken and observational comparisons were made between 42 people with Type 1 diabetes and peripheral neuropathy and 23 without peripheral neuropathy and 65 healthy people. In those with neuropathy, 24-h heart rate variability values were compared with cardiac vagal tone. Correlations between cardiac vagal tone and clinical variables were also made.RESULTS: Cardiac vagal tone was lower in people with established neuropathy and Type 1 diabetes in comparison with healthy participants [median (interquartile range) linear vagal scale 3.4 (1.6-5.5 vs 7.0 (5.5-9.6); P < 0.0001]. Cardiac vagal tone was positively associated with time (r = 0.8, P < 0.0001) and frequency domain markers of heart rate variability (r = 0.75, P < 0.0001), representing established measures of parasympathetic function. Cardiac vagal tone was negatively associated with age (r=-0.32, P = 0.003), disease duration (r=-0.43, P < 0.0001) and cardiovascular risk score (r=-0.32, P = 0.006).CONCLUSIONS: Cardiac vagal tone represents a convenient, clinically relevant method of assessing parasympathetic nervous system tone, potentially facilitating the earlier identification of people with Type 1 diabetes who should undergo formal autonomic function testing.

KW - Journal Article

U2 - 10.1111/dme.13421

DO - 10.1111/dme.13421

M3 - Journal article

VL - 34

SP - 1428

EP - 1434

JO - Diabetic Medicine

JF - Diabetic Medicine

SN - 0742-3071

IS - 10

ER -

ID: 187554687