Cardiovascular Autonomic Dysfunction in Patients of Nonalcoholic Fatty Liver Disease

Aim. The present study was designed to evaluate the heart rate variability (HRV) in nonalcoholic fatty liver disease (NAFLD) and to assess the effect of grade of NAFLD and diabetic status on HRV. Methods. This cross-sectional study included 75 subjects (25 NAFLD without diabetes, 25 NAFLD with diabe...

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Published in:International Journal of Hepatology 2016-01, Vol.2016 (2016), p.43-50
Main Authors: Vikram, Naval, Pandey, R. M., Sharma, Sanjay, Deepak, K. K., Ranjan, Piyush, Jaryal, Ashok Kumar, Singh, Akanksha, Kumar, Mavidi Sunil, Ramakrishnan, Lakshmy
Format: Article
Language:English
Subjects:
Atherosclerosis
Batch processing
Body composition
Body fat
Body mass index
Cardiovascular disease
Cardiovascular diseases
Comparative analysis
Complications and side effects
Development and progression
Diabetes
Exports
Fasting
Fatty liver
Glucose
Heart rate
Hepatitis
Insulin
Lipids
Liver diseases
Metabolism
Physiological aspects
Risk factors
Software
Standard deviation
Testing laboratories
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container_issue 2016
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container_title International Journal of Hepatology
container_volume 2016
creator Vikram, Naval
Pandey, R. M.
Sharma, Sanjay
Deepak, K. K.
Ranjan, Piyush
Jaryal, Ashok Kumar
Singh, Akanksha
Kumar, Mavidi Sunil
Ramakrishnan, Lakshmy
description Aim. The present study was designed to evaluate the heart rate variability (HRV) in nonalcoholic fatty liver disease (NAFLD) and to assess the effect of grade of NAFLD and diabetic status on HRV. Methods. This cross-sectional study included 75 subjects (25 NAFLD without diabetes, 25 NAFLD with diabetes, and 25 controls). Measurements included anthropometry, body composition analysis, estimation of plasma glucose, serum lipids, hsCRP, and serum insulin. HRV analysis was performed in both time and frequency domains. Results. The time and frequency domain indices of overall variability (SDNN, total power) were significantly lower in NAFLD with diabetes as compared to the controls. However, the LF : HF ratio did not differ among the three groups. The variables related to obesity, lipid profile, and glucose metabolism were also higher in NAFLD with diabetes and those with Grade II NAFLD without diabetes, as compared to controls. Multivariate stepwise regression analysis showed a negative correlation between HRV and total cholesterol and fat percentage. Conclusion. The grade of NAFLD as well as diabetic status contributes to the decrease in the cardiovascular autonomic function, with diabetic status rather than grade of NAFLD playing a critical role. Serum lipids and adiposity may also contribute to cardiac autonomic dysfunction.
doi_str_mv 10.1155/2016/5160754
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M. ; Sharma, Sanjay ; Deepak, K. K. ; Ranjan, Piyush ; Jaryal, Ashok Kumar ; Singh, Akanksha ; Kumar, Mavidi Sunil ; Ramakrishnan, Lakshmy</creator><contributor>Morioka, Daisuke ; Daisuke Morioka</contributor><creatorcontrib>Vikram, Naval ; Pandey, R. M. ; Sharma, Sanjay ; Deepak, K. K. ; Ranjan, Piyush ; Jaryal, Ashok Kumar ; Singh, Akanksha ; Kumar, Mavidi Sunil ; Ramakrishnan, Lakshmy ; Morioka, Daisuke ; Daisuke Morioka</creatorcontrib><description>Aim. The present study was designed to evaluate the heart rate variability (HRV) in nonalcoholic fatty liver disease (NAFLD) and to assess the effect of grade of NAFLD and diabetic status on HRV. Methods. This cross-sectional study included 75 subjects (25 NAFLD without diabetes, 25 NAFLD with diabetes, and 25 controls). Measurements included anthropometry, body composition analysis, estimation of plasma glucose, serum lipids, hsCRP, and serum insulin. HRV analysis was performed in both time and frequency domains. Results. The time and frequency domain indices of overall variability (SDNN, total power) were significantly lower in NAFLD with diabetes as compared to the controls. However, the LF : HF ratio did not differ among the three groups. The variables related to obesity, lipid profile, and glucose metabolism were also higher in NAFLD with diabetes and those with Grade II NAFLD without diabetes, as compared to controls. Multivariate stepwise regression analysis showed a negative correlation between HRV and total cholesterol and fat percentage. Conclusion. The grade of NAFLD as well as diabetic status contributes to the decrease in the cardiovascular autonomic function, with diabetic status rather than grade of NAFLD playing a critical role. Serum lipids and adiposity may also contribute to cardiac autonomic dysfunction.</description><identifier>ISSN: 2090-3448</identifier><identifier>EISSN: 2090-3456</identifier><identifier>DOI: 10.1155/2016/5160754</identifier><identifier>PMID: 28053786</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Limiteds</publisher><subject>Atherosclerosis ; Batch processing ; Body composition ; Body fat ; Body mass index ; Cardiovascular disease ; Cardiovascular diseases ; Comparative analysis ; Complications and side effects ; Development and progression ; Diabetes ; Exports ; Fasting ; Fatty liver ; Glucose ; Heart rate ; Hepatitis ; Insulin ; Lipids ; Liver diseases ; Metabolism ; Physiological aspects ; Risk factors ; Software ; Standard deviation ; Testing laboratories</subject><ispartof>International Journal of Hepatology, 2016-01, Vol.2016 (2016), p.43-50</ispartof><rights>Copyright © 2016 Mavidi Sunil Kumar et al.</rights><rights>COPYRIGHT 2016 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2016 Mavidi Sunil Kumar et al. 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subjects Atherosclerosis
Batch processing
Body composition
Body fat
Body mass index
Cardiovascular disease
Cardiovascular diseases
Comparative analysis
Complications and side effects
Development and progression
Diabetes
Exports
Fasting
Fatty liver
Glucose
Heart rate
Hepatitis
Insulin
Lipids
Liver diseases
Metabolism
Physiological aspects
Risk factors
Software
Standard deviation
Testing laboratories
title Cardiovascular Autonomic Dysfunction in Patients of Nonalcoholic Fatty Liver Disease
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