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Children's heart rate variability as stress indicator: Association with reported stress and cortisol
Authors:Nathalie Michels  Isabelle Sioen  Els Clays  Marc De Buyzere  Wolfgang Ahrens  Inge Huybrechts  Barbara Vanaelst  Stefaan De Henauw
Institution:1. Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 2 Blok A, B-9000 Ghent, Belgium;2. Research Foundation – Flanders, Egmontstraat 5, B-1000 Brussels, Belgium;3. Department of Cardiology, University Hospital Ghent, De Pintelaan 185, B-9000 Ghent, Belgium;4. Bremen Institute for Prevention Research and Social Medicine (BIPS), University of Bremen, Achterstrasse 30, D-28359 Bremen, Germany;5. Dietary Exposure Assessment Group, International Agency for Research on Cancer (IARC/WHO), 150 Cours Albert Thomas, 69372 Lyon CEDEX 08, France;6. Department of Health Sciences, Vesalius, Hogeschool Gent, Keramiekstraat 80, B-9000 Ghent, Belgium
Abstract:Stress is a complex phenomenon coordinated by two main neural systems: the hypothalamic–pituitary–adrenal system with cortisol as classical stress biomarker and the autonomic nervous system with heart rate variability (HRV) as recently suggested stress marker. To test low HRV (5 minute measurements) as stress indicator in young children (5-10y), associations with self-reported chronic stress aspects (events, emotions and problems) (N = 334) and salivary cortisol (N = 293) were performed. Peer problems, anger, anxiety and sadness were associated with lower root mean square of successive differences (RMSSD) and high frequency power (i.e. lower parasympathetic activity). Anxiety and anger were also related to a higher low frequency to high frequency ratio. Using multilevel modelling, higher cortisol levels, a larger cortisol awakening response and steeper diurnal decline were also associated with these HRV patterns of lower parasympathetic activity. Conclusion: Low HRV (lower parasympathetic activity) might serve as stress indicator in children.
Keywords:CAR  cortisol awakening response  ChiBS  children's body composition and stress  HF  high frequency  HRV  heart rate variability  LF  low frequency  nu  normalized units  PA  parasympathetic activity  pNN50  percentage of consecutive normal RR intervals differing more than 50 ms  RMSSD  root mean square of successive differences  SA  sympathetic activity
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