A Pilot Study Exploring the Relationship between Short-Term HRV and Self-Rated Health Status among Elderly People
Journal Title: Archives of Community Medicine and Public Health - Year 2017, Vol 3, Issue 1
Abstract
Introduction: Establishing a personalized health care system can enable elderly people to access health care in their familiar community or home environments to achieve aging in place. The aims of this study are twofold:1) to explore the relationship between heart rate variability (HRV analysis) and subjective self-rated health status among elderly people, and 2) to examine whether HRV parameters serve as alternative subjective-measure indices that can be used to detect and monitor the physical and mental health status of elderly people. Method: 101 adults aged 64-91 years old were included in the community. The 5-minute resting ECG was measured and participants were required to complete the Physical Activity for the Elderly (PASE), EuroQol-5D (EQ-5D) and Chinese Health Questionnaire-12 (CHQ). Results: The correlation analysis showed HRV index (LF/HF ratio) had a positive relationship with age and CHQ, but negatively correlated with BMI. The clustering analysis also showed subgroup III (frail group) had the characteristics of being older and having lower BMI, lower physical levels, poor quality of life and self-rated health compared with subgroups I and II (relatively young and normal groups, respectively). Also, we found that the LF/HF ratio might be negatively correlated with EQ utility in subgroups II. Positive relationships were observed between HRV indices such as RMSSD, LF, HF and CHQ in subgroup III. Discussion: HRV represents not only an objective biomarker but also a potential candidate for evaluating self-rated health. Development and utilization of HRV devices to establish a personalized health care monitoring system can achieve successful aging in the community among elderly people.
Authors and Affiliations
Chen Jia-Jen, Liu Li-Fan, Wang Jeen-Shin, Chang Ting-Ting
Keywords
Related Articles
- EP ID EP326498
- DOI 10.17352/2455-5479.000018
- Views 89
- Downloads 0
Truly Integrated Care Centred on the Individual: My Personal Vision for Wales
This paper offers my personal vision of truly integrated health and social care centred on the individual for Wales. This vision of an integrated health and social care system is simple - a seamless and efficient service...
My own patient experience: Learning to walk again like a baby
I had a left monoparalysis during a holiday abroad in July 2005. This narrative shares my experience of getting ill in a foreign country, how it is diffi cult to describe your troubles and, how little is known about the...
Role of Dentists in Creating a Tobacco free Society
“Giving up smoking is easy I have done it a thousand times” is an adage that puts in perspective the difficulties in tobacco cessation. Tobacco is a global agent of death [1]. The tobacco epidemic is one of the biggest p...
Autoimmune Disease: Budget-buster or Enlightened Solutions? (The coming epidemic and the new administration in Washington)
A rising epidemic among Americans threatens to disrupt the new US administration’s promise of affordable health insurance for all. The epidemic consists of a dramatic and ongoing increase in the incidence of autoimmune d...
Indoor Air Pollutants and Respiratory Problems among Dhaka City Dwellers
Background: Indoor air pollutants becoming a great concern for public health. Indoor air pollution can cause more harmful health impacts than that of outdoor air pollution. Objectives: The study was conducted to investig...