Revista Paulista de Pediatria (Jun 2014)

Heart rate variability in children with type 1 diabetes mellitus

  • Camila Balsamo Gardim,
  • Bruno Affonso P. de Oliveira,
  • Aline Fernanda B. Bernardo,
  • Rayana Loch Gomes,
  • Francis Lopes Pacagnelli,
  • Roselene Modolo R. Lorençoni,
  • Luiz Carlos M. Vanderlei

DOI
https://doi.org/10.1590/0103-0582201432215513
Journal volume & issue
Vol. 32, no. 2
pp. 279 – 285

Abstract

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OBJECTIVE:To gather current information about the effects of type 1 diabetes mellitus on children's cardiac autonomic behavior.DATA SOURCES: The search of articles was conducted on PubMed, Ibecs, Medline, Cochrane, Lilacs, SciELO and PEDro databases using the MeSH terms: "autonomic nervous system", "diabetes mellitus", "child", "type 1 diabetes mellitus", "sympathetic nervous system" and "parasympathetic nervous system", and their respective versions in Portuguese (DeCS). Articles published from January 2003 to February 2013 that enrolled children with 9-12 years old with type 1 diabetes mellitus were included in the review.DATA SYNTHESIS: The electronic search resulted in four articles that approached the heart rate variability in children with type 1 diabetes mellitus, showing that, in general, these children present decreased global heart rate variability and vagal activity. The practice of physical activity promoted benefits for these individuals.CONCLUSIONS: Children with type 1 diabetes mellitus present changes on autonomic modulation, indicating the need for early attention to avoid future complications in this group.

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