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Influence of age and gender on blood pressure variability and baroreflex sensitivity in a healthy population in the Indian sub-continent

  • Meghana Adoor ORCID logo , Sriranjini S. Jaideep , M.U. Sujan , Boris W. Kramer , T.R. Raju and Talakad N. Sathyaprabha EMAIL logo
Published/Copyright: July 14, 2018

Abstract

Background

The current exploratory study was aimed at estimating measures of blood pressure variability (BPV) and baroreflex sensitivity (BRS) in a healthy population in the Indian sub-continent.

Methods

One hundred and forty-two healthy subjects were recruited for the study. Blood pressure (BP) was recorded continuously for 15 min using the Finometer (Finapres Medical Systems, The Netherlands). For offline analysis, Nevrokard cardiovascular parameter analysis (CVPA) software (version 2.1.0) was used for BPV analysis. BRS was determined by spectral and sequence methods. One-way ANOVA and Bonferroni’s test were used to compare parameters. Pearson’s correlation coefficient was employed to look for possible associations between age and other continuous variables.

Results

Out of 196 screened volunteers, 54 were excluded and 142 subjects were grouped based on ages as 10–19 years (group 1), 20–29 years (group 2), 30–39 years (group 3), 40–49 years (group 4), and 50–59 years (group 5). Within groups, body mass index (BMI, p=0.000) and BP (systolic and diastolic) were significantly different. Post hoc analysis showed mean blood pressure (MBP) and diastolic blood pressure (DBP) differing significantly between groups 1 and 4 (p<0.05 for both) along with other cardiovascular parameters. Age correlated positively with BMI and all parameters of BP. Significant gender differences were observed for stroke volume, cardiac output, up BRS, total BRS, peripheral resistance (PR), and aortic impedance.

Conclusions

Our study has provided reference values for BPV and BRS in an Indian population. It also indicates age-related neurocardiac imbalance and possible utility of these tests for screening at the start of neurocardiac damage in a healthy population.

Acknowledgments

We are grateful to the study volunteers for their participation.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

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Received: 2017-08-09
Accepted: 2018-01-03
Published Online: 2018-07-14
Published in Print: 2018-07-26

©2018 Walter de Gruyter GmbH, Berlin/Boston

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