Heart rate variability in children with type 1 diabetes mellitus

• Published in: Revista Paulista de Pediatria Vol. 32; no. 2; pp. 279 - 285
• Main Authors: Gardim, Camila Balsamo, de Oliveira, Bruno Affonso P, Bernardo, Aline Fernanda B, Gomes, Rayana Loch, Pacagnelli, Francis Lopes, Lorençoni, Roselene Modolo R, Vanderlei, Luiz Carlos M
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade de Pediatria de São Paulo 01-06-2014
• Subjects: Child; diabetes mellitus tipo 1; Diabetes Mellitus, Type 1 - physiopathology; Heart Rate; Humans; niño; Observational Studies as Topic; Review; sistema nervioso autónomo; variabilidad de la frecuencia cardiaca
• ISSN: 0103-0582; 1984-0462; 1984-0462
• DOI: 10.1590/0103-0582201432215513

To gather current information about the effects of type 1 diabetes mellitus on children's cardiac autonomic behavior.
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.
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.
Children with type 1 diabetes mellitus present changes on autonomic modulation, indicating the need for early attention to avoid future complications in this group.